ATTACHMENT A - PRICE COST SCHEDULE - NX EQ PHYSIOLOGIC SOMNOGRAPHY ANALYZERS.xlsx

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6515--NX EQ Physiologic Somnography Analyzers
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36C10G22Q0089
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ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ PHYSIOLOGIC SOMNOGRAPHY ANALYZERS.docx DOCX document
ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ PHYSIOLOGIC SOMNOGRAPHY ANALYZERS.docx DOCX document
ATTACHMENT C - CONTRACT CLAUSES - NX EQ PHYSIOLOGIC SOMNOGRAPHY ANALYZERS.docx DOCX document
ATTACHMENT E - REPORTING TOOL - NX EQ PHYSIOLOGIC SOMNOGRAPHY ANALYZERS.xlsx XLSX spreadsheet
36C10G22Q0089.docx DOCX document

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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
0001511112Nox MedicalNOXT3s PSG System with SPO2; Nocturnal Analyses: Includes: Recorder, Abdomen Cable, RIP Belts, Cannula with Filter, USB Cable, Carry Case, Lid Key, 3150 Wrist Ox2™, Nonin 3150 WristOx2™, WristOx@ Soft Sensor, SPO2 3150 Wrist, CD-ROM Operators Manual, Nocturnal CD, Hookup Card, AA Battery units, AAA Battery Units Warranty Covered for 2 Years Main Hardware UnitEach1200200200200200$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002553030Nox MedicalNONIN 3150 Soft Sensor - LargeEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003553020Nox MedicalNONIN 3150 Soft Sensor - MediumEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004553010Nox MedicalNONIN 3150 Soft Sensor - SmallEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005564042Nox Medical3150 Wrist Band, ReusableEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006551020Nox MedicalNOX Disposable RIP Belt - Small Box/20Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007551030Nox MedicalNOX Disposable RIP Belt - Medium Box/20Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008551040Nox MedicalNOX Disposable RIP Belt - Large Box/20Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0009552010Nox MedicalNOX Nasal Cannula With Filter Box/40Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0010911010Nox MedicalNOX T3 Portable Sleep Monitor Patient Hook-Up Guide (PKG/25)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0011552020Nox MedicalNOX Cannula with Luer Lock - Adult PKG/50Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0012552110Nox MedicalNOX Filter Tube Connector PKG/50Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0013562011Nox MedicalNOX Mini USB CableEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0014564050Nox MedicalWRISTOX2 3150 Wristband, DisposableEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0015569014Nox MedicalNOX Lid KeyEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0016551050Nox MedicalNox RIP Belts Disposable - Extra LargeEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0017561212Nox MedicalNox Abdomen Cable, s (Compatible with Model T3s)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0018568012Nox MedicalNox Carry Case, s (Compatible with Model T3s)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0019569010Nox MedicalNox Service KitEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0020569011Nox MedicalNox Battery Lid (T3/A1)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0021569015Nox MedicalNox Service Kit, s (Compatible with Model T3s) Includes Abdominal Cable, Clips and Battery DoorEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0022569018Nox MedicalNonin 3150 Battery LidEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0023569020Nox MedicalNox Battery Lid, s (Compatible with Model T3s)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0024575023Nox MedicalNox T3s Extended Warranty 1 yearEach15050505050$ - 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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