ATTACHMENT A - PRICE COST SCHEDULE - SLIT LAMPS.xlsx

XLSX spreadsheet 28 KB Posted

Attached to
6515--NX EQ Slit Lamps (VA-24-00001679)
Solicitation number
36C10G24R0022
Issued by

About this file

This document contains a price cost schedule for Haag-Streit brand name or equal slit lamps and related equipment and accessories, as well as details on the associated federal contract opportunity.

The contract opportunity is a combined synopsis/solicitation (Solicitation Number: 36C10G24R0022) issued by the Department of Veterans Affairs (VA) for a single-award requirements contract for Haag-Streit brand name or equal slit lamps and related equipment and accessories. The VA is seeking vendors who can provide the listed items or equal commodities that meet the specified salient characteristics. Offers are due by 12:00 PM ET on June 13, 2024, and the ordering period is for a 12-month base year with four 12-month option years. Delivery is FOB destination, and firm-fixed price orders will be placed against the contract in writing. The contract will be awarded in accordance with FAR 52.211-6 Brand Name or Equal.

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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
00010900.0011 LEDHaag StreitBQ 900 LED, Unit Model (Made for use on a stand - will not fit on a table).Each1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
000209004.4Haag StreitAT 900 Applanation Tonomneter for BQ 900 and BP 900 Slit Lamps.Each1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003IM910BQSETES PC GHaag StreitFor BQ 900 LED slit lamps - 2D Imaging: Haag-Streit IM 910 Imaging Module for BQ 900 LED Slit Lamp, with EyeSuite Software, All-in-One PC, Articulating Monitor Arm for instrument stand mounting, and DICOM LicenseEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004IM910BQSETES PC 3D GHaag StreitFor BQ 900 LED slit lamps - 3D Imaging: Haag-Streit IM910 3D Imaging Option for BQ 900 LED Slit Lamp, with EyeSuite Software, All-in-One PC, 3D Monitor, Articulating Monitor Arm for instrument stand mounting, and DICOM LicenseEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
00057220374Haag StreitHaag-Streit DICOM License (per instrument)Each1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
000609007.10.50/50Haag StreitBeam Splitter 50/50 (For BQ Slit Lamps)Each13030303030$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
000709007.10.70/30Haag StreitBeam Splitter 70/30 (For BQ Slit Lamps)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
000809007.7Haag StreitShort Observer Tube with Eyepiece (Note: Requires Beam Splitter) (For BQ Slit Lamps)Each12525252525$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
000909007.13Haag StreitLong Observer Tube with Eyepiece (Note: Requires Beam Splitter) (For BQ Slit Lamps)Each12525252525$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
001009007.3Haag StreitBinocular Prism Assembly (For BQ Slit Lamps)Each13030303030$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
001109007.5Haag StreitStereo Variator (For BQ Slit Lamps)Each13030303030$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
001209007.8Haag StreitInclined Adapter (For BQ Slit Lamps)Each13030303030$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
001309007.9Haag StreitYellow Filter (For BQ Slit Lamps)Each13030303030$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0014BQ900TSHaag StreitBQ 900 LED, Table Model (Made for use on a table - will not fit on a stand). Includes Small Slit Lamp Table.Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0015BQ900TLHaag StreitBQ 900 LED, Table Model (Made for use on a table - will not fit on a stand). Includes Large Slit Lamp Table for use with imaging.Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0016GPM-1Haag StreitHaag-Streit Slit Lamp Preventive Maintenance per slit lamp per yearEach1100100100100100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0017GPM-2Haag StreitHaag-Streit Slit Lamp and Imaging System Preventive Maintenance per slit lamp per yearEach1100100100100100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0018BI900 PSHaag StreitBI 900 LED, Unit Model (Made for use on a Stand - will not fit on a table). Slit Lamphas 10x and 16x magnification, LED illumination, & 14mm slit width. No imaging options.Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
00190900.2101Haag StreitTonometer "R" 900 for BI Slit LampsEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0020BI900CAM SET PC GHaag StreitFor BI 900 LED slit lamps - 2D Imaging: Haag-Streit Imaging SET BI for use with BI 900 LED Slit Lamp, with Eyesuite Imaging Software, All-in-One PC, Articulating Monitor Arm for instrument stand mounting, and DICOM LicenseEach1100100100100100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
00217200622 LEDHaag StreitHaag-Streit BP 900 LED Slit Lamp, Unit Model. Yellow Filter as only accessory. No 3D imaging option.Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
00227220539 SET PC GHaag StreitFor BP 900 LED slit lamps - 2D Imaging: Haag-Streit IM 600 Imaging Module for use with BP 900 LED Slit Lamp, with Eyesuite Imaging Software, All-in-One Computer, Articulating Monitor Arm for instrument stand mounting and DICOM LicenseEach1100100100100100$ - 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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