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ATTACHMENT E
Option Year Four 15 November 2029 through 14 November 2030
The Contractor shall furnish all labor, parts and equipment necessary to provide Removable Denture Laboratory Services for the Hampton Veterans Affairs Medical Center in accordance with the terms and conditions herein. The Quantities specified in the Schedule are estimates only and are not purchased by this contract.
| CLIN |
| Description |
| Est. Qty |
| Unit |
| Est. Unit Price |
| Est. Total Price |
Denture (One Arch) Total price of a complete item consisting of the following components. (Final cost of this CLIN may be less depending on which of the following components were needed) Provide unit prices for the following components:
| 4001AB |
| Custom Tray* |
| 1 |
| EA |
| $ |
| 4001AC |
| Bite Block and Baseplate* |
| 1 |
| EA |
| $ |
| 4001AD |
| Articulation on Semi-Adjustable Articulator* |
| 1 |
| EA |
| $ |
| 4001AE |
| Set Up and Wax Up* |
| 1 |
| EA |
| $ |
| 4001AF |
| Denture Teeth (Anterior and Posterior) |
| 1 |
| EA |
| $ |
| 4001AH |
| Ivocap Process & Finish* |
| 1 |
| EA |
| $ |
| 4002 |
| Digital Milled Complete Denture (One Arch) – must be ivotion milled monolithic. |
Total price of a complete item consisting of the following components. (Final cost of this CLIN may be less depending on which of the following components were needed) Provide unit prices for the following components:
| 4002AA |
| Custom Tray* |
| 1 |
| EA |
| $ |
| 4002AC |
| Bite Block and Baseplate* |
| 1 |
| EA |
| $ |
| 4002AD |
| Articulation on Semi-Adjustable Articulator* |
| 1 |
| EA |
| $ |
| 4002AE |
| Digital Design-teeth from ivoclar digital tooth library* |
| 1 |
| EA |
| $ |
| 4002AF |
| Refabrication/Reset* |
| 1 |
| EA |
| $ |
| 4003 |
| Cast Partial Denture w/2 Wrought Wire Clasps and 2 Saddles |
Total price of a complete item consisting of the following components. (Final cost of this CLIN may be less depending on which of the following components were needed) Provide unit prices for the following components:
| 4003AA |
| Custom Tray |
| 1 |
| EA |
| $ |
| 4003AD |
| Framework Vitallium |
| 1 |
| EA |
| $ |
| 4003AE |
| Articulation on Semi-Adjustable Articulator |
| 1 |
| EA |
| $ |
| 4003AF |
| Set Up and Wax Up |
| 1 |
| EA |
| $ |
| 4003AG |
| Denture Teeth (Anterior and Posterior) |
| 1 |
| EA |
| $ |
| 4003AI |
| Ivocap Process & Finish |
| 1 |
| EA |
| $ |
| 4004 |
| Cast Partial Denture w/2 Flex Clasps and two saddles |
Total price of a complete item consisting of the following components. (Final cost of this CLIN may be less depending on which of the following components were needed) Provide unit prices for the following components:
| 4004AA |
| Custom Tray |
| 1 |
| EA |
| $ |
| 4004AC |
| Framework Vitallium |
| 1 |
| EA |
| $ |
| 4004AE |
| Articulation on Semi Adjustable Articulator |
| 1 |
| EA |
| $ |
| 4004AF |
| Set Up and Wax Up |
| 1 |
| EA |
| $ |
| 4004AH |
| Denture Teeth (Anterior and Posterior) |
| 1 |
| EA |
| $ |
| 4004AI |
| Flexible Injection Process & Finish |
| 1 |
| EA |
| $ |
| 4005 |
| Acrylic Partial Dentures W/2 Wrought Wire Clasps |
Total price of a complete item consisting of the following components. (Final cost of this CLIN may be less depending on which of the following components were needed) Provide unit prices for the following components:
| 4005AB |
| Bite Block and Baseplate |
| 1 |
| EA |
| $ |
| 4005AC |
| Articulation on Semi- Adjustable Articulator |
| 1 |
| EA |
| $ |
| 4005AD |
| 2 Wrought Wire Clasps |
| 1 |
| EA |
| $ |
| 4005AE |
| Set Up and Wax Up |
| 1 |
| EA |
| $ |
| 4005AF |
| Ivocap Process and Finish |
| 1 |
| EA |
| $ |
| 4005AG |
| Denture Teeth (Anterior and Posterior) |
| 1 |
| EA |
| $ |
Total price of a complete item consisting of the following components. (Final cost of this CLIN may be less depending on which of the following components were needed) Provide unit prices for the following components:
| 4006AB |
| Articulation on Semi Adjustable Articulator |
| 1 |
| EA |
| $ |
| 4006AC |
| Set Up and Wax Up |
| 1 |
| EA |
| $ |
| 4006AD |
| Duplication |
| 1 |
| EA |
| $ |
| 4006AE |
| Flexible Injection Process and Finish |
| 1 |
| EA |
| $ |
| 4006AF |
| Denture Teeth (Anterior and Posterior) |
| 1 |
| EA |
| $ |
Complete Denture-Simple Fracture
EA
Complex Fracture
EA
Partial Denture-Simple Fracture
Complex Fracture
Clasp Repair
Replace Tooth
| 4015 |
| Custom Occlusal Guards- Mounted on Semi-Adjustable Articulator |
| 187 |
| EA |
| $ |
| 4016 |
| Surgical Stent including model and Ivocap Process and Finish/Clear |
EA
| 4017 |
| ID Dentures & Partials |
| 893 |
| EA |
| $ |
| 4018 |
| Implant bar overdenture |
| 25 |
| EA |
| $ |
| 4020 |
| Bar Fabrication In High Noble Alloy |
| 25 |
| EA |
| $ |
| $ |
| 4021 |
| Implant Labor |
| 25 |
| EA |
| $ |
| 4022 |
| Soft Tissue Model |
| 25 |
| EA |
| $ |
| 4023 |
| Implant Parts- Model Analogs, Abutments |
| 25 |
| EA |
| $ |
| 4024 |
| Attachment Parts Complete |
| 25 |
| EA |
| $ |
| 4025 |
| Attachment Labor |
| 25 |
| EA |
| $ |
| 4026 |
| Precision and semi-precision attachments |
| 25 |
| EA |
| $ |
| OPTION YEAR 4 ESTIMATED TOTAL: |
| $ |