DME CLIN Pricing ALACARTE July 18 2012.xlsx

XLSX spreadsheet 42 KB Posted

Attached to
Durable Medical Equipment Federal contract opportunity
Solicitation number
HSFE70-12-R-0044
Issued by
Federal Emergency Management Agency Logistics Section

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Attachment 3a

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HSFE70-12-R-0044 Amendment 0002 DME IDIQ.docx DOCX document
Questions and Answers for DME IDIQ September 7 2012.docx DOCX document
IDIQ DME HSFE70-12-R-0044 Amendment 0001.docx DOCX document
DME SOW rev 8 20 2012.docx DOCX document
DME CLIN Pricing KIT July 18 2012.xlsx XLSX spreadsheet
Attachment 4 DME July 18 2012.docx DOCX document
DME CLIN Pricing ALACARTE July 18 2012.xlsx XLSX spreadsheet
DME Price Cost Schedule Section B July 18(2).xlsx XLSX spreadsheet
FINAL DME PDF.pdf PDF
Attachment 4 DME July 30 2012.docx DOCX document
DME SOW August 3 2012.docx DOCX document
DME Draft Solicitation August 9 2012.pdf PDF
DME Price Cost Schedule Section B July 18(2).xlsx XLSX spreadsheet
DME CLIN Pricing KIT July 18 2012.xlsx XLSX spreadsheet
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Text version

A La Carte - BASE

Attachment 3A, "DME A-La-Carte Pricing"0001A0002A0003A0004ASECTION D
BASE YEAR001-100 Units101-200 Units201-400 Units401-600 Units
ITEM #NameDescriptionUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceTOTAL
DM-001Bed Wedge for Bariatric Cot24” x 24’ x 12”100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-002Westcott 700 Cot, Bariatric w/mattress600 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-003Westcott 400 Cot w/ Mattresswith Half Side Rails100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-004Bedside Commode300 lb capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20"100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-010Walker, Dual ReleaseHeavy duty w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-011Wheelchair, Adult1ea w/Foot Rest; 1ea w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-012Wheelchair, Adult, XLTo 450 lb Capacity w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-014Canes, WhiteStandard Cane for the Blind100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-015Canes, QuadLarge Base100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-018Handheld ShowerWith 84" Hose100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-019Shower Chair w/Back Rest400 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-020Privacy Screen3 Panel with Castors100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-022Transfer BoardsStandard for Wheelchair100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-024Wheelchair RampsPortable, 10' long100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0

D-15

OP1

Attachment 3A, "DME A-La-Carte Pricing"1001A1002A1003A1004ASECTION D
OPTION 1001-100 Units101-200 Units201-400 Units401-600 Units
ITEM #NameDescriptionUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceTOTAL
DM-001Bed Wedge for Bariatric Cot24” x 24’ x 12”100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-002Westcott 700 Cot, Bariatric w/mattress600 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-003Westcott 400 Cot w/ Mattresswith Half Side Rails100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-004Bedside Commode300 lb capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20"100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-010Walker, Dual ReleaseHeavy duty w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-011Wheelchair, Adult1ea w/Foot Rest; 1ea w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-012Wheelchair, Adult, XLTo 450 lb Capacity w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-014Canes, WhiteStandard Cane for the Blind100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-015Canes, QuadLarge Base100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-018Handheld ShowerWith 84" Hose100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-019Shower Chair w/Back Rest400 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-020Privacy Screen3 Panel with Castors100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-022Transfer BoardsStandard for Wheelchair100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-024Wheelchair RampsPortable, 10' long100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0

OP2

Attachment 3A, "DME A-La-Carte Pricing"2001A2002A2003A2004A
OPTION 2001-100 Units101-200 Units201-400 Units401-600 Units
ITEM #NameDescriptionUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceTOTAL
DM-001Bed Wedge for Bariatric Cot24” x 24’ x 12”100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-002Westcott 700 Cot, Bariatric w/mattress600 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-003Westcott 400 Cot w/ Mattresswith Half Side Rails100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-004Bedside Commode300 lb capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20"100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-010Walker, Dual ReleaseHeavy duty w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-011Wheelchair, Adult1ea w/Foot Rest; 1ea w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-012Wheelchair, Adult, XLTo 450 lb Capacity w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-014Canes, WhiteStandard Cane for the Blind100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-015Canes, QuadLarge Base100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-018Handheld ShowerWith 84" Hose100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-019Shower Chair w/Back Rest400 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-020Privacy Screen3 Panel with Castors100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-022Transfer BoardsStandard for Wheelchair100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-024Wheelchair RampsPortable, 10' long100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0

OP3

A-LA-CARTEAttachment 3A, "DME A-La-Carte Pricing"3002A3003A3004A
OPTION 3OPTION 3001-100 Units101-200 Units201-400 Units401-600 Units
ITEM #NameDescriptionUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceTOTAL
DM-001Bed Wedge for Bariatric Cot24” x 24’ x 12”100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-002Westcott 700 Cot, Bariatric w/mattress600 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-003Westcott 400 Cot w/ Mattresswith Half Side Rails100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-004Bedside Commode300 lb capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20"100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-010Walker, Dual ReleaseHeavy duty w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-011Wheelchair, Adult1ea w/Foot Rest; 1ea w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-012Wheelchair, Adult, XLTo 450 lb Capacity w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-014Canes, WhiteStandard Cane for the Blind100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-015Canes, QuadLarge Base100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-018Handheld ShowerWith 84" Hose100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-019Shower Chair w/Back Rest400 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-020Privacy Screen3 Panel with Castors100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-022Transfer BoardsStandard for Wheelchair100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-024Wheelchair RampsPortable, 10' long100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0

OP4

Attachment 3A, "DME A-La-Carte Pricing"4001A4002A4003A4004A
OPTION 4001-100 Units101-200 Units201-400 Units401-600 Units
ITEM #NameDescriptionUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceTOTAL
DM-001Bed Wedge for Bariatric Cot24” x 24’ x 12”100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-002Westcott 700 Cot, Bariatric w/mattress600 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-003Westcott 400 Cot w/ Mattresswith Half Side Rails100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-004Bedside Commode300 lb capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20"100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-010Walker, Dual ReleaseHeavy duty w/wheels100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-011Wheelchair, Adult1ea w/Foot Rest; 1ea w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-012Wheelchair, Adult, XLTo 450 lb Capacity w/Elevated Leg Rest100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-014Canes, WhiteStandard Cane for the Blind100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-015Canes, QuadLarge Base100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-018Handheld ShowerWith 84" Hose100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-019Shower Chair w/Back Rest400 lb Capacity100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-020Privacy Screen3 Panel with Castors100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-022Transfer BoardsStandard for Wheelchair100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
DM-024Wheelchair RampsPortable, 10' long100$ - 0200$ - 0400$ - 0600$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0

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