ATTACHMENT A - PRICE COST SCHEDULE - NX EQ Infusion Pumps Multitherapy Ambulatory.xlsx

XLSX spreadsheet 27 KB Posted

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6515--NX EQ Infusion Pumps Multitherapy Ambulatory
Solicitation number
36C10G25Q0081
Issued by

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This document is a Price Cost Schedule for the Veterans Health Administration's procurement of ICU Medical Infusion Pumps Multitherapy Ambulatory. The solicitation (Number 36C10G25Q0081) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside for purchasing infusion pumps and related accessories, covering 13 specific Contract Line Items (CLINs) including various CADD-Solis pump models, adapters, brackets, battery packs, and communication modules. The procurement is structured as a single award requirements contract with a 12-month base year and four 12-month option years, delivering medical equipment to VA medical centers domestically and internationally.

Key procurement details include a quote submission deadline of June 16, 2025, at 11:59 PM EST, with questions due by June 9, 2025. The pumps are designed to deliver parenteral agents for various medical treatments including chemotherapy, total parenteral nutrition, and antibiotics, with specific salient characteristics such as FDA clearance, pole mounting capability, patient-controlled analgesia mode, lightweight design (under 0.6 kg), and audio alarm volume control. Vendors must provide products meeting these characteristics and include descriptive literature demonstrating compliance, with the government reserving the right to award without discussions.

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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
0001ICU Medical21-2111-0402-51CADD-Solis Ambulatory Infusion (Grey)Each17575757575$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002ICU Medical21-2112-0402-51CADD-Solis Ambulatory Infusion (Yellow)Each17575757575$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003ICU Medical21-2120-0105-01CADD-Solis VIP 2120 ambulatory infusion pump, PharmGuard enabled
(blue label)Each17575757575$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004ICU Medical21-2125-0105-01CADD-Solis VIP Pump with Factory Library (Select Protocols)
(green label)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005ICU Medical21-2127-0105-01CADD-Solis VIP 2120 ambulatory infusion pump, Manual Mode (Standard Settings)
(black label)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006ICU Medical21-2194-0403-25CADD-Solis Medication Safety SEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007ICU Medical21-2135-25Polemount Adapter CADD-SolisEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008ICU Medical21-6120-24Polemount Bracket Lockable CADDEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0009ICU Medical21-6118-24Polemount Bracket Non-Lockable CADDEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0010ICU Medical21-2160-51CADD Solis Battery
Pack, RechargeableEach1200200200200200$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0011ICU Medical21-2131-01CADD-Solis Wireless Communication Module for use with CADD-Solis v4 pumps — USEach17070707070$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0012ICU Medical21-0270-25AC Adapter - Wallmount For use with CADD-Solis pumpsEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0013ICU Medical21-2186-25Remote Dose Cord (CADD-Solis pump)Each1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 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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