Attachment_4_Pricing_Matrix.xlsx
XLSX spreadsheet 53 KB Posted
- Attached to
- Medical Supplies Federal contract opportunity
- Solicitation number
- HSBP1014R0046
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Attachment 4 - Pricing Matrix
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| HSBP1014R0046_A0002.pdf | ||
| Questions_and_Answers_FINAL.xlsx | XLSX spreadsheet | |
| Past_Performance_Questionnaire_-_Medical_Supplies.doc | DOC document | |
| Attachment_2_Master_Item_List1_-_Offeror_Checklist_-_Medical_Supplies_REVISED.xlsx | XLSX spreadsheet | |
| HSBP1014R0046_A0001_FINAL.pdf | ||
| Questions_and_Answers_FINAL.xlsx | XLSX spreadsheet | |
| Justification_and_Approval_FBO1.pdf | ||
| Attachment_3_Past_Performance_Questionnaire_-_Medical_Supplies.pdf | ||
| SOW_-_Medical_Supplies_FINAL_11-5-15.pdf | ||
| HSBP1014R0046_11-5-14.pdf | ||
| Attachment_1_RFP_Checklist_-_Medical_Supplies.pdf | ||
| Attachment_2_Master_Item_List1_-_Offeror_Checklist_-_Medical_Supplies.xlsx | XLSX spreadsheet | |
| Attachment_5_Quarterly_Sales_Activity_Report_-_Medical_Supplies.xlsx | XLSX spreadsheet |
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Pricing-Category 1
| Pricing Matrix |
| Category #1: General Medical Supplies |
| Company Name:______________________ |
| Company POC:_______________________ |
| POC Email:__________________________ |
| Instructions to Offerors: | |||||||||||||||
| - Complete this sheet only if you are proposing on Category #1. | |||||||||||||||
| - Fill in the highlighted yellow cells for those items which you offer on your commercial catalog. | |||||||||||||||
| - Leave the pricing cells blank if you do not offer the item. | |||||||||||||||
| - The "Catalog Unit Price" and "DHS Unit Price" must be for the same UOM, Description, and Packaging as indicated in this spreadsheet. | |||||||||||||||
| - The "DHS Unit Price" must be consistent with the % discount as indicated in your price proposal. | |||||||||||||||
| - Do not add, delete, or change any other cells. | |||||||||||||||
| (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | |||||||||||
| Item | UOM | Description | Packaging | Manufacturer | Catalog Unit Price | DHS Unit Price | % Discount | Quantity | Extended Catalog Price | Extended DHS Price | Reference Unit Price | Reference Extended Price-All | Reference Extended Price-Bid Items Only | Extended Price Delta | % Discount on Extended Price |
| IV/Maintenance | |||||||||||||||
| Alcohol Prep Pad | boxes | alcohol prep pads, 2 ply medium | 200/box | 0.0% | 200 | $0.00 | $0.00 | $3.30 | $660.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Catheter 16 Gauge | boxes | BD Insyte Autoguard 16 ga x 1.16" | 50/box | 0.0% | 250 | $0.00 | $0.00 | $183.80 | $45,950.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Catheter 18 Gauge | boxes | BD Insyte Autoguard 18 ga x 1.16" | 50/box | 0.0% | 350 | $0.00 | $0.00 | $178.95 | $62,632.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Catheter 20 Gauge | boxes | BD Insyte Autoguard 20 ga x 1.16" | 50/box | 0.0% | 350 | $0.00 | $0.00 | $178.95 | $62,632.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Catheter 22 Gauge | boxes | BD Insyte Autoguard 22 ga x 1.0" | 50/box | 0.0% | 200 | $0.00 | $0.00 | $178.95 | $35,790.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Lactated Ringer 1000 cc | boxes | Baxter viaflex | 14/box | 0.0% | 75 | $0.00 | $0.00 | $52.55 | $3,941.25 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Normal Saline 1000 cc | boxes | Baxter viaflex | 14/box | 0.0% | 250 | $0.00 | $0.00 | $43.29 | $10,822.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Normal Saline 500 cc | boxes | Baxter viaflex | 24/box | 0.0% | 100 | $0.00 | $0.00 | $67.25 | $6,725.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV D5W 10 ea | each | Baxter Viaflex D5W, 250 cc | each | 0.0% | 50 | $0.00 | $0.00 | $3.15 | $157.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Saline Flush 10 cc | boxes | 10 cc NS in 12 cc syringe | 100/box | 0.0% | 50 | $0.00 | $0.00 | $96.03 | $4,801.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Solution Set 10 drops/ml | boxes | Henora Health Coil-IV tubing 10 gtt/ml 96" | 50/box | 0.0% | 50 | $0.00 | $0.00 | $294.50 | $14,725.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Solution Set 60 drops/ml | boxes | Amsino AMSAFE needless w/ y-site 60 gtt/ml 83" | 50/box | 0.0% | 25 | $0.00 | $0.00 | $109.69 | $2,742.25 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| IV Start Kit | cases | Includes Tegaderm, alc prep, iodine pad, 2x2 gauze, tourniquet, tape | 50/case | 0.0% | 50 | $0.00 | $0.00 | $106.20 | $5,310.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Respiratory Management | |||||||||||||||
| Chest Seal | each | HYFIN Occlusive Chest Seal twin pack | each | 0.0% | 1000 | $0.00 | $0.00 | $19.95 | $19,950.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| King LT-D 4 kit w/syringe | cases | #4 | 5/case | 0.0% | 100 | $0.00 | $0.00 | $244.75 | $24,475.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| King LT-D 5 kit w/syringe | cases | #5 | 5/case | 0.0% | 100 | $0.00 | $0.00 | $244.75 | $24,475.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Nasal Airway 28 | each | RUSCH Ultra Robertazzi NPA | 10/box | 0.0% | 1000 | $0.00 | $0.00 | $31.05 | $31,050.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Nasal Airway Kit, Sizes 26-34 | boxes | RUSCH Ultra Robertazzi NPA kit, 26-34 with lube | 10/box | 0.0% | 50 | $0.00 | $0.00 | $16.29 | $814.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| NASAL CANULA Adult | cases | Adult w/ flared nasal tips | 50/case | 0.0% | 10 | $0.00 | $0.00 | $36.35 | $363.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Non-Rebreather Mask ADULT | cases | High concentration NRB, Adult | 50/case | 0.0% | 50 | $0.00 | $0.00 | $89.24 | $4,462.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Oral Airway Kit, Sizes 43-110mm | boxes | OPA Kit, 43-110mm | 6/box | 0.0% | 50 | $0.00 | $0.00 | $27.29 | $1,364.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Disposable Scalpel | boxes | Size 10 | 10/box | 0.0% | 50 | $0.00 | $0.00 | $5.99 | $299.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Operational | |||||||||||||||
| Blood Pressure Cuff | each | ADC Prosphyg 760, Adult | each | 0.0% | 250 | $0.00 | $0.00 | $28.29 | $7,072.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Disposable Emergency Stretcher | each | disposable go stretcher cloth, 34"x71", 10 hand holds | each | 0.0% | 1250 | $0.00 | $0.00 | $22.29 | $27,862.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Glucometer Safety Lancet | boxes | Haemolance Plus Normal Flow Lancets 21 Gauge, Green | 100/box | 0.0% | 100 | $0.00 | $0.00 | $23.95 | $2,395.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Glucometer Test Strips | boxes | Precision Xtra, Blood Glucose Test Strips | 50/box | 0.0% | 125 | $0.00 | $0.00 | $51.99 | $6,498.75 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Heat Pack | cases | Economy Instant Heat Pack 6" x 9" | 24/case | 0.0% | 50 | $0.00 | $0.00 | $49.89 | $2,494.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Cold Pack | cases | Disposable Instant Cold Compress 5" x 7" | 16/case | 0.0% | 125 | $0.00 | $0.00 | $16.95 | $2,118.75 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Stethoscope | each | Littmann Select Stethoscope | each | 0.0% | 250 | $0.00 | $0.00 | $54.99 | $13,747.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Thermometer | each | ADC Adtemp 421 Digital Ear Thermometer | each | 0.0% | 250 | $0.00 | $0.00 | $34.79 | $8,697.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Trauma Shears | each | EMT Shears - 7.25", Black | each | 0.0% | 1000 | $0.00 | $0.00 | $4.99 | $4,990.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| PPE | |||||||||||||||
| Gloves - Exam (XL) | boxes | Nitrile Gloves XL | 170/box | 0.0% | 300 | $0.00 | $0.00 | $18.79 | $5,637.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Gloves - Exam (L) | boxes | Nitrile Gloves L | 200/box | 0.0% | 500 | $0.00 | $0.00 | $18.79 | $9,395.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Gloves - Exam (M) | boxes | Nitrile, Gloves M | 200/box | 0.0% | 300 | $0.00 | $0.00 | $18.79 | $5,637.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Gloves - Exam (S) | boxes | Nitrile Gloves, S | 200/box | 0.0% | 250 | $0.00 | $0.00 | $18.79 | $4,697.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Medication Administration | |||||||||||||||
| Activated Charcoal | each | Activated Charcoal 15g Tube | each | 0.0% | 50 | $0.00 | $0.00 | $14.25 | $712.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Adenosine 12 mg | each | Adenosine 12 mg/4mL Prefilled Syringe | each | 0.0% | 50 | $0.00 | $0.00 | $74.95 | $3,747.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Adenosine 6 mg 10 each | each | Adenosine 6 mg/2mL Prefilled Syringe | each | 0.0% | 50 | $0.00 | $0.00 | $36.95 | $1,847.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Albuterol Sulfate 2.5 mg 3 boxes | boxes | Albuterol 2.5mg/3mL Prefilled Vials | 25/box | 0.0% | 15 | $0.00 | $0.00 | $11.69 | $175.35 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Amiodarone 150 mg 10 each | each | Amiodarone 150 mg/3mL SDV | each | 0.0% | 50 | $0.00 | $0.00 | $15.50 | $775.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Aspirin Tablet 81mg 150 each | each | Aspirin, 81mg Chewable Tablet 36/bottle | each | 0.0% | 750 | $0.00 | $0.00 | $1.39 | $1,042.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Atropine Sulfate 10 each | each | Atropine Sulfate 1mg/10mL Prefilled Syringe Luer | each | 0.0% | 50 | $0.00 | $0.00 | $5.89 | $294.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Dextrose 50% 20 each | each | D50 25g/50mL Prefilled Syringe Luer | each | 0.0% | 100 | $0.00 | $0.00 | $8.69 | $869.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Diazepam 20 each | each | Diazepam Carpuject 10mg/2mL | each | 0.0% | 100 | $0.00 | $0.00 | $145.50 | $14,550.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Diphenhydramine HCL 20 each | each | Diphenhydramine 50mg/1mL Vial | each | 0.0% | 100 | $0.00 | $0.00 | $2.09 | $209.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Epinephrine 1:1,000 1 mL Ampule 20 each | each | Epinephrine 1:1000 1mg/1mL Ampule | each | 0.0% | 100 | $0.00 | $0.00 | $2.09 | $209.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Epinephrine 1:10,000 HCL 20 each | each | Epinephrine 1:10000 HCL Prefilled Syringe Luer 1mg/10 mL | each | 0.0% | 100 | $0.00 | $0.00 | $5.79 | $579.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Epi-Pen 30 pk | pk | Mylan Epi Pen Auto Injector | 2/pack | 0.0% | 150 | $0.00 | $0.00 | $368.75 | $55,312.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Fentanyl 3 pk | pk | Fentanyl .05mg/mL 2ml Carpuject | 10/pk | 0.0% | 15 | $0.00 | $0.00 | $28.15 | $422.25 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Furosemide (Lasix) | each | Furosemide 20mg/2mL Vial | each | 0.0% | 50 | $0.00 | $0.00 | $1.89 | $94.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Glucagon | each | Glucagon Emergency Kit 1mg/1mL Vial | each | 0.0% | 50 | $0.00 | $0.00 | $240.49 | $12,024.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Ipratropium Bromide 2.5 ml | boxes | Ipratropium Bromide 0.02% 2.5 mL | 25/box | 0.0% | 10 | $0.00 | $0.00 | $12.65 | $126.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Lidocaine HCL IV | each | Lidocaine 2% 20mg/mL 5mL Prefilled Syringe | each | 0.0% | 50 | $0.00 | $0.00 | $4.30 | $215.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Magnesium sulfate 500 mg/ml | each | Mag Sulfate 50% 500 mg/mL 2 mL Vial | each | 0.0% | 50 | $0.00 | $0.00 | $2.35 | $117.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Midazolam (versed®) | each | 1mg/mL - 5mL Midazolam Vial | each | 0.0% | 75 | $0.00 | $0.00 | $34.95 | $2,621.25 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Morphine sulfate | boxes | Morphine Carpuject 10mg/mL Slimpack | 10/box | 0.0% | 15 | $0.00 | $0.00 | $46.99 | $704.85 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Naloxone HCL | each | Naloxone 4mg/mL 1mL Vial | each | 0.0% | 50 | $0.00 | $0.00 | $17.29 | $864.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Needle - Intramuscular Injection | boxes | 23 Gauge Hypodermic Needle 1 inch | 100/box | 0.0% | 10 | $0.00 | $0.00 | $11.95 | $119.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Nitroglycerin tablet | each | Nitro Tablets 0.4 mg 25/bottle | each | 0.0% | 50 | $0.00 | $0.00 | $15.65 | $782.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Ondansetron (Zofran) HCL | each | Ondansetron HCL 4mg/2mL Vial | each | 0.0% | 75 | $0.00 | $0.00 | $5.09 | $381.75 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Oral Glucose Gel | packs | Paddock Glutose 15 Oral Gel 37.5 grams lemon | 3/pack | 0.0% | 1000 | $0.00 | $0.00 | $13.45 | $13,450.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Sodium Bicarbonate 8.4% | each | Sodium Bicarbonate 8.4% 10mL Prefilled Syringe | each | 0.0% | 50 | $0.00 | $0.00 | $8.69 | $434.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Sqwincher/Quick Stik Lites | cases | Electrolyte replacement powder | 500/case | 0.0% | 10 | $0.00 | $0.00 | $112.00 | $1,120.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Syringe - 1 cc | boxes | Syringe - 1 cc Luer Lock | 200/box | 0.0% | 10 | $0.00 | $0.00 | $26.20 | $262.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Syringe - 10 cc | boxes | Syringe - 10-12 cc Luer Lock | 100/box | 0.0% | 10 | $0.00 | $0.00 | $21.05 | $210.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Syringe - 5 cc | boxes | Syringe - 5-6 cc Luer Lock | 100/box | 0.0% | 10 | $0.00 | $0.00 | $19.00 | $190.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Thiamine HCL | each | Thiamine 100 mg/mL 2mL Vial | each | 0.0% | 50 | $0.00 | $0.00 | $15.99 | $799.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Trauma Management | |||||||||||||||
| ACE Bandage/Elastic Bandage | boxes | 3 Inch x 5 Yard Elastic Bandage with Velcro Closure | 10/box | 0.0% | 125 | $0.00 | $0.00 | $17.35 | $2,168.75 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Triple Antibiotic Ointment | boxes | Triple Antibiotic Ointment - Individual Foil Packet | 144/box | 0.0% | 100 | $0.00 | $0.00 | $45.50 | $4,550.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Betadine Swabstick | boxes | Povidone Iodine Swab Sticks | 50/box | 0.0% | 75 | $0.00 | $0.00 | $7.49 | $561.75 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Coban Self Adhesive Wrap 3" | boxes | Coban Self Adherent Wrap 3" | 24/box | 0.0% | 100 | $0.00 | $0.00 | $69.45 | $6,945.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Combat Gauze | each | 3" x 4yard Combat Gauze - Rolled | each | 0.0% | 1000 | $0.00 | $0.00 | $42.95 | $42,950.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Gauze - Rolled (kerlix) | cases | Kendall 4.5" sterile rolled gauze | 100/case | 0.0% | 50 | $0.00 | $0.00 | $241.50 | $12,075.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Gauze - Pad 4X4, sterile, 12 ply | boxes | Gauze - Pad 4X4, sterile, 12 ply - 4" x 4" | 100/box | 0.0% | 50 | $0.00 | $0.00 | $7.99 | $399.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Non-adherent Pad | boxes | Kendall TELFA 3" x 4" non-adherant | 50/box | 0.0% | 50 | $0.00 | $0.00 | $16.49 | $824.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Syringe - 30 cc Luer Tip | boxes | 30-35cc Luer tip syringe only | 50/box | 0.0% | 20 | $0.00 | $0.00 | $28.10 | $562.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Tape - Duct Tape | each | White 2" x 60 yard roll | each | 0.0% | 250 | $0.00 | $0.00 | $6.89 | $1,722.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Tape - 1" Transparent Medical/Surgical Tape | boxes | 3M Transpore 1" tape | 12/box | 0.0% | 100 | $0.00 | $0.00 | $19.15 | $1,915.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Tourniquet | each | SOFTT-W Tactical Tourniquet, Black | each | 0.0% | 1000 | $0.00 | $0.00 | $28.00 | $28,000.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Tourniquet | each | CAT Combat Application Tourniquet, Black | each | 0.0% | 1000 | $0.00 | $0.00 | $38.59 | $38,590.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Splinting/Immobilization | |||||||||||||||
| C-Collar Adjustable | cases | LAERDAL Stifneck SELECT adjustable, adult | 50/case | 0.0% | 25 | $0.00 | $0.00 | $448.60 | $11,215.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| SAM Splint 36" | cases | 4.25" x 36" FLAT | 12/case | 0.0% | 50 | $0.00 | $0.00 | $126.75 | $6,337.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Total # of Items = | 82 | TOTALS | $0.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||||||||
| # of Items the Offeror Priced = | 0 | ||||||||||||||
| % of Items the Offeror Priced = | 0% |
&P of &N
Pricing-Category 2
| Pricing Matrix |
| Category #2: AEDs/Heart Monitors (with Accessories) |
| Company Name:______________________ |
| Company POC:_______________________ |
| POC Email:__________________________ |
| Instructions to Offerors: | |||||||||||||||
| - Complete this sheet only if you are proposing on Category #2. | |||||||||||||||
| - Fill in the highlighted yellow cells for those items which you offer on your commercial catalog. | |||||||||||||||
| - Leave the pricing cells blank if you do not offer the item. | |||||||||||||||
| - The "Catalog Unit Price" and "DHS Unit Price" must be for the same UOM, Description, and Packaging as indicated in this spreadsheet. | |||||||||||||||
| - The "DHS Unit Price" must be consistent with the % discount as indicated in your price proposal. | |||||||||||||||
| - Do not add, delete, or change any other cells. | |||||||||||||||
| (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | |||||||||||
| Item | UOM | Description | Packaging | Manufacturer | Catalog Unit Price | DHS Unit Price | % Discount | Quantity | Extended Catalog Price | Extended DHS Price | Reference Unit Price | Reference Extended Price-All | Reference Extended Price-Bid Items Only | Extended Price Delta | % Discount on Extended Price |
| Cardiology | |||||||||||||||
| AED | each | Philips Heartstart FRx AED | each | 0.0% | 40 | $0.00 | $0.00 | $1,895.00 | $75,800.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED | each | Philips Heartstart FR3 AED | each | 0.0% | 40 | $0.00 | $0.00 | $2,496.08 | $99,843.20 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED | each | Cardiac Science Powerheart AED G3 Plus | each | 0.0% | 40 | $0.00 | $0.00 | $1,379.21 | $55,168.40 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED Pads | each | Philips Heartstart FRx Smart pads II | each | 0.0% | 250 | $0.00 | $0.00 | $54.00 | $13,500.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED Pads | each | Philips Heartstart FR3 Smart pads III | each | 0.0% | 100 | $0.00 | $0.00 | $46.00 | $4,600.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED Pads | each | Cardiac Science Powerheart G3 AED Pads - Adult | each | 0.0% | 50 | $0.00 | $0.00 | $31.96 | $1,598.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED Pads | each | Cardiac Science Powerheart G3 AED Pads - Pediatric | each | 0.0% | 50 | $0.00 | $0.00 | $73.99 | $3,699.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED Batteries | each | Philips FRx 4 Year Replacement Battery | each | 0.0% | 100 | $0.00 | $0.00 | $84.11 | $8,411.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED Batteries | each | Philips Heartstart FR3 Longlife Replacement Battery | each | 0.0% | 50 | $0.00 | $0.00 | $270.00 | $13,500.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| AED Batteries | each | Cardiac Science Powerheart G3 Nonrechargeable Battery | each | 0.0% | 25 | $0.00 | $0.00 | $347.95 | $8,698.75 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Cardiac Monitor Defibrillator Pads | each | Philips MRx Multifunction Defib Pads New Style - Adult/Child | each | 0.0% | 50 | $0.00 | $0.00 | $31.95 | $1,597.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Cardiac Monitor Defibrillator Pads | each | Philips MRx Multifunction Defib Pads New Style - Infant | each | 0.0% | 25 | $0.00 | $0.00 | $32.95 | $823.75 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Cardiac Monitor Defibrillator Pads | each | Quickcombo Pads, Lifepak 12 | each | 0.0% | 25 | $0.00 | $0.00 | $45.00 | $1,125.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Electrodes 10 bags | each | 3M Red Dot Foam Electrodes | 50/bag | 0.0% | 50 | $0.00 | $0.00 | $22.49 | $1,124.50 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Total # of Items = | 14 | TOTALS | $0.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||||||||
| # of Items the Offeror Priced = | 0 | ||||||||||||||
| % of Items the Offeror Priced = | 0% |
&P of &N
Pricing-Category 3
| Pricing Matrix |
| Category #3: Medical Supply Kits |
| Company Name:______________________ |
| Company POC:_______________________ |
| POC Email:__________________________ |
| Instructions to Offerors: | |||||||||||||||
| - Complete this sheet only if you are proposing on Category #3. | |||||||||||||||
| - Fill in the highlighted yellow cells for those items which you offer on your commercial catalog. | |||||||||||||||
| - Leave the pricing cells blank if you do not offer the item. | |||||||||||||||
| - The "Catalog Unit Price" and "DHS Unit Price" must be for the same UOM, Description, and Packaging as indicated in this spreadsheet. | |||||||||||||||
| - The "DHS Unit Price" must be consistent with the % discount as indicated in your price proposal. | |||||||||||||||
| - Do not add, delete, or change any other cells. | |||||||||||||||
| (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | (To Be Hidden) | |||||||||||
| Item | UOM | Description | Packaging | Manufacturer | Catalog Unit Price | DHS Unit Price | % Discount | Quantity | Extended Catalog Price | Extended DHS Price | Reference Unit Price | Reference Extended Price-All | Reference Extended Price-Bid Items Only | Extended Price Delta | % Discount on Extended Price |
| Standardized EMR Bag - Kitted | DESCRIPTION | # included | |||||||||||||
| Medical Bag - First Responder | Each | Prefilled With listed items | each | 0.0% | 500 | $0.00 | $0.00 | $94.00 | $47,000.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| First Responder Bag - Navy | 1 | ||||||||||||||
| 1" x 3" Fabric Adhesive Strip | 32 | ||||||||||||||
| 3" x 3" Sterile Gauze Pads 12 ply 2/pkg | 3 | ||||||||||||||
| 4" x 4" Sterile Gauze Pads, Packet of 2 | 10 | ||||||||||||||
| Berman Oral Airway, Colored, 8 each | 1 | ||||||||||||||
| ABD Combine Pad 5" x 9" Sterile 1's | 1 | ||||||||||||||
| Trauma Dressing 10" x 30" | 1 | ||||||||||||||
| 3" x 5yds Conforming stretch gauze, sterile | 2 | ||||||||||||||
| 6" x 5yds conforming gauze | 1 | ||||||||||||||
| Triangular Bandage 40"x40"x54" | 2 | ||||||||||||||
| Alcohol Prep Pads, Medium | 20 | ||||||||||||||
| Disposable penlights w/ pupil gauge | 1 | ||||||||||||||
| Elastic Bandage, Latex Free, 3" | 3 | ||||||||||||||
| 1" x 10yds Tape Cloth | 1 | ||||||||||||||
| 3" x 10 yds Durapore Adhesive Tape | 1 | ||||||||||||||
| Basic Aneroid/Spraguelite BP Kit, Adult, Black | 1 | ||||||||||||||
| 5" x 6" Disposable Cold Compress | 2 | ||||||||||||||
| HALO Chest Seal 2/Pack | 1 | ||||||||||||||
| Nasopharyngeal Airway 28 Fr-Medstorm | 1 | ||||||||||||||
| Eyewash 4 oz. | 1 | ||||||||||||||
| Adsafe CPR Face Shield | 2 | ||||||||||||||
| Survival Wrap, Heat Reflective 52" x 84" | 1 | ||||||||||||||
| TritonGrip SE Nitrile Gloves L, rolled pair | 8 | ||||||||||||||
| 36" Flat Gray Sam Splint | 1 | ||||||||||||||
| 7.5" EMT Shears, black handle | 1 | ||||||||||||||
| Tweezers, Mini Kit-Vial, 2-Pins | 1 | ||||||||||||||
| 24-pg First Aid booklet | 1 | ||||||||||||||
| Biohazard Bag 24" x 24", 10 gallon capacity | 1 | ||||||||||||||
| Standardized EMR Bag Refill Kit | DESCRIPTION | # included | |||||||||||||
| Standardized EMR Bag Refill Kit | Each | Refill Kit containing listed items | each | 0.0% | 500 | $0.00 | $0.00 | $47.00 | $23,500.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| 1" x 3" Fabric Adhesive Strip | 32 | ||||||||||||||
| 3" x 3" Sterile Gauze Pads 12 ply 2/pkg | 3 | ||||||||||||||
| 4" x 4" Sterile Gauze Pads, Packet of 2 | 10 | ||||||||||||||
| Berman Oral Airway, Colored, 8 each | 1 | ||||||||||||||
| ABD Combine Pad 5" x 9" Sterile 1's | 1 | ||||||||||||||
| Trauma Dressing 10" x 30" | 1 | ||||||||||||||
| 3" x 5yds Conforming stretch gauze, sterile | 2 | ||||||||||||||
| 6" x 5yds conforming gauze | 1 | ||||||||||||||
| Triangular Bandage 40"x40"x54" | 2 | ||||||||||||||
| Alcohol Prep Pads, Medium | 20 | ||||||||||||||
| Elastic Bandage, Latex Free, 3" | 3 | ||||||||||||||
| 1" x 10yds Tape Cloth | 1 | ||||||||||||||
| 3" x 10 yds Durapore Adhesive Tape | 1 | ||||||||||||||
| 5" x 6" Disposable Cold Compress | 2 | ||||||||||||||
| HALO Chest Seal 2/Pack | 1 | ||||||||||||||
| Nasopharyngeal Airway 28 Fr-Medstorm | 1 | ||||||||||||||
| Eyewash 4 oz. | 1 | ||||||||||||||
| Adsafe CPR Face Shield | 2 | ||||||||||||||
| Survival Wrap, Heat Reflective 52" x 84" | 1 | ||||||||||||||
| TritonGrip SE Nitrile Gloves L, rolled pair | 4 | ||||||||||||||
| Biohazard Bag 24" x 24", 10 gallon capacity | 1 | ||||||||||||||
| DHS IFAK | DESCRIPTION | # included | |||||||||||||
| IFAK-Kitted | Each | Prefilled with listed items | each | 0.0% | 16,000 | $0.00 | $0.00 | $70.00 | $1,120,000.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Black Pouch | 1 | ||||||||||||||
| CAT Tourniquet | 1 | ||||||||||||||
| Nitrile Gloves (pair) | 1 | ||||||||||||||
| 28fr Nasopharyngeal Airway | 1 | ||||||||||||||
| 3gr Pack Surgical Lube | 1 | ||||||||||||||
| Thin H Bandage | 1 | ||||||||||||||
| TK-4L Tourniquet | 1 | ||||||||||||||
| Wound Seal Kit | 1 | ||||||||||||||
| Pri-Med Compressed Gauze | 1 | ||||||||||||||
| Standardized BLS Bag - Kitted | DESCRIPTION | # included | |||||||||||||
| Medical Backpack - BLS | Each | Prefilled with listed items | each | 0.0% | 150 | $0.00 | $0.00 | $1,574.98 | $236,247.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||
| Conterra USAR LS Medical Response Pack-Swat Black-USR5 | 1 | ||||||||||||||
| Aluminum 'D' oxygen tank | 1 | ||||||||||||||
| Oxygen regulator | 1 | ||||||||||||||
| Pulse Oximeter (finger) | 1 | ||||||||||||||
| Infrared Ear Thermometer | 1 | ||||||||||||||
| Infrared Ear Probe | 40 | ||||||||||||||
| BP Cuff ADC Multi-Kuf | 1 | ||||||||||||||
| Kendrick Traction Splint | 1 | ||||||||||||||
| Glucometer - One touch Ultra Min | 1 | ||||||||||||||
| Glucose Test Strips for One Touch Ultra | 1 box | ||||||||||||||
| Safety lancets | 1 box | ||||||||||||||
| Nasal Cannula Adult | 1 | ||||||||||||||
| Nasal Cannula Pediatric | 1 | ||||||||||||||
| Adult Non rebreather mask | 1 | ||||||||||||||
| Pediatric non rebreather mask | 1 | ||||||||||||||
| Sharps Shuttle | 1 | ||||||||||||||
| Hot Packs | 2 | ||||||||||||||
| Ring Cutter | 1 | ||||||||||||||
| Duct tape white | 1 | ||||||||||||||
| Bulb suction device | 1 | ||||||||||||||
| BLS Field Guide, INFORMED | 1 | ||||||||||||||
| King Airway Kit | 1 | ||||||||||||||
| SOF Tactical Tourniquet | 1 | ||||||||||||||
| Conterra IV Kit | 1 | ||||||||||||||
| Conterra IV AD-wrap kit | 1 | ||||||||||||||
| IV Drip set, 10gtt | 2 | ||||||||||||||
| IV catheter Insyte auto 14 ga | 2 | ||||||||||||||
| IV catheter Insyte auto 16 ga | 2 | ||||||||||||||
| IV catheter Insyte auto 18 ga | 2 | ||||||||||||||
| IV catheter Insyte auto 20 ga | 2 | ||||||||||||||
| IV catheter Insyte auto 22 ga | 2 | ||||||||||||||
| IV catheter Insyte auto 24 ga | 2 | ||||||||||||||
| Tegaderm IV start kit | 2 | ||||||||||||||
| HALO Chest Seal | 1 | ||||||||||||||
| Petroleum gauze | 1 | ||||||||||||||
| Infection Control kit (PPE kit) | 1 | ||||||||||||||
| Triple Antibiotic Ointment tube | 2 | ||||||||||||||
| Sam Splint 36" | 1 | ||||||||||||||
| Oral airway kit | 1 | ||||||||||||||
| Nasal Airway kit 26FR-32FR | 1 ea | ||||||||||||||
| BVM adult - LAERDAL The Bag II | 1 | ||||||||||||||
| CPR Pocket mask | 1 | ||||||||||||||
| Stiffnect C-Collar, adult | 1 | ||||||||||||||
| Eye Wash | 1 | ||||||||||||||
| OB kit | 1 | ||||||||||||||
| elastic bandage 3" | 1 | ||||||||||||||
| Glucose tube | 1 | ||||||||||||||
| waterproof tape 1 inch | 1 | ||||||||||||||
| Abdominal pads | 2 | ||||||||||||||
| Trauma pads | 1 | ||||||||||||||
| Hand Sanitizer | 1 | ||||||||||||||
| Nitrile gloves (lg) | 5 pr | ||||||||||||||
| Littman Select Stethescope | 1 | ||||||||||||||
| PVP Iodine Swabs | 10 | ||||||||||||||
| Cold Packs | 2 | ||||||||||||||
| Sterile gauze 4X4 | 20 | ||||||||||||||
| Activated Charcol | 1 | ||||||||||||||
| Ammonia inhalents | 4 | ||||||||||||||
| Bloodstopper bandages | 1 | ||||||||||||||
| Eye Pads | 4 | ||||||||||||||
| Triangular bandages | 4 | ||||||||||||||
| Rolled 3" gauze | 2 | ||||||||||||||
| Rolled 4.5" kerlix gauze | 1 | ||||||||||||||
| Diposable Blanket | 1 | ||||||||||||||
| Emeregency Foil Blanket | 1 | ||||||||||||||
| EMT shears holster pack(trauma shears, hemostats, scissors, forceps, penlight | 1 | ||||||||||||||
| Alcohol prep pads | 10 | ||||||||||||||
| Activated Charcol (no sorbitol) | 1 | ||||||||||||||
| burn sheet | 1 | ||||||||||||||
| burn pad | 1 | ||||||||||||||
| Total # of Items = | 4 | TOTALS | $0.00 | $0.00 | $0.00 | ERROR:#DIV/0! | |||||||||
| # of Items the Offeror Priced = | 0 | ||||||||||||||
| % of Items the Offeror Priced = | 0% |
&P of &N
File details come from the government source that posted it. Updated .