Attachment___1_J-B1_Pricing_Worksheet.pdf

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Pentagon Safety Glasses
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HQ0034-15-T-0011
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Pricing List Attachment

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HQ0034-15-T-0011

Attachment J-B1

Pricing List Worksheet

SOURCE SELECTION INFORMATION SEE FAR 2.101 AND 3.104

CLIN SUPPLIES/SERVICE Annual Estimated Quantity

UNIT UNIT

PRICE

0001 OSHA Glasses (Base Year) Multi-Focal Lenses --------------- ---------- $ Single Lenses --------------- ---------- $ Bi-Focal Lenses --------------- ---------- $ Progressive No-Line Lenses --------------- ---------- $ Total Extended Price for Base

Year

30 EA ----------

1001 OSHA Glasses (Option Year 1)

Multi-Focal Lenses --------------- ---------- $ Single Lenses --------------- ---------- $ Bi-Focal Lenses --------------- --------- $ Progressive No-Line Lenses --------------- ---------- $ Total Extended Price for Option

Year 1

35 EA ----------

1002 OSHA Glasses (Option Year 2)

Single Lenses --------------- ---------- $ Bi-Focal Lenses --------------- --------- $ Progressive No-Line Lenses --------------- ---------- $ Total Extended Price for Option

Year 2

35 EA ----------

1003 OSHA Glasses (Option Year 3)

Single Lenses --------------- ---------- $ Bi-Focal Lenses --------------- --------- $ Progressive No-Line Lenses --------------- ---------- $ Total Extended Price for Option

Year 3

37 EA ----------

1004 OSHA Glasses (Option Year 4)

Single Lenses --------------- ---------- $ Bi-Focal Lenses --------------- --------- $ Progressive No-Line Lenses --------------- ---------- $ Total Extended Price for Option

Year 4

38 EA ----------

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