CO ATTACHMENT 1 - STATAEMENT OF NEED-PRICE COST SCHEDULE.docx

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6515--Supply: Sterilizer - Lee County
Solicitation number
36C24823Q0969
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36C24823Q0969

STATEMENT OF NEED

Amsco Prevacuum Single Sliding Cabinet Steam for C.W. Bill Young (Bay Pines) VA Healthcare System

(Brand Name Only )

Reference Model: Amsco 400, 16X16X26 Prevacuum Single Sliding Cabinet Steam (P/N: SR101110011)

The products MUST have the following abilities/capabilities:

1. Amsco Prevacuum Single Sliding Cabinet Steam (1 EA) (P/N: SR101110011)

a. Must have small steam sterilizers

b. Must be 16X16X26 in dimension

c. Must be prevacuum

d. Must be single door

e. Must have external supplied steam (facility steam/stand-alone generator)

f. Standard configuration with Venturi – single phase power only

2. Install Small Sterilizer (1 EA) (P/N: SE11062)

3. 1st Year Preventive Care Connect Amsco 400 Small Steam (1 EA) (P/N: SE011001)

4. Deinstallation, Small Sterilizers (1 EA) (P/N: SE6018421)

5. Disposal of Sterilizers and Generators (1 EA) (P/N: SE6045100071)

6. Energy Market Origination (1 EA) (P/N: ENERGY ORIGINIPT)

Total Requested Items: Six (6) Line Items - Amsco 400, 16X16X26 Prevacuum Single Sliding Cabinet Steam (P/Ns: SR101110011, SE11062, SE011001, SE6018421, SE6045100071, ENERGY ORIGINIPT) (Brand Name Only)

Standard Manufacturer Warranty

PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1.00
EA
__________________
__________________

Amsco 400 16X16X26 Prevacuum Single Sliding Cabinet Steam Amscor 400 Small Steam Sterilizers 16" x 16" x 26" Prevacuum, Single Door, External Supplied Steam (Facility Steam/Stand-Alone Generator) Standard configuration with a Venturi - Single Phase Power only

(P/N: SR101110011)

(Brand Name Only) PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

LOCAL STOCK NUMBER: SR0101110011

1.00
EA
__________________
__________________

Install Small Sterilizer (P/N: SE11062) (Brand Name Only) PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

LOCAL STOCK NUMBER: SE011062

1.00
EA
__________________
__________________

1st Year Preventive Care Connect Amsco 400 Small Steam (P/N: SE011001)

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

LOCAL STOCK NUMBER: SE011001

1.00
EA
__________________
__________________

Deinstallation - Small Sterilizers (P/N: SE6018421)

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

LOCAL STOCK NUMBER: SE6018421

1.00
EA
__________________
__________________

Disposal of Sterilizers and Generators (P/N: SE6045100071)

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

LOCAL STOCK NUMBER: SE6045100071

1.00
EA
__________________
__________________

Energy Market Origination (P/N: ENERGY ORIGINIPT)

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

LOCAL STOCK NUMBER: ENERGYORIGINPT

GRAND TOTAL
__________________

DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Bay Pines VA Healthcare System

(Lee County VA Clinic) 10,000 Bay Pines Blvd.

Bldg. 110 Warehouse Bay Pines, FL 33744

USA

1.00

0002
SHIP TO:
Bay Pines VA Healthcare System

(Lee County VA Clinic) 10,000 Bay Pines Blvd.

Bldg. 110 Warehouse Bay Pines, FL 33744

1.00

0003
SHIP TO:
Bay Pines VA Healthcare System

(Lee County VA Clinic) 10,000 Bay Pines Blvd.

Bldg. 110 Warehouse Bay Pines, FL 33744

1.00

0004
SHIP TO:
Bay Pines VA Healthcare System

(Lee County VA Clinic) 10,000 Bay Pines Blvd.

Bldg. 110 Warehouse Bay Pines, FL 33744

1.00

0005
SHIP TO:
Bay Pines VA Healthcare System

(Lee County VA Clinic) 10,000 Bay Pines Blvd.

Bldg. 110 Warehouse Bay Pines, FL 33744

1.00

0006
SHIP TO:
Bay Pines VA Healthcare System

(Lee County VA Clinic) 10,000 Bay Pines Blvd.

Bldg. 110 Warehouse Bay Pines, FL 33744

1.00

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