Attachment A Schedule of Prices.pdf

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Attached to
6515--FY 23: Staxi wheelchairs
Solicitation number
36C25723Q1056
Issued by

About this file

This document contains an attachment schedule of prices for solicitation number 36C25723Q1056 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17. The schedule includes pricing for four items: 100 Staxi medical chairs in blue; 100 black one-piece cushions; 100 custom name plates; and 35 loose black one-piece cushions. All items are to be delivered by September 30, 2023 to the Dallas VA Medical Center and marked for Tina McDaniel. The principal NAICS code is 423450 for medical equipment and supplies merchant wholesalers. The products/service code is 6515 for medical instruments and supplies. The document provides pricing and delivery terms for medical equipment and supplies required by the solicitation.

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Text version

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVICE

S

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

100.00 EA _____________

Staxi Medical Chair - BLUE Contract Period: Base POP Begin: 07-12-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 423450 - Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

LOCAL STOCK NUMBER: ST010-L

100.00 EA _____________

CUSHION, ONE PIECE, BLACK

PRINCIPAL NAICS CODE: 423450 - Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: STA ST059

100.00 EA _____________ ______________

CUSTOM NAME PLATE

Contract Period: Base POP Begin: 07-12-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 423450 - Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: STA ST050

35.00 EA _____________ ______________

Cushion One Piece-Black-Standard Contract Period: Base POP Begin: 07-12-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 423450 - Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: STA ST059 (LOOSE)

GRAND TOTAL ______________

B.3 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

DELIVERY

DATE

0001 SHIP TO: Department of Veterans Affairs Dallas VA Medical Center 4500 S. Lancaster Road Deliver Dallas, TX 75216 7167

USA

100.00 09/30/2023

MARK

FOR:

Tina McDaniel 903-583-6282.

TinaMcDaniel@va.gov

0002 SHIP TO: Department of Veterans Affairs Dallas VA Medical Center 4500 S. Lancaster Road Deliver

FOR:

Tina McDaniel

0003 SHIP TO: Department of Veterans Affairs

4500 S. Lancaster Road Deliver

FOR:

Tina McDaniel

0004 SHIP TO: Department of Veterans Affairs

4500 S. Lancaster Road Deliver

35.00 09/30/2023

FOR:

Tina McDaniel

B.2 PRICE/COST SCHEDULE
ITEM INFORMATION

B.3 DELIVERY SCHEDULE

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