ATTACHMENT A - PRICE COST SCHEDULE - NX EQ OPTOMETRY EXAM CHAIRS AND INSTRUMENT STAND.xlsx

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Attached to
6540--Amended to update SubCLINs on Attachment A Price Cost Schedule- NX EQ Optometry Exam Chairs and Instrument Stands (VA-24-00043130)
Solicitation number
36C10G24Q0077
Issued by

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This document is a Combined Synopsis/Solicitation for a Brand Name or Equal Requirements Contract for Optometry Exam Chairs and Instrument Stands issued by the Department of Veterans Affairs (VA). The VA is seeking vendors to provide Reliance 7000A and 7900A exam chairs and instrument stands, or equal, that meet the specified salient characteristics. The contract will have a 12-month base period with four 12-month option periods. Vendors must provide quotes for all contract line items listed in the attached price schedule. Quotes are due by 11:59 PM EST on August 7, 2024, and should be submitted via email. The Government reserves the right to award without discussions. The NAICS code for this procurement is 339115 Ophthalmic Goods Manufacturing with a 1,000 employee size standard. This is a full and open competition.

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Sheet1

CLINPart NumberBrand NameItem DescriptionUnit of Measure (UOM)Quantity Per UOMEstimated Quantity (BASE)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
00017000 Dual-Purpose Exam Chair with headrest (Select Base [Low or High] and Upholstery Color [from CLINS 0001AA through 0001AL])Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AALow Base Black Upholstery 301Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001ABLow Base Navy Upholstery 302Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001ACLow Base Burgundy Upholstery 304Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001ADLow Base Chocolate Upholstery 104Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AELow Base Colonial Blue Upholstery 205Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AFLow Base Charcoal Upholstery 206Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AGColonial Blue UpholsteryEach5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AHHigh Base Navy Upholstery 302Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AJHigh Base Burgundy Upholstery 304Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AKHigh Base Chocolate Upholstery 104Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001ALHigh Base Colonial Blue Upholstery 205Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0001AMHigh Base Charcoal Upholstery 206Each5050484646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002Headrest; Concave Fully AdjustableEach1010101010$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003Reliance 940 Chair GlideEach2524232323$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004Reliance 942 Chair GlideEach2524232323$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
00057900 Instrument Stand with Instrument Console and Wheelchair AccessibilityEach5048464646$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
00067900 Instrument Stand Auxiliary ArmEach5048464646$ - 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.
Vendors who propose brands that meet all the Salient Characteristics, should provide that information in the chart above.

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