Attachment C Price - Delivery Schedule- Eye Lane Chair Glide Stand.pdf

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Attached to
6515--Eye Lane Chair Glide Stand
Solicitation number
36C24823Q1917
Issued by

About this file

This document is an attachment to a solicitation providing pricing and delivery schedule details for examination chairs, glide chairs, and wheelchair-compatible stands to be provided to the Jacksonville Outpatient Clinic of the Department of Veterans Affairs.

The attachment includes line items for 16 each of an examination chair, glide chair, and compatible stand to be delivered by a single date to the Jacksonville clinic location. A separate line item is included for delivery and installation services. Principal NAICS codes and product service codes are provided for each line item. Space is left for offerors to input unit prices and totals. A separate delivery schedule matches line items to quantities and required delivery dates.

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Text version

Attachment C 36C24823Q1917

PRICE / DELIVERY SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 16.00 EA __________________ __________________

Examination Chair - Black PRINCIPAL NAICS CODE: 339115 - Ophthalmic Goods Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

0002 16.00 EA __________________ __________________

Chair, Glide/Chair Mover PRINCIPAL NAICS CODE: 339115 - Ophthalmic Goods Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

0003 16.00 EA __________________ __________________

Stand- Wheelchair Compatible PRINCIPAL NAICS CODE: 339115 - Ophthalmic Goods Manufacturing PRODUCT/ SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

0004 Delivery and Installation PRINCIPAL NAICS CODE: 339115 - Ophthalmic Goods Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1 JB ______________

GRAND TOTAL __________________

Attachment C 36C24823Q1669

DELIVERY SCHEDULE

ITEM NUMBER QUANTITY DELIVERY DATE

0001 SHIP TO: Jacksonville Outpatient Clinic 145 Heron Bay Road Jacksonville, FL 32218

16.00

0002 SHIP TO: Jacksonville Outpatient Clinic 145 Heron Bay Road Jacksonville, FL 32218

16.00

0003 SHIP TO: Jacksonville Outpatient Clinic 145 Heron Bay Road Jacksonville, FL 32218

16.00

0004 SHIP TO: Jacksonville Outpatient Clinic 145 Heron Bay Road Jacksonville, FL 32218

1.00

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