ATTACHMENT A - PRICE COST SCHEDULE - NX EQ NONINVASIVE VENTILATORS -.xlsx

XLSX spreadsheet 21 KB Posted

Attached to
6515--NX EQ Noninvasive Ventilators
Solicitation number
36C10G24Q0083
Issued by

About this file

This combined synopsis/solicitation from the Department of Veterans Affairs seeks quotes for a requirements contract for noninvasive ventilators and related accessories. The VA requires the following products: a Hamilton C1 ventilator and trolley, circuit support arm, communication board, trends/loop and NIV applications, lithium-ion battery, and high flow oxygen therapy application. Quotes must address 16 salient characteristics for the ventilators including ventilation modes, alarms, tidal volumes, pressure support levels, and regulatory standards. Vendors may propose additional ancillary equipment and quote prices for a one-year base period and four one-year options. Quotes are due by March 8, 2024 to the identified contracting staff and the requirement is set aside for Service-Disabled Veteran-Owned Small Businesses.

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Sheet1

CLINPart NumberBrand NameItem 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 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
00011610010HAMILTONC1 VentilatorEach14942454147$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002161150HAMILTONTrolleyEach14942454147$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003281671HAMILTONCircuit Support ArmEach14942454147$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004161520HAMILTONCommunication Board with CO2, Nurse Call, and COM 1Each14942454147$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005161058HAMILTONC1 Trends / Loop ApplicationEach14942454147$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006161059HAMILTONC1 NIV, NIV S/T ApplicationEach14942454147$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007MSP369108HAMILTONLi-Ion Battery-RechargeableEach14942454147$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008161087HAMILTONHigh Flow O2 Therapy ApplicationEach14942454147$ - 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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