ATTACHMENT A - PRICE COST SCHEDULE - NX EQ Microwave Therapy Systems Tissue Ablation.xlsx

XLSX spreadsheet 28 KB Posted

Attached to
NX EQ Microwave Therapy Systems: Tissue Ablation Federal contract opportunity
Solicitation number
36C10G25R0048
Issued by
Department of Veterans Affairs Headquarters

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Written by GovTribe AI ·

This is a Price Cost Schedule template for VA's microwave therapy systems tissue ablation equipment solicitation. The pricing template requires contractors to complete pricing for 17 different Contract Line Item Numbers (CLINs) from Varian Medical Systems, covering IntelliBlate Microwave Ablation Systems and related components across a base year plus four option years.

The template includes various system configurations (CLINs 0001-0004) such as starter kits and complete systems with different software deployments, disposable probes in multiple sizes and quantities (CLINs 0005-0011), temperature sensors, daily rental fees, technical support services, and warranty/maintenance agreements ranging from one to five years. Estimated quantities vary by item, with higher volumes for consumable probes (25-65 units annually) and lower quantities for capital equipment (0-4 units per year depending on the option year). Contractors must provide commercial pricing, proposed unit prices for each contract year, include a 3% Service Level Agreement (SLA) fee, specify delivery days after receipt of order, and calculate total evaluated prices across all years. The template is currently blank with all pricing fields showing zero, indicating vendors need to complete all highlighted sections with their proposed pricing structure.

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Other files for this federal contract opportunity

Other files attached to NX EQ Microwave Therapy Systems: Tissue Ablation, newest first.
File Type Posted
ATTACHMENT C - CONTRACT CLAUSES - NX EQ Microwave Therapy Systems Tissue Ablation.pdf PDF
ATTACHMENT E -QUARTERLY SALES REPORTING TOOL - NX EQ Microwave Therapy Systems Tissue Ablation.xlsx XLSX spreadsheet
ATTACHMENT F - PAST PERFORMANCE QUESTIONNAIRE - NX EQ Microwave Therapy Systems Tissue Ablation.docx DOCX document
ATTACHMENT G - PAST PERFORMANCE REFERENCE - NX EQ Microwave Therapy Systems Tissue Ablation.docx DOCX document
ATTACHMENT B - PRODUCT DESCRIPTION - NX EQ Microwave Therapy Systems Tissue Ablation.docx DOCX document
RFP_36C10G25R0048.pdf PDF
ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ Microwave Therapy Systems Tissue Ablation.pdf PDF

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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
0001Varian Medical SystemsIB-MAG-STARTERKITIntelliBlate™ Microwave Ablation System Starter Kit (Comes with CLIN X003 or X004 and Ximitry Probes (one pack of 12 - any combination of CLINs X005, X008, and/or X010)Each144444$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002Varian Medical SystemsIB-SYS-MAG-SVG-HIntelliBlate™ Microwave Ablation System (includes myAblation Guide deployed on syngo.via View&Go with external computer, mobile cart, power supply/powercord, monitors, masts/stand, software, one year warranty)Each110010$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003Varian Medical SystemsIB-SYS-MAG-SVGIntelliBlate™ Microwave Ablation System (includes myAblation Guide deployed on syngo.via View&Go, mobile cart, power supply/powercord, monitors, masts/stand, software, one year warranty)Each101001$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004Varian Medical SystemsIB-SYS-MAG-SYNIntelliBlate™ Microwave Ablation System (includes myAblation Guide deployed on syngo.via workstation, mobile cart, power supply/powercord, monitors, masts/stand, software, one year warranty)Each100100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005Varian Medical SystemsIB-XPA-1315IntelliBlate™ Ximitry Probe, 15 cm, 13 ga, Qty 1Each16565656565$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006Varian Medical SystemsIB-XPA-1315-K3IntelliBlate™ Ximitry Probe, 15 cm, 13 ga, Qty 3Each12020202020$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007Varian Medical SystemsIB-XPA-1315-K12IntelliBlate™ Ximitry Probe, 15 cm, 13 ga, Qty 12Each11515151515$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008Varian Medical SystemsIB-XPA-1320IntelliBlate™ Ximitry Probe, 20 cm, 13 ga, Qty 1Each12525252525$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0009Varian Medical SystemsIB-XPA-1320-K3IntelliBlate™ Ximitry Probe, 20 cm, 13 ga, Qty 3Each12525252525$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0010Varian Medical SystemsIB-XPA-1327IntelliBlate™ Ximitry Probe, 27 cm, 13 ga, Qty 1Each12525252525$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0011Varian Medical SystemsIB-XPA-1327-K3IntelliBlate™ Ximitry Probe, 27 cm, 13 ga, Qty 3Each12525252525$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0012Varian Medical SystemsABL-TP-1820Temperature Sensor Probe, 20 cm, 18 ga, Qty 1Each1100100100100100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0013Varian Medical SystemsIB-MWA-EQIntelliBlate™ System Daily Rental FeeEach13030303030$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0014Varian Medical SystemsIB-MWA-SVCOn-Site Technical Support Service Fee (per case, if needed) (NOTE: Used with CLIN X013)Each13030303030$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0015Varian Medical SystemsIB-COVERED-1YROne Year Warranty and Service Maintenance Agreement (NOTE: Only for CLINs X001 - X004)Each111111$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0016Varian Medical SystemsIB-COVERED-3YRThree Year Warranty and Service Maintenance Agreement (NOTE: Only for CLINs X001 - X004)Each111111$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0017Varian Medical SystemsIB-COVERED-5YRFive Year Warranty and Service Maintenance Agreement (NOTE: Only for CLINs X001 - X004)Each133333$ - 0$ - 0$ - 0$ - 0$ - 0$ - 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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