D2 Price Worksheet_VA Long Beach.xlsx

XLSX spreadsheet 16 KB Posted Mar 1, 2023

Attached to: N065--HME Services (VALBHS_VALLHS_VASDHS) Amendment 0001
Solicitation number: 36C26223R0035
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

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Other files

File	Type	Posted
36C26223R0035 0001_1.docx	DOCX document	Mar 29, 2023
36C26223R0035 0001.pdf	PDF	Mar 29, 2023
D1 San Bernardino County_Wage Determination.pdf	PDF	Mar 1, 2023
D1 San Diego County_Wage Determination.pdf	PDF	Mar 1, 2023
S01 RFP 36C26223R0035_1 RFP_HME Services ( VA Multi Facility )_.pdf	PDF	Mar 1, 2023
D3 Price Worksheet_VA Loma Linda.xlsx	XLSX spreadsheet	Mar 1, 2023
D1 Los Angeles County_Wage Determination.pdf	PDF	Mar 1, 2023
D4 Price Worksheet_VA San Diego.xlsx	XLSX spreadsheet	Mar 1, 2023
36C26223R0035.docx	DOCX document	Mar 1, 2023

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VA Multi-Facility

VA Long Beach
BASE PERIOD: TBD.
ITEM NUMBER	DESCRIPTION OF SUPPLIES/SERVICES	ESTIMATED ANNUAL QUANTITY	UNIT	UNIT PRICE	EXTENDED PRICE
A001	Delivery/pick up within 50 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	200	JOB		0
A002	Delivery/pick up within 51 - 100 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	150	JOB		0
A003	Delivery/pick up within 101 - 150 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	30	JOB		0
A004	Delivery/pick up within 151 - 200 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A005	Delivery/pick up over 200 miles from VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A006	Delivery & Set-Up or Pick-Up of Bariatric beds. Charges will be ADDED to base delivery rate.	5	JOB		0
A007	Delivery & Set-Up or Pick-Up of G - beds. Charges will be ADDED to base delivery rate.	0	JOB		0
A008	Veteran self pick up of HME at Contractor facility with instructions.	1	JOB		0
A009	Labor charges for repairs (other than minor repairs, PMIs or adjustments) to HME maintained under the contract	250	HOUR		0
A0010	Emergency service charges will be ADDED to the base delivery charge.	30	JOB		0
				BASE PERIOD GRAND TOTAL	0

OPTION PERIOD ONE: TBD.
ITEM NUMBER	DESCRIPTION OF SUPPLIES/SERVICES	ESTIMATED ANNUAL QUANTITY	UNIT	UNIT PRICE	EXTENDED PRICE
A001	Delivery/pick up within 50 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	200	JOB		0
A002	Delivery/pick up within 51 - 100 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	150	JOB		0
A003	Delivery/pick up within 101 - 150 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	30	JOB		0
A004	Delivery/pick up within 151 - 200 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A005	Delivery/pick up over 200 miles from VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A006	Delivery & Set-Up or Pick-Up of Bariatric beds. Charges will be ADDED to base delivery rate.	5	JOB		0
A007	Delivery & Set-Up or Pick-Up of G - beds. Charges will be ADDED to base delivery rate.	0	JOB		0
A008	Veteran self pick up of HME at Contractor facility with instructions. No charge for self pick up without instructions.	1	JOB		0
A009	Labor charges for repairs (other than minor repairs, PMIs or adjustments) to HME maintained under the contract	250	HOUR		0
A0010	Emergency service charges will be ADDED to the base delivery charge.	30	JOB		0
				OPTION PERIOD 1 GRAND TOTAL	0

OPTION PERIOD TWO: TBD.
ITEM NUMBER	DESCRIPTION OF SUPPLIES/SERVICES	ESTIMATED ANNUAL QUANTITY	UNIT	UNIT PRICE	EXTENDED PRICE
A001	Delivery/pick up within 50 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	200	JOB		0
A002	Delivery/pick up within 51 - 100 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	150	JOB		0
A003	Delivery/pick up within 101 - 150 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	30	JOB		0
A004	Delivery/pick up within 151 - 200 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A005	Delivery/pick up over 200 miles from VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A006	Delivery & Set-Up or Pick-Up of Bariatric beds. Charges will be ADDED to base delivery rate.	5	JOB		0
A007	Delivery & Set-Up or Pick-Up of G - beds. Charges will be ADDED to base delivery rate.	0	JOB
A008	Veteran self pick up of HME at Contractor facility with instructions.	1	JOB
A009	Labor charges for repairs (other than minor repairs, PMIs or adjustments) to HME maintained under the contract	250	HOUR		0
A0010	Emergency service charges will be ADDED to the base delivery charge.	30	EACH		0
				OPTION PERIOD 2 GRAND TOTAL	0

OPTION PERIOD THREE: TBD.
ITEM NUMBER	DESCRIPTION OF SUPPLIES/SERVICES	ESTIMATED ANNUAL QUANTITY	UNIT	UNIT PRICE	EXTENDED PRICE
A001	Delivery/pick up within 50 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	200	JOB		0
A002	Delivery/pick up within 51 - 100 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	150	JOB		0
A003	Delivery/pick up within 101 - 150 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	30	JOB		0
A004	Delivery/pick up within 151 - 200 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A005	Delivery/pick up over 200 miles from VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A006	Delivery & Set-Up or Pick-Up of Bariatric beds. Charges will be ADDED to base delivery rate.	5	JOB		0
A007	Delivery & Set-Up or Pick-Up of G - beds. Charges will be ADDED to base delivery rate.	0	JOB		0
A008	Veteran self pick up of HME at Contractor facility with instructions.	1	JOB		0
A009	Labor charges for repairs (other than minor repairs, PMIs or adjustments) to HME maintained under the contract	250	HOUR		0
A0010	Emergency service charges will be ADDED to the base delivery charge.	30	JOB		0
				OPTION PERIOD 3 GRAND TOTAL	0

OPTION PERIOD FOUR:
ITEM NUMBER	DESCRIPTION OF SUPPLIES/SERVICES	ESTIMATED ANNUAL QUANTITY	UNIT	UNIT PRICE	EXTENDED PRICE
A001	Delivery/pick up within 50 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	200	JOB		0
A002	Delivery/pick up within 51 - 100 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	150	JOB		0
A003	Delivery/pick up within 101 - 150 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	30	JOB		0
A004	Delivery/pick up within 151 - 200 miles of VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A005	Delivery/pick up over 200 miles from VAHS or HME Facility, whichever is closest to delivery/pick up location	10	JOB		0
A006	Delivery & Set-Up or Pick-Up of Bariatric beds. Charges will be ADDED to base delivery rate.	5	JOB		0
A007	Delivery & Set-Up or Pick-Up of G - beds. Charges will be ADDED to base delivery rate.	0	JOB		0
A008	Veteran self pick up of HME at Contractor facility with instructions.	1	JOB		0
A009	Labor charges for repairs (other than minor repairs, PMIs or adjustments) to HME maintained under the contract	250	HOUR		0
A0010	Emergency service charges will be ADDED to the base delivery charge.	30	JOB		0
				OPTION PERIOD 4 GRAND TOTAL	0

File details come from the government source that posted it. Updated Mar 1, 2023.