ENT SCOPE PRICE TEMP To Be COMPLETED BY VENDOR.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
W065--ENT SCOPE LEASE- RFQ
Solicitation number
36C24526Q0625
Issued by

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This is an Equipment Lease Price List Template for ENT (Ear, Nose, and Throat) scope equipment and supporting systems to be completed by vendors responding to RFQ 36C24526Q0625 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 5. The solicitation seeks pricing for a comprehensive ENT diagnostic and therapeutic system to support the ENT/Laryngology Clinic, which requires twenty-four flexible video rhino-laryngoscopes, five video system towers, and associated equipment with laryngeal stroboscope capabilities for vocal fold visualization.

The pricing template is structured across three contract periods: Base Year, Option Period 1 (OP1), and Option Period 2 (OP2), with each period containing identical line items priced on a monthly equipment lease basis. The equipment schedule includes primary components such as HD autoclavable camera heads, 15-inch medical-grade touch panels, 4K monitors, laryngoscopes, video processors, Sony dye sublimation printers, and various accessories including cables (DVI, SDI, HDMI), microphones, fiber optic light-guide cables, and both diagnostic and therapeutic sterile disposable scopes. Vendors must provide unit pricing in the designated columns for each line item across all three contract periods, with columns for model numbers, part numbers, manufacturer names, and equipment descriptions to facilitate evaluation and comparison of proposed solutions.

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36C24526Q0625_4.docx DOCX document
36C24526Q0625_3.docx DOCX document
36C24526Q0494 ENT Scopes Lease.pdf PDF
36C24526Q0625_2.docx DOCX document

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ENT SCOPE LEASE PRICE LIST

QTYMODEL NUMBERPART NUMBERMANUFACTURER NAMEORIGINVENDOR EQUIP DESCRIPTIONPOPUOMSOW DESCRIPTIONPRICETOTALLINE ITEMSUB LINE
12BASE YEAR EQUIPMENT LEASEBASEMOEQUIPMENT LEASE BASE0001
3BASEEANTSC W/ POWER CORD (EN)0001a
5BASEEAHD AUTOCLAVABLE ATLEAST 3 CHIP CAMERA HEAD0001b
5BASEEA15" HD MEDICAL GRADE TOUCH PANEL MEDICAL RECORDS0001c
5BASEEAUHD 4K 32-inch Monitor0001d
3BASEEAHD LARYNGOSCOPE, TELESCOPE AUTIOCLAVABLE atleast 70 degree view0001e
25BASEEAHD Video Rhino-laryngoscope SM diameter0001f
2BASEEAHD Video Theraputic Rhinolaryngoscope0001g
1BASEEAReusable Power Pack0001h
2BASEEA2mm Bipolar, 5/pk0001j
2BASEEA4mm Malleable 5/pk0001k
2BASEEACELERIS 4mm Bipolar, 5/pk0001l
5BASEEAUPDR-80MD SONY DYE SUB. LETR W/ 12' USB Printer0001m
2BASEEADVM-B2 Portable Video Processor for SUS0001n
4BASEEAHD sterile, disposable scopes used for diagnostic ENT procedures, such as nasal endoscopies and laryngoscopies0001p
4BASEEAHD sterile, disposable scopes used for therapeutic ENT procedures, such as nasal endoscopies and laryngoscopies0001q
3BASEEADVI CABLE 3M0001r
3BASEEASDI CABLE 2.5M0001s
2BASEEAHDMI CABLE0001t
2BASEEAAIR MICROPHONE0001u
2BASEEAMICROPHONE EXTENSION CABLE0001v
2BASEEATHROAT MICROPHONE0001w
5BASEEAstandard 4.25 mm, 3 m, CF-type fiber optic light-guide cable used for rigid and flexible medical endoscopy0001x
5BASEEASOCKET ADAPTOR CABLE USA0001y
5BASEEADVI-HDMI CABLE0001z
2BASEEAENT Kit compatiable0001aa
2BASEEAW/POWER CORD (US)0001ab
2BASEEAcompatiable UPGRADE PACK STROBE0001ac
2BASEEAUHD 4MM 0 Deg0001ad
2BASEEAHD 4mm diameter rigid surgical endoscope with a 30-degree direction of view (look-down)0001Ae
12EQUIPMENT LEASE OP1OP1MOEQUIPMENT LEASE OP10002
3OP1EANTSC W/ POWER CORD (EN)0002a
5OP1EAHD AUTOCLAVABLE ATLEAST 3 CHIP CAMERA HEAD0002b
5OP1EA15" HD MEDICAL GRADE TOUCH PANEL MEDICAL RECORDS0002c
5OP1EAUHD 4K 32-inch Monitor0002d
3OP1EAHD LARYNGOSCOPE, TELESCOPE AUTIOCLAVABLE atleast 70 degree view0002e
25OP1EAHD Video Rhino-laryngoscope SM diameter0002f
2OP1EAHD Video Theraputic Rhinolaryngoscope0002g
1OP1EAReusable Power Pack0002h
2OP1EA2mm Bipolar, 5/pk0002j
2OP1EA4mm Malleable 5/pk0002k
2OP1EACELERIS 4mm Bipolar, 5/pk0002l
5OP1EAUPDR-80MD SONY DYE SUB. LETR W/ 12' USB Printer0002m
2OP1EADVM-B2 Portable Video Processor for SUS0002n
4OP1EAHD sterile, disposable scopes used for diagnostic ENT procedures, such as nasal endoscopies and laryngoscopies0002p
4OP1EAHD sterile, disposable scopes used for therapeutic ENT procedures, such as nasal endoscopies and laryngoscopies0002q
3OP1EADVI CABLE 3M0002r
3OP1EASDI CABLE 2.5M0002s
2OP1EAHDMI CABLE0002t
2OP1EAAIR MICROPHONE0002u
2OP1EAMICROPHONE EXTENSION CABLE0002v
2OP1EATHROAT MICROPHONE0002w
5OP1EAstandard 4.25 mm, 3 m, CF-type fiber optic light-guide cable used for rigid and flexible medical endoscopy0002x
5OP1EASOCKET ADAPTOR CABLE USA0002y
5OP1EADVI-HDMI CABLE0002z
2OP1EAENT Kit compatiable0002aa
2OP1EAW/POWER CORD (US)0002ab
2OP1EAcompatiable UPGRADE PACK STROBE0002ac
2OP1EAUHD 4MM 0 Deg0002ad
2OP1EAHD 4mm diameter rigid surgical endoscope with a 30-degree direction of view (look-down)0002Ae
12EQUIPMENT LEASE OP2OP2MOEQUIPMENT LEASE OP20003
3OP2EANTSC W/ POWER CORD (EN)0003a
5OP2EAHD AUTOCLAVABLE ATLEAST 3 CHIP CAMERA HEAD0003b
5OP2EA15" HD MEDICAL GRADE TOUCH PANEL MEDICAL RECORDS0003c
5OP2EAUHD 4K 32-inch Monitor0003d
3OP2EAHD LARYNGOSCOPE, TELESCOPE AUTIOCLAVABLE atleast 70 degree view0003e
25OP2EAHD Video Rhino-laryngoscope SM diameter0003f
2OP2EAHD Video Theraputic Rhinolaryngoscope0003g
1OP2EAReusable Power Pack0003h
2OP2EA2mm Bipolar, 5/pk0003j
2OP2EA4mm Malleable 5/pk0003k
2OP2EACELERIS 4mm Bipolar, 5/pk0003l
5OP2EAUPDR-80MD SONY DYE SUB. LETR W/ 12' USB Printer0003m
2OP2EADVM-B2 Portable Video Processor for SUS0003n
4OP2EAHD sterile, disposable scopes used for diagnostic ENT procedures, such as nasal endoscopies and laryngoscopies0003p
4OP2EAHD sterile, disposable scopes used for therapeutic ENT procedures, such as nasal endoscopies and laryngoscopies0003q
3OP2EADVI CABLE 3M0003r
3OP2EASDI CABLE 2.5M0003s
2OP2EAHDMI CABLE0003t
2OP2EAAIR MICROPHONE0003u
2OP2EAMICROPHONE EXTENSION CABLE0003v
2OP2EATHROAT MICROPHONE0003w
5OP2EAstandard 4.25 mm, 3 m, CF-type fiber optic light-guide cable used for rigid and flexible medical endoscopy0003x
5OP2EASOCKET ADAPTOR CABLE USA0003y
5OP2EADVI-HDMI CABLE0003z
2OP2EAENT Kit compatiable0003aa
2OP2EAW/POWER CORD (US)0003ab
2OP2EAcompatiable UPGRADE PACK STROBE0003ac
2OP2EAUHD 4MM 0 Deg0003ad
2OP2EAHD 4mm diameter rigid surgical endoscope with a 30-degree direction of view (look-down)0003Ae

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