Attachment 3- Medical Gas Pricing Sheet.xlsx

XLSX spreadsheet 33 KB Posted

Attached to
6835--Medical Gas Delivery and Cylinder Rentals for Montana VA Health Care System
Solicitation number
36C25923Q0700
Issued by

About this file

This document is a pricing sheet for medical gases and cylinder rentals required under Solicitation Number 36C25923Q0700 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19. The pricing sheet lists quantities and units for various medical gases including oxygen, nitrous oxide, carbon dioxide and liquid nitrogen to be provided over a one year base period of performance from August 1, 2023 through July 31, 2024, with four one-year option periods. Pricing is to be provided by the contractor for the gases, associated cylinder rentals, projected delivery charges, hazardous charges, fuel surcharges and other items. The total estimated value is not provided as the pricing fields are blank, to be filled in by an offeror prior to submission of a proposal in response to the solicitation.

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File Type Posted
36C25923Q0700 0004.docx DOCX document
36C25923Q0700 0003.docx DOCX document
36C25923Q0700 0002.docx DOCX document
36C25923Q0700 0001.docx DOCX document
Attachment 1-Medical Gas and Cylinder Rental SOW.docx DOCX document
Attachment 2- VAAR Clause 852.219-76 VA Notice of LOS-Certificate of Compliance.docx DOCX document
Combine Synopsis-Solicitation Montana Medical Gas and Cylinder Rental.docx DOCX document
36C25923Q0700.docx DOCX document

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Sheet1

MEDICAL GASES AND CYLINDER RENTAL FOR MONTANA VA HEALTH CARE SYSTEM
Base Year: AUG 1, 2023 - JUL 31, 2024
DESCRIPTIONITEM #QTYUNITUNIT PRICETOTAL
GASES
HP CAE USPHP CAE USP15ea- 0
HP N2OEHP N2OE1ea- 0
HP N2OGHP N2OG5ea- 0
HP OXKHP OXK1ea- 0
HP OXME AIOHP OXME AIO394ea- 0
HP OXME AIODHP OXME AIOD1ea- 0
HP OXME ALHP OXME AL24ea- 0
HP OXMKHP OXMK121ea- 0
HP OXMTHP OXMT14ea- 0
HP OXRHP OXR1ea- 0
HP USP CO2 50#HP USP CO2 50#46ea- 0
HP USP CO2EHP USP CO2E5ea- 0
LP ACMCLP ACMC1ea- 0
LQ LIQNILQ LIQNI1420ea- 0
LQ LIQNILTRLQ LIQNILTR2938ea- 0
LQ NILAB20LQ NILAB202ea- 0
SPG 2ESCMBG3173SPG 2ESCMBG31732ea- 0
SPG 3KSCMLD6173SPG 3KSCMLD61731ea- 0
SPG X38462SPG X384622ea- 0
CYLINDER PROJECTED RENT
RENTRENT1YR- 0
PROJECTED DELIVERY
HAZ CHARGEHAZ CHARGE1YR- 0
SUR FUELSUR FUEL1YR- 0
SUR USP CO2 PRODUCT SHORTAGESUR USP CO2 PRODUCT SHORTAGE1YR- 0
ZZZ DELIVERYZZZ DELIVERY1YR- 0
BASE YEAR TOTAL- 0
Option Year 1: AUG 1, 2024 - JUL 31, 2025
DESCRIPTIONITEM #QTYUNITUNIT PRICETOTAL
GASES
HP CAE USPHP CAE USP15ea- 0
HP N2OEHP N2OE1ea- 0
HP N2OGHP N2OG5ea- 0
HP OXKHP OXK1ea- 0
HP OXME AIOHP OXME AIO394ea- 0
HP OXME AIODHP OXME AIOD1ea- 0
HP OXME ALHP OXME AL24ea- 0
HP OXMKHP OXMK121ea- 0
HP OXMTHP OXMT14ea- 0
HP OXRHP OXR1ea- 0
HP USP CO2 50#HP USP CO2 50#46ea- 0
HP USP CO2EHP USP CO2E5ea- 0
LP ACMCLP ACMC1ea- 0
LQ LIQNILQ LIQNI1420ea- 0
LQ LIQNILTRLQ LIQNILTR2938ea- 0
LQ NILAB20LQ NILAB202ea- 0
SPG 2ESCMBG3173SPG 2ESCMBG31732ea- 0
SPG 3KSCMLD6173SPG 3KSCMLD61731ea- 0
SPG X38462SPG X384622ea- 0
CYLINDER PROJECTED RENT
RENTRENT1YR- 0
PROJECTED DELIVERY
HAZ CHARGEHAZ CHARGE1YR- 0
SUR FUELSUR FUEL1YR- 0
SUR USP CO2 PRODUCT SHORTAGESUR USP CO2 PRODUCT SHORTAGE1YR- 0
ZZZ DELIVERYZZZ DELIVERY1YR- 0
OY1 TOTAL- 0
Option Year 2: AUG 1, 2025 - JUL 31, 2026
DESCRIPTIONITEM #QTYUNITUNIT PRICETOTAL
GASES
HP CAE USPHP CAE USP15ea- 0
HP N2OEHP N2OE1ea- 0
HP N2OGHP N2OG5ea- 0
HP OXKHP OXK1ea- 0
HP OXME AIOHP OXME AIO394ea- 0
HP OXME AIODHP OXME AIOD1ea- 0
HP OXME ALHP OXME AL24ea- 0
HP OXMKHP OXMK121ea- 0
HP OXMTHP OXMT14ea- 0
HP OXRHP OXR1ea- 0
HP USP CO2 50#HP USP CO2 50#46ea- 0
HP USP CO2EHP USP CO2E5ea- 0
LP ACMCLP ACMC1ea- 0
LQ LIQNILQ LIQNI1420ea- 0
LQ LIQNILTRLQ LIQNILTR2938ea- 0
LQ NILAB20LQ NILAB202ea- 0
SPG 2ESCMBG3173SPG 2ESCMBG31732ea- 0
SPG 3KSCMLD6173SPG 3KSCMLD61731ea- 0
SPG X38462SPG X384622ea- 0
CYLINDER PROJECTED RENT
RENTRENT1YR- 0
PROJECTED DELIVERY
HAZ CHARGEHAZ CHARGE1YR- 0
SUR FUELSUR FUEL1YR- 0
SUR USP CO2 PRODUCT SHORTAGESUR USP CO2 PRODUCT SHORTAGE1YR- 0
ZZZ DELIVERYZZZ DELIVERY1YR- 0
OY2 TOTAL- 0
Option Year 3: AUG 1, 2026 - JUL 31, 2027
DESCRIPTIONITEM #QTYUNITUNIT PRICETOTAL
GASES
HP CAE USPHP CAE USP15ea- 0
HP N2OEHP N2OE1ea- 0
HP N2OGHP N2OG5ea- 0
HP OXKHP OXK1ea- 0
HP OXME AIOHP OXME AIO394ea- 0
HP OXME AIODHP OXME AIOD1ea- 0
HP OXME ALHP OXME AL24ea- 0
HP OXMKHP OXMK121ea- 0
HP OXMTHP OXMT14ea- 0
HP OXRHP OXR1ea- 0
HP USP CO2 50#HP USP CO2 50#46ea- 0
HP USP CO2EHP USP CO2E5ea- 0
LP ACMCLP ACMC1ea- 0
LQ LIQNILQ LIQNI1420ea- 0
LQ LIQNILTRLQ LIQNILTR2938ea- 0
LQ NILAB20LQ NILAB202ea- 0
SPG 2ESCMBG3173SPG 2ESCMBG31732ea- 0
SPG 3KSCMLD6173SPG 3KSCMLD61731ea- 0
SPG X38462SPG X384622ea- 0
CYLINDER PROJECTED RENT
RENTRENT1YR- 0
PROJECTED DELIVERY
HAZ CHARGEHAZ CHARGE1YR- 0
SUR FUELSUR FUEL1YR- 0
SUR USP CO2 PRODUCT SHORTAGESUR USP CO2 PRODUCT SHORTAGE1YR- 0
ZZZ DELIVERYZZZ DELIVERY1YR- 0
OY3 TOTAL- 0
Option Year 4: AUG 1, 2027 - JUL 31, 2028
DESCRIPTIONITEM #QTYUNITUNIT PRICETOTAL
GASES
HP CAE USPHP CAE USP15ea- 0
HP N2OEHP N2OE1ea- 0
HP N2OGHP N2OG5ea- 0
HP OXKHP OXK1ea- 0
HP OXME AIOHP OXME AIO394ea- 0
HP OXME AIODHP OXME AIOD1ea- 0
HP OXME ALHP OXME AL24ea- 0
HP OXMKHP OXMK121ea- 0
HP OXMTHP OXMT14ea- 0
HP OXRHP OXR1ea- 0
HP USP CO2 50#HP USP CO2 50#46ea- 0
HP USP CO2EHP USP CO2E5ea- 0
LP ACMCLP ACMC1ea- 0
LQ LIQNILQ LIQNI1420ea- 0
LQ LIQNILTRLQ LIQNILTR2938ea- 0
LQ NILAB20LQ NILAB202ea- 0
SPG 2ESCMBG3173SPG 2ESCMBG31732ea- 0
SPG 3KSCMLD6173SPG 3KSCMLD61731ea- 0
SPG X38462SPG X384622ea- 0
CYLINDER PROJECTED RENT
RENTRENT1YR- 0
PROJECTED DELIVERY
HAZ CHARGEHAZ CHARGE1YR- 0
SUR FUELSUR FUEL1YR- 0
SUR USP CO2 PRODUCT SHORTAGESUR USP CO2 PRODUCT SHORTAGE1YR- 0
ZZZ DELIVERYZZZ DELIVERY1YR- 0

OY4 TOTAL - 0

GRAND TOTAL - 0

Prepared By:
Signature & Date:

Contributers:

Description

Pricing and information was based on the quote from:

Current Contractor:
POC:
Phone number
email:

mailto:lwarren@janusdisplays.com Sheet2

Sheet3

File details come from the government source that posted it. Updated .