ATTACHMENT A - PRICE COST SCHEDULE - NX EQ AUDITORY FUNCTION SCREENING DEVICES.xlsx
XLSX spreadsheet 85 KB Posted
- Attached to
- 6515--NX EQ Auditory Function Screening Device
- Solicitation number
- 36C10G22Q0016
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C10G22Q0016_2.docx | DOCX document | |
| REVISED ATTACHMENT A - PRICE COST SCHEDULE - NX EQ AUDITORY FUNCTION SCREENING DEVICE.xlsx | XLSX spreadsheet | |
| 36C10G22Q0016_1.docx | DOCX document | |
| ATTACHMENT E - REPORTING TOOL - NX EQ AUDITORY FUNCTION SCREENING DEVICES.xlsx | XLSX spreadsheet | |
| ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ AUDITORY FUNCTION SCREENING DEVICES.docx | DOCX document | |
| ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ AUDITORY FUNCTION SCREENING DEVICES.docx | DOCX document | |
| ATTACHMENT C - CONTRACT CLAUSES - NX EQ AUDITORY FUNCTION SCREENING DEVICES.docx | DOCX document | |
| 36C10G22Q0016.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
Sheet1
| CLIN | Part Number | Brand Name/ Manufacturer | Item Description | Unit of Measure (UOM) | Estimated Quantity (Base Year) | Estimated Quantity (Option Year 1) | Estimated Quantity (Option Year 2) | Estimated Quantity (Option Year 3) | Estimated Quantity (Option Year 4) | Vendor's Quoted Manufacturer | Vendor's Brand Name or Equal Part Number | Delivery Days ARO | Unit of Measure | Unit Price (Base Year) | 3% SLA Fee | Total Base Year Unit Price Plus SLA Fee | Unit Price (Option Year 1) | 3% SLA Fee | Total Option Year 1 Unit Price Plus SLA Fee | Unit Price (Option Year 2) | 3% SLA Fee | Total Option Year 2 Unit Price Plus SLA Fee | Unit Price (Option Year 3) | 3% SLA Fee | Total Option Year 3 Unit Price Plus SLA Fee | |
| Unit Price (Option Year 4) | 3% SLA Fee | Total Option Year 4 Unit Price Plus SLA Fee | Total Proposed Price (Base + Option Years with 3% SLA Fee Included) (Add Columns Q, T, W, Z & AC) | |||||||||||||||||||||||
| 0001 | GSI 39 | Grason-Stadler | The GSI 39 Auto Tympanometry provides a flexible, screening product for tympanometry, acoustic reflex measurements and audiometry to meet testing needs today and in the future. The product is available in five different versions to meet the unique demands of each facility. All five versions are fast, versatile and easy to use. It is possible to add additional modalities such as audiometry, contralateral reflexes or 1,000 Hz probe tone as the facility testing requirements expand. | |||||||||||||||||||||||
| 0001-01 | 8514899 | Grason-Stadler | GSI 39 Auto Tymp - Version 1 - 226 Hz Tymp & Ipsi Reflex | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-02 | 8514900 | Grason-Stadler | GSI 39 Auto Tymp - Version 1 – 226 Hz + 1 kHz Tymp & Ipsi Reflex | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-03 | 8514901 | Grason-Stadler | GSI 39 Auto Tymp - Version 2 - 226 Hz Tymp with Ipsi Reflex & Contra Reflex | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-04 | 8514902 | Grason-Stadler | GSI 39 Auto Tymp - Version 2 - 226 Hz + 1 kHz Tymp with Ipsi Reflex & Contra Reflex | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-05 | 8514903 | Grason-Stadler | GSI 39 Auto Tymp - Version 3 - 226 Hz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-06 | 8514904 | Grason-Stadler | GSI 39 Auto Tymp - Version 3 - 226 Hz + 1 kHz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-07 | 8514905 | Grason-Stadler | GSI 39 Auto Tymp -Version 4 - 226 Hz Tymp with Ipsi Reflex & Pure Tone Audiometry | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-08 | 8514906 | Grason-Stadler | GSI 39 Auto Tymp - Version 4 - 226 Hz + 1 kHz Tymp with Ipsi & Pure Tone Audiometry | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-09 | 8514907 | Grason-Stadler | GSI 39 Auto Tymp - Version 5 - 226 Hz Tymp Only | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0001-10 | 8514908 | Grason-Stadler | GSI 39 Auto Tymp - Version 5 - 226 Hz + 1 kHz Tymp Only | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002 | GSI 39 | Grason-Stadler | Upgrade Options | |||||||||||||||||||||||
| 0002-01 | 8020194 | Grason-Stadler | GSI 39 From 226Hz to 226 Hz+1000 probe | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-02 | 8020195 | Grason-Stadler | GSI 39: 226Hz Version 1 to 226 Hz Version 2 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-03 | 8020196 | Grason-Stadler | GSI 39: 226Hz Version 1 to 226 Hz Version 3 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-04 | 8020197 | Grason-Stadler | GSI 39: 226Hz Version 1 to 226 Hz Version 4 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-05 | 8020198 | Grason-Stadler | GSI 39: 226Hz Version 2 to 226 Hz Version 3 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-06 | 8020199 | Grason-Stadler | GSI 39: 226Hz Version 4 to 226 Hz Version 3 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-07 | 8020200 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 1 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-08 | 8020201 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 2 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-09 | 8020202 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 3 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0002-10 | 8020203 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 4 | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0003 | GSI AudioStar Pro | Grason-Stadler | GSI AudioStar Pro is a versatile two-channel clinical audiometer designed to perform efficient audiometric evaluations on every patient population. It may be used independently or with a computer for HIPAA compliant data storage and EMR/EHR compatibility. | |||||||||||||||||||||||
| 0003-01 | 8518227 | Grason-Stadler | AudioStar Pro with DD45, B81, IP30 and DD450 Transducers with GSI-AMTAS automated audiometry. (Does Not Include Computer.) | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0003-02 | 8518226 | Grason-Stadler | AudioStar Pro with DD45, B81, IP30 and DD450 High Frequency Headphones | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0003-03 | 8515319 | Grason-Stadler | AudioStar Pro with DD45, B81 and IP30 Insert Earphones | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0004 | GSI AudioStar Pro | Grason-Stadler | GSI AudioStar Pro Options | |||||||||||||||||||||||
| 0004-01 | 8102475 | Grason-Stadler | Basic Speaker Kit with Cable, 90 dB HL | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0004-02 | 8013647 | Grason-Stadler | High Performance Speaker Kit with Cables, 96 dB HL | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0004-03 | 8103808 | Grason-Stadler | High Performance Speaker Kit with Booster Amplifier and Cables, 100 dB HL - US Power Cord 100V to 240V | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0004-04 | 8100465 | Grason-Stadler | Isolation Transformer (required when the GSI AudioStar Pro or the GSI Pello is attached to a Booster,PC or printer | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0004-05 | 8503180 | Grason-Stadler | Touch Screen PC for use with GSl-AMTAS | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0004-06 | 8503192 | Grason-Stadler | GSl-AMTAS Upgrade Kit (for Existing AudioStar Pro) - see GSl-AMTAS Requirements Specifications. NOTE: System Serial Number and License Number Required for Upgrade | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005 | GSI AudioStar Pro | Grason-Stadler | GSI AudioStar Pro Supplies | |||||||||||||||||||||||
| 0005-01 | 8109155 | Grason-Stadler | AMBAND - Calibrated Bone Conduction Headbands (10) | Each | 5 | 5 | 5 | 5 | 5 | |||||||||||||||||
| 0005-02 | 8507203 | Grason-Stadler | Earphone Y-Cable (L and R) | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005-03 | 8507208 | Grason-Stadler | P3045 Headband Only (Adult) | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005-04 | 8507210 | Grason-Stadler | P3100 Pediatric Headband | Each | 5 | 5 | 5 | 5 | 5 | |||||||||||||||||
| 0005-05 | 8010894 | Grason-Stadler | Type 51 Earphone Cushion, Single | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005-06 | 8104119 | Grason-Stadler | Bone Vibrator Assembly , B71,SO ohm | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005-07 | 8101884 | Grason-Stadler | IP30 Insert Earphones, 10 ohm | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005-08 | 8520321 | Grason-Stadler | DD45O Headphones for High Frequency Audiometry (8000-20,000 Hz) and GSl-AMTAS | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005-09 | 8503852 | Grason-Stadler | DD45 Audiometric Headset P3100 (Pediatric) Replacement Kit | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0005-10 | 8503851 | Grason-Stadler | DD45 Audiometric Headset P3045 (Adult) Replacement Kit | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0006 | GSI AudioStar Pro | Grason-Stadler | GSI AudioStar Pro CD’s and Accessories | |||||||||||||||||||||||
| 0006-01 | 8515177 | Grason-Stadler | AudioStar Pro Software and Manuals, USB Bundle | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0006-02 | 8519002 | Grason-Stadler | Calibration App with Service Manual, English, USB | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0006-03 | 8518110 | Grason-Stadler | Talk Back Microphone (TB-2) with Mounting Bracket | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0006-04 | 8004361 | Grason-Stadler | Basic Speaker Cable for GSI AudioStar Pro | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0007 | GSI Audera | Grason-Stadler | The GSI Audera meets all of your needs for Evoked Potential testing by providing a unique combination of Auditory Evoked Potentials (AEP), Otoacoustic Emissions (OAE), and Auditory Steady State Response (ASSR) tests. Available with CE-Chirp and CE-Chirp Octave Band stimuli for frequency-specific threshold evaluations. | |||||||||||||||||||||||
| 0007-01 | 8519280 | Grason-Stadler | GSI Audera Pro - AEP/ASSR | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0007-02 | 8519281 | Grason-Stadler | GSI Audera Pro - AEP/OAE | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0007-03 | 8519282 | Grason-Stadler | GSI Audera Pro - AEP Only | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0007-04 | 8519283 | Grason-Stadler | GSI Audera Pro - OAE Only | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0007-05 | 8517151 | Grason-Stadler | GSI Audera Pro - Full Configuration (AEP/ASSR/OAE) | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0008 | GSI Corti | Grason-Stadler | The GSI Corti is a portable, battery-operated diagnostic and screening instrument that measures Otoacoustic Emissions (OAE) for infants, children, and adults. The Corti offers maximum speed and flexibility with pre-defined and user-defined protocols for Distortion Product Otoacoustic Emissions (DPOAEs) and Transient Evoked Otoacoustic Emissions (TEOAEs) measurements. | |||||||||||||||||||||||
| 0008-01 | 8104314 | Grason-Stadler | GSI Corti DPOAE Screening Unit | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0008-02 | 8104315 | Grason-Stadler | GSI Corti TEOAE Screening Unit | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0008-03 | 8104316 | Grason-Stadler | GSI Corti DPOAE + TEOAE Screening Unit | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0008-04 | 8104317 | Grason-Stadler | DPOAE Diagnostic Unit (Includes DPOAE Screening) | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0008-05 | 8104318 | Grason-Stadler | TEOAE Diagnostic Unit (include TEOAE screening) | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0008-06 | 8104319 | Grason-Stadler | DPOAE + TEOAE Diagnostic Unit (Includes DP and TE Screening) | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0009 | GSI Tympstar Pro | Grason-Stadler | GSI TympStar Pro Pro offers comprehensive middle-ear testing capabilities that support the needs of hearing healthcare professionals. Change parameters on the fly or interpret results with the touch screen display. Protocols may be configured to optimize efficiency and workflow; the flexibility of pre-defined protocols saves time and creates consistency in testing procedures. | |||||||||||||||||||||||
| 0009-01 | 8108266 | Grason-Stadler | TympStar Pro Comprehensive Middle Ear Analyzer, Probe Assembly (226 Hz, 678 Hz and 1000 Hz) and Contra Phone | Each | 1 | 1 | 1 | 1 | 1 | |||||||||||||||||
| 0010 | GSI Tympstar Pro | Grason-Stadler | GSI Tympstar Pro Options | |||||||||||||||||||||||
| 0010-01 | 8109043 | Grason-Stadler | HP Office Jet Printer {6230 or Equivalent) | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0010-02 | 8108894 | Grason-Stadler | Metal Test Cavities | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0010-03 | 8100465 | Grason-Stadler | Isolation Transformer (Required When the GSI AudioStar Pro or the GSI Pello is Attached to a Booster,PC or Printer Per UL/IEC/CSA 60601-1) | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0011 | GSI Tympstar Pro | Grason-Stadler | GSI Tympstar Pro Supplies | |||||||||||||||||||||||
| 0011-01 | 8109405 | Grason-Stadler | Probe Tip Replacement Kit (3) | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0011-02 | 8108944 | Grason-Stadler | Probe Floss Cleaning Kit | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0012 | GSI Tympstar Pro | Grason-Stadler | GSI Tympstar Pro CD’s and Accessories | |||||||||||||||||||||||
| 0012-01 | 8108329 | Grason-Stadler | TympStar Pro Software and Manuals, USB Bundle | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0012-02 | 8503354 | Grason-Stadler | Calibration App with Service Manual, English, USB | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0013 | Installation and Training | Installation and Training | ||||||||||||||||||||||||
| 0013-01 | GSI-INSTALL-ASP | Grason-Stadler | Grason-Stadler Audio Star Pro Installation, Calibration & Training | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0013-02 | GSI-INSTALL-CORTI | Grason-Stadler | Grason-Stadler Corti Installation and Training | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0013-03 | GSI-INSTALL-TSP | Grason-Stadler | Grason-Stadler TympStar Pro Installation, Calibration & Training | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| 0013-04 | GSI-INSTALL-UPGRADE | Grason-Stadler | GSl-AMTAS Upgrade Kit Installation | Each | 10 | 10 | 10 | 10 | 10 | |||||||||||||||||
| TOTALS |
| *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES |
| ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY |
| VENDORS ARE TO INCOPORATE 3% SLA FEE |
&"Arial,Bold"&12ATTACHMENT A
PRICE COST SCHEDULE - NX EQ PACHYMETERS
File details come from the government source that posted it. Updated .