ATTACHMENT A - PRICE COST SCHEDULE_NX EQ Image-Guided Surgical Navigation System.xlsx

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6515--NX EQ Image Guided Surgical Navigation System (VA-26-00083972)
Solicitation number
36C10X27R0004
Issued by

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Written by GovTribe AI ·

This is a Price Cost Schedule attachment for a Request for Proposals (RFP) solicitation numbered 36C10X27R0004 issued by the Department of Veterans Affairs Strategic Acquisition Center Frederick for NX EQ Image-Guided Surgical Navigation Systems. The schedule is a template requiring vendor completion and lists 79 Contractor Line Item Numbers (CLINs) across a five-year contract period consisting of a base year and four option years. All items are Medtronic-branded surgical navigation equipment and accessories, including main system components (StealthStation S8 Main Cart, Camera Cart, Power Pack), software modules (Spine, Cranial, ENT, DBS, 3D, Merge, Stereotaxy), specialized instrument sets and probes, accessories for microscope integration (Zeiss, Leica, Pentero interfaces), and advanced systems (O-ARM O2 configurations with various imaging capabilities). Each CLIN specifies a quantity of one unit per measure with estimated annual quantities of four units per year for the base year and all four option years.

The pricing template requires vendors to provide proposed unit prices for each CLIN, with a Service Level Agreement (SLA) charge of three percent added to each price. The schedule calculates total evaluated prices incorporating both the unit price and SLA for the base year and each option year, with columns for delivery days after receipt of order (ARO), commercial price references, and manufacturer part numbers. Delivery terms are FOB Destination with specific locations and dates to be identified in individual orders. This acquisition is set aside for Service-Disabled Veteran-Owned Small Businesses, and only new OEM equipment is acceptable; refurbished, remanufactured, or gray market items are not permitted. The template currently shows zero pricing across all CLINs, indicating this is the blank form awaiting vendor completion.

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Other files

File Type Posted
ATTACHMENT I_Template for Industry Questions_NX EQ Image-Guided Surgical Navigation System.xlsx XLSX spreadsheet
ATTACHMENT J_Security Appendix C_VA Handbook_6500_6.pdf PDF
ATTACHMENT G - PAST PERFORMANCE REFERENCE_NX EQ Image-Guided Surgical Navigation System.docx DOCX document
ATTACHMENT F - PAST PERFORMANCE QUESTIONNAIRE_NX EQ Image-Guided Surgical Navigation System.docx DOCX document
ATTACHMENT D - SOLICITATION PROVISIONS_NX EQ Image-Guided Surgical Navigation System.pdf PDF
36C10X27R0004_1.docx DOCX document
ATTACHMENT H - CERTIFICATION OF RECALL OR SAFETY ISSUES_NX EQ Image-Guided Surgical Navigation System.docx DOCX document
36C10X27R0004.pdf PDF
ATTACHMENT E -QUARTERLY SALES REPORTING TOOL_NX EQ Image-Guided Surgical Navigation System.xlsx XLSX spreadsheet
ATTACHMENT C - CONTRACT CLAUSES_NX EQ Image-Guided Surgical Navigation System.pdf PDF
ATTACHMENT B - PRODUCT DESCRIPTION_NX EQ Image-Guided Surgical Navigation System.pdf PDF
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Proposed Price

CLINBrand NamePart NumberItem DescriptionUnit of Measure (UOM)Quantity Per UOMEstimated Quantity (Base Year)Estimated Quantity (Opt Year 1)Estimated Quantity (Opt Year 2)Estimated Quantity (Opt Year 3)Estimated Quantity (Opt Year 4)Manufacturer Part NumberManufacturer NameItem DescriptionContractor Part Number (if different from OEM)Unit of MeasureQuantity per UOMDelivery Days AROCommercial PriceProposed Unit
Price (Base Year)SLA (3%)Total Price (Unit Price plus SLA)
Base YearProposed Unit
Price (Option Year 1)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 1Proposed Unit
Price (Option Year 2)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 2Proposed Unit
Price (Option Year 3)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 3Proposed Unit
Price (Option Year 4)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 4Total Evaluated Price (with 3% SLA and estimated quantities) - Base YearTotal Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 1Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 2Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 3Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 4Total Evaluated Price
0001Medtronic9735665STEALTHSTATION™ S8 MAIN CART W/MONITOREach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002Medtronic9735670STEALTHSTATION™ S8 CAMERA CARTEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003Medtronic9735943POWER PACK 9735943 STEALTH S8 ENG ONLYEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004MedtronicM072707M015STEALTHSTATION™ S8 System - NewEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005Medtronic9735740STEALTHSTATION™ SPINE SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006Medtronic9736428REF SET 9736428 SPINE REFERENCINGEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007Medtronic9735502UPGRADE SET 9735502 PERC PINEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008Medtronic9735501Revision Referencing TrayEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0009Medtronic9735522Revision Referencing Tray UpgradeEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0010MedtronicNAV2024KDRIVER NAV2024 SOLERA 4.75 STANDARD MASEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0011MedtronicNAV2025KDRIVER NAV2025 SOLERA 4.75 REDUCT MASEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0012Medtronic9735465CD HORIZON® SOLERA® Awl-Tip TapsEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0013Medtronic9735469CD HORIZON SOLERA TapsEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0014Medtronic9734492SOLERA DEFORMITY TAPS UPGRADEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0015Medtronic9735283SOLERA 5.5/6.0 DRIVERSEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0016Medtronic9735285SOLERA ILIAC TAPSEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0017Medtronic9734838TAP KIT 9734838 SOLERA 8.5 CANNULATEDEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0018Medtronic9734494INST SET 9734494 TACTILE PROBESEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0019Medtronic9735173INST KIT 9735173 2.25MM PED PROBEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0020Medtronic9734836INSERTER, CAPSTONE & CLYDESDALE SETEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0021Medtronic9734833NAVLOCK™ NAVIGATION INSTRUMENT SETEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0022Medtronic9734834CAPSTONE TRIALS SET (TLIF/PLIF)Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0023Medtronic9734507STEALTHSTATION® UNIVERSAL DRILL GUIDEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0024Medtronic9734835CLYDESDALE TRIALS SET (DLIF)Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0025Medtronic9734435TACTILE AWLEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0026Medtronic9735032POWEREASE™ ADAPTEREach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0027Medtronic9735737STEALTHSTATION™ CRANIAL SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0028Medtronic9735743STEALTHSTATION™ 3D SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0029Medtronic9735745STEALTHSTATION™ MERGE SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0030Medtronic9735739STEALTHSTATION™ STEREOTAXY SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0031Medtronic9735738STEALTHSTATION™ DBS SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0032Medtronic9735921STEALTHSTATION™ DBS + STEREOTAXY SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0033Medtronic9735747SCHALTENBRAND WHAREN ATLASEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0034Medtronic9736423SW KIT 9736423 S8 2.0 TRACTOGEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0035Medtronic9733935CRANIAL INSTRUMENT SET - PASSIVEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0036Medtronic9730092INST HNDL 9730092 PASS CATHETER INTRODEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0037Medtronic9731965TOUCH-N-GO KIT 9731965Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0038Medtronic9733157PROBE, 9733157, NAVIGUSEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0039Medtronic9730269MICROSCOPE PROBEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0040Medtronic9733936VERTEK PASSIVE BIOPSY KITEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0041Medtronic961-337INST REF FRAME 961-337 SM PASSIVE CREach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0042Medtronic960-556PASSIVE PLANAR BLUNT PROBEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0043Medtronic961-574INSTRUMENT SET - SURETRAK II PASSIVEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0044Medtronic9734252ARM 9734252 VERTEK IIEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0045Medtronic9735955STEALTHSTATION™ EM KIT S8 CRANIAL ACCESSORIESEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0046Medtronic9736149ZEISS KINEVO INTERFACE KITEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0047Medtronic9736150S8 DIGITAL HUD UPGRADE KITEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0048Medtronic9735747KINEVO KIT W/ S8 UPGRADE HARDWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0049Medtronic9736023INTF KIT 9736023 ZEISS PENTERO HUD S8Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0050Medtronic9736042SCOPE KIT 9736042 S8 ZEISS UPGEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0051Medtronic9736027INTF KIT 9736027 LEICA HUD S8Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0052Medtronic9736028INTF KIT 9736028 LEICA PTR ONLY S8Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0053Medtronic9735959STEALTHSTATION™ EM KIT S8 FLAT EMITTEREach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0054Medtronic9735736STEALTHSTATION™ ENT SOFTWAREEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0055Medtronic9735742SFW 9735742 STEALTH 3D ENTEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0056Medtronic9733452XOMENT NAVIGATION INSTRUMENT SETEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0057Medtronic9736325Monitor Cover 9736325 Stealth S8 SVCEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0058Medtronic9736326Camera Cover 9736326 Stealth S8 SVCEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0059MedtronicAUTOGUIDE_SYSTEMStealth Autoguide SystemEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0060Medtronic9736464Stealth Autoguide Instrument SetEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0061MedtronicAUTOGUIDE_REG_KITStealth Autoguide Non-sterile Registration KitEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0062Medtronic9736189Stealth Autoguide Visualase Instrument SetEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0063Medtronic9736377Stealth Autoguide STERILIZATION TRAY 9736377 AUTOGUIDE IIEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0064Medtronic9736382Stealth Autoguide STERILE TRAY 9736382 AUTOGUIDE AND MR8Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0065MedtronicBI70002000O-ARM O2 BASEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0066MedtronicBI75000027CONFIG BI75000027 O2 SYSTEM NAVIGATION INTERFACEEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0067MedtronicBI75000034CONFIG BI75000034 O2 MULTIPLE FIELD OF VIEWEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0068MedtronicBI75000030CONFIG BI75000030 O2 ADVANCED VIEWINGEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0069MedtronicBI75000031CONFIG BI75000031 O2 ISO-WAG™ ROTATIONEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0070MedtronicBI75000032CONFIG BI75000032 O2 COLLIMATED AXIAL 3DEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0071MedtronicBI75000029CONFIG BI75000029 O2 HIGH DEFINITION 3D – HD3DEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0072MedtronicBI75000045O-ARM O2 2D LONG FILM - NEW SYSTEMEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0073MedtronicBI71000875O-ARM O2 2D LONG FILM UPGRADE - EXISTING SYSTEMEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0074MedtronicBI75000046O-arm O2 Medtronic Implant Resolution (MIR)Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0075MedtronicBI75000047O-arm O2 Spine Smart Dose (SSD)Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0076MedtronicBI75000048O-arm O2 3D Long Scan (3DLS)Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0077MedtronicBI75000050O-arm O2 4.3.0, MIR, SSD and 3DLS - Active Service Agreement CustomerEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0078MedtronicBI75000049O-arm O2 4.3.0, MIR, SSD and 3DLS, and Computer for Non -Service Agreement CustomerEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0079MedtronicBI75000051O-arm O2 4.3.0, MIR, SSD and 3DLS, without computer for Non -Service Agreement CustomerEach144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Base Year Price:$ - 0Option Year 1 Price:$ - 0Option Year 2 Price:$ - 0Option Year 3 Price:$ - 0Option Year 4 Price:$ - 0$ - 0Total 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

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