Attachment_1_Pricing_Schedule.pdf

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IntelliVue MX550 Patient Monitor
Solicitation number
FA500019QA061
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Attachment 1- Pricing Schedule

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Attachment 1 Pricing Schedule

Request for Quote#

Company Name: Cage: DUNS:

Company Address:

Point of Contact: Email: Phone:

CLIN Description QTY U/I Unit Price Extended Price 0001 IntelliVue MX550 Patient Monitor 10 EA

GRAND TOTAL:_____________________

***Shipping costs to JBER, AK 99505/99506 MUST be included within the unit prices unless otherwise specified.***

Delivery Date: Date Quote Expires:

By signing below the contractor is verifying the intent to comply will all clauses in the resulting contract.

Name of Individual authorized to sign for company Signature

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