Attachment D - RFQ IHS1524760 PRICE SCHEDULE.docx

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Attached to
Amendment 1 - Whiteriver Service Unit Bulk Oxygen and Cylinder Rental Services
Solicitation number
IHS1524760
Issued by

About this file

This is a price schedule template for a Request for Quotation (RFQ) issued by the Indian Health Service (IHS) Whiteriver Service Unit for bulk oxygen and cylinder rental services. The price schedule establishes a structure for pricing bulk liquid oxygen delivery services, including gauge verification, cylinder monthly rental, and delivery charges over a five-year period consisting of one base year and four option years.

The solicitation requires contractors to submit unit pricing for each 12-month contract period. Respondents must provide a unit price for each year (base year CLIN 0001, and option years CLIN 1001, 2001, 3001, and 4001), with pricing covering all delivery, transport, return rental of medical gas cylinders, and procurement of bulk liquid medical oxygen. The services must be available 24 hours per day, 7 days per week, 365 days per year to support the Whiteriver Service Unit's medical operations, with delivery schedules varying based on program office duty hours to prevent supply outages. This is a template document requiring contractors to complete the blank price fields for evaluation.

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Text version

PRICE SCHEDULE

WHITERIVER SERVICE UNIT BULK OXYGEN AND CYLINDER RENTAL SERVICES

CLIN Structure

CLIN
Description
Quantity
Unit
Unit Price
Total Price
0001
Base Year – Bulk Liquid Oxygen (O2) Delivery, Gauge, Verification, Cylinder Monthly Rental, Delivery, Charges
12
Months
$______
$______

Option Year 1 – Bulk Liquid Oxygen (O2) Delivery, Gauge, Verification, Cylinder Monthly Rental, Delivery, Charges

12
Months
$______
$______
2001
Option Year 2 – Bulk Liquid Oxygen (O2) Delivery, Gauge, Verification, Cylinder Monthly Rental, Delivery, Charges
12
Months
$______
$______
3001
Option Year 3 – Bulk Liquid Oxygen (O2) Delivery, Gauge, Verification, Cylinder Monthly Rental, Delivery, Charges
12
Months
$______
$______
4001
Option Year 4 – Bulk Liquid Oxygen (O2) Delivery, Gauge, Verification, Cylinder Monthly Rental, Delivery, Charges
12
Months
$______
$______

Total: $______

File details come from the government source that posted it. Updated .