ESBD_373513_1723852472314_HHS0014988V3_Exhibit_C_Pricing_Sheet.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- HHS0014988V3
- Issued by
- Angelina County, Lubbock City, Texas
About this file
This document is an Exhibit C Pricing Sheet for Formal IFB Solicitation No. HHS0014988V3 issued by the Health & Human Services Commission of the state of Texas. The solicitation is for orthopedic footwear, compression stockings, and various types of orthotic devices to be delivered to the ship-to location in Pollok, TX. The contract term is from September 1, 2024 to August 31, 2025, with the response due date of August 30, 2024 at 10:30 AM. The solicitation allows for increases or decreases in quantities during the contract term as needed.
The pricing sheet provides a list of 26 line items for the requested products, including the item description, quantity, unit of measure, and unit pricing. Freight is also included as a separate line item. Pricing is requested to be quoted F.O.B. Destination with freight prepaid and included. Estimated delivery time is not specified. Pricing for "or equal" items is also requested.
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Text version
Exhibit
| EXHIBIT C | |
| PRICING SHEET | |
| Formal IFB - Solicitation No: HHS0014988V3 | Response Due Date: 08-30-2024 @ 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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