Attachment A - Price Cost Schedule_NX EQ Otoscope Ophthalmoscope Sets.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C10G25Q0018
About this file
This document is a combined synopsis/solicitation (Request for Quote) issued by the Department of Veterans Affairs (VA) for Welch Allyn Green Series 777 Otoscope Ophthalmoscope Sets or equal products. The VA has a requirement to purchase these medical devices for use at its medical centers nationwide. The solicitation includes a detailed list of salient characteristics that any proposed equal product must meet, including requirements related to digital capture, illumination, magnification, and power supply. The government is seeking a single award requirements contract for a base year with four one-year option periods. Quotes are due by 1:00 PM EST on November 19, 2024 and the procurement is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs). The document includes a detailed price schedule spreadsheet (Attachment A) that vendors must complete as part of their quote submission.
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BNOE - NX EQ Otoscope Sets
| CLIN | Part Number | Brand Name | Item Description | Unit of Measure (UOM) | Estimated Quantity (Base Year) | Estimated Quantity (Opt Year 1) | Estimated Quantity (Opt Year 2) | Estimated Quantity (Opt Year 3) | Estimated Quantity (Opt Year 4) | Manufacturer Name | Manufacturer Part Number | Item Description | Contractor Part Number (if different from OEM) | Unit of Measure | Quantity per UOM | Delivery Days ARO | Commercial Price | Proposed Unit | |||||||||||||||||
| Price (Base Year) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Base Year | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 1) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 1 | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 2) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 2 | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 3) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 3 | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 4) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 4 | Total Evaluated Price (with 3% SLA and estimated quantities) - Base Year | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 1 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 2 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 3 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 4 | Total Evaluated Price | |||||||||||||||||||||||||||||
| 0001 | 777-PM3WXX-US | Welch Allyn | Welch Allyn Green Series 777 Integrated Wall System with PanOptic Plus LED Ophthalmoscope, MacroView Plus LED Otoscope for iExaminer, 118-3-US Ophthalmoscope PanOptic Plus head, 3.5volt with 20x field of view size; 238-3 Otoscope MacroView Plus head 3.5volt with 3x field of view size; Ear Specula Dispenser; Wall board; Wall transformer; 6ft coil cord | Each | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||
| 0002 | 777-PM2WXX-US | Welch Allyn | Welch Allyn Green Series 777 Integrated Wall System with PanOptic Basic LED Ophthalmoscope, MacroView Basic LED Otoscope, 118-2-US PanOptic Basic Ophthalmoscope head 3.5v with 20x field of view size; 238-2 MacroView Basic Otoscope head 3.5v with 3x field of view size; Ear Specula Dispenser; Wall board; Wall transformer | Each | 400 | 400 | 400 | 400 | 400 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||
| 0003 | 71-PM3LDE-US | Welch Allyn | Welch Allyn 3.5V Diagnostic Set with PanOptic Plus LED Ophthalmoscope, MacroView Plus LED Otoscope for iExaminer, Universal Desk Charger, and two Premium Lithium-Ion Plus USB Rechargeable Power Handles; 118-3-US Ophthalmoscope PanOptic Plus head, 3.5v with 20x field of view size; 238-3 Otoscope MacroView Plus head 3.5v with 3x field of view size; 719-DSK Welch Allyn® Universal Desk Charger | Each | 10 | 10 | 10 | 10 | 10 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||
| 0004 | 71-PM2LDX-US | Welch Allyn | Welch Allyn 3.5V Diagnostic Set with PanOptic Basic LED Ophthalmoscope, MacroView Basic LED Otoscope, Universal Desk Charger, and two Lithium-Ion Rechargeable Power Handles; 118-2-US PanOptic Basic Ophthalmoscope head 3.5v with 20x field of view size; 238-2 MacroView Basic Otoscope head 3.5v with 3x field of view size; 719-DSK Welch Allyn® Universal Desk Charger | Each | 40 | 40 | 40 | 40 | 40 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||
| Base Year Total | $ - 0 | Option 1 Total: | $ - 0 | Option 2 Total: | $ - 0 | Option 3 Total: | $ - 0 | Option 4 Total: | $ - 0 | Total Contract Value: | $ - 0 | ||||||||||||||||||||||||
| *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 | ||||||||||||||||||||||||||||||||||
| Respondents proposing equivalent product must enter Name of Manufacturer for its proposed solution, Description of Part Number(s), etc. starting at Column K. If Respondent’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 Respondent's Technical volume as the brand name or equivalent solution. |
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