Attach 2 - Pricing Worksheet - Diagnostic Medical Physics Services.xlsx
XLSX spreadsheet 27 KB Posted
- Attached to
- Diagnostic Medical Physics Services Federal contract opportunity
- Solicitation number
- FA442723Q0003
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attach 4 - WD 2015-5655 Rev 16.pdf | ||
| Attach 1 - PWS Medical Physics Services 7DEC2022 (DHA Format).pdf | ||
| FA442723Q0003-Combo-Diagnostic Medical Physics Services.pdf | ||
| Attach 3 - Past Performance Reference Sheet.pdf |
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Sheet2
Sheet1
| Company Name: | |
| ***PLEASE FILL IN YELLOW BOXES FOR THIS PROPOSAL*** |
CLIN Supplies/Services Quantity Unit of Issue Base Year Unit Price Base Year Total Cost Opt Yr 1 Unit Price Opt Yr 1 Total Cost Opt Yr 2 Unit Price Opt Yr 2 Total Cost Opt Yr 3 Unit Price Opt Yr 3 Total Cost Opt Yr 4 Unit Price Opt Yr 4 Total Cost 6 Mo Ext Unit Price 6 Mo Ext Total Cost Period of Performance
| 0001 | DM/DBT/Hologic/Dimensions | 2 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | Base Year: 01 Feb 2023 – 31 Jan 2024 Opt Yr 1: 01 Feb 2024 – 31 Jan 2025 Opt Yr 2: 01 Feb 2025 – 31 Jan 2026 Opt Yr 3: 01 Feb 2026 – 31 Jan 2027 Opt Yr 4: 01 Feb 2027 – 31 Jan 2028 6 Mo Ext: 01 Feb 2028 – 31 July 2028 |
| 0002 | Stereotactic/Hologic/Affirm | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0003 | Monitors/Barco/MDMC-12133 | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0004 | SPECT/Siemens/Eco | 2 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0005 | IR Bi-plane/Toshiba/DSRX | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0006 | Portable Mini C-arm/Hologic/Fluoroscan Insight | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0007 | Portable C-arm/GE/9900 Elite | 3 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0008 | IR Single Plane/Toshiba/DSRX | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0009 | Portable C-arm/Siemens/Arcadis 3D | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0010 | CV OR/Siemens/Axiom Artis Zeego | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0011 | CV OR/Siemens/Axiom Artis Q | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0012 | Portable C-arm/Siemens/Cios Alpha | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0013 | Flouro Table/Dornier/Gemini | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0014 | Portable Mini C-arm/Orthoscan/HD | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0015 | SPECT/CT/Siemens/Intevo 2 | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0016 | US/GE/Logic E10 | 4 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0017 | Fluoro Table Unit/Siemens/Luminos Agile | 2 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0018 | MRI/Siemens/Magnetom 1.5T | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0019 | MRI/Siemens/Magnetom 3T | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0020 | PET/CT/Siemens/mCT Biograph Flow | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0021 | Portable O-Arm/Medtronics/O2 | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0022 | CT/GE/Revolution 64 | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0023 | CT/Siemens/Somatom Flash | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0024 | Fluoro Table/Siemens/Uroskop | 1 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0025 | Cath Lab Bi-plane/Phillips/XPER FD 20/10 | 2 | Each | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| 0026 | Additional evaluations for equipment acquisitions/relocations/repairs/upgrades (IAW PWS 3.1.1.6) | 24 | Hour | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | 0 | $0.00 | |
| *Contractor is to provide Diagnostic Medical Physics Service to David Grant Medical Center, Travis AFB CA in accordance with the Performance Work Statement dated 16 Nov 2022 and all applicable requirments. |
| TOTALS: | Contractor Name: | |
| Base Year | $0.00 | Contractor Signature: |
| Option Yr 1 | $0.00 | |
| Option Yr 2 | $0.00 | Date: |
| Option Yr 3 | $0.00 | |
| Option Yr 4 | $0.00 | |
| 6 Mo Ext | $0.00 | |
| TOTAL | $0.00 |
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