ESBD_400274_1741106709089_HHS0015922_Exhibit C - Pricing Sheet.xlsx
XLSX spreadsheet 23 KB Posted
- Attached to
- Medical and Emergency Supplies
- Solicitation number
- HHS0015922
- Issued by
- Taylor County, Abilene City, Texas
About this file
This is a pricing sheet exhibit (Exhibit C) for a Blanket Formal IFB (Solicitation No: HHS0015922) issued by HHSC/Abilene SSLC in Texas. The solicitation requests various medical supplies and equipment including Dexcom G7 sensors, IV catheter systems, SPO2 sensors, feeding tubes and sets, skin adhesives, pulse oximeters, thermometers, and medical instrument bags. Responses are due March 19, 2025, at 10:30 AM, with delivery to 2501 Maple St, Abilene, TX 79602. The contract term runs from the date of award through August 31, 2025.
The pricing sheet includes 15 defined line items with specific manufacturer part numbers and quantities, with additional blank lines available. All prices must be F.O.B. Destination with freight prepaid and included, with a standard delivery expectation of 14 days after receipt of order. The solicitation allows for additional products in the same general category to be ordered from an awarded PO, and quantities may be increased or decreased based on facility needs. Items will be ordered on an as-needed basis by the facility's Program Manager.
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Text version
Exhibit
| EXHIBIT C | ||||||
| PRICING SHEET FOR BLANKET | ||||||
| Formal IFB - Solicitation No: HHS0015922 | Response Due Date: 03-19-2025 @ 10:30AM | |||||
| Ship To: | ||||||
| HHSC/ Abilene SSLC | ||||||
| 2501 Maple St | ||||||
| Abilene, TX 79602 | ||||||
| Term: Date of Award to 08/31/2025 | ||||||
| Additional products of the same general category may be ordered from an Awarded PO. | ||||||
| Quantities may be increased or decreased upon need during the term of the awarded PO. | ||||||
| Items will be requested on as needed basis by the facility's Program Manager. | ||||||
| Line No. | Class-Item | Description | Qty | UOM | Unit Price | Extension |
| 1 | 465-11 | MNF P/N 08627-0077-01 SENSOR, DEXCOM G7, TRANSMITTER ALL IN ONE DEVICE, 1 SENSOR, 10 DAY SUPPLY | 10 | EA | $ - 0 | $ - 0 |
| 2 | 475-16 | MNF P/N 383512 IV CATHETER SYSTEM, CLOSED, NEXIVA, 22GA X 1", 20/PK (BECTON-DICKINSON) | 20 | PK | $ - 0 | $ - 0 |
| 3 | 475-16 | MNF P/N 383516 IV CATHETER SYSTEM, CLOSED, NEXIVA, 20GA X 1", 20/PK (BECTON-DICKINSON) | 20 | PK | $ - 0 | $ - 0 |
| 4 | 465-14 | MNF P/N 6455-000 SENSOR, SPO2, EAR CLIP, ADULT (NONIN MEDICAL) | 10 | EA | $ - 0 | $ - 0 |
| 5 | 465-78 | MNF P/N 43-4100 FEEDING SET, ENTERAL GASTRIC, ENFIT, FARRELL VALVE SYSTEM WITH EQUILIBRIUM TECHNOLOGY (AVANOS) 30/CS | 20 | CS | $ - 0 | $ - 0 |
| 6 | 465-56 | MNF P/N LX6 SKIN ADHESIVE, LIQUIBAND EXCEED TOPICAL, 0.8ML, VIOLET (COVIDIEN) 6/PK | 10 | PK | $ - 0 | $ - 0 |
| 7 | 465-78 | MNF P/N 0120-14-3.5 ; FEEDING TUBE, MIC-KEY LOW-PROFILE GASTROSTOMY, 14FR, 3.5 CM (AVANOS) | 10 | EA | $ - 0 | $ - 0 |
| 8 | 465-78 | MNF P/N 0120-16-3.5 ; FEEDING TUBE, MIC-KEY LOW-PROFILE GASTROSTOMY, 16FR, 3.5 CM (AVANOS) | 10 | EA | $ - 0 | $ - 0 |
| 9 | 465-78 | MNF P/N 0120-18-3.5 ; FEEDING TUBE, MIC-KEY LOW-PROFILE GASTROSTOMY, 18FR, 3.5 CM (AVANOS) | 10 | EA | $ - 0 | $ - 0 |
| 10 | 465-14 | MNF P/N 113255-06 ; PULSE OXIMETER, INCLUDES; (1) 88000Q2 EAR SpO2 SENSOR, (6) AA ALKALINE BATTERIES, (1) 8500 SERIES OPERATOR'S MANUAL ON CD ROM (US ONLY) (NONIN | 2 | EA | $ - 0 | $ - 0 |
| 11 | 465-14 | MNF P/N S503-080; SpO2 SENSOR, NONIN COMPATIBLE, #6000CA/7000A, DISPOSABLE (CABLES AND SENSORS) 24/BX | 1 | BX | $ - 0 | $ - 0 |
| 12 | 475-85 | MNF P/N 140001 ; TEMPORAL CONTACT THERMOMETER, DIGITAL, DUAL SCALE, TAT-2000 (EXERGEN) | 1 | EA | $ - 0 | $ - 0 |
| 13 | 465-37 | MNF P/N 92821 ; 2.5V POKETSCOPE , AA ALKALINE BATTERY HANDLE FOR EACH INSTRUMENT, HALOGEN ILLUMINATION, SOFT CASE (WELCH ALLYN) | 2 | ST | $ - 0 | $ - 0 |
| 14 | 445-82 | MNF P/N 80897N09; BAG, HUSKY 18", 43 POCKET 1680 DENIER FABRIC, DUAL ZIPPER TOP, RUBBER FEET, SHOULDER STRAP | 1 | EA | $ - 0 | $ - 0 |
| 15 | 465-56 | MNF P/N 420626 ; DRESSING, AQUACEL FOAM 7 X8 IN SACRAL SILICONE ADHESIVE (CONVATEC) 5/BOX | 2 | BX | $ - 0 | $ - 0 |
| 16 | $ - 0 | $ - 0 | ||||
| 17 | $ - 0 | $ - 0 | ||||
| 18 | $ - 0 | $ - 0 | ||||
| 19 | $ - 0 | $ - 0 | ||||
| 20 | $ - 0 | $ - 0 | ||||
| 21 | $ - 0 | $ - 0 | ||||
| 22 | $ - 0 | $ - 0 | ||||
| 23 | $ - 0 | $ - 0 | ||||
| 24 | $ - 0 | $ - 0 | ||||
| 25 | $ - 0 | $ - 0 | ||||
| Freight | $ - 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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