ATTACHMENT A - PRICE COST SCHEDULE - NX EQ ELECTROMYOGRAPHS.xlsx

XLSX spreadsheet 30 KB Posted Jun 15, 2022

Attached to: 6515--NX EQ Electromyographs
Solicitation number: 36C10G22Q0095
Issued by: Department of Veterans Affairs Headquarters

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File	Type	Posted
36C10G22Q0095.docx	DOCX document	Jun 15, 2022
ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ ELECTROMYOGRAPHS.docx	DOCX document	Jun 15, 2022
ATTACHMENT C - CONTRACT CLAUSES - NX EQ ELECTROMYOGRAPHS.docx	DOCX document	Jun 15, 2022
ATTACHMENT E - REPORTING TOOL - NX EQ ELECTROMYOGRAPHS.xlsx	XLSX spreadsheet	Jun 15, 2022
ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ ELECTROMYOGRAPHS.docx	DOCX document	Jun 15, 2022

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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
				Sierra Summit Two Channel (Includes Base, Amplifier, Programmable Electrical Stimulator)																	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0001	9730102	Cadwell	Sierra Summit Base with 1-2 Channel Amplifier	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0002	369043-457-002	Cadwell	Sierra Summit 2 Channel License	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0003	190274-200	Cadwell	StimTroller Plus Stimulator (Included)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0004	339073-200	Cadwell	Stimulator Probe, Straight w/touchproof connectors & round head, large diameter (Included)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0005	369043-459	Cadwell	EMG, NCS, RR Interval, SEP	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0006	369043-453	Cadwell	Single Fiber EMG & Macro EMG	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0007	9602132	Cadwell	Small Form Factor Desktop PC	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0008	9602009	Cadwell	Flat Panel Wide Screen Monitor 24"	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0009	9600112	Cadwell	EMG Cart for SFF	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0010	111205-200	Cadwell	24" Monitor Mount Bracket	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0011	197247-200	Cadwell	Summit 1 - 2 Channel Amp Arm w/Stim, Amp & Needle Holder	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0012	111204-000	Cadwell	Footswitch Holder	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0013	291268-000	Cadwell	LaserJet Printer	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0014	9720093	Cadwell	Standard Electrode Kit - Disposable	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0015	190286-200	Cadwell	USB Footswitch	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0016	202607-000	Cadwell	Temperature Probe, 1m	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0017	9730122	Cadwell	1 - 2 Channel Electronic Technical Manual Kit Including Test Fixtures	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0018	8002300	Cadwell	On Site Installation with Training, 1 Day	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				Integrated Ultrasound for Sierra Summit Two Channel and Sierra Summit Eight Channel with Evoked Potentials																	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0019	9730076	Cadwell	NUMS1 Ultrasound with US Transducer Probe	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				Sierra Summit Eight Channel with Evoked Potentials (Includes Base, Amplifier, Programmable Electrical Stimulator)																	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0020	9730112	Cadwell	Sierra Summit Base with 3-12 Channel Amplifier	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0021	369043-457-008	Cadwell	Sierra Summit 8 Channel License	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0022	190274-200	Cadwell	StimTroller Plus Stimulator (Included)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0023	339073-200	Cadwell	Stimulator Probe, Straight w/Touchproof Connectors & Round Head, Large Diameter (Included)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0024	9730104	Cadwell	VEP (Visual Evoked Potential) with 24" Monitor	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0025	286131-000	Cadwell	Display Port Cable for AIO or SFF PC (Included)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0026	9730106	Cadwell	AEP (Auditory Evoked Potential) with Headphones	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0027	369043-454	Cadwell	P300 (AEP is Required With This Option)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0028	9602132	Cadwell	Small Form Factor Desktop PC	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0029	197251-200	Cadwell	Summit 3-12 Channel Amp Arm w/Stim, Amp & Needle Holder	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0030	9720093	Cadwell	Standard Electrode Kit - Disposable (Included)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0031	202607-000	Cadwell	Temperature Probe, 1m	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0032	9730124	Cadwell	Remote Input Box (for Head-Pattern Inputs and 3 - 12 Channel amp; Includes Cable and 1 Reusable Overlay)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0033	9730123	Cadwell	3 - 12 Channel Electronic Technical Manual Kit Including Test Fixtures	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				Sierra Summit 12 Channel with Dual Stimulators, Evoked Potentials and Integrated Ultrasound																	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0034	369043-457-012	Cadwell	Sierra Summit 12 Channel License	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0035	369043-455	Cadwell	MUNE (Incremental & Multiple Point Stimulation)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0036	600801-200	Cadwell	Dual Stim - UI with 2nd Wired Estim Handle & Internal Estim	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				Sierra Summit Networking and HL7 Interface																	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0037	369043-458-010	Cadwell	Summit 10-user Concurrent Review Software License	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0038	9730110	Cadwell	CadLink Server Software (Included)	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0039	369044-451	Cadwell	CadLink Client license with Auto Archive	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0040	369044-453	Cadwell	CadLink HL7 Inbound and Outbound	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0041	9600805	Cadwell	CadLink HL7 Test Environment Interface	Each	1	10	10	10	10	10										$ - 0	$ - 0	$ - 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

File details come from the government source that posted it. Updated Jun 15, 2022.