ATTACHMENT D_PRICE COST SCHEDULE_NX EQ Laparoscopic Insufflators.xlsx

This is a Price Cost Schedule template for NX EQ Laparoscopic Insufflators to be submitted as part of Solicitation Number 36C10X26R0009, a Request for Proposal issued by the Department of Veterans Affairs for laparoscopic insufflator equipment. The schedule requires offerors to provide pricing for seven Olympus-branded line items (CLINs 0001-0007) including the UHI-4 intra-abdominal insufflation unit, footswitch, medical gas pipeline adapter, cylinder hose/switch over valve, sterile tubing with filter, insufflation tubing, and suction tubing set. Each CLIN has an estimated quantity of 200 units across a base year and four option years (total 1,000 units per line item), with pricing required in U.S. dollars per unit across all contract periods.

Offerors must complete all yellow-highlighted pricing fields, including proposed unit prices, 3% Service Level Agreement (SLA) calculations, and total evaluated prices for each contract period. The schedule also accommodates proposals for equivalent products, requiring offerors to enter alternative manufacturer information starting in Column K if their proposed solution differs from the specified Olympus equipment. Offerors must note delivery timeframes (ARO - After Receipt of Order in days) and are responsible for ensuring all mathematical calculations are accurate. Only new original equipment manufacturer (OEM) products are acceptable; refurbished, remanufactured, or gray market items are prohibited. Delivery terms are FOB Destination with specific delivery locations and dates to be identified in individual orders. This acquisition is set-aside exclusively for Service-Disabled Veteran-Owned Small Business (SDVOSB) concerns.