ESBD_495403_1773238125989_HHS0016869v2 Exhibit D Product Pricing Sheet.xlsx
XLSX spreadsheet 27 KB Posted
- Attached to
- HHS0016869v2 Wheelchair Parts, Walkers, Shower
- Solicitation number
- HHS0016869v2
- Issued by
- Travis County, Austin City, Texas
About this file
This is an Exhibit D Product Pricing Sheet for Texas Health and Human Services (HHS) solicitation number HHS0016869v2, due April 2, 2026, at 10:30 AM. The document provides a comprehensive pricing schedule for wheelchair and mobility equipment components across multiple product categories. The solicitation requires unit pricing for 125 line items, including gunnel rear wheels (20-inch and 24-inch), wheelchair wheels, wheel locks, front casters in various sizes (3-inch through 8-inch), caster forks and stems, Therafin headrests and covers, hanger systems, footrest assemblies, armrests (T-handle and Breezy models), seatbelts and alarm systems, anti-tippers, and Invacare-specific components. The pricing sheet also includes allowances for a growth kit, dust covers, tilt cylinders, shoulder positioners, and shower chair casters, with separate line items for shipping and tariff costs.
The document is a blank pricing template with all unit prices and extended prices currently showing as zero, indicating this is a solicitation document awaiting bidder responses. Bidders are required to complete all pricing fields on an individual unit basis across the equipment categories. The structure suggests a requirements or blanket purchase agreement for medical equipment components, likely for state healthcare facilities or programs. No specific contract term, award date, incumbent information, or funding source is detailed in this pricing sheet, as these elements would typically be contained in other solicitation documents such as the Scope of Work or general terms and conditions.
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Text version
Table 1
| Exhibit D Product Pricing Sheet | |
| Solicitation No. HHS0016869v2 | Due Date:April 02 ,2026 10:30AM |
| Line No. | Part Number | Description | Qty | UOM | Unit Price | |
| 1 | WMSA0005 | Gunnel rear wheels 24 inch | 1 | EA | $ - | $ - |
| 2 | WMSAPU244 | Gunnel rear wheels 24 inch | 1 | EA | $ - | $ - |
| 3 | Wheels for wheel chairs 20 | 1 | EA | $ - | $ - | |
| 4 | 1032118 | Wheels for wheel chairs 24 | 1 | EA | $ - | $ - |
| 5 | WMS503206 | Wheel locks | 1 | EA | $ - | $ - |
| Front Casters | ||||||
| 6 | 3" | 1 | EA | $ - | $ - | |
| 7 | 4" | 1 | EA | $ - | $ - | |
| 8 | 5" | 1 | EA | $ - | $ - | |
| 9 | 6" | 1 | EA | $ - | $ - | |
| 10 | 8" black 5/16 | 1 | EA | $ - | $ - | |
| 11 | 8" black 5/16 Narrow | 1 | EA | $ - | $ - | |
| 12 | 8" black 7/16 | 1 | EA | $ - | $ - | |
| 13 | 8" grey 5/16 Narrow | 1 | EA | $ - | $ - | |
| 14 | 8" grey 7/16 | 1 | EA | $ - | $ - | |
| 15 | 166-322 | 5/16x 3/8 Spacer | 1 | EA | $ - | $ - |
| 16 | Gunnell casters 6 inch | 1 | EA | $ - | $ - | |
| 17 | Gunnell casters 8 inch | 1 | EA | $ - | $ - | |
| 18 | 246979 | Threaded axle | 1 | EA | $ - | $ - |
| Caster Forks | ||||||
| 19 | 105839-001 | 5 1/4" fork | 1 | EA | $ - | $ - |
| 20 | 106810 | 3" fork | 1 | EA | $ - | $ - |
| Caster Stems | ||||||
| 21 | 481820 | Short stem | 1 | EA | $ - | $ - |
| 22 | 481821 | Med stem | 1 | EA | $ - | $ - |
| Therafin | ||||||
| 23 | 50368 | Small Profit Adj | 1 | EA | $ - | $ - |
| 24 | 50369 | Large Profit Adj | 1 | EA | $ - | $ - |
| 25 | 50366 | 10" Headrest | 1 | EA | $ - | $ - |
| 26 | 50367 | 14" Headrest | 1 | EA | $ - | $ - |
| 27 | 50215 | Headrest Hardware | 1 | EA | $ - | $ - |
| 28 | 50352 | 10" covers | 1 | EA | $ - | $ - |
| 29 | 50353 | 14" covers | 1 | EA | $ - | $ - |
| 30 | 50358 | Small profit covers | 1 | EA | $ - | $ - |
| 31 | 50370 | Large profit covers | 1 | EA | $ - | $ - |
| 32 | 32967 | Headrest Mnt Brkt | 1 | EA | $ - | $ - |
| 33 | M5000 | Flip Back Brkt (Whitmyer) | 1 | EA | $ - | $ - |
| 34 | EHRA-M | Matrx headrest adapter X, Med | 1 | EA | $ - | $ - |
| 35 | EHRA-L | Matrx headrest adapter H, Lg | 1 | EA | $ - | $ - |
| 36 | 33184 | Seatblt pad, 2" | 1 | EA | $ - | $ - |
| Hangers (Pairs) | ||||||
| 37 | 107670S | Iris 70 Deg, R, Black, set screw adj. | 1 | EA | $ - | $ - |
| 38 | 107671S | Iris 70 Deg, L, Black, set screw adj | 1 | EA | $ - | $ - |
| 43 | 8881026994 | Solara 70 Deg | 1 | EA | $ - | $ - |
| 44 | 888106259 | Solara 90 Deg | 1 | EA | $ - | $ - |
| 45 | 8881128695 | Solara Elev | 1 | EA | $ - | $ - |
| Hanger Parts | ||||||
| 46 | 920720 | HD Hanger Latch Block | 1 | EA | $ - | $ - |
| 47 | 129601 | Hangers Recievers Offset (pairs) | 1 | EA | $ - | $ - |
| 48 | 129600 | Hanger Recievers Standard (Pairs) | 1 | EA | $ - | $ - |
| 49 | 561197 | Footrest Pivot | 1 | EA | $ - | $ - |
| 50 | 105787 | Footrest Latch Block Stud Assm Old/ | 1 | EA | $ - | $ - |
| 51 | 881521 | Footrest Latch Lever Kit, Swingaway, | 1 | EA | $ - | $ - |
| 52 | 881522 | Footrest Latch Lever Kit,, Swingaway | 1 | EA | $ - | $ - |
| 53 | 120976 | Footrest Latch Block Swing I/O | 1 | EA | $ - | $ - |
| 54 | 52054 | Footrest latch lever bushing | 1 | EA | $ - | $ - |
| 55 | 52296 | Footrest Latch Lever, R, Swing I/O | 1 | EA | $ - | $ - |
| 56 | 52297 | Footrest Latch Lever, L, Swing I/O | 1 | EA | $ - | $ - |
| 57 | 119509 | Footrest Hanger Latch Assm New Le | 1 | EA | $ - | $ - |
| 58 | 119510 | Footrest Hanger Latch Assm New Rig | 1 | EA | $ - | $ - |
| 59 | 119514 | Footrest Hanger Latch Receiver New | 1 | EA | $ - | $ - |
| 60 | 111505 | Footrest Ext Tube 2 hole (pairs) | 1 | EA | $ - | $ - |
| 61 | 111506 | Footrest Ext Tube 4 hole (pairs) | 1 | EA | $ - | $ - |
| 62 | 111507 | Footrest Ext Tube 6 hole (pairs) | 1 | EA | $ - | $ - |
| 64 | 129764 | Footplate Bracket (pair) | 1 | EA | $ - | $ - |
| 65 | 119240 | Footplate adapter | 1 | EA | $ - | $ - |
| 66 | 561004 | Footplate saddle spacer | 1 | EA | $ - | $ - |
| 67 | BZU9903 | Hanger Pin | 1 | EA | $ - | $ - |
| Armrest | ||||||
| 68 | 108599 | T handle armrest desk R | 1 | EA | $ - | $ - |
| 69 | 108603 | T handle armrest desk L | 1 | EA | $ - | $ - |
| 70 | 108601 | T handle armrest full R | 1 | EA | $ - | $ - |
| 71 | 108605 | T handle armrest full L | 1 | EA | $ - | $ - |
| 72 | 880210 | T handle armrest desk R (New) | 1 | EA | $ - | $ - |
| 73 | 880211 | T handle armrest desk L (New) | 1 | EA | $ - | $ - |
| 74 | 880212 | T handle armrest full R (New) | 1 | EA | $ - | $ - |
| 75 | 880213 | T handle armrest full L (New) | 1 | EA | $ - | $ - |
| 76 | 161570 | T arm Socket Reciever | 1 | EA | $ - | $ - |
| 79 | 506408 | Quickie A/R Rec Fr, R | 1 | EA | $ - | $ - |
| 80 | 506409 | Quickie A/R Rec Fr, L | 1 | EA | $ - | $ - |
| Breezy Armrest | ||||||
| 81 | 174-446 | Soft Short Armrest Pad | 1 | EA | $ - | $ - |
| 82 | 173-446 | Soft Long Armrest Pad | 1 | EA | $ - | $ - |
| 83 | 172-146 | Hard Short Armrest Pad | 1 | EA | $ - | $ - |
| 84 | 171-146 | Hard Long Armrest Pad | 1 | EA | $ - | $ - |
| 85 | WMS314G | Armrest (Gel) 3.5 x 14 | 1 | EA | $ - | $ - |
| 86 | WMS312G | Armrest (Gel) 3.5 x 12 | 1 | EA | $ - | $ - |
| 85 | WMSRP215037 | Armrest desk top hard | 1 | EA | $ - | $ - |
| 83 | WMSAC015358 | Armrest desk top padded | 1 | EA | $ - | $ - |
| 84 | WMS544051 | Armrest full length hard | 1 | EA | $ - | $ - |
| 85 | WMSAC015458 | Armrest full length Padded | 1 | EA | $ - | $ - |
| 86 | WMSAC107299 | Armrest full length | 1 | EA | $ - | $ - |
| Seatbelts | ||||||
| 87 | 1 1/2" Seatbelt | 1 | EA | $ - | $ - | |
| 88 | TQ4025BLK | 2" Seatbelt | 1 | EA | $ - | $ - |
| 89 | 909370 | Seatbelt Alarm Boxes | 1 | EA | $ - | $ - |
| 90 | 909392 | Alarm Seatbelts | 1 | EA | $ - | $ - |
| Misc Parts | ||||||
| 92 | 129592 | Growth Kit 15-22" | 1 | EA | $ - | $ - |
| 93 | 116255 | Iris Caster Dust Cover | 1 | EA | $ - | $ - |
| 94 | 104141 | Lock Handle Cover | 1 | EA | $ - | $ - |
| 95 | 108137 | Iris Left Lock | 1 | EA | $ - | $ - |
| 96 | 108136 | Iris Right Lock | 1 | EA | $ - | $ - |
| 99 | 124951 | Tilt Roller Plates | 1 | EA | $ - | $ - |
| 100 | 108767 | Tilt Cylinders (pair) | 1 | EA | $ - | $ - |
| 101 | 050173-003 | Long Quickie Anti-tippers Left | 1 | EA | $ - | $ - |
| 102 | 050172-003 | Long Quickie Anti-tippers Right | 1 | EA | $ - | $ - |
| 103 | 483317 | IRIS Stroller handle buton | 1 | EA | $ - | $ - |
| 104 | 915 | KI Mobility, Rogue, anti-tip rec. 0009 | 1 | EA | $ - | $ - |
| 105 | 18405 | AEL Shoulder positioners, small, pr | 1 | EA | $ - | $ - |
| 106 | Invacare anti-tippers | 1 | EA | $ - | $ - | |
| 108 | PVCMR3TWBR | Shower Chair Caster, w/brake, 3in, s | 1 | EA | $ - | $ - |
| 109 | PVCMR4TWBR | Shower Chair Caster, w/brake, 4in, s | 1 | EA | $ - | $ - |
| Invacare | ||||||
| 111 | WMS5143IVC | Invacare Foot rest Elevating 2” 3" han | 1 | EA | $ - | $ - |
| 112 | WMS1132556 | Invacare Foot rest Swing away 2’ 3” h | 1 | EA | $ - | $ - |
| 113 | WMS1025952 | Invacare front Castors 5 W-5/16 Bear | 1 | EA | $ - | $ - |
| 114 | WMS431406 | Invacare Front Castors 4 W- 5/16 Be | 1 | EA | $ - | $ - |
| 115 | WMSRP265028 | Invacare Front Castors 8 W- 5/16 Be | 1 | EA | $ - | $ - |
| 116 | WMSAPU374 | Invacare Front castors 5.5 nylon 5/16 | 1 | EA | $ - | $ - |
| 117 | WMSAPU376 | Invacare Front Castors 7/16 ID beari | 1 | EA | $ - | $ - |
| 118 | WMS1133320 | Invacare Rear Wheels 20 / with hand | 1 | EA | $ - | $ - |
| 119 | WMS1152229 | Invacare Rear Wheels 24 / with hand | 1 | EA | $ - | $ - |
| 120 | WMS1001452 | Invacare wheel lock right (brake) | 1 | EA | $ - | $ - |
| 121 | WMS1101453 | Invacare wheel lock left (brake) | 1 | EA | $ - | $ - |
| 122 | WMS1017677 | Invacare hardware (brake | 1 | EA | $ - | $ - |
| 123 | WMS1109938 | Invacare H block w/socket cup | 1 | EA | $ - | $ - |
| 124 | Shipping | 1 | Lot | $ - | $ - | |
| 125 | Tarrif | 1 | Lot | $ - | $ - |
TOTAL $ -
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