AMENDMENT 0006 RFQ HSCG84-11-Q-AA5372 SCHEDULE OF SUPPLIES - EXCEL FORMAT.xls
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AMENDMENT 0006 - TECHNICAL EXHIBIT A (EXCEL SPREADSHEET FORMAT)
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BASE PERIOD + FOUR OPTIONS
| CLIN | DESCRIPTION | EST QTY | U/I | U/P | Base Period (12/1/2011-9/30/2012) | U/P | Option One (10/1/2012-9/30/2013) | U/P | Option Two (10/1/2013-9/30/2014) | U/P | Option Three (10/1/2014-9/30/2015) | U/P | Option Four (10/1/2015-9/30/2016) | Total NTE Estimated Amount |
| FIXED/REMOVABLE PROSTHODONTICS AND ADDITIONAL ITEMS | ||||||||||||||
| X001 | Metal Ceramics | |||||||||||||
| X001AA | Porcelain Fused to High Noble Metal - RENAMED | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AB (formerly X001AH) | Porcelain Fused to High Noble Metal Bridge - RENAMED | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AC (formerly X001AB) | Captek (High Noble Gold) Crown - RENAMED | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AD (formerly X001AC) | Captek Bridge (High Noble Gold) Bridge, per unit - RENAMED | 75 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AE (formerly X001AD) | Porcelain Labial Margin | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AF (formerly X001AE) | Porcelain 360 Margin | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AG (formerly X011AA) | Cast Veneer/Metal Occlusal - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AH (formerly X011AB) | Cut and Cast Shallow Rest | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AI (formerly X011AC) | Maryland Bridge - Anterior | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AJ (formerly X011AD) | Maryland Bridge - Posterior | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X00AK (formerly X011AE) | Metal Thimble (Telescope) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AL (formerly X011AF) | Milled Telescope Coping | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AM (formerly X011AG) | Milled Lingual Bar | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001AN (formerly X011AH) | Milled Lingual Arm | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X001A0 (formerly X011AI) | Milled in Lock | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002 | Metal Free | |||||||||||||
| X002AA | Porcelain Fused to Zirconium Oxide Core, Cementable Crown - RENAMED | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AB | Porcelain Fused to Zirconium Oxide Core, Cementable Bridge - RENAMED | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AC (formerly X014AS) | Full Contour Zirconia Crown | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AD (formerly X014AJ) | e.max inlay/onlay - RENAMED | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AE (formerly X014AK) | e.max crown (stain technique) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AF (formerly X014AL) | e.max crown (cut back/layer technique) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AG (formerly X014AM) | e.max veneer (stain technique) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AH (formerly X014AN) | e.max veneer (cut back/layer technique) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AI (formerly X014AO) | Empress Cosmo Post | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AJ (formerly X014AQ) | Empress Inlay/Onlay | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AK (formerly X014AR) | Empress Veneer - DELETED | |||||||||||||
| X002AL (formerly X002AC) | Empress Esthetic Crown (stain technique) - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AM (formerly X002AD) | Empress Esthetic Crown (cutback/layer technique) - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AN (formerly X002AE) | Empress Esthetic Veneer (stain technique) - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AO (formerly X014AP) | Empress Esthetic Veneer (cutback/layer technique) - RENAMED | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AP (formerly X001AF) | Feldspathic Crown - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AQ (formerly X001AG) | Feldspathic Veneer RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AR (formerly X002AF) | Porcelain Inlay - DELETED | |||||||||||||
| X002AS (formerly X002AG) | Porcelain Onlay - DELETED | |||||||||||||
| X002AT (formerly X012AA) | Procera Zirconia (for posterior single units) | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X002AW (formerly X012AB) | Procera Alumina (for anterior single units) | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X003 | Full Metal | |||||||||||||
| X003AA | Gold Crowns and Bridges per unit | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X003AB | Gold Inlay - RENAMED | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X003AE | Gold Onlay | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X003AC | Gold Post, separate | 75 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X003AD | Gold Post, attached | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X004 | Additional Services | |||||||||||||
| X004AA (formerly X004AC) | Stress Breaker - DELETED | |||||||||||||
| X004AB (formerly X004AD) | Diagnostic Wax-Up, Occlusal, per tooth | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X004AC (formerly X004AE) | Diagnostic Wax-Up, Esthetic, per tooth | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X00AD (formerly X004AF | Acrylic Temporary, per tooth | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X00AE (formerly X004AG | Acrylic Temporary, per tooth, with reinforcement | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X004AF (formerly X004AH | Transfer or Reduction Coping | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X004AG (formerly X004AI | Pin, Pour, and Mount (dr to trim dies) - RENAMED | 75 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| REMOVABLE PROSTHODONTICS | ||||||||||||||
| X005 | Full Dentures | |||||||||||||
| X005AA | Set Up and Process | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X005AB | Custom Tray | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X005AC | Bite Rim | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006 | Partial Dentures | |||||||||||||
| X006AA | Premium Chrome Framework (Vitallium 2000 or Wironium) | 75 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006AB | Standard - DELETED | |||||||||||||
| X006AC | Complex - DELETED | |||||||||||||
| X006AD | Set Up and Process | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006AE | Altered Cast | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006AF | Wrought Wire Clasp | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006AG | Flipper/Treatment Partial | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006AH | Flipper, One or Two Teeth | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006AI | Each Additional Tooth | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X006AJ | Wire Clasp | 90 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007 | Orthodontics - HEADER DELETED | |||||||||||||
| X007 - NEW (formerly X009) | Partial Add-Ons / CLIN X009 AND CLINS X009AA to X009AI RENUMBERED UNDER NEW CLIN X007 | |||||||||||||
| X007AA (formerly X009AA) | Backing for Facing | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AB (formerly X009AB) | Boxing for Tube Tooth | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AC (formerly X009AC) | Occlusal Onlay | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AD (formerly X009AD) | Metal Dummy | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AE (formerly X009AE) | A-P Bar | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AF (formerly X009AF) | Kennedy Bar | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AG (formerly X009AG) | Lingual Plate | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AH (formerly X009AH) | D.E. Hinge | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AI (formerly X009AI) | Swing-Lock | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AJ (formerly X004AA) | Crown Fitted Under Partial (additional charge) | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X007AK (formerly X004AB) | Clasp Index System | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008 | Removables | |||||||||||||
| X008AA | Hard Night Guard | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AB | Hard Night Guard with Soft Liner | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AC (formerly X006AK) | Eclipse Heat and Seat Night Guard Classic - RENAMED | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AD (formerly X006AL) | Eclipse Heat and Seat Night Guard Hard Face - RENAMED | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AE (formerly X006AM | Eclipse Heat and Seat Night Guard Custom Fit - RENAMED | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AF (formerly X008AC) | Essix Appliance | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AG (formerly X008AD) | Nesbitt Complete | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AH | FRS Nesbitt (includes teeth) - NEW ITEM | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AI (formerly X008AE) | Lucitone FRS (includes set-up, finish, and teeth) - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AJ | Silicone Gasket - NEW ITEM | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AK (formerly X008AF) | Thermo-Flex Clasp | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AL (formerly X008AG) | Bleaching Tray | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AM (formerly X008AH) | Surgical Stint | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AN (formerly X014AT) | Sportsguard - Light / RENAMED | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AO (formerly X014AU) | Sportsguard - Medium / RENAMED | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AP (formerly X014AV) | Sportsguard - Heavy / RENAMED | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AQ (formerly X014AW) | Silent Nite Sleep Appliance | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AR (formerly X014AX) | Soft Night Guard | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AS (formerly X014AD) | Elastic Mandibular Advancement (EMA) | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X008AT | T.A.P. Sleep Apnea Appliance - NEW ITEM | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X009 | Partial Add-Ons / RENUMBERED AS CLIN X007 | |||||||||||||
| X010 | Implant Base Restorations | |||||||||||||
| X010AA | Soft Tissue Model | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AB | Implant Labor Standard | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AC | Implant Labor Complex | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AD | Surgical Stint | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AE | Atlantis Custom Abutment Titanium | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AF | Atlantis Custom Abutment Titanium – Gold Hue | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AG | Atlantis Custom Abutment Zirconia | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AH | Biomet 3i Encode Abutment - Titanium / RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AI (formerly X014AE) | Biomet 3i Encode Abutment - Zirconia / RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AJ (formerly X010AI) | Procera Titanium Abutment | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AK (formerly X010AJ) | Procera Zirconia Abutment | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AL (formerly X014AF) | Straumann Etkon Abutment- Titanium | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AM (formerly X014AG) | Straumann Etkon Abutment- Zirconia | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AN (formerly X014AH) | Custom Threaded Abutment | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AO (formerly X010AK) | Duralay Jig for Implant Positioning | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AP (formerly X010AL) | Custom Implant Tray | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X010AQ | Noble Biocare Abutment - NEW ITEM | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X011 | Metal to Ceramic Restorations - HEADER DELETED | |||||||||||||
| X012 | Metal Free Restorations - HEADER DELETED | |||||||||||||
| X013 | Composite Restorations | |||||||||||||
| X013AA | Composite Crown - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X013AB | Composite Bridge - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X013AC | Composite Inlay/Onlay - RENAMED | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014 | Miscellaneous | |||||||||||||
| X014AA | Acrylic Laminate Veneer | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AB | Acrylic Facing | 45 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AC | Omnivac Stint | 70 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AD (formerly X014AI) | Model Mount - Plastic Articulator | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AE (formerly X014AY | Etch Maryland Bridge (for re-etches and return from try-ins only) | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AF (formerly X007AA) | Snore Guard | 75 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AG (formerly X007AB) | Playsafe (mouthguard) - DELETED (see sportsguards CLIN X008) | |||||||||||||
| X014AH | Weld - NEW ITEM | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AI (formerly X007AC) | Laser Welding | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AJ (formerly X007AD) | Relines and Repairs | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AK | Tin Plating - NEW ITEM | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AL | Provide Abutment - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AM | Gingihue Post - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AN | Zireal Post - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AO | Immediate Occlusal Loading (IOL) Abutment - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AP | Conical Abutment - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AQ | Standard Abutment - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X014AR | Locator Abutment - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015 | Orthodontic Services | |||||||||||||
| X015AA | “C” Clasps Soldered to Labial Bow | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AB | 3-Way Expansion Screw | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AC | Acrylic Added to Labial Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AD | Acrylic Plate | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AE | Acrylic Spacer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AF | Adams Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AG | Anterior Bite Plate | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AH | Articulated Study Model | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AI | Band and Loop Space Maintainer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AJ | Banded Palatal Expander | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AK | Bands | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AL | Bi-HeliX | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AM | Bilateral Molar Distalizer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AN | Bionator to Close (No Midline screw) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AO | Bionator to Close (One Midline screw) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AP | Bionator to Open (No Midline screw) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AQ | Bionator to Open (One Midline screw) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AR | Bluegrass Roller | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AS | Bonded Lingual Retainer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AT | Bonded Lingual Retainer (Braided Wire) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AU | Bonded Lingual Retainer (Round Wire) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AV | Bonded Lingual Retainer (Twisted Wire) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AW | Bonded Palatal Expander | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AX | Buccal Tube Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AY | Cantilever Herbst | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015AZ | Cetlin Distalizing Spring | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BA | Ortho Study Models | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BB | Cuspid to Cuspid Adapted Labial Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BC | Cuspid to Cuspid Automatic Labial Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BD | Cuspid to Cuspid Flat Wire Labial Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BE | Cuspid to Cuspid Labial Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BF | Custom Fit Band | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BG | Dewey | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BH | Diastama Closing Spring | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BI | Distal Jet | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BJ | Distal Shoe | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BK | Double Helix Spring | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BL | Double Tube | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BM | Double Tube with Hook | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BN | Expansion Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BO | Expansion Screw | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BP | Fan Type Banded Palatal Expander | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BQ | Fan Type Expansion Screw | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BR | Finger Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BS | Finger Spring | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BT | Fixed Bite Plate | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BU | Fixed Lower Expansion Appliance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BV | Fixed Upper/Removable Lower Herbst | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BW | Flip Lock Advancement Shims | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BX | Flip Lock Herbst Kit | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BY | Flip Lock Lower Arm | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015BZ | Flip Lock Pivot | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CA | Flip Lock Upper Left Arm | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CB | Flip Lock Upper Right Arm | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CC | Frankel II | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CD | Grummons (All Metal Pendex) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CE | Haas Palatal Expander | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CF | Habit Crib | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CG | Hawley Retainer with “C” Clasps | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CH | Hawley Retainer with Adams Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CI | Hawley Retainer with Arrow Clasps | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CJ | Hawley Retainer with Ball Clasps | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CK | Hawley Retainer with Modified “C” Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CL | Hawley Retainer with No Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CM | Hawley Retainer with Occlusal Rests | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CN | Herbst | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CO | Hook | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CP | Inman Aligner Standard - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CQ | Inman Aligner with Expansion - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CR | Inman Diastama - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CS | Inman Diastama with Retractable Bow - NEW ITEM | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CT | Jasper Jumper | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CU | Kois Deprogramer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CV | Lingual Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CW | Lingual Arch with Adjustment Loop | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CX | Lingual Sheath | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CY | 6031E Lingual Tube | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015CZ | Lip Bumper | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DA | Lip Bumper with Acrylic Pads | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DB | Lower Schwarz | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DC | Lower Three Way Sagittal | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DD | Modified Hawley Retainer with Adams Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DE | Modified Spring Aligner | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DF | NAM Appliance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DG | Nance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DH | Nord Flange | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DI | One Tooth Expansion Screw | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DJ | Orthopedic Corrector to Close (2) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DK | Orthopedic Corrector to Close (3) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DL | Orthopedic Corrector to Open (2) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DM | Orthopedic Corrector to Open (3) | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DN | Overlapping Habit Cribs | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DO | Overlapping Spring | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DP | Palatal Thumb Habit Crib | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DQ | Pendex | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DR | Pendulum | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DS | Pontic Added to Appliance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DT | Quad Helix | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DU | Removable Lingual Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DV | Removable Lower Herbst | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DW | Removable Nance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DX | Removable Quad Helix | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DY | Space Closing Screw | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015DZ | Space Regainer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EA | Spring Aligner | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EB | Spring Aligner with Adams Clasps | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EC | Spring Aligner with Mushroom Spring | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015ED | Spring Aligner with Occlusal Rests | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EE | Spring Aligner with Wire Extension | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EF | Spur | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EG | Standard Rapid Palatal Expander | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EH | Step Down Lingual Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EI | Step Down Lingual Arch with Adjust | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EJ | Thumb Thrust Appliance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EK | Tongue Spinner | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EL | Tongue Thrust and Tongue Habit Appliance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EM | Tongue Habit Appliance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EN | Transpalatal Nance | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EO | Trim Study Model | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EP | True Love Acrylic Color | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EQ | Twin Block | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015ER | Unilateral Molar Distalizer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015ES | Upper Schwarz | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015ET | Upper Three Way Sagittal | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EU | Upper Two Way Sagittal | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EV | W-Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EW | Wrap Around Hawley Retainer | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EX | Wrap Around Hawley Retainer with Clasp | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EY | Wrap Around Labial Arch | 3 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X015EZ | Duplication of Models | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| X016 | Reimbursement Alloys (Not-To-Exceed Amount) - NEW ITEM | 1 | LOT | $15,000.00 | $15,000.00 | $15,000.00 | $15,000.00 | $15,000.00 | $15,000.00 | $15,000.00 | $15,000.00 | $15,000.00 | $15,000.00 | |
| X017 | Implant Parts (Not-To-Exceed Amount) - NEW ITEM | 1 | LOT | $30,000.00 | $30,000.00 | $30,000.00 | $30,000.00 | $30,000.00 | $30,000.00 | $30,000.00 | $30,000.00 | $30,000.00 | $30,000.00 | |
| TOTAL NOT-TO-EXCEED (NTE) ESTIMATED CONTRACT AMOUNT: Base Period plus Four One-Year Option Periods (CLINS 0001-0017, 1001-1017, 2001-2017, 3001-3017, and 4001-4017) | Base | $45,000.00 | One | $45,000.00 | Two | $45,000.00 | Three | $45,000.00 | Four | $45,000.00 | $225,000.00 |
&L&"Arial,Bold"RFQ HSCG84-11-Q-AA5372 AMENDMENT 0006&C&"Arial,Bold"TECHNICAL EXHIBIT A SCHEDULE OF SUPPLIES - BASE PERIOD PLUS FOUR OPTION PERIODS (EXCEL Spreadsheet Format) &R&"Arial,Bold"Page &P of &N
File details come from the government source that posted it. Updated .