ATTACHMENT A - PRICE COST SCHEDULE - NX EQ HUMIDIFIERS AIRWAY HEAT MOISTURE EXCHANGE.xlsx

XLSX spreadsheet 116 KB Posted

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6515--NX EQ Humidifiers Airway Heat Moisture Exchange
Solicitation number
36C10G22Q0019
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Base Year

CLINPart NumberBrand Name/ ManufacturerItem DescriptionUnit of Measure (UOM)Estimated Quantity (Base Year)Vendor's Quoted ManufacturerVendor's Brand Name or Equal Part NumberIf Quoting Equal Product Item DescriptionDelivery Days AROUnit of MeasureUnit Price (Base Year)3% SLA FeeTotal Base Year Unit Price Plus SLA FeeTotal Proposed Price Estimated Quantity Multiplied By Total Base Year Unit Price Plus SLA Fee
0001MR850-JHUFisher & PaykelHumidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting BracketEach150$0.00$0.00
0002PT101USFisher & PaykelAIRVO™ Humidification System for High Flow Oxygen TherapyEach150$0.00$0.00
0003900MR806Fisher & PaykelHeater Wire AdapterEach150$0.00$0.00
0004900HC032Fisher & PaykelHumidifier Mounting TrayEach150$0.00$0.00
0005900MR011Fisher & PaykelWater Bag Pole Straight 50"Each150$0.00$0.00
0006900MR290Fisher & PaykelWater Bag Pole Bent 28"Each150$0.00$0.00
0007900PT421Fisher & PaykelMobile Pole Stand - 1.6m (5'3")Each150$0.00$0.00
0008900PT405Fisher & PaykelPole Mounting TrapEach150$0.00$0.00
0009900PT600Fisher & PaykelDisinfection Kit (Included in PT101US)Each150$0.00$0.00
0010900PT601Fisher & PaykelDisinfection FilterEach150$0.00$0.00
0011900PT603Fisher & PaykelClean Storage CoverEach150$0.00$0.00
0012900PT426Fisher & PaykelHumidifier Stand BasketEach150$0.00$0.00
0013900PT427Fisher & PaykelOxygen Cylinder HolderEach150$0.00$0.00
0014900PT411Fisher & PaykelUniversal Power Source Mounting KitEach150$0.00$0.00
0015R127P35Fisher & PaykelGas HoseEach150$0.00$0.00
0016R220P87-001Fisher & Paykel0-70/2-26 L/min Flowmeter ModuleEach150$0.00$0.00
0017900MR805Fisher & PaykelAdaptor MR850 Dual HTD RT CCTEach150$0.00$0.00
0018900MR861Fisher & PaykelProbe Temp/Flow Rt Ang 2200mmEach150$0.00$0.00
0019900MR868Fisher & PaykelProbe Temp/Flow Rt Ang 1450mmEach150$0.00$0.00
0020900MR869Fisher & PaykelProbe Temp/Flow Rt Ang 1850mmEach150$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

CLINPart NumberBrand Name/ ManufacturerItem DescriptionUnit of Measure (UOM)Estimated Quantity (Year 1)Vendor's Quoted ManufacturerVendor's Brand Name or Equal Part NumberIf Quoting Equal Product Item DescriptionDelivery Days AROUnit of MeasureUnit Price (Year 1)3% SLA FeeTotal Year 1 Unit Price Plus SLA FeeTotal Proposed Price Estimated Quantity Multiplied By Total Year 1 Unit Price Plus SLA Fee
0001MR850-JHUFisher & PaykelHumidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting BracketEach150$0.00$0.00
0002PT101USFisher & PaykelAIRVO™ Humidification System for High Flow Oxygen TherapyEach150$0.00$0.00
0003900MR806Fisher & PaykelHeater Wire AdapterEach150$0.00$0.00
0004900HC032Fisher & PaykelHumidifier Mounting TrayEach150$0.00$0.00
0005900MR011Fisher & PaykelWater Bag Pole Straight 50"Each150$0.00$0.00
0006900MR290Fisher & PaykelWater Bag Pole Bent 28"Each150$0.00$0.00
0007900PT421Fisher & PaykelMobile Pole Stand - 1.6m (5'3")Each150$0.00$0.00
0008900PT405Fisher & PaykelPole Mounting TrapEach150$0.00$0.00
0009900PT600Fisher & PaykelDisinfection Kit (Included in PT101US)Each150$0.00$0.00
0010900PT601Fisher & PaykelDisinfection FilterEach150$0.00$0.00
0011900PT603Fisher & PaykelClean Storage CoverEach150$0.00$0.00
0012900PT426Fisher & PaykelHumidifier Stand BasketEach150$0.00$0.00
0013900PT427Fisher & PaykelOxygen Cylinder HolderEach150$0.00$0.00
0014900PT411Fisher & PaykelUniversal Power Source Mounting KitEach150$0.00$0.00
0015R127P35Fisher & PaykelGas HoseEach150$0.00$0.00
0016R220P87-001Fisher & Paykel0-70/2-26 L/min Flowmeter ModuleEach150$0.00$0.00
0017900MR805Fisher & PaykelAdaptor MR850 Dual HTD RT CCTEach150$0.00$0.00
0018900MR861Fisher & PaykelProbe Temp/Flow Rt Ang 2200mmEach150$0.00$0.00
0019900MR868Fisher & PaykelProbe Temp/Flow Rt Ang 1450mmEach150$0.00$0.00
0020900MR869Fisher & PaykelProbe Temp/Flow Rt Ang 1850mmEach150$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

CLINPart NumberBrand Name/ ManufacturerItem DescriptionUnit of Measure (UOM)Estimated Quantity (Year 2)Vendor's Quoted ManufacturerVendor's Brand Name or Equal Part NumberIf Quoting Equal Product Item DescriptionDelivery Days AROUnit of MeasureUnit Price (Year 2)3% SLA FeeTotal Year 2 Unit Price Plus SLA FeeTotal Proposed Price Estimated Quantity Multiplied By Total Year 2 Unit Price Plus SLA Fee
0001MR850-JHUFisher & PaykelHumidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting BracketEach150$0.00$0.00
0002PT101USFisher & PaykelAIRVO™ Humidification System for High Flow Oxygen TherapyEach150$0.00$0.00
0003900MR806Fisher & PaykelHeater Wire AdapterEach150$0.00$0.00
0004900HC032Fisher & PaykelHumidifier Mounting TrayEach150$0.00$0.00
0005900MR011Fisher & PaykelWater Bag Pole Straight 50"Each150$0.00$0.00
0006900MR290Fisher & PaykelWater Bag Pole Bent 28"Each150$0.00$0.00
0007900PT421Fisher & PaykelMobile Pole Stand - 1.6m (5'3")Each150$0.00$0.00
0008900PT405Fisher & PaykelPole Mounting TrapEach150$0.00$0.00
0009900PT600Fisher & PaykelDisinfection Kit (Included in PT101US)Each150$0.00$0.00
0010900PT601Fisher & PaykelDisinfection FilterEach150$0.00$0.00
0011900PT603Fisher & PaykelClean Storage CoverEach150$0.00$0.00
0012900PT426Fisher & PaykelHumidifier Stand BasketEach150$0.00$0.00
0013900PT427Fisher & PaykelOxygen Cylinder HolderEach150$0.00$0.00
0014900PT411Fisher & PaykelUniversal Power Source Mounting KitEach150$0.00$0.00
0015R127P35Fisher & PaykelGas HoseEach150$0.00$0.00
0016R220P87-001Fisher & Paykel0-70/2-26 L/min Flowmeter ModuleEach150$0.00$0.00
0017900MR805Fisher & PaykelAdaptor MR850 Dual HTD RT CCTEach150$0.00$0.00
0018900MR861Fisher & PaykelProbe Temp/Flow Rt Ang 2200mmEach150$0.00$0.00
0019900MR868Fisher & PaykelProbe Temp/Flow Rt Ang 1450mmEach150$0.00$0.00
0020900MR869Fisher & PaykelProbe Temp/Flow Rt Ang 1850mmEach150$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

CLINPart NumberBrand Name/ ManufacturerItem DescriptionUnit of Measure (UOM)Estimated Quantity (Year 3)Vendor's Quoted ManufacturerVendor's Brand Name or Equal Part NumberIf Quoting Equal Product Item DescriptionDelivery Days AROUnit of MeasureUnit Price (Year 3)3% SLA FeeTotal Year 3 Unit Price Plus SLA FeeTotal Proposed Price Estimated Quantity Multiplied By Total Year 3 Unit Price Plus SLA Fee
0001MR850-JHUFisher & PaykelHumidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting BracketEach150$0.00$0.00
0002PT101USFisher & PaykelAIRVO™ Humidification System for High Flow Oxygen TherapyEach150$0.00$0.00
0003900MR806Fisher & PaykelHeater Wire AdapterEach150$0.00$0.00
0004900HC032Fisher & PaykelHumidifier Mounting TrayEach150$0.00$0.00
0005900MR011Fisher & PaykelWater Bag Pole Straight 50"Each150$0.00$0.00
0006900MR290Fisher & PaykelWater Bag Pole Bent 28"Each150$0.00$0.00
0007900PT421Fisher & PaykelMobile Pole Stand - 1.6m (5'3")Each150$0.00$0.00
0008900PT405Fisher & PaykelPole Mounting TrapEach150$0.00$0.00
0009900PT600Fisher & PaykelDisinfection Kit (Included in PT101US)Each150$0.00$0.00
0010900PT601Fisher & PaykelDisinfection FilterEach150$0.00$0.00
0011900PT603Fisher & PaykelClean Storage CoverEach150$0.00$0.00
0012900PT426Fisher & PaykelHumidifier Stand BasketEach150$0.00$0.00
0013900PT427Fisher & PaykelOxygen Cylinder HolderEach150$0.00$0.00
0014900PT411Fisher & PaykelUniversal Power Source Mounting KitEach150$0.00$0.00
0015R127P35Fisher & PaykelGas HoseEach150$0.00$0.00
0016R220P87-001Fisher & Paykel0-70/2-26 L/min Flowmeter ModuleEach150$0.00$0.00
0017900MR805Fisher & PaykelAdaptor MR850 Dual HTD RT CCTEach150$0.00$0.00
0018900MR861Fisher & PaykelProbe Temp/Flow Rt Ang 2200mmEach150$0.00$0.00
0019900MR868Fisher & PaykelProbe Temp/Flow Rt Ang 1450mmEach150$0.00$0.00
0020900MR869Fisher & PaykelProbe Temp/Flow Rt Ang 1850mmEach150$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

CLINPart NumberBrand Name/ ManufacturerItem DescriptionUnit of Measure (UOM)Estimated Quantity (Year 4)Vendor's Quoted ManufacturerVendor's Brand Name or Equal Part NumberIf Quoting Equal Product Item DescriptionDelivery Days AROUnit of MeasureUnit Price (Year 4)3% SLA FeeTotal Year 4 Unit Price Plus SLA FeeTotal Proposed Price Estimated Quantity Multiplied By Total Year 4 Unit Price Plus SLA Fee
0001MR850-JHUFisher & PaykelHumidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting BracketEach150$0.00$0.00
0002PT101USFisher & PaykelAIRVO™ Humidification System for High Flow Oxygen TherapyEach150$0.00$0.00
0003900MR806Fisher & PaykelHeater Wire AdapterEach150$0.00$0.00
0004900HC032Fisher & PaykelHumidifier Mounting TrayEach150$0.00$0.00
0005900MR011Fisher & PaykelWater Bag Pole Straight 50"Each150$0.00$0.00
0006900MR290Fisher & PaykelWater Bag Pole Bent 28"Each150$0.00$0.00
0007900PT421Fisher & PaykelMobile Pole Stand - 1.6m (5'3")Each150$0.00$0.00
0008900PT405Fisher & PaykelPole Mounting TrapEach150$0.00$0.00
0009900PT600Fisher & PaykelDisinfection Kit (Included in PT101US)Each150$0.00$0.00
0010900PT601Fisher & PaykelDisinfection FilterEach150$0.00$0.00
0011900PT603Fisher & PaykelClean Storage CoverEach150$0.00$0.00
0012900PT426Fisher & PaykelHumidifier Stand BasketEach150$0.00$0.00
0013900PT427Fisher & PaykelOxygen Cylinder HolderEach150$0.00$0.00
0014900PT411Fisher & PaykelUniversal Power Source Mounting KitEach150$0.00$0.00
0015R127P35Fisher & PaykelGas HoseEach150$0.00$0.00
0016R220P87-001Fisher & Paykel0-70/2-26 L/min Flowmeter ModuleEach150$0.00$0.00
0017900MR805Fisher & PaykelAdaptor MR850 Dual HTD RT CCTEach150$0.00$0.00
0018900MR861Fisher & PaykelProbe Temp/Flow Rt Ang 2200mmEach150$0.00$0.00
0019900MR868Fisher & PaykelProbe Temp/Flow Rt Ang 1450mmEach150$0.00$0.00
0020900MR869Fisher & PaykelProbe Temp/Flow Rt Ang 1850mmEach150$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

File details come from the government source that posted it. Updated .