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
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
| CLIN | Part Number | Brand Name | Item Description | Unit of Measure (UOM) | Quantity Per 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 | 0900.0011 LED | Haag Streit | BQ 900 LED, Unit Model (Made for use on a stand - will not fit on a table). | Each | 1 | 150 | 150 | 150 | 150 | 150 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0002 | 09004.4 | Haag Streit | AT 900 Applanation Tonomneter for BQ 900 and BP 900 Slit Lamps. | Each | 1 | 150 | 150 | 150 | 150 | 150 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0003 | IM910BQSETES PC G | Haag Streit | For 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 License | Each | 1 | 150 | 150 | 150 | 150 | 150 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0004 | IM910BQSETES PC 3D G | Haag Streit | For 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 License | Each | 1 | 50 | 50 | 50 | 50 | 50 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0005 | 7220374 | Haag Streit | Haag-Streit DICOM License (per instrument) | Each | 1 | 150 | 150 | 150 | 150 | 150 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0006 | 09007.10.50/50 | Haag Streit | Beam Splitter 50/50 (For BQ Slit Lamps) | Each | 1 | 30 | 30 | 30 | 30 | 30 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0007 | 09007.10.70/30 | Haag Streit | Beam Splitter 70/30 (For BQ Slit Lamps) | Each | 1 | 50 | 50 | 50 | 50 | 50 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0008 | 09007.7 | Haag Streit | Short Observer Tube with Eyepiece (Note: Requires Beam Splitter) (For BQ Slit Lamps) | Each | 1 | 25 | 25 | 25 | 25 | 25 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0009 | 09007.13 | Haag Streit | Long Observer Tube with Eyepiece (Note: Requires Beam Splitter) (For BQ Slit Lamps) | Each | 1 | 25 | 25 | 25 | 25 | 25 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0010 | 09007.3 | Haag Streit | Binocular Prism Assembly (For BQ Slit Lamps) | Each | 1 | 30 | 30 | 30 | 30 | 30 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0011 | 09007.5 | Haag Streit | Stereo Variator (For BQ Slit Lamps) | Each | 1 | 30 | 30 | 30 | 30 | 30 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0012 | 09007.8 | Haag Streit | Inclined Adapter (For BQ Slit Lamps) | Each | 1 | 30 | 30 | 30 | 30 | 30 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0013 | 09007.9 | Haag Streit | Yellow Filter (For BQ Slit Lamps) | Each | 1 | 30 | 30 | 30 | 30 | 30 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0014 | BQ900TS | Haag Streit | BQ 900 LED, Table Model (Made for use on a table - will not fit on a stand). Includes Small Slit Lamp Table. | Each | 1 | 50 | 50 | 50 | 50 | 50 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0015 | BQ900TL | Haag Streit | BQ 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. | Each | 1 | 50 | 50 | 50 | 50 | 50 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0016 | GPM-1 | Haag Streit | Haag-Streit Slit Lamp Preventive Maintenance per slit lamp per year | Each | 1 | 100 | 100 | 100 | 100 | 100 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0017 | GPM-2 | Haag Streit | Haag-Streit Slit Lamp and Imaging System Preventive Maintenance per slit lamp per year | Each | 1 | 100 | 100 | 100 | 100 | 100 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0018 | BI900 PS | Haag Streit | BI 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. | Each | 1 | 50 | 50 | 50 | 50 | 50 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0019 | 0900.2101 | Haag Streit | Tonometer "R" 900 for BI Slit Lamps | Each | 1 | 50 | 50 | 50 | 50 | 50 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0020 | BI900CAM SET PC G | Haag Streit | For 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 License | Each | 1 | 100 | 100 | 100 | 100 | 100 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0021 | 7200622 LED | Haag Streit | Haag-Streit BP 900 LED Slit Lamp, Unit Model. Yellow Filter as only accessory. No 3D imaging option. | Each | 1 | 50 | 50 | 50 | 50 | 50 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||
| 0022 | 7220539 SET PC G | Haag Streit | For 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 License | Each | 1 | 100 | 100 | 100 | 100 | 100 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | Total 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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