Attachment A. RFQ 36C263Q0413 Vendor Pricing Sheet Must Fill Out.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C26323Q0413
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26323Q0413_3.docx | DOCX document | |
| Attachment B. RFQ 36C263Q0413 Duplicate Equipment List for Reference.pdf | ||
| 36C26323Q0413_2.docx | DOCX document | |
| RFQ 36C26323Q0413 SF1449 Audiology Equipment Calibration Services.docx | DOCX document |
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Sheet1
| Location: VHASTC Medical Center 4801 Veterans Drive St. Cloud MN | ||||||||
| Equipment | Qty Base Year | Qty OY1 | Qty OY2 | Qty OY3 | Qty OY4 | Frequency | Last Cal | Notes |
| Madsen Astera Audiometer | 7 | 7 | 7 | 7 | 7 | Biannual | 9/25/17 | |
| GN Otometrics 100's AIA | 7 | 7 | 7 | 7 | 7 | Annual | 3/24/2017* | |
| Audioscan Verifits | 5 | 0 | 0 | 0 | 0 | Annual | 3/24/2017* | OY 1 - qty 0 |
| Aurical Real Ear | 6 | 12 | 12 | 12 | 12 | Annual | 3/24/2017* | Qty 12 by Option Year 1 |
| Capella OAE | 3 | 3 | 3 | 3 | 3 | Annual | 3/24/2017* | |
| GSI Tympstar AIA | 1 | 1 | 1 | 1 | 1 | Annual | 3/27/2017* | |
| Lifeline Int'l AT 235 AIA | 1 | 1 | 1 | 1 | 1 | Annual | 3/27/2017* | |
| GN Otometrics ICS Charter 200 VNG w/Air Caloric Delivery System | 1 | 1 | 1 | 1 | 1 | Annual | 3/21/2017* | |
| IHS ABR | 1 | 1 | 1 | 1 | 1 | Annual | 3/21/2017* | |
| Aurical Real Ear HIT Box | 1 | 1 | 1 | 1 | 1 | Annual | 3/24/2017* | |
| Zodiac Accoustic AIA | 3 | 1 | 1 | 1 | 1 | Annual | N/A | clinic, SN:215496 in booth 10,SN:1911411 9F,SN:1918082 in 9B |
| Mobile Audiology Clinic (MAC) Van: | There | |||||||
| Equipment | Quantity | Qty OY 1 | Qty OY 2 | Qty OY 3 | Qty OY4 | Frequency | Last Cal | Notes |
| Madsen Astera Audiometer | 1 | 1 | 1 | 1 | 1 | Biannual | 9/25/17 | SVC Mondays Only @ VHASTC |
| GN Otometrics 100's AIA | 1 | 1 | 1 | 1 | 1 | annual | 9/25/17 | SVC Mondays Only @ VHASTC |
| Aurical Real Ear | 1 | 1 | 1 | 1 | 1 | annual | 9/25/17 | SVC Mondays Only @ VHASTC |
| Location: Alexandria Clinic: 515 22nd Ave E, Alexandria, MN 56308 | ||||||||
| Equipment | Quantity | Qty OY 1 | Qty OY 2 | Qty OY 3 | Qty OY4 | Frequency | Last Cal | Notes |
| Madsen Astera Audiometer | 1 | 1 | 1 | 1 | 1 | Biannual | 8/18/18 | On Telehealth Cart |
| Aurical Real Ear | 1 | 1 | 1 | 1 | 1 | Annual | 8/18/18 | On Telehealth Cart |
| Aurical Real Ear HIT Box | 1 | 1 | 1 | 1 | 1 | Annual | 8/18/18 | On Telehealth Cart |
| GN Ottometrics Otoflex 100's AIA | 1 | 1 | 1 | 1 | 1 | Annual | 8/18/18 | On Telehealth Cart |
| Location: Brainerd Clinic: 722 NW 7th St, Brainerd, MN 56401 | ||||||||
| Equipment | Quantity | Qty OY 1 | Qty OY 2 | Qty OY 3 | Qty OY4 | Frequency | Last Cal | Notes |
| Madsen Astera Audiometer | 1 | 2 | 2 | 2 | 2 | Biannual | 11/21/18 | 1 on Telehealth Cart, 1 in rm 198* |
| Aurical Real Ear | 1 | 3 | 3 | 3 | 3 | Annual | 11/21/18 | 1 on Telehealth Cart, 1 in rm(198 & 196) |
| Aurical Real Ear HIT Box | 1 | 2 | 2 | 2 | 2 | Annual | 11/21/18 | 1 on Telehealth Cart, 1 in rm 196 |
| GN Otometrics Otoflex 100's | 1 | 1 | 1 | 1 | 1 | Annual | 11/21/18 | On Telehealth Cart |
| Zodiac Accoustic AIA | 1 | 1 | 1 | 1 | 1 | Annual | N/A | clinic, cart in room 198 |
| IHS ABR | 0 | 1 | 1 | 1 | 1 | Annual | N/A | clinic, 196 |
| Capella OAE | 0 | 1 | 1 | 1 | 1 | Annual | N/A | clinic, 196 |
| Location: Montevideo Clinic: 1025 N 13th St, Montevideo, MN 56265 | ||||||||
| Equipment | Quantity | Qty OY 1 | Qty OY 2 | Qty OY 3 | Qty OY4 | Frequency | Last Cal | Notes |
| Madsen Astera Audiometer | 1 | 1 | 1 | 1 | 1 | Biannual | 8/11/18 | On Telehealth Cart |
| Aurical Real Ear | 1 | 1 | 1 | 1 | 1 | Annual | 8/11/18 | On Telehealth Cart |
| Aurical Real Ear HIT Box | 1 | 1 | 1 | 1 | 1 | Annual | 8/11/18 | On Telehealth Cart |
| GN Otometrics Otoflex 100's AIA | 1 | 1 | 1 | 1 | 1 | Annual | 8/11/18 | On Telehealth Cart |
New Contract Quantities
| INSTRUCTIONS: Offerors shall fill in data values highlighted in Yellow. |
| Purpose: To obtain cost per each calibration for each unit to understand how Offerors calculate their |
annual total.
| Cost Sheet - Calibration of Audiology Equipment for 1 year. | ||||
| Location: VHASTC Medical Center 4801 Veterans Drive St. Cloud MN | ||||
| Equipment | Number of Units | Cost per Calibration per 1 unit | Qty of Calibrations within 1 year | Subtotal for 1 year |
| Madsen Astera Audiometer | 8 | Biannual | ||
| GN Otometrics 100's AIA | 7 | Annual | ||
| Audioscan Verifit2 (VF2) | 6 | Annual | ||
| Aurical Real Ear (Freefit) | 9 | Annual | ||
| Capella OAE | 3 | Annual | ||
| Lifeline Int'l AT 235 AIA | 1 | Annual | ||
| GN Otometrics ICS Chartr 200 VNG w/Air Caloric Delivery System | 1 | Annual | ||
| IHS ABR | 1 | Annual | ||
| Aurical Real Ear HIT Box | 3 | Annual | ||
| Zodiac Accoustic AIA | 3 | Annual | ||
| Titan Tympanometers | 3 | Annaul | ||
| Location: Alexandria Clinic: 515 22nd Ave E, Alexandria, MN 56308 | ||||
| Madsen Astera Audiometer | 2 | Biannual | ||
| Aurical Real Ear (Freefit) | 3 | Annual | ||
| Aurical Real Ear HIT Box | 2 | Annual | ||
| Zodiac Accoustic AIA | 2 | Annual | ||
| Location: Brainerd Clinic: 722 NW 7th St, Brainerd, MN 56401 | ||||
| Madsen Astera Audiometer | 2 | Biannual | ||
| Aurical Real Ear (Freefit) | 4 | Annual | ||
| Aurical Real Ear HIT Box | 2 | Annual | ||
| GN Otometrics Otoflex 100's | 1 | Annual | ||
| Zodiac Accoustic AIA | 2 | Annual | ||
| Capella OAE | 1 | Annual | ||
| Location: Montevideo Clinic: 1025 N 13th St, Montevideo, MN 56265 | ||||
| Madsen Astera Audiometer | 2 | Biannual | ||
| Aurical Real Ear (Freefit) | 3 | Annual | ||
| Aurical Real Ear HIT Box | 1 | Annual | ||
| Zodiac Accoustic AIA | 2 | Annual | ||
| Tot. for Yr: |
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