The file's text, extracted by GovTribe without its formatting.
Base Year
| CLIN | Part Number | Brand Name/ Manufacturer | Item Description | Unit of Measure (UOM) | Estimated Quantity (Base Year) | Vendor's Quoted Manufacturer | Vendor's Brand Name or Equal Part Number | If Quoting Equal Product Item Description | Delivery Days ARO | Unit of Measure | Unit Price (Base Year) | 3% SLA Fee | Total Base Year Unit Price Plus SLA Fee | Total Proposed Price Estimated Quantity Multiplied By Total Base Year Unit Price Plus SLA Fee |
| 0001 | MR850-JHU | Fisher & Paykel | Humidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting Bracket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0002 | PT101US | Fisher & Paykel | AIRVO™ Humidification System for High Flow Oxygen Therapy | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0003 | 900MR806 | Fisher & Paykel | Heater Wire Adapter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0004 | 900HC032 | Fisher & Paykel | Humidifier Mounting Tray | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0005 | 900MR011 | Fisher & Paykel | Water Bag Pole Straight 50" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0006 | 900MR290 | Fisher & Paykel | Water Bag Pole Bent 28" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0007 | 900PT421 | Fisher & Paykel | Mobile Pole Stand - 1.6m (5'3") | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0008 | 900PT405 | Fisher & Paykel | Pole Mounting Trap | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0009 | 900PT600 | Fisher & Paykel | Disinfection Kit (Included in PT101US) | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0010 | 900PT601 | Fisher & Paykel | Disinfection Filter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0011 | 900PT603 | Fisher & Paykel | Clean Storage Cover | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0012 | 900PT426 | Fisher & Paykel | Humidifier Stand Basket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0013 | 900PT427 | Fisher & Paykel | Oxygen Cylinder Holder | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0014 | 900PT411 | Fisher & Paykel | Universal Power Source Mounting Kit | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0015 | R127P35 | Fisher & Paykel | Gas Hose | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0016 | R220P87-001 | Fisher & Paykel | 0-70/2-26 L/min Flowmeter Module | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0017 | 900MR805 | Fisher & Paykel | Adaptor MR850 Dual HTD RT CCT | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0018 | 900MR861 | Fisher & Paykel | Probe Temp/Flow Rt Ang 2200mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0019 | 900MR868 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1450mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0020 | 900MR869 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1850mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| | | TOTALS | | | | | | | | | | $0.00 | $0.00 |
| *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
Option Year 1
| CLIN | Part Number | Brand Name/ Manufacturer | Item Description | Unit of Measure (UOM) | Estimated Quantity (Year 1) | Vendor's Quoted Manufacturer | Vendor's Brand Name or Equal Part Number | If Quoting Equal Product Item Description | Delivery Days ARO | Unit of Measure | Unit Price (Year 1) | 3% SLA Fee | Total Year 1 Unit Price Plus SLA Fee | Total Proposed Price Estimated Quantity Multiplied By Total Year 1 Unit Price Plus SLA Fee |
| 0001 | MR850-JHU | Fisher & Paykel | Humidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting Bracket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0002 | PT101US | Fisher & Paykel | AIRVO™ Humidification System for High Flow Oxygen Therapy | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0003 | 900MR806 | Fisher & Paykel | Heater Wire Adapter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0004 | 900HC032 | Fisher & Paykel | Humidifier Mounting Tray | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0005 | 900MR011 | Fisher & Paykel | Water Bag Pole Straight 50" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0006 | 900MR290 | Fisher & Paykel | Water Bag Pole Bent 28" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0007 | 900PT421 | Fisher & Paykel | Mobile Pole Stand - 1.6m (5'3") | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0008 | 900PT405 | Fisher & Paykel | Pole Mounting Trap | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0009 | 900PT600 | Fisher & Paykel | Disinfection Kit (Included in PT101US) | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0010 | 900PT601 | Fisher & Paykel | Disinfection Filter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0011 | 900PT603 | Fisher & Paykel | Clean Storage Cover | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0012 | 900PT426 | Fisher & Paykel | Humidifier Stand Basket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0013 | 900PT427 | Fisher & Paykel | Oxygen Cylinder Holder | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0014 | 900PT411 | Fisher & Paykel | Universal Power Source Mounting Kit | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0015 | R127P35 | Fisher & Paykel | Gas Hose | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0016 | R220P87-001 | Fisher & Paykel | 0-70/2-26 L/min Flowmeter Module | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0017 | 900MR805 | Fisher & Paykel | Adaptor MR850 Dual HTD RT CCT | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0018 | 900MR861 | Fisher & Paykel | Probe Temp/Flow Rt Ang 2200mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0019 | 900MR868 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1450mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0020 | 900MR869 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1850mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| | | TOTALS | | | | | | | | | | $0.00 | $0.00 |
| *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES |
| ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY |
| VENDORS ARE TO INCOPORATE 3% SLA FEE |
Option Year 2
| CLIN | Part Number | Brand Name/ Manufacturer | Item Description | Unit of Measure (UOM) | Estimated Quantity (Year 2) | Vendor's Quoted Manufacturer | Vendor's Brand Name or Equal Part Number | If Quoting Equal Product Item Description | Delivery Days ARO | Unit of Measure | Unit Price (Year 2) | 3% SLA Fee | Total Year 2 Unit Price Plus SLA Fee | Total Proposed Price Estimated Quantity Multiplied By Total Year 2 Unit Price Plus SLA Fee |
| 0001 | MR850-JHU | Fisher & Paykel | Humidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting Bracket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0002 | PT101US | Fisher & Paykel | AIRVO™ Humidification System for High Flow Oxygen Therapy | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0003 | 900MR806 | Fisher & Paykel | Heater Wire Adapter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0004 | 900HC032 | Fisher & Paykel | Humidifier Mounting Tray | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0005 | 900MR011 | Fisher & Paykel | Water Bag Pole Straight 50" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0006 | 900MR290 | Fisher & Paykel | Water Bag Pole Bent 28" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0007 | 900PT421 | Fisher & Paykel | Mobile Pole Stand - 1.6m (5'3") | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0008 | 900PT405 | Fisher & Paykel | Pole Mounting Trap | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0009 | 900PT600 | Fisher & Paykel | Disinfection Kit (Included in PT101US) | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0010 | 900PT601 | Fisher & Paykel | Disinfection Filter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0011 | 900PT603 | Fisher & Paykel | Clean Storage Cover | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0012 | 900PT426 | Fisher & Paykel | Humidifier Stand Basket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0013 | 900PT427 | Fisher & Paykel | Oxygen Cylinder Holder | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0014 | 900PT411 | Fisher & Paykel | Universal Power Source Mounting Kit | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0015 | R127P35 | Fisher & Paykel | Gas Hose | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0016 | R220P87-001 | Fisher & Paykel | 0-70/2-26 L/min Flowmeter Module | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0017 | 900MR805 | Fisher & Paykel | Adaptor MR850 Dual HTD RT CCT | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0018 | 900MR861 | Fisher & Paykel | Probe Temp/Flow Rt Ang 2200mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0019 | 900MR868 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1450mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0020 | 900MR869 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1850mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| | | TOTALS | | | | | | | | | | $0.00 | $0.00 |
| *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES |
| ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY |
| VENDORS ARE TO INCOPORATE 3% SLA FEE |
Option Year 3
| CLIN | Part Number | Brand Name/ Manufacturer | Item Description | Unit of Measure (UOM) | Estimated Quantity (Year 3) | Vendor's Quoted Manufacturer | Vendor's Brand Name or Equal Part Number | If Quoting Equal Product Item Description | Delivery Days ARO | Unit of Measure | Unit Price (Year 3) | 3% SLA Fee | Total Year 3 Unit Price Plus SLA Fee | Total Proposed Price Estimated Quantity Multiplied By Total Year 3 Unit Price Plus SLA Fee |
| 0001 | MR850-JHU | Fisher & Paykel | Humidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting Bracket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0002 | PT101US | Fisher & Paykel | AIRVO™ Humidification System for High Flow Oxygen Therapy | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0003 | 900MR806 | Fisher & Paykel | Heater Wire Adapter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0004 | 900HC032 | Fisher & Paykel | Humidifier Mounting Tray | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0005 | 900MR011 | Fisher & Paykel | Water Bag Pole Straight 50" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0006 | 900MR290 | Fisher & Paykel | Water Bag Pole Bent 28" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0007 | 900PT421 | Fisher & Paykel | Mobile Pole Stand - 1.6m (5'3") | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0008 | 900PT405 | Fisher & Paykel | Pole Mounting Trap | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0009 | 900PT600 | Fisher & Paykel | Disinfection Kit (Included in PT101US) | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0010 | 900PT601 | Fisher & Paykel | Disinfection Filter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0011 | 900PT603 | Fisher & Paykel | Clean Storage Cover | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0012 | 900PT426 | Fisher & Paykel | Humidifier Stand Basket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0013 | 900PT427 | Fisher & Paykel | Oxygen Cylinder Holder | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0014 | 900PT411 | Fisher & Paykel | Universal Power Source Mounting Kit | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0015 | R127P35 | Fisher & Paykel | Gas Hose | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0016 | R220P87-001 | Fisher & Paykel | 0-70/2-26 L/min Flowmeter Module | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0017 | 900MR805 | Fisher & Paykel | Adaptor MR850 Dual HTD RT CCT | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0018 | 900MR861 | Fisher & Paykel | Probe Temp/Flow Rt Ang 2200mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0019 | 900MR868 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1450mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0020 | 900MR869 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1850mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| | | TOTALS | | | | | | | | | | $0.00 | $0.00 |
| *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES |
| ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY |
| VENDORS ARE TO INCOPORATE 3% SLA FEE |
Option Year 4
| CLIN | Part Number | Brand Name/ Manufacturer | Item Description | Unit of Measure (UOM) | Estimated Quantity (Year 4) | Vendor's Quoted Manufacturer | Vendor's Brand Name or Equal Part Number | If Quoting Equal Product Item Description | Delivery Days ARO | Unit of Measure | Unit Price (Year 4) | 3% SLA Fee | Total Year 4 Unit Price Plus SLA Fee | Total Proposed Price Estimated Quantity Multiplied By Total Year 4 Unit Price Plus SLA Fee |
| 0001 | MR850-JHU | Fisher & Paykel | Humidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting Bracket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0002 | PT101US | Fisher & Paykel | AIRVO™ Humidification System for High Flow Oxygen Therapy | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0003 | 900MR806 | Fisher & Paykel | Heater Wire Adapter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0004 | 900HC032 | Fisher & Paykel | Humidifier Mounting Tray | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0005 | 900MR011 | Fisher & Paykel | Water Bag Pole Straight 50" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0006 | 900MR290 | Fisher & Paykel | Water Bag Pole Bent 28" | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0007 | 900PT421 | Fisher & Paykel | Mobile Pole Stand - 1.6m (5'3") | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0008 | 900PT405 | Fisher & Paykel | Pole Mounting Trap | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0009 | 900PT600 | Fisher & Paykel | Disinfection Kit (Included in PT101US) | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0010 | 900PT601 | Fisher & Paykel | Disinfection Filter | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0011 | 900PT603 | Fisher & Paykel | Clean Storage Cover | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0012 | 900PT426 | Fisher & Paykel | Humidifier Stand Basket | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0013 | 900PT427 | Fisher & Paykel | Oxygen Cylinder Holder | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0014 | 900PT411 | Fisher & Paykel | Universal Power Source Mounting Kit | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0015 | R127P35 | Fisher & Paykel | Gas Hose | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0016 | R220P87-001 | Fisher & Paykel | 0-70/2-26 L/min Flowmeter Module | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0017 | 900MR805 | Fisher & Paykel | Adaptor MR850 Dual HTD RT CCT | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0018 | 900MR861 | Fisher & Paykel | Probe Temp/Flow Rt Ang 2200mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0019 | 900MR868 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1450mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| 0020 | 900MR869 | Fisher & Paykel | Probe Temp/Flow Rt Ang 1850mm | Each | 150 | | | | | | | | $0.00 | $0.00 |
| | | TOTALS | | | | | | | | | | $0.00 | $0.00 |
| *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES |
| ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY |
| VENDORS ARE TO INCOPORATE 3% SLA FEE |
5 year Total Price
| Total Price (From Each Page |
| Base Year | |
| Option Year 1 | |
| Option Year 2 | |
| Option Year 3 | |
| Option Year 4 | |
| Total for Base + Option Years | $0.00 |