ATTACHMENT A_ PRICE COST SCHEDULE NX EQ Ophthalmic Perimeters.xlsx

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NX EQ Ophthalmic Perimeters
Solicitation number
36C10G25R0035
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This is a Price Cost Schedule for the solicitation "NX EQ Ophthalmic Perimeters" (Solicitation Number: 36C10G25R0035) issued by the Veterans Health Administration (VHA) Non-Expendable Equipment National Program. The pricing template outlines five Contract Line Items (CLINs) for Zeiss Humphrey Field Analyzers and related services, including the equipment itself, installation and initial training, and three tiers of service agreements (Prevent, Advanced, and Complete). The estimated quantities vary by contract year, ranging from 10-60 units for the base year and option years, with quantities for each CLIN specified across five contract periods. The document requires vendors to complete yellow-highlighted spaces with proposed unit prices, delivery times, and service level agreement (SLA) details, with a mandatory 3% SLA included in pricing calculations.

The pricing schedule is designed for VA Medical Centers nationwide to procure ophthalmic perimeter equipment and associated services. Vendors are instructed to propose either the specified Zeiss brand or equivalent solutions, with requirements to provide detailed manufacturer information if proposing alternative products. The document emphasizes that pricing in the cost volume must directly correspond with technical proposals, and vendors must indicate if a particular line item is not applicable to their solution. The comprehensive pricing structure allows for a detailed evaluation of potential contract awardees based on unit pricing, service offerings, and delivery capabilities across multiple contract years.

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File Type Posted
Amended V2 ATTACHMENT A - PRICE COST SCHEDULE - NX EQ Ophthalmic Perimeters.xlsx XLSX spreadsheet
Amended ATTACHMENT A_PRICE_COST_SCHEDULE_NX_EQ_OphthalmicPerimeters Amended.xlsx XLSX spreadsheet
ATTACHMENT E_REPORTING TOOL NX EQ Ophthalmic Perimeters.xlsx XLSX spreadsheet
ATTACHMENT F_PAST PERFORMANCE QUESTIONNAIRE NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT C_CONTRACT CLAUSES NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT D_SOLICITATION PROVISIONS NX EQ Ophthalmic Perimeters.pdf PDF
COMBINED SYNOPSIS 36C10G25R0035_ NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT B _CONTRACT ADMINISTRATION_ NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT G_PAST PERFORMANCE REFERENCE NX EQ Ophthalmic Perimeters.pdf PDF

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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
0001MFA3 860ZeissHumphrey Field Analyzer 3Each16025352550$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002InstallationZeissInstallation and initial trainingEach16025352550$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003OPTIME PreventZeissService Agreement PreventEach11047410$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004OPTIME AdvancedZeissService Agreement AdvancedEach120910915$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005OPTIME CompleteZeissService Agreement CompleteEach13012181225$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 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

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.

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