ATTACHMENT A - PRICE COST SCHEDULE - NX EQ CRYOTHERAPY SYSTEMS.xlsx
XLSX spreadsheet 29 KB Posted
- Solicitation number
- 36C10G25Q0093
About this file
This file is a Price Cost Schedule for a Veterans Health Administration (VHA) National Requirements contract for Cryotherapy Systems: Tissue Ablation - Endoscopic. The detailed spreadsheet includes 26 line items (CLINs) covering an ICEfx Cryoablation System, associated equipment, multiple probe types (IceRod, IceSeed, IceSphere, IceForce, IcePearl), gas adapters, preventative maintenance services, and various service agreement options. The contract spans a base year and four optional years, with estimated quantities for each line item ranging from 1 to 40 units per year.
The solicitation (Number 36C10G25Q0093) is a combined synopsis/solicitation for commercial items, issued as a Request for Quote (RFQ) by the Department of Veterans Affairs. It seeks to establish a VA-wide single Requirements contract for cryotherapy systems, with offerors required to provide brand name or equivalent products that meet specific salient characteristics. Vendors must complete yellow-highlighted pricing spaces, provide manufacturer details for equivalent products, and ensure pricing in the Pricing volume corresponds with items proposed in the Technical volume.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10G25Q0093 Vendor Questions.docx | DOCX document | |
| 36C10G25Q0093 0001 SF30.docx | DOCX document | |
| 36C10G25Q0093_1.docx | DOCX document | |
| ATTACHMENT F_PAST PERFORMANCE QUESTIONNAIRE - NX EQ CRYOTHERAPY SYSTEMS.docx | DOCX document | |
| ATTACHMENT G_PAST PERFORMANCE REFERENCE - NX EQ CRYOTHERAPY SYSTEMS.docx | DOCX document | |
| ATTACHMENT C_CONTRACT CLAUSES - NX EQ CRYOTHERAPY SYSTEMS.docx | DOCX document | |
| 36C10G25Q0093.docx | DOCX document | |
| ATTACHMENT E_REPORTING TOOL - NX EQ CRYOTHERAPY SYSTEMS.xlsx | XLSX spreadsheet | |
| ATTACHMENT H_RFQ QUESTIONS - NX EQ CRYOTHERAPY SYSTEMS.xlsx | XLSX spreadsheet | |
| ATTACHMENT D_SOLICITATION PROVISIONS - NX EQ CRYOTHERAPY SYSTEMS.docx | DOCX document | |
| ATTACHMENT B _CONTRACT ADMINISTRATION - NX EQ CRYOTHERAPY SYSTEMS.docx | DOCX document |
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Sheet1
| CLIN | Part Number | Brand Name | Item Description | Unit of Measure (UOM) | Quantity Per UOM | Estimated Quantity (Base Year) | Estimated Quantity (Opt Year 1) | Estimated Quantity (Opt Year 2) | Estimated Quantity (Opt Year 3) | Estimated Quantity (Opt Year 4) | Manufacturer Name | Manufacturer Part Number | Item Description | Contractor Part Number (if different from OEM) | Unit of Measure | Quantity per UOM | Delivery Days ARO | Commercial Price | Proposed Unit | ||||||||||||||||||
| Price (Base Year) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||||
| Base Year | Proposed Unit | ||||||||||||||||||||||||||||||||||||
| Price (Option Year 1) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||||
| Option Year 1 | Proposed Unit | ||||||||||||||||||||||||||||||||||||
| Price (Option Year 2) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||||
| Option Year 2 | Proposed Unit | ||||||||||||||||||||||||||||||||||||
| Price (Option Year 3) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||||
| Option Year 3 | Proposed Unit | ||||||||||||||||||||||||||||||||||||
| Price (Option Year 4) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||||
| Option Year 4 | Total Evaluated Price (with 3% SLA and estimated quantities) - Base Year | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 1 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 2 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 3 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 4 | Total Evaluated Price | |||||||||||||||||||||||||||||||
| 0001 | ICEfx™ Cryoablation System (Includes: ICEfx Cryoablation Console, 10.1-inch Touchscreen Monitor, Power Cord, Console Cover, USB Flash Drive (4 GB), Wrench, Accessory Bag, Argon Gas Supply Line, Dual Cylinder Adapter, User Manual, Quick Reference Guide, and 1 year warranty) | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0002 | ICEfx Cart, With Wheels and Wheel Locks | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0003 | IceRod™ 1.5 CX, Straight, 17.5 cm, 17 ga, Red | Each | 1 | 40 | 40 | 40 | 40 | 40 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0004 | IceRod™ 1.5 CX, Angled 90º, 17.5 cm, 17 ga, Red | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0005 | IceSeed™ 1.5 CX, Straight, 10 cm, 17 ga, Black | Each | 1 | 40 | 40 | 40 | 40 | 40 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0006 | IceSeed™ 1.5 CX, Angled 90º, 17.5 cm, 17 ga, Black | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0007 | IceSeed™ 1.5 CX S, Angled 90º, 10 cm, 17 ga, Black | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0008 | IceSphere™ 1.5 CX, Straight, 17.5 cm, 17 ga, Yellow | Each | 1 | 40 | 40 | 40 | 40 | 40 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0009 | IceSphere™ 1.5 CX, Angled 90º, 17.5 cm, 17 ga, Yellow | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0010 | IceSphere™ 1.5 S, Angled 90º, 17.5 cm, 17 ga, Yellow | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0011 | IceForce™ 2.1 CX, Straight, 17.5 cm, 14 ga, Gray | Each | 1 | 40 | 40 | 40 | 40 | 40 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0012 | IceForce™ 2.1 CX, Angled 90º, 17.5 cm, 14 ga, Gray | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0013 | IceForce™ 2.1 CX L, Angled 90º, 23 cm, 14 ga, Gray | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0014 | IcePearl™ 2.1 CX, Straight, 17.5 cm, 14 ga, White | Each | 1 | 40 | 40 | 40 | 40 | 40 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0015 | IcePearl™ 2.1 CX, Angled 90º, 17.5 cm, 14 ga, White | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0016 | IcePearl™ 2.1 CX L, Angled 90º, 23 cm, 14 ga, White | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0017 | Dual Tank Cylinder Gas Adapter, 5M PSI | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0018 | Preventative Maintenance Services, Required Bi-Annual (2 Year Interval), Single Unit | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0019 | EssentialCare Service Agreement, Single Unit, 1 Year- Point of Sale | Each | 1 | 1 | 0 | 0 | 0 | 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0020 | EssentialCare Service Agreement, Single Unit, 2 Year- Point of Sale | Each | 1 | 0 | 1 | 0 | 0 | 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0021 | EssentialCare Service Agreement, Single Unit, 3 Year- Point of Sale | Each | 1 | 0 | 0 | 1 | 0 | 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0022 | EssentialCare Service Agreement, Single Unit, 4 Year- Point of Sale | Each | 1 | 0 | 0 | 0 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0023 | EssentialCare Service Agreement, Single Unit, 1 Year- POST Warranty | Each | 1 | 1 | 0 | 0 | 0 | 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0024 | EssentialCare Service Agreement, Single Unit, 2 Year- POST Warranty | Each | 1 | 0 | 1 | 0 | 0 | 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| 0025 | EssentialCare Service Agreement, Single Unit, 3 Year- POST Warranty | Each | 1 | 0 | 0 | 1 | 0 | 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0026 | EssentialCare Service Agreement, Single Unit, 4 Year- POST Warranty | Each | 1 | 0 | 0 | 0 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| $ - 0 | Total Price | ||||||||||||||||||||||||||||||||||||
| *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES | *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES | ||||||||||||||||||||||||||||||||||||
| **ARO = Delivery Days After Receipt of Order | **ARO = Delivery Days After Receipt of Order |
Offerors proposing equivalent product must enter Name of Manufacturer for its proposed solution, Description of Part Number(s), etc. starting at Column L. If offeror’s proposed solution does not require a particular CLIN, vendor shall indicate such by writing N/A, None, or Zero (0). Also, the items priced in Pricing volume must correspond with the items proposed in offeror’s Technical volume as the brand name or equivalent solution.
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