Attachment A - Price Schedule.xlsx

XLSX spreadsheet 448 KB Posted Mar 21, 2022

Attached to: 6835--Bulk Oxygen Wilmington HCC and Jacksonville CBOC
Solicitation number: 36C24622Q0405
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

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Other files

File	Type	Posted
36C24622Q0405 0001.pdf	PDF	Mar 23, 2022
RFQ 36C24622Q0405 - Bulk Oxygen WHCC and Jacksonville CBOC.pdf	PDF	Mar 21, 2022
VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors.docx	DOCX document	Mar 21, 2022

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Action Line Item Information

	Action Type Name	Primary ID	Secondary ID	Mod Number	Title	Order Discount Type Name	Order Discount Type	Order Discount
	CON-MOD	36C26319C0128		P00003	PR Cemetery Maintenance Modification -
Tree Removal	Percent		0

KB Version: FY21.07A

Items

Item Number

SLIN

Description

Ref CLIN

Comment

Include Comments in Document

Contract Period

Pop Begin

Pop End

Quantity

Unit of Measure

Packaging Multiple

Receipt Type

Line Item Is

Unit Price

Item Discount Type Name

Item Discount

Date Updated

Address1

Address2

Address3

City

State

Zip

Zip4

Country

Mark For

Contact Name

Contact Phone

Contact Email

Delivery Date

FOB

Special Instructions

Include Instructions/Comments in Document

PRINCIPAL NAICS CODE

PRODUCT/SERVICE CODE

UNSPSC

SIC CODE

MANUFACTURER PART NUMBER (MPN)

NATIONAL STOCK NUMBER

LOCAL STOCK NUMBER

DM DOC ID

DELIVERY REF. COUNTER

UNIT TEXT/DESCRIPTION

DELIVERY REFERENCE

ITEM MASTER FILE NUMBER

EXPENDABLE/NON-EXPENDABLE

QUANTITY REQUESTED

UNIT OF PURCHASE CODE

UNIT OF PURCHASE TEXT/DESC.

0001

Rental of Six (6) Type H Oxygen Cylinders. IAW attached SOW.

Base

04/01/22

03/31/23

Priced

325120

6835

0002

Rental of Two (2) Type E Oxygen Cylinders for MRI use. IAW attached SOW.

Base

04/01/22

03/31/23

Priced

325120

6835

0003

Rental of Fourteen (14) Type E Oxygen Cylinders. IAW attached SOW.

Base

04/01/22

03/31/23

Priced

325120

6835

0004

Rental of Eleven (11) Type E Oxygen Cylinders. IAW attached SOW.

Base

04/01/22

03/31/23

Priced

325120

6835

0005

Two Hundred and Fifty (250) Medical Oxygen Gas Refills of Type E Cylinder. This is an estimated amount for Wilmington HCC and Jacksonville CBOC. IAW attached SOW.

Base

04/01/22

03/31/23

Priced

325120

6835

0006

Sixty (60) Medical Oxygen Gas Refills for Type H cylinders. This is an estimated amount for Wilmington HCC. IAW attached SOW.

Base

04/01/22

03/31/23

Priced

325120

6835

1001

Rental of Six (6) Type H Oxygen Cylinders. IAW attached SOW.

Option 1

04/01/23

03/31/24

Priced

325120

6835

1002

Rental of Two (2) Type E Oxygen Cylinders for MRI use. IAW attached SOW.

Option 1

04/01/23

03/31/24

Priced

325120

6835

1003

Rental of Fourteen (14) Type E Oxygen Cylinders. IAW attached SOW.

Option 1

04/01/23

03/31/24

Priced

325120

6835

1004

Rental of Eleven (11) Type E Oxygen Cylinders. IAW attached SOW.

Option 1

04/01/23

03/31/24

Priced

325120

6835

1005

Two Hundred and Fifty (250) Medical Oxygen Gas Refills of Type E Cylinder. This is an estimated amount for Wilmington HCC and Jacksonville CBOC. IAW attached SOW.

Option 1

04/01/23

03/31/24

Priced

325120

6835

1006

Sixty (60) Medical Oxygen Gas Refills for Type H cylinders. This is an estimated amount for Wilmington HCC. IAW attached SOW.

Option 1

04/01/23

03/31/24

Priced

325120

6835

2001

Rental of Six (6) Type H Oxygen Cylinders. IAW attached SOW.

Option 2

04/01/24

03/31/25

Priced

325120

6835

2002

Rental of Two (2) Type E Oxygen Cylinders for MRI use. IAW attached SOW.

Option 2

04/01/24

03/31/25

Priced

325120

6835

2003

Rental of Fourteen (14) Type E Oxygen Cylinders. IAW attached SOW.

Option 2

04/01/24

03/31/25

Priced

325120

6835

2004

Rental of Eleven (11) Type E Oxygen Cylinders. IAW attached SOW.

Option 2

04/01/24

03/31/25

Priced

325120

6835

2005

Two Hundred and Fifty (250) Medical Oxygen Gas Refills of Type E Cylinder. This is an estimated amount for Wilmington HCC and Jacksonville CBOC. IAW attached SOW.

Option 2

04/01/24

03/31/25

Priced

325120

6835

2006

Sixty (60) Medical Oxygen Gas Refills for Type H cylinders. This is an estimated amount for Wilmington HCC. IAW attached SOW.

Option 2

04/01/24

03/31/25

Priced

325120

6835

3001

Rental of Six (6) Type H Oxygen Cylinders. IAW attached SOW.

Option 3

04/01/25

03/31/26

Priced

325120

6835

3002

Rental of Two (2) Type E Oxygen Cylinders for MRI use. IAW attached SOW.

Option 3

04/01/25

03/31/26

Priced

325120

6835

3003

Rental of Fourteen (14) Type E Oxygen Cylinders. IAW attached SOW.

Option 3

04/01/25

03/31/26

Priced

325120

6835

3004

Rental of Eleven (11) Type E Oxygen Cylinders. IAW attached SOW.

Option 3

04/01/25

03/31/26

Priced

325120

6835

3005

Two Hundred and Fifty (250) Medical Oxygen Gas Refills of Type E Cylinder. This is an estimated amount for Wilmington HCC and Jacksonville CBOC. IAW attached SOW.

Option 3

04/01/25

03/31/26

Priced

325120

6835

3006

Sixty (60) Medical Oxygen Gas Refills for Type H cylinders. This is an estimated amount for Wilmington HCC. IAW attached SOW.

Option 3

04/01/25

03/31/26

Priced

325120

6835

4001

Rental of Six (6) Type H Oxygen Cylinders. IAW attached SOW.

Option 4

04/01/26

03/31/27

Priced

325120

6835

4002

Rental of Two (2) Type E Oxygen Cylinders for MRI use. IAW attached SOW.

Option 4

04/01/26

03/31/27

Priced

325120

6835

4003

Rental of Fourteen (14) Type E Oxygen Cylinders. IAW attached SOW.

Option 4

04/01/26

03/31/27

Priced

325120

6835

4004

Rental of Eleven (11) Type E Oxygen Cylinders. IAW attached SOW.

Option 4

04/01/26

03/31/27

Priced

325120

6835

4005

Two Hundred and Fifty (250) Medical Oxygen Gas Refills of Type E Cylinder. This is an estimated amount for Wilmington HCC and Jacksonville CBOC. IAW attached SOW.

Option 4

04/01/26

03/31/27

Priced

325120

6835

4006

Sixty (60) Medical Oxygen Gas Refills for Type H cylinders. This is an estimated amount for Wilmington HCC. IAW attached SOW.

Option 4

04/01/26

03/31/27

Priced

325120

6835

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