ESBD_428608_1750106207060_HHS0016228_Exhibit_F_ Pricing_Sheet.pdf
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- Solicitation number
- HHS0016228V2
- Issued by
- Lampasas County, Texas
About this file
This document is a Pricing Sheet (Exhibit F) for Solicitation No. HHS0016228 issued by the Mexia State Supported Living Center located in Mexia, Texas. The solicitation covers a comprehensive range of orthotic and prosthetic medical equipment, including orthosis insoles, shoes, foot inserts, lifts, orthopedic footwear, ankle and foot orthoses, knee orthoses, and various sock types. The response is due on 06-10-2025 at 10:30 AM, with a quantity of 1 EA (each) for most line items. The pricing sheet indicates that fitting and follow-up fitting must be included, and the delivery is considered to be 14 days after receipt of order.
The pricing sheet provides a detailed breakdown of medical equipment with line items ranging from custom shoe modifications to multiple density inserts and compression stockings. While no specific unit prices are filled in, the document allows for pricing across various compression levels (15-20 mmHg, 20-30 mmHg, 30-40 mmHg) and different styles of compression stockings, including knee-high and thigh-high options in beige and black, with and without silicone bands. The document is structured to capture comprehensive pricing for custom medical footwear and orthotic solutions, with specific attention to patient-specific modifications and adaptations. The shipping destination is the Mexia State Supported Living Center at 424 Mesquite Dr., Mexia, TX 76667, with freight prepaid and included.
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Text version
Formal IFB - Solicitation No:HHS0016228
Line No.
Class-Item Description Qty UOM Unit Price Extension
1 520/70 Orthosis insoles and shoes 1 EA $ - $ -
2 L3010 Foot, insert, removable, molded to patient model, longitudinal arch support
1 EA $ - $ -
3 L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support
1 EA $ - $ -
4 L3030 Foot, insert, removable 1 EA $ - $ - 5 L3310 Lift, elevation, heel and sole, neoprene 1 EA $ - $ -
6 L3332 Lift, elevation, inside shoe, tapered, up to one-half inch
1 EA $ - $ -
7 L3216 Orthopedic footwear, ladies shoe, depth inlay 1 EA $ - $ - 8 L3221 Orthopedic footwear, men’s shoe, depth inlay 1 EA $ - $ - 9 L3300 Lift, elevation, heel, tapered to metatarsals 1 EA $ - $ -
10 L3230 Custom shoe, orthopedic footwear, depth inlay 1 EA $ - $ -
11 L2360 Addition to lower extremity, extended steel shank 1 EA $ - $ -
12 L5000 Partial foot, shoe insert with longitudinal arch, toe filler
1 EA $ - $ -
13 L3580 Orthopedic shoe addition, convert instep to velcro closure
1 EA $ - $ -
14 L1930 Ankle foot orthosis, plastic or other material 1 EA $ - $ - 15 L1940 Ankle foot orthosis, plastic or other material 1 EA $ - $ - 16 L1960 Ankle foot orthosis, posterior solid ankle, plastic 1 EA $ - $ - 17 L1970 Foot orthosis, plastic with ankle joint 1 EA $ - $ -
18 L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control
1 EA $ - $ -
19 Anke Socks 1 EA $ - $ - 20 creq Socks 1 EA $ - $ - 21 Over the calf Socks 1 EA $ - $ -
Fitting and Follow up fitting must be included $ -
A5500 Custom preparation and supply of off-the-shelf depth- inlay shoe manufactured to accommodate multi- density insert(s), EA $ -
A5501 Custom preparation and supply of shoe molded from cast(s) of patients foot (custom molded shoe), EA $ -
EXHIBIT F
PRICING SHEET
Response Due Date: 06-10-2025 @ 10:30AM
424 Mesquite Dr.
Mexia, TX 76667
Ship To:
Mexia State Supported Living Center
A5512
Multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, EA $ -
A5513
Multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher, includes arch filler and other shaping material, custom fabricated
EA $ -
A5503 Modification of off-the-shelf depth-inlay shoe or custom- molded shoe with roller or rigid rocker bottom
EA $ -
Beige w/ closed toe (sizes available) $ -
Price Per Pair 15-20 mmHg 20-30 mmHg
30-40 mmHg
Knee High (S, M, L, XL)
Knee High w/ silicone band
(M, L, XL)
Thigh High (S, M, L, XL)
Thigh high w/ silicone band
(S, M, L, XL)
Beige w/ Open toe (sizes available) $ -
Price Per Pair 15-20 mmHg 20-30 mmHg
30-40 mmHg
Knee High (S, M, L, XL)
Knee High w/ silicone band
(M, L, XL)
Thigh High (S, M, L, XL)
Thigh high w/ silicone band
(S, M, L, XL)
Black w/ closed toe (sizes available) $ -
Price Per Pair 15-20 mmHg 20-30 mmHg
30-40 mmHg
Knee High (S, M, L, XL)
Knee High w/ silicone band
(M, L, XL)
Thigh High (S, M, L, XL)
Thigh high w/ silicone band
(S, M, L, XL)
22 1 EA $ - $ -
23 1 EA $ -
24 2 EA $ - $ -
25 3 EA $ - $ -
Freight 1 EA $ - $ -
Total $ -
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
Estimated Delivery Time:
Exhibit
File details come from the government source that posted it. Updated .