Attachment 3 CLINS_Pricing SheetRev4-21-2026.xlsx

XLSX spreadsheet 316 KB Posted

Attached to
6835--Medical Gas Supply
Solicitation number
36C24E26Q0036
Issued by

About this file

This is a pricing sheet template (CLINS Pricing Sheet Revision 4, dated 21-2026) for submission in response to a Request for Quote solicitation. The file serves as a template for offerors to provide pricing for medical gas supply and delivery services being procured by the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 4. The solicitation number is 36C24E26Q0036, with a performance period estimated from June 26, 2026 through June 25, 2031. This is a Total Small Business Set-Aside competition under NAICS Code 325120 (Industrial Gas Manufacturing) with a PSC of 6835 (Medical Gasses), and the business size standard is 1,200 employees.

Offerors responding to this solicitation must complete this pricing sheet template and submit it in accordance with the specific quote submission instructions detailed in Attachment 2. The solicitation will be awarded via Standard Form 1449, and all prospective contractors must be registered in the System for Award Management (SAM) database to be eligible for award consideration. This pricing template is an essential component of the proposal package and should reflect the contractor's proposed costs for medical gas supply and delivery services as outlined in the Statement of Work (Attachment 1).

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Other files

File Type Posted
36C24E26Q0036 0001.docx DOCX document
Attachment 1- SOW - Medical Cylinder Gas4-21-2026.docx DOCX document
Previous Questions and answers.docx DOCX document
Attachment 2 Terms_conditions_Submit36C24E26Q0036.docx DOCX document
36C24E26Q0036_1.docx DOCX document

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Items

ITEM NUMBERSLINDESCRIPTIONREF CLINCOMMENTINCLUDE COMMENTS IN DOCUMENTCONTRACT PERIODPOP BEGINPOP ENDQUANTITYUNIT OF MEASUREPACKAGING MULTIPLERECEIPT TYPELINE ITEM ISUNIT PRICEITEM DISCOUNT TYPE NAMEITEM DISCOUNTDATE UPDATEDtotalColumn2Column3Column4Column5Column6ZIP4COUNTRYMARK FROCONTACT NAMECONTACT PHONECONTACT EMAILDDELIVERY DATEFOBSPECIAL INSTRUCTIONSINCLUDE INSTRUCTIONS/COMMENTS IN DOCUMENTINCLUDE DATA VALUES IN DOCUMENTPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODE
0001Nitrogen, Refrigerated Liquid 160 Liters 22psi Medical GradeBase6/26/266/25/27589EAPriced0Destination3251206835
0002Nitrogen NF Grade Refrigerated Liquid 160 liters 22psi Medical GradeBase6/26/266/25/271EAPriced0Destination3251206835
0003Nitrogen Refrigerated Liquid 240 Liters 22psi Medical GradeBase6/26/266/25/271EAPricedDestination3251206835
0004Nitrogen Refrigerated Liquid High Pressure 240 Liters 22psiBase6/26/266/25/271EAPricedDestination3251206835
0005Nitrogen Compressed High Purity 300cf (T)Base6/26/266/25/27147EAPriced0Destination3251206835
0006Compressed Nitrogen Gas, NF Grade 200cf (K)Base6/26/266/25/271EAPricedDestination3251206835
0007Nitrogen Ultra High Purity Grade 300cf (T)Base6/26/266/25/271EAPricedDestination3251206835
0008Argon Compressed Gas 200cf (K}Base6/26/266/25/271EAPricedDestination3251206835
0009Air Compressed Gas Zero Grade 200cf (K)Base6/26/266/25/271EAPricedDestination3251206835
0010Carbon Dioxide Liquified Gas Medical Grade 50 pounds (K)Base6/26/266/25/2735EAPricedDestination3251206835
0011Carbon Dioxide Liquified Gas 50 pounds (K) 22psiBase6/26/266/25/271EAPricedDestination3251206835
0012Carbon Dioxide Liquified Gas w/Syphon Tube 50 pounds (K} Medical GradeBase6/26/266/25/271EAPricedDestination3251206835
0013Oxygen Compressed Medical Grade 23cf (E)Base6/26/266/25/2724EAPricedDestination3251206835
0014Oxygen Compressed Medical Grade 200cf (K)Base6/26/266/25/2744EAPricedDestination3251206835
0015Liquid Nitrogen 20 litersBase6/26/266/25/271EAPricedDestination3251206835
0016Mix 5%Carbon Dioxide 95% Oxygen K 200cf certified standardBase6/26/266/25/271EAPricedDestination3251206835
0017Mix 0.05%Carbon Dioxide 99.95% Nitrogen 200cf certified standardBase6/26/266/25/274EAPricedDestination3251206835
0018DeliveryBase6/26/266/25/27252EAPricedDestination3251206835
0019Gas Cylinder Rental charge (per day tank)Base6/26/266/25/272108EAPricedDestination3251206835
0020Nitrogen Cylinder Rental charge (per day tank)Base6/26/266/25/278432EAPricedDestination3251206835
0021Disposal feeBase6/26/266/25/271EAPricedDestination3251206835
1001Nitrogen, Refrigerated Liquid 160 Liters 22psi Medical GradeBase6/26/276/25/28589EAPricedDestination3251206835
1002Nitrogen NF Grade Refrigerated Liquid 160 liters 22psi Medical GradeBase6/26/276/25/281EAPricedDestination3251206835
1003Nitrogen Refrigerated Liquid 240 Liters 22psi Medical GradeBase6/26/276/25/281EAPricedDestination3251206835
1004Nitrogen Refrigerated Liquid High Pressure 240 Liters 22psiBase6/26/276/25/281EAPricedDestination3251206835
1005Nitrogen Compressed High Purity 300cf (T)Base6/26/276/25/28147EAPricedDestination3251206835
1006Compressed Nitrogen Gas, NF Grade 200cf (K)Base6/26/276/25/281EAPricedDestination3251206835
1007Nitrogen Ultra High Purity Grade 300cf (T)Base6/26/276/25/281EAPricedDestination3251206835
1008Argon Compressed Gas 200cf (K}Base6/26/276/25/281EAPricedDestination3251206835
1009Air Compressed Gas Zero Grade 200cf (K)Base6/26/276/25/281EAPricedDestination3251206835
1010Carbon Dioxide Liquified Gas Medical Grade 50 pounds (K)Base6/26/276/25/2835EAPricedDestination3251206835
1011Carbon Dioxide Liquified Gas 50 pounds (K) 22psiBase6/26/276/25/281EAPricedDestination3251206835
1012Carbon Dioxide Liquified Gas w/Syphon Tube 50 pounds (K} Medical GradeBase6/26/276/25/281EAPricedDestination3251206835
1013Oxygen Compressed Medical Grade 23cf (E)Base6/26/276/25/2824EAPricedDestination3251206835
1014Oxygen Compressed Medical Grade 200cf (K)Base6/26/276/25/2844EAPricedDestination3251206835
1015Liquid Nitrogen 20 litersBase6/26/276/25/281EAPricedDestination3251206835
1016Mix 5%Carbon Dioxide 95% Oxygen K 200cf certified standardBase6/26/276/25/281EAPricedDestination3251206835
1017Mix 0.05%Carbon Dioxide 99.95% Nitrogen 200cf certified standardBase6/26/276/25/284EAPricedDestination3251206835
1018DeliveryBase6/26/276/25/28252EAPricedDestination3251206835
1019Gas Cylinder Rental charge (per day tank)Base6/26/276/25/282108EAPricedDestination3251206835
1020Nitrogen Cylinder Rental charge (per day tank)Base6/26/276/25/288432EAPricedDestination3251206835
1021Disposal feeBase6/26/276/25/281EAPricedDestination3251206835
2001Nitrogen, Refrigerated Liquid 160 Liters 22psi Medical GradeBase6/26/286/25/29589EAPricedDestination3251206835
2002Nitrogen NF Grade Refrigerated Liquid 160 liters 22psi Medical GradeBase6/26/286/25/291EAPricedDestination3251206835
2003Nitrogen Refrigerated Liquid 240 Liters 22psi Medical GradeBase6/26/286/25/291EAPricedDestination3251206835
2004Nitrogen Refrigerated Liquid High Pressure 240 Liters 22psiBase6/26/286/25/291EAPricedDestination3251206835
2005Nitrogen Compressed High Purity 300cf (T)Base6/26/286/25/29147EAPricedDestination3251206835
2006Compressed Nitrogen Gas, NF Grade 200cf (K)Base6/26/286/25/291EAPricedDestination3251206835
2007Nitrogen Ultra High Purity Grade 300cf (T)Base6/26/286/25/291EAPricedDestination3251206835
2008Argon Compressed Gas 200cf (K}Base6/26/286/25/291EAPricedDestination3251206835
2009Air Compressed Gas Zero Grade 200cf (K)Base6/26/286/25/291EAPricedDestination3251206835
2010Carbon Dioxide Liquified Gas Medical Grade 50 pounds (K)Base6/26/286/25/2935EAPricedDestination3251206835
2011Carbon Dioxide Liquified Gas 50 pounds (K) 22psiBase6/26/286/25/291EAPricedDestination3251206835
2012Carbon Dioxide Liquified Gas w/Syphon Tube 50 pounds (K} Medical GradeBase6/26/286/25/291EAPricedDestination3251206835
2013Oxygen Compressed Medical Grade 23cf (E)Base6/26/286/25/2924EAPricedDestination3251206835
2014Oxygen Compressed Medical Grade 200cf (K)Base6/26/286/25/2944EAPricedDestination3251206835
2015Liquid Nitrogen 20 litersBase6/26/286/25/291EAPricedDestination3251206835
2016Mix 5%Carbon Dioxide 95% Oxygen K 200cf certified standardBase6/26/286/25/291EAPricedDestination3251206835
2017Mix 0.05%Carbon Dioxide 99.95% Nitrogen 200cf certified standardBase6/26/286/25/294EAPricedDestination3251206835
2018DeliveryBase6/26/286/25/29252EAPricedDestination3251206835
2019Gas Cylinder Rental charge (per day tank)Base6/26/286/25/292108EAPricedDestination3251206835
2020Nitrogen Cylinder Rental charge (per day tank)Base6/26/286/25/298432EAPricedDestination3251206835
2021Disposal feeBase6/26/286/25/291EAPricedDestination3251206835
3001Nitrogen, Refrigerated Liquid 160 Liters 22psi Medical GradeBase6/26/296/25/30589EAPricedDestination3251206835
3002Nitrogen NF Grade Refrigerated Liquid 160 liters 22psi Medical GradeBase6/26/296/25/301EAPricedDestination3251206835
3003Nitrogen Refrigerated Liquid 240 Liters 22psi Medical GradeBase6/26/296/25/301EAPricedDestination3251206835
3004Nitrogen Refrigerated Liquid High Pressure 240 Liters 22psiBase6/26/296/25/301EAPricedDestination3251206835
3005Nitrogen Compressed High Purity 300cf (T)Base6/26/296/25/30147EAPricedDestination3251206835
3006Compressed Nitrogen Gas, NF Grade 200cf (K)Base6/26/296/25/301EAPricedDestination3251206835
3007Nitrogen Ultra High Purity Grade 300cf (T)Base6/26/296/25/301EAPricedDestination3251206835
3008Argon Compressed Gas 200cf (K}Base6/26/296/25/301EAPricedDestination3251206835
3009Air Compressed Gas Zero Grade 200cf (K)Base6/26/296/25/301EAPricedDestination3251206835
3010Carbon Dioxide Liquified Gas Medical Grade 50 pounds (K)Base6/26/296/25/3035EAPricedDestination3251206835
3011Carbon Dioxide Liquified Gas 50 pounds (K) 22psiBase6/26/296/25/301EAPricedDestination3251206835
3012Carbon Dioxide Liquified Gas w/Syphon Tube 50 pounds (K} Medical GradeBase6/26/296/25/301EAPricedDestination3251206835
3013Oxygen Compressed Medical Grade 23cf (E)Base6/26/296/25/3024EAPricedDestination3251206835
3014Oxygen Compressed Medical Grade 200cf (K)Base6/26/296/25/3044EAPricedDestination3251206835
3015Liquid Nitrogen 20 litersBase6/26/296/25/301EAPricedDestination3251206835
3016Mix 5%Carbon Dioxide 95% Oxygen K 200cf certified standardBase6/26/296/25/301EAPricedDestination3251206835
3017Mix 0.05%Carbon Dioxide 99.95% Nitrogen 200cf certified standardBase6/26/296/25/304EAPricedDestination3251206835
3018DeliveryBase6/26/296/25/30252EAPricedDestination3251206835
3019Gas Cylinder Rental charge (per day tank)Base6/26/296/25/302108EAPricedDestination3251206835
3020Nitrogen Cylinder Rental charge (per day tank)Base6/26/296/25/308432EAPricedDestination3251206835
3021Disposal feeBase6/26/296/25/301EAPricedDestination3251206835
4001Nitrogen, Refrigerated Liquid 160 Liters 22psi Medical GradeBase6/26/306/25/31589EAPricedDestination3251206835
4002Nitrogen NF Grade Refrigerated Liquid 160 liters 22psi Medical GradeBase6/26/306/25/311EAPricedDestination3251206835
4003Nitrogen Refrigerated Liquid 240 Liters 22psi Medical GradeBase6/26/306/25/311EAPricedDestination3251206835
4004Nitrogen Refrigerated Liquid High Pressure 240 Liters 22psiBase6/26/306/25/311EAPricedDestination3251206835
4005Nitrogen Compressed High Purity 300cf (T)Base6/26/306/25/31147EAPricedDestination3251206835
4006Compressed Nitrogen Gas, NF Grade 200cf (K)Base6/26/306/25/311EAPricedDestination3251206835
4007Nitrogen Ultra High Purity Grade 300cf (T)Base6/26/306/25/311EAPricedDestination3251206835
4008Argon Compressed Gas 200cf (K}Base6/26/306/25/311EAPricedDestination3251206835
4009Air Compressed Gas Zero Grade 200cf (K)Base6/26/306/25/311EAPricedDestination3251206835
4010Carbon Dioxide Liquified Gas Medical Grade 50 pounds (K)Base6/26/306/25/3135EAPricedDestination3251206835
4011Carbon Dioxide Liquified Gas 50 pounds (K) 22psiBase6/26/306/25/311EAPricedDestination3251206835
4012Carbon Dioxide Liquified Gas w/Syphon Tube 50 pounds (K} Medical GradeBase6/26/306/25/311EAPricedDestination3251206835
4013Oxygen Compressed Medical Grade 23cf (E)Base6/26/306/25/3124EAPricedDestination3251206835
4014Oxygen Compressed Medical Grade 200cf (K)Base6/26/306/25/3144EAPricedDestination3251206835
4015Liquid Nitrogen 20 litersBase6/26/306/25/311EAPricedDestination3251206835
4016Mix 5%Carbon Dioxide 95% Oxygen K 200cf certified standardBase6/26/306/25/311EAPricedDestination3251206835
4017Mix 0.05%Carbon Dioxide 99.95% Nitrogen 200cf certified standardBase6/26/306/25/314EAPricedDestination3251206835
4018DeliveryBase6/26/306/25/31252EAPricedDestination3251206835
4019Gas Cylinder Rental charge (per day tank)Base6/26/306/25/312108EAPricedDestination3251206835
4020Nitrogen Cylinder Rental charge (per day tank)Base6/26/306/25/318432EAPricedDestination3251206835
4021Disposal feeBase6/26/306/25/311EAPricedDestination3251206835
Notes:
Unit of Measure of Cylinder is not available in the system and therefore was not used.

FOB Destination for all

Alternative CLIN set-up will not be considered. This includes grouping and a daily versus a monthly rate.

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