ESBD_366001_1719936859805_HHS0014988_Exhibit_C_Pricing_Sheet.xlsx
XLSX spreadsheet 24 KB Posted
- Solicitation number
- HHS0014988
- Issued by
- Texas
About this file
This document is an Exhibit C Pricing Sheet for a Formal IFB - Solicitation No: HHS0014988 issued by the Texas Health & Human Services Commission. The solicitation is for a Blanket PO for Prosthetics & Orthotics as needed by Lufkin SSLC residents, with a term of 09/01/2024 - 08/31/2025. The pricing sheet lists 26 line items for orthopedic footwear, compression stockings, spinal and knee orthotics, and other prosthetic/orthotic devices, with quantities of 1 each and unit prices left blank. The response due date is 07-16-2024 @ 10:30AM, and the shipment destination is the Health & Human Services Commission in Pollok, TX.
The pricing sheet indicates that additional products of the same general category may be ordered, and quantities may be increased or decreased upon need during the term of the purchase order. Freight is to be prepaid and included, with an estimated delivery time provided. The solicitation is issued on a firm, fixed-price basis, and no information is provided regarding any set-asides, incumbents, or funding sources.
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Text version
Exhibit
| EXHIBIT C | |
| PRICING SHEET | |
| Formal IFB - Solicitation No: HHS0014988 | Response Due Date: 07-16-2024 @ 10:30AM |
| Ship To: | Term: 09/01/2024 – 08/31/2025 |
Additional products of the same general category may be ordered from the issued PO. Quantities may be increased or decreased upon need during the term of the PO.
| Health & Human Services Commission | ||||||
| 6844 N US Hwy 69 | ||||||
| Pollok, TX 75969 | ||||||
| Line No. | Class-Item | Description | Qty | UOM | Unit Price | Extension |
| 1 | 800-70 | L3221 Orthopedic Footwear, Mens Shoe, Depth Inlay or equal item | 1 | EA | $ - 0 | $ - 0 |
| 2 | 800-70 | L3216 Orthopedic Footwear, Ladies Shoe, Depth Inlay or equal item | 1 | EA | $ - 0 | $ - 0 |
| 3 | 800-70 | A6530 Gradient Compression Stocking, Below Knee, 18-30 Mmhg or equal item | 1 | EA | $ - 0 | $ - 0 |
| 4 | 800-70 | A6549 Gradient Compression Stocking/Sleeve, NOS, pair or equal item | 1 | EA | $ - 0 | $ - 0 |
| 5 | 800-70 | L0464 TLSO 4 Shell, Line Pfab or equal item | 1 | EA | $ - 0 | $ - 0 |
| 6 | 800-70 | L0638 LSO Sagittal Control, Rigd Ant Post Panels, Prefab-Custom Fit or equal item | 1 | EA | $ - 0 | $ - 0 |
| 7 | 800-70 | L1844 Knee Orthoses, Mold to Pt Model, Thigh/Calf w/adj flex-ext Jt. Med-Lat-Rotation Cont, Exp-Custom Fit or equal item | 1 | EA | $ - 0 | $ - 0 |
| 8 | 800-70 | L1820 Knee Orthoses, Elastic with Condylar Pads and Joints or equal item | 1 | EA | $ - 0 | $ - 0 |
| 9 | 800-70 | L1932 - Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment | 1 | EA | $ - 0 | $ - 0 |
| 10 | 800-70 | L1960 Afo, Posterior Solid Ankle, Molded to Patient Model or equal item | 1 | EA | $ - 0 | $ - 0 |
| 11 | 800-70 | L1970 Afo, W/Ankle Jt, Plastic, Mold to Patient Mdl Custom Fabricated or equal item | 1 | EA | $ - 0 | $ - 0 |
| 12 | 800-70 | L2275 Varus/Valgus Correction, Plastic Mod, Padded/Lined, Add to Lower Extremity or equal item | 1 | EA | $ - 0 | $ - 0 |
| 13 | 800-70 | L2820 Soft Interface for Bk Section, Molded Plastic, Addition to Lower Extremity or equal item | 1 | EA | $ - 0 | $ - 0 |
| 14 | 800-70 | L2020 Kafo, Dbl Kupright, Free Knee/Ankle Solid Stirrup, Thigh/Calf Bands/Cuffs or equal item | 1 | EA | $ - 0 | $ - 0 |
| 15 | 800-70 | L2425 Disc or Dial Lock for Adj Knee Flexion, Ea Jt, Add to Knee Jt or equal item | 1 | EA | $ - 0 | $ - 0 |
| 16 | 800-70 | L2250 Stirrup Attachment, Foot Plate Molded to Pt Model, Add to Lower Exremity or equal item | 1 | EA | $ - 0 | $ - 0 |
| 17 | 800-70 | L2370 Patten Bottom (Metal Frame) Add to Lower Extremtiy or equal item | 1 | EA | $ - 0 | $ - 0 |
| 18 | 800-70 | L2750 Plating, Chrome or Nickel, Per Bar, Add to Lower Extremity Orthosis or equal item | 1 | EA | $ - 0 | $ - 0 |
| 19 | 800-70 | L2330 Lacer, Molded to Patient Model, Add to Lower Extremity or equal item | 1 | EA | $ - 0 | $ - 0 |
| 20 | 800-70 | L2780 Non-Corrosive Finish, Per Bar, Addition to Lower Extremity or equal item | 1 | EA | $ - 0 | $ - 0 |
| 21 | 800-70 | L3908 Whfo, Wo Joint(S) OTS or equal item | 1 | EA | $ - 0 | $ - 0 |
| 22 | 800-70 | L4387 Non-Pneumatic Walking Boot, OTS or equal item | 1 | EA | $ - 0 | $ - 0 |
| 23 | 800-70 | L4397 Static Afo, OTS or equal item | 1 | EA | $ - 0 | $ - 0 |
| 24 | 800-70 | L3485 Heel, Pad, Removable for Spur or equal item | 1 | EA | $ - 0 | $ - 0 |
| 25 | 800-70 | L3002 Insert, Plastazote or equal, Removable, Molded to Patient Model or equal item | 1 | EA | $ - 0 | $ - 0 |
| 26 | 800-70 | L3010 Insert, Longitudinal Arch Support, Removable, Molded to Patient Model or equal item | 1 | EA | $ - 0 | $ - 0 |
| Freight | 1 | LOT | $ - 0 | $ - 0 | ||
| Estimated Delivery Time: | Total | $ - 0 | ||||
| NOTE: Quote F.O.B. Destination Freight Prepaid & Included, otherwise show exact delivery cost and terms. Unless stated otherwise, delivery is considered to be 14 days after receipt of order |
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