ATTACHMENT A - PRICE COST SCHEDULE -NX EQ remOVE DC Impulse Generator.xlsx

XLSX spreadsheet 27 KB Posted

Attached to
6515--NX EQ remOVE DC Impulse Generator (VA-26-00004179)
Solicitation number
36C10G25Q0112
Issued by

About this file

This document is a Price Cost Schedule for the Department of Veterans Affairs (VA) solicitation 36C10G25Q0112, detailing a procurement for Ovesco medical devices. The schedule covers six line items (CLINs) for the remOVE DC Impulse Generator system, including the primary generator, protective roller case, cutter sets in 12mm and 14mm sizes, a foreign body retrieval set, and an OTSG Xcavator. The procurement is structured with a base year and four option years, with an estimated quantity of 39 units for the base year and 34 units for each option year.

The solicitation is for a brand-name or equal medical device used in endoscopic procedures to fragment and remove Over the Scope Clip (OTSC) and Full Thickness Resection Device (FTRD) clips in the digestive tract. The VA is seeking these devices to support patient care across its medical centers nationwide and in outlying territories. The procurement is being conducted under a sole-source justification, utilizing FAR provisions that allow for acquisition from a single responsible source when no other supplies or services can satisfy agency requirements.

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CLINBrand NamePart NumberItem 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 Part NumberManufacturer NameItem 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
0001Ovesco400.01remOVE DC Impulse Generator

– remOVE DC Impulse electrical device for fragmentation of OTSC® and FTRD® clips in the digestive tract.

– Foot-activated switch with connector cable

– DC Cutter connection cord

– Power CordEach13934343434$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002Ovesco810100remOVE DC Impulse Protective Roller CaseEach13934343434$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003Ovesco400.02.01sremOVE DC Cutter Set 12Each13934343434$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004Ovesco400.02.02sremOVE DC Cutter Set 14Each13934343434$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005Ovesco400.05remOVE Foreign Body Retrieval SetEach13934343434$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006Ovesco200.15OTSG Xcavator™Each13934343434$ - 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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