ATTACHMENT A - PRICE COST SCHEDULE - NX EQ INTENSIVE CARE VENTILATORS.xlsx

XLSX spreadsheet 24 KB Posted

Attached to
6515--NX EQ Intensive Care Ventilators (VA-24-00028985)
Solicitation number
36C10G25R0013
Issued by

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

CLINPart NumberBrand NameItem DescriptionUnit of Measure (UOM)Quantity Per UOMEstimated Quantity (Base Year)Estimated Quantity (Year 1)Estimated Quantity (Year 2)Estimated Quantity (Year 3)Estimated Quantity (Year 4)Manufacturer NameManufacturer Part NumberItem 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
0001HAMILTON-C6 Ventilator (Includes Trolly)Each13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002HAMILTON-C6 O2 Cylinder HolderEach13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003HAMILTON-C6 Communication Board (CO2, SpO2, Aerogen w/ Cable)Each13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004HAMILTON-C6 Humidifier HolderEach13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005HAMILTON-C6 Communication Board (CO2, SpO2)Each13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006CAPNOSTAT-5 CO2 SENSOREach13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007HAMILTON-C6/C3 Quick LockEach13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008HAMILTON-C6/C3 Water Bag PoleEach13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0009HAMILTON-C6 Li-Ion BatteryEach13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0010HAMILTON-C6 Battery CalibratorEach13833356258$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0011HAMILTON-C6 P/V Tool Pro ApplicationEach13833356258$ - 0Total Price
0012HAMILTON-C6 High Flow O2 Therapy ApplicationEach13833356258
0013HAMILTON-C6 IntelliSync+ ApplicationEach13833356258
0014HAMILTON-C6 nCPAP-PS ApplicationEach13833356258
0015HAMILTON-C6 Neonatal ApplicationEach13833356258
*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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