Attachment 3CLINS_PricingSheet8-13-2026.xlsx
XLSX spreadsheet 51 KB Posted
- Attached to
- 6835--Med Gas Supply and Cylinder Rental
- Solicitation number
- 36C24E26Q0099
About this file
This is a pricing sheet and CLIN structure document for a medical gas supply and cylinder rental solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4. The file establishes the Contract Line Item Numbers (CLINs) and pricing structure for the RFQ 36C24E26Q0099, with an estimated period of performance from September 30, 2026 through September 29, 2031. The solicitation is a Total Small Business Set-Aside under NAICS Code 325120 (Industrial Gas Manufacturing) with a PSC of 6835 (Medical Gases), requiring offerors to demonstrate business size compliance of 1,200 employees or fewer.
Offerors must submit pricing according to the CLIN structure outlined in this attachment and comply with all quote submission instructions specified in the solicitation. Key requirements include registration in the System for Award Management (SAM) database prior to award and submission of responses in accordance with the Statement of Work (SOW) in Attachment 1 and the clauses and provisions in Attachment 2. The solicitation incorporates FAR provisions and clauses effective through Federal Acquisition Circular (FAC) 2026-01 and Veterans Affairs Acquisition Regulations (VAAR) with Revolution Far Overhaul deviations. Any resulting award will be issued on a Standard Form 1449. Offerors should note that this combined synopsis/solicitation serves as the only solicitation announcement, with no separate written solicitation to follow.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| previousQuestions and answers.docx | DOCX document | |
| Attachment 1 STATEMENT OF WORK 6-30-2026.docx | DOCX document | |
| 36C24E26Q0099_1.docx | DOCX document | |
| Attachment 2 Clauses_provisions_Submit_Eval.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Items
| ITEM NUMBER | DESCRIPTION | CONTRACT PERIOD | POP BEGIN | POP END | QUANTITY | UNIT OF MEASURE | LINE ITEM IS | UNIT PRICE | Total |
| 0001 | LQ NI 230 Liquid nitrogen tank on wheels w digital gauge | Base | 9/30/26 | 9/29/27 | 96 | EA | Priced | $0.00 | $0.00 |
| 0002 | CSP CO2 ANA-50 CO2 Anerobic grade 50 lb tank | Base | 9/30/26 | 9/29/27 | 48 | EA | Priced | $0.00 | $0.00 |
| 0003 | OX RX-E Medical Oxygen E tank | Base | 9/30/26 | 9/29/27 | 48 | EA | Priced | $0.00 | $0.00 |
| 0004 | 12 Medical Gas Cylinders - Daily Rental (12 x 365 = 4380 days) | Base | 9/30/26 | 9/29/27 | 4380 | EA | Priced | $0.00 | $0.00 |
| 0005 | 12 Specialty Gas Cylinders- Daily Rental (12 x 365 = 4380 days) | Base | 9/30/26 | 9/29/27 | 4380 | EA | Priced | $0.00 | $0.00 |
| 0006 | 4 Liquid Cylinders - Daily Rental (4 x 365 = 1460 days) | Base | 9/30/26 | 9/29/27 | 1460 | EA | Priced | $0.00 | $0.00 |
| 0007 | Delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/26 | 9/29/27 | 48 | EA | Priced | $0.00 | $0.00 |
| 0008 | Fuel Surcharge per delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/26 | 9/29/27 | 48 | EA | Priced | $0.00 | $0.00 |
| 0009 | Annual Audit | Base | 9/30/26 | 9/29/27 | 1 | EA | $0.00 | $0.00 | |
| 1001 | LQ NI 230 Liquid nitrogen tank on wheels w digital gauge | Base | 9/30/27 | 9/29/28 | 96 | EA | Priced | $0.00 | $0.00 |
| 1002 | CSP CO2 ANA-50 CO2 Anerobic grade 50 lb tank | Base | 9/30/27 | 9/29/28 | 48 | EA | Priced | $0.00 | $0.00 |
| 1003 | OX RX-E Medical Oxygen E tank | Base | 9/30/27 | 9/29/28 | 48 | EA | Priced | $0.00 | $0.00 |
| 1004 | 12 Medical Gas Cylinders - Daily Rental (12 x 365 = 4380 days) | Base | 9/30/27 | 9/29/28 | 4380 | EA | Priced | $0.00 | $0.00 |
| 1005 | 12 Specialty Gas Cylinders- Daily Rental (12 x 365 = 4380 days) | Base | 9/30/27 | 9/29/28 | 4380 | EA | Priced | $0.00 | $0.00 |
| 1006 | 4 Liquid Cylinders - Daily Rental (4 x 365 = 1460 days) | Base | 9/30/27 | 9/29/28 | 1460 | EA | Priced | $0.00 | $0.00 |
| 1007 | Delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/27 | 9/29/28 | 48 | EA | Priced | $0.00 | $0.00 |
| 1008 | Fuel Surcharge per delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/27 | 9/29/28 | 48 | EA | Priced | $0.00 | $0.00 |
| 1009 | Annual Audit | Base | 9/30/27 | 9/29/28 | 1 | EA | $0.00 | $0.00 | |
| 2001 | LQ NI 230 Liquid nitrogen tank on wheels w digital gauge | Base | 9/30/28 | 9/29/29 | 96 | EA | Priced | $0.00 | $0.00 |
| 2002 | CSP CO2 ANA-50 CO2 Anerobic grade 50 lb tank | Base | 9/30/28 | 9/29/29 | 48 | EA | Priced | $0.00 | $0.00 |
| 2003 | OX RX-E Medical Oxygen E tank | Base | 9/30/28 | 9/29/29 | 48 | EA | Priced | $0.00 | $0.00 |
| 2004 | 12 Medical Gas Cylinders - Daily Rental (12 x 365 = 4380 days) | Base | 9/30/28 | 9/29/29 | 4380 | EA | Priced | $0.00 | $0.00 |
| 2005 | 12 Specialty Gas Cylinders- Daily Rental (12 x 365 = 4380 days) | Base | 9/30/28 | 9/29/29 | 4380 | EA | Priced | $0.00 | $0.00 |
| 2006 | 4 Liquid Cylinders - Daily Rental (4 x 365 = 1460 days) | Base | 9/30/28 | 9/29/29 | 1460 | EA | Priced | $0.00 | $0.00 |
| 2007 | Delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/28 | 9/29/29 | 48 | EA | Priced | $0.00 | $0.00 |
| 2008 | Fuel Surcharge per delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/28 | 9/29/29 | 48 | EA | Priced | $0.00 | $0.00 |
| 2009 | Annual Audit | Base | 9/30/28 | 9/29/29 | 1 | EA | $0.00 | $0.00 | |
| 3001 | LQ NI 230 Liquid nitrogen tank on wheels w digital gauge | Base | 9/30/29 | 9/29/30 | 96 | EA | Priced | $0.00 | $0.00 |
| 3002 | CSP CO2 ANA-50 CO2 Anerobic grade 50 lb tank | Base | 9/30/29 | 9/29/30 | 48 | EA | Priced | $0.00 | $0.00 |
| 3003 | OX RX-E Medical Oxygen E tank | Base | 9/30/29 | 9/29/30 | 48 | EA | Priced | $0.00 | $0.00 |
| 3004 | 12 Medical Gas Cylinders - Daily Rental (12 x 365 = 4380 days) | Base | 9/30/29 | 9/29/30 | 4380 | EA | Priced | $0.00 | $0.00 |
| 3005 | 12 Specialty Gas Cylinders- Daily Rental (12 x 365 = 4380 days) | Base | 9/30/29 | 9/29/30 | 4380 | EA | Priced | $0.00 | $0.00 |
| 3006 | 4 Liquid Cylinders - Daily Rental (4 x 365 = 1460 days) | Base | 9/30/29 | 9/29/30 | 1460 | EA | Priced | $0.00 | $0.00 |
| 3007 | Delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/29 | 9/29/30 | 48 | EA | Priced | $0.00 | $0.00 |
| 3008 | Fuel Surcharge per delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/29 | 9/29/30 | 48 | EA | Priced | $0.00 | $0.00 |
| 3009 | Annual Audit | Base | 9/30/29 | 9/29/30 | 1 | EA | $0.00 | $0.00 | |
| 4001 | LQ NI 230 Liquid nitrogen tank on wheels w digital gauge | Base | 9/30/30 | 9/29/31 | 96 | EA | Priced | $0.00 | $0.00 |
| 4002 | CSP CO2 ANA-50 CO2 Anerobic grade 50 lb tank | Base | 9/30/30 | 9/29/31 | 48 | EA | Priced | $0.00 | $0.00 |
| 4003 | OX RX-E Medical Oxygen E tank | Base | 9/30/30 | 9/29/31 | 48 | EA | Priced | $0.00 | $0.00 |
| 4004 | 12 Medical Gas Cylinders - Daily Rental (12 x 365 = 4380 days) | Base | 9/30/30 | 9/29/31 | 4380 | EA | Priced | $0.00 | $0.00 |
| 4005 | 12 Specialty Gas Cylinders- Daily Rental (12 x 365 = 4380 days) | Base | 9/30/30 | 9/29/31 | 4380 | EA | Priced | $0.00 | $0.00 |
| 4006 | 4 Liquid Cylinders - Daily Rental (4 x 365 = 1460 days) | Base | 9/30/30 | 9/29/31 | 1460 | EA | Priced | $0.00 | $0.00 |
| 4007 | Delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/30 | 9/29/31 | 48 | EA | Priced | $0.00 | $0.00 |
| 4008 | Fuel Surcharge per delivery (4 deliveries per month) (4 x 12 = 48) | Base | 9/30/30 | 9/29/31 | 48 | EA | Priced | $0.00 | $0.00 |
| 4009 | Annual Audit | Base | 9/30/30 | 9/29/31 | 1 | EA | $0.00 | $0.00 | |
| $0.00 |
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.
RefData
| Discount Type | YN | Options | Receipt Type | Line Item is | FOB | State Code | State Description |
| Percent | Yes | Base | Quantity | Priced | (none) | AK | Alaska |
| Amount | No | Option 1 | Amount | NSP | Origin | AL | Alabama |
| Option 2 | N/C | Destination | AR | Arkansas | |||
| Option 3 | AS | American Samoa | |||||
| Option 4 | AZ | Arizona | |||||
| Option 5 | CA | California | |||||
| Option 6 | CO | Colorado | |||||
| Option 7 | CT | Connecticut | |||||
| Option 8 | DC | District of Columbia | |||||
| Option 9 | DE | Delaware | |||||
| Option 10 | FL | Florida | |||||
| FM | Federal States of Micronesia | ||||||
| GA | Georgia | ||||||
| GU | Guam | ||||||
| HI | Hawaii | ||||||
| IA | Iowa | ||||||
| ID | Idaho | ||||||
| IL | Illinois | ||||||
| IN | Indiana | ||||||
| KS | Kansas | ||||||
| KY | Kentucky | ||||||
| LA | Louisiana | ||||||
| MA | Massachusetts | ||||||
| MD | Maryland | ||||||
| ME | Maine | ||||||
| MH | Marshall Islands | ||||||
| MI | Michigan | ||||||
| MN | Minnesota | ||||||
| MO | Missouri | ||||||
| MP | Northern Mariana Islands | ||||||
| MS | Mississippi | ||||||
| MT | Montana | ||||||
| NC | North Carolina | ||||||
| ND | North Dakota | ||||||
| NE | Nebraska | ||||||
| NH | New Hampshire | ||||||
| NJ | New Jersy | ||||||
| NM | New Mexico | ||||||
| NV | Nevada | ||||||
| NY | New York | ||||||
| OH | Ohio | ||||||
| OK | Oklahoma | ||||||
| OR | Oregon | ||||||
| PA | Pennsylvania | ||||||
| PR | Puerto Rico | ||||||
| PW | Palau | ||||||
| RI | Rhode Island | ||||||
| SC | South Carolina | ||||||
| SD | South Dakota | ||||||
| TN | Tennessee | ||||||
| TX | Texas | ||||||
| UT | Utah | ||||||
| VA | Virginia | ||||||
| VI | Virgin Islands | ||||||
| VT | Vermont | ||||||
| WA | Washington | ||||||
| WI | Wisconsin | ||||||
| WV | West Virginia | ||||||
| WY | Wyoming |
File details come from the government source that posted it. Updated .