ATTACHMENT A - PRICE COST SCHEDULE - NX EQ INTENSIVE CARE VENTILATORS.xlsx
XLSX spreadsheet 24 KB Posted
- Solicitation number
- 36C10G25R0013
About this file
This is a pricing template spreadsheet for VA solicitation 36C10G25R0013 for Hamilton C6A Intensive Care Ventilators or equal products. The spreadsheet contains 15 CLINs covering the main ventilator unit and associated accessories including O2 cylinder holders, communication boards, humidifier holders, CO2 sensors, batteries, and various software applications. Vendors must provide pricing for a base year plus four option years, with estimated quantities ranging from 33-62 units per year depending on the period. Each CLIN requires vendors to specify manufacturer name, part numbers, delivery timeframes, commercial pricing, and unit prices including a 3% Service Level Agreement fee.
The pricing template supports a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside procurement by the VA for intensive care ventilators that can provide both invasive and noninvasive ventilation. Vendors proposing equivalent products must demonstrate compliance with salient characteristics including minimum inspiratory flow of 120L/min, multiple ventilation modes, respiratory rate range of 1-80, FiO2 range of 21-100, EMR connectivity, and specific alarm requirements. Questions are due December 19, 2024 and proposals are due December 26, 2024.
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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 (Year 1) | Estimated Quantity (Year 2) | Estimated Quantity (Year 3) | Estimated Quantity (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 | HAMILTON-C6 Ventilator (Includes Trolly) | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0002 | HAMILTON-C6 O2 Cylinder Holder | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0003 | HAMILTON-C6 Communication Board (CO2, SpO2, Aerogen w/ Cable) | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0004 | HAMILTON-C6 Humidifier Holder | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0005 | HAMILTON-C6 Communication Board (CO2, SpO2) | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0006 | CAPNOSTAT-5 CO2 SENSOR | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0007 | HAMILTON-C6/C3 Quick Lock | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0008 | HAMILTON-C6/C3 Water Bag Pole | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0009 | HAMILTON-C6 Li-Ion Battery | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0010 | HAMILTON-C6 Battery Calibrator | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||
| 0011 | HAMILTON-C6 P/V Tool Pro Application | Each | 1 | 38 | 33 | 35 | 62 | 58 | $ - 0 | Total Price | |||||||||||||||||||||||||||
| 0012 | HAMILTON-C6 High Flow O2 Therapy Application | Each | 1 | 38 | 33 | 35 | 62 | 58 | |||||||||||||||||||||||||||||
| 0013 | HAMILTON-C6 IntelliSync+ Application | Each | 1 | 38 | 33 | 35 | 62 | 58 | |||||||||||||||||||||||||||||
| 0014 | HAMILTON-C6 nCPAP-PS Application | Each | 1 | 38 | 33 | 35 | 62 | 58 | |||||||||||||||||||||||||||||
| 0015 | HAMILTON-C6 Neonatal Application | Each | 1 | 38 | 33 | 35 | 62 | 58 |
| *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 | |
| Offerors proposing equivalent product must enter Name of Manufacturer for its proposed solution, Description of Part Number(s), etc. starting at Column L. If offeror’s proposed solution does not require a particular CLIN, vendor shall indicate such by writing N/A, None, or Zero (0). Also, the items priced in Pricing volume must correspond with the items proposed in offeror’s Technical volume as the brand name or equivalent solution. | ||
| Vendors who propose brands that meet all the Salient Characteristics, should provide that information in the chart above. |
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