ATTACHMENT A - PRICE COST SCHEDULE - NX EQ EXAM LIGHTS.xlsx

XLSX spreadsheet 30 KB Posted Feb 12, 2025

Attached to: 6240--NX EQ Lights: Exam (VA-25-00009031)
Solicitation number: 36C10G25R0005
Issued by: Department of Veterans Affairs Headquarters

About this file

Written by GovTribe AI · Feb 12, 2025

This is a pricing template spreadsheet for a VA solicitation (36C10G25R0005) seeking examination lights and related accessories with quantities for a base year and four option years. The template contains 25 CLINs covering various Midmark brand LED exam lights and mounting hardware, including mobile stands, wall mounts, ceiling mounts, and chair/table mounting kits. Products include the Ritter 250 and 253 LED exam lights, 255 series lights for different ceiling heights, and associated accessories like disposable sterility sheaths and mounting hardware.

The template requires vendors to provide unit pricing, 3% Service Level Agreement (SLA) costs, and total evaluated prices for each CLIN across all periods. Each CLIN has an estimated quantity of 100 units per year. Vendors must complete all highlighted fields including manufacturer information, part numbers, delivery timeframes, commercial prices, and proposed unit prices for each performance period. The pricing structure is firm-fixed-price with FOB destination delivery terms. This template supports a brand name or equal procurement where vendors can propose Midmark products or equivalent items meeting the salient characteristics outlined in the solicitation.

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Other files

File	Type	Posted
ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ EXAM LIGHTS.pdf	PDF	Feb 12, 2025
ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ EXAM LIGHTS.pdf	PDF	Feb 12, 2025
36C10G25R0005.docx	DOCX document	Feb 12, 2025
ATTACHMENT G - PAST PERFORMANCE QUESTIONAIRE - NX EQ EXAM LIGHTS.pdf	PDF	Feb 12, 2025
ATTACHMENT C - CONTRACT CLAUSES - NX EQ EXAM LIGHTS.pdf	PDF	Feb 12, 2025
ATTACHMENT E - SALES REPORTING TOOL - NX EQ EXAM LIGHTS.xlsx	XLSX spreadsheet	Feb 12, 2025
ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ EXAM LIGHTS.pdf	PDF	Feb 12, 2025

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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	250-003	Midmark	Ritter 250 LED Exam Light	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0002	9A621001	Midmark	Caster Base Accessory for Model 250 Light	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0003	253-011	Midmark	Ritter 253 LED Exam Light - light only - excludes mounting hardware	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0004	253-012	Midmark	Ritter 253 LED Exam Light - Exam Chair Kit - models204/22X/62X - includes light, splines, and chair mounting hardware.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0005	253-013	Midmark	Ritter 253 LED Exam Light - Exam Chair Kit - model 626 for 32" upholstery and Patient Support Rails - includes light, splines, and chair mounting hardware.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0006	253-015	Midmark	Ritter 253 LED Exam Light - Procedure Chair Exam Chair Kit - models 230/641/646/647 - includes light, base rails, and chair mounting hardware.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0007	253-016	Midmark	Ritter 253 LED Exam Light - mobile caster stand kit - includes light & caster stand.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0008	253-017	Midmark	Ritter 253 LED Exam Light - Wall Mount Kit - includes light, wall mounting bracket and hardware.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0009	9A619001	Midmark	253 LED Light Exam Chair Mounting Hardware (Only) - 204,22X,604,62X.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0010	9A620001	Midmark	253 LED Light Exam Chair Mounting Hardware (Only) - 626 w/32" upholstery.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0011	9A622001	Midmark	253 LED Light Procedure Table Base Rail Mounting Hardware Only - 230/641/626/647.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0012	9A623001	Midmark	253 LED Wall Mount Bracket Only.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0013	9A624001	Midmark	253 LED Light - 630 Procedure Chair Spline Mounting Hardware Only - 28" wide upholstery.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0014	9A625001	Midmark	253 LED Light - 630 Procedure Chair Spline Mounting Hardware Only - 32" wide upholstery.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0015	9A626001	Midmark	253 LED Light - 630 Procedure Chair Rail Mounting Hardware Only .	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0016	9A628001	Midmark	253 Led Light Mobile Caster Stand Only.	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0017	9A459001	Midmark	Disposable Sterility light sheaths for 253 Light (5 boxes of 25 per carton)	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0018	255-001	Midmark	255 Single mount Light, 8' Ceiling	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0019	255-002	Midmark	255 Single mount Light, 9' Ceiling	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0020	255-003	Midmark	255 Dual mount Light, 8' Ceiling	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0021	255-004	Midmark	255 Dual mount Light, 9' Ceiling	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0022	255-005	Midmark	255 Mobile Procedure Light	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0023	255-006	Midmark	255 Wall Mount Light	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0024	002-1865-00	Midmark	10' Ceiling mount adapter kit (fits 8' & 9' 255 lights)	Each	1	100	100	100	100	100										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0025	9A584001	Midmark	Conversion Kit W/Cover (255 Single to Double light)	Each	1	100	100	100	100	100										$ - 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 Feb 12, 2025.