Attachment_2-DME_CLIN_Pricing_Kit.xlsx

XLSX spreadsheet 38 KB Posted

Attached to
Durable Medical Equipment Federal contract opportunity
Solicitation number
HSFE70-17-R-0020
Issued by
Federal Emergency Management Agency Headquarters Office of the Chief Procurement Officer

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Attachment 2 DME CLIN Pricing Kit

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Amendment_0002_Signed.pdf PDF
Durable_Medical_Equipment_Questions_and_Answers.pdf PDF
HSFE70-17-R-0020.pdf PDF
Amendment_0001_Signed.pdf PDF
Attachment_1_Statement_of_Work_DME.pdf PDF
HSFE70-17-R-0020.pdf PDF
Attachment_4_Past_Performance.pdf PDF
Attachment_3_-_DME_A-La-Carte_Pricing.xlsx XLSX spreadsheet
Attachment_1_Statement_of_Work_DME.pdf PDF

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Text version

DME Base Year

Attachment 2 - DME CLIN Pricing Kit
CLIN 0001CLIN 0002CLIN 0003CLIN 0004CLIN 0005CLIN 0006
ITEM #NameDescriptionQuantityASSYMBLED KIT PRICE (001-050)ASSYMBLED KIT PRICE (051-150)ASSYMBLED KIT PRICE (151-300)ASSYMBLED KIT PRICE (301-500)ASSYMBLED KIT PRICE (501-750)DELIVERY COST
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”3 eachN/AN/AN/AN/AN/ATBD
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity3 eachN/AN/AN/AN/AN/ATBD
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails5 eachN/AN/AN/AN/AN/ATBD
DM-004Bedside Commode300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
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"2 eachN/AN/AN/AN/AN/ATBD
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.1 eachN/AN/AN/AN/AN/ATBD
DM-008Walker, Dual ReleaseStandard w/out Wheels1 eachN/AN/AN/AN/AN/ATBD
DM-009Walker, Dual ReleaseStandard w/wheels1 eachN/AN/AN/AN/AN/ATBD
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest1 eachN/AN/AN/AN/AN/ATBD
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish2 eachN/AN/AN/AN/AN/ATBD
DM-014Canes, WhiteStandard Cane for the Blind2 eachN/AN/AN/AN/AN/ATBD
DM-015Canes, QuadLarge Base2 eachN/AN/AN/AN/AN/ATBD
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )2 pairN/AN/AN/AN/AN/ATBD
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )1 pairN/AN/AN/AN/AN/ATBD
DM-018Handheld ShowerWith 84" Hose2 eachN/AN/AN/AN/AN/ATBD
DM-019Shower Chair (Bariatric)700lbs; Bath Bench2 eachN/AN/AN/AN/AN/ATBD
DM-020Privacy Screen3 Panel with Castors10 eachN/AN/AN/AN/AN/ATBD
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated2 eachN/AN/AN/AN/AN/ATBD
DM-022Transfer BoardsStandard for Wheelchair2 eachN/AN/AN/AN/AN/ATBD
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H2 eachN/AN/AN/AN/AN/ATBD
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-026Seated Bariatric WalkerUp to 800lb capacity1 eachN/AN/AN/AN/AN/ATBD
DM-027Gait Belt70” wipe able/ antimicrobial2 eachN/AN/AN/AN/AN/ATBD
DM-028Gait Belt96”’ wipe able/ antimicrobial1 eachN/AN/AN/AN/AN/ATBD
DM-029IV Pole 2 Hook4 leg; 2 hook2 eachN/AN/AN/AN/AN/ATBD
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone2 eachN/AN/AN/AN/AN/ATBD
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones500 eachN/AN/AN/AN/AN/ATBD
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)1 eachN/AN/AN/AN/AN/ATBD
DM-033Communication Cards (picture boards)Large with common shelter pictures2 eachN/AN/AN/AN/AN/ATBD
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)2 eachN/AN/AN/AN/AN/ATBD
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand2 eachN/AN/AN/AN/AN/ATBD
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left1 eachN/AN/AN/AN/AN/ATBD
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right1 eachN/AN/AN/AN/AN/ATBD
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right1 eachN/AN/AN/AN/AN/ATBD
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left1 eachN/AN/AN/AN/AN/ATBD
DM-042Bedside CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.1 eachN/AN/AN/AN/AN/ATBD
DM-0443-in-1 CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl4 eachN/AN/AN/AN/AN/ATBD
DM-046Digital Infrared Thermometer (temporal)Digital Infrared½ dozenN/AN/AN/AN/AN/ATBD
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sox for Bariatric Resident10 eachN/AN/AN/AN/AN/ATBD
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)2 eachN/AN/AN/AN/AN/ATBD
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications2 eachN/AN/AN/AN/AN/ATBD
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb1eachN/AN/AN/AN/AN/ATBD

Option Year 1

Attachment 2 - DME CLIN Pricing Kit
CLIN 1001CLIN 1002CLIN 1003CLIN 1004CLIN 1005CLIN 1006
ITEM #NameDescriptionQuantityASSYMBLED KIT PRICE (001-050)ASSYMBLED KIT PRICE (051-150)ASSYMBLED KIT PRICE (151-300)ASSYMBLED KIT PRICE (301-500)ASSYMBLED KIT PRICE (501-750)DELIVERY COST
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”3 eachN/AN/AN/AN/AN/ATBD
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity3 eachN/AN/AN/AN/AN/ATBD
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails5 eachN/AN/AN/AN/AN/ATBD
DM-004Bedside Commode300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
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"2 eachN/AN/AN/AN/AN/ATBD
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.1 eachN/AN/AN/AN/AN/ATBD
DM-008Walker, Dual ReleaseStandard w/out Wheels1 eachN/AN/AN/AN/AN/ATBD
DM-009Walker, Dual ReleaseStandard w/wheels1 eachN/AN/AN/AN/AN/ATBD
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest1 eachN/AN/AN/AN/AN/ATBD
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish2 eachN/AN/AN/AN/AN/ATBD
DM-014Canes, WhiteStandard Cane for the Blind2 eachN/AN/AN/AN/AN/ATBD
DM-015Canes, QuadLarge Base2 eachN/AN/AN/AN/AN/ATBD
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )2 pairN/AN/AN/AN/AN/ATBD
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )1 pairN/AN/AN/AN/AN/ATBD
DM-018Handheld ShowerWith 84" Hose2 eachN/AN/AN/AN/AN/ATBD
DM-019Shower Chair (Bariatric)700lbs; Bath Bench2 eachN/AN/AN/AN/AN/ATBD
DM-020Privacy Screen3 Panel with Castors10 eachN/AN/AN/AN/AN/ATBD
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated2 eachN/AN/AN/AN/AN/ATBD
DM-022Transfer BoardsStandard for Wheelchair2 eachN/AN/AN/AN/AN/ATBD
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H2 eachN/AN/AN/AN/AN/ATBD
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-026Seated Bariatric WalkerUp to 800lb capacity1 eachN/AN/AN/AN/AN/ATBD
DM-027Gait Belt70” wipe able/ antimicrobial2 eachN/AN/AN/AN/AN/ATBD
DM-028Gait Belt96”’ wipe able/ antimicrobial1 eachN/AN/AN/AN/AN/ATBD
DM-029IV Pole 2 Hook4 leg; 2 hook2 eachN/AN/AN/AN/AN/ATBD
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone2 eachN/AN/AN/AN/AN/ATBD
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones500 eachN/AN/AN/AN/AN/ATBD
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)1 eachN/AN/AN/AN/AN/ATBD
DM-033Communication Cards (picture boards)Large with common shelter pictures2 eachN/AN/AN/AN/AN/ATBD
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)2 eachN/AN/AN/AN/AN/ATBD
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand2 eachN/AN/AN/AN/AN/ATBD
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left1 eachN/AN/AN/AN/AN/ATBD
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right1 eachN/AN/AN/AN/AN/ATBD
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right1 eachN/AN/AN/AN/AN/ATBD
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left1 eachN/AN/AN/AN/AN/ATBD
DM-042Bedside CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.1 eachN/AN/AN/AN/AN/ATBD
DM-0443-in-1 CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl4 eachN/AN/AN/AN/AN/ATBD
DM-046Digital Infrared Thermometer (temporal)Digital Infrared½ dozenN/AN/AN/AN/AN/ATBD
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sox for Bariatric Resident10 eachN/AN/AN/AN/AN/ATBD
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)2 eachN/AN/AN/AN/AN/ATBD
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications2 eachN/AN/AN/AN/AN/ATBD
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb1eachN/AN/AN/AN/AN/ATBD

Option Year 2

Attachment 2 - DME CLIN Pricing Kit
CLIN 2001CLIN 2002CLIN 2003CLIN 2004CLIN 2005CLIN 2006
ITEM #NameDescriptionQuantityASSYMBLED KIT PRICE (001-050)ASSYMBLED KIT PRICE (051-150)ASSYMBLED KIT PRICE (151-300)ASSYMBLED KIT PRICE (301-500)ASSYMBLED KIT PRICE (501-750)DELIVERY COST
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”3 eachN/AN/AN/AN/AN/ATBD
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity3 eachN/AN/AN/AN/AN/ATBD
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails5 eachN/AN/AN/AN/AN/ATBD
DM-004Bedside Commode300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
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"2 eachN/AN/AN/AN/AN/ATBD
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.1 eachN/AN/AN/AN/AN/ATBD
DM-008Walker, Dual ReleaseStandard w/out Wheels1 eachN/AN/AN/AN/AN/ATBD
DM-009Walker, Dual ReleaseStandard w/wheels1 eachN/AN/AN/AN/AN/ATBD
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest1 eachN/AN/AN/AN/AN/ATBD
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish2 eachN/AN/AN/AN/AN/ATBD
DM-014Canes, WhiteStandard Cane for the Blind2 eachN/AN/AN/AN/AN/ATBD
DM-015Canes, QuadLarge Base2 eachN/AN/AN/AN/AN/ATBD
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )2 pairN/AN/AN/AN/AN/ATBD
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )1 pairN/AN/AN/AN/AN/ATBD
DM-018Handheld ShowerWith 84" Hose2 eachN/AN/AN/AN/AN/ATBD
DM-019Shower Chair (Bariatric)700lbs; Bath Bench2 eachN/AN/AN/AN/AN/ATBD
DM-020Privacy Screen3 Panel with Castors10 eachN/AN/AN/AN/AN/ATBD
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated2 eachN/AN/AN/AN/AN/ATBD
DM-022Transfer BoardsStandard for Wheelchair2 eachN/AN/AN/AN/AN/ATBD
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H2 eachN/AN/AN/AN/AN/ATBD
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-026Seated Bariatric WalkerUp to 800lb capacity1 eachN/AN/AN/AN/AN/ATBD
DM-027Gait Belt70” wipe able/ antimicrobial2 eachN/AN/AN/AN/AN/ATBD
DM-028Gait Belt96”’ wipe able/ antimicrobial1 eachN/AN/AN/AN/AN/ATBD
DM-029IV Pole 2 Hook4 leg; 2 hook2 eachN/AN/AN/AN/AN/ATBD
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone2 eachN/AN/AN/AN/AN/ATBD
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones500 eachN/AN/AN/AN/AN/ATBD
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)1 eachN/AN/AN/AN/AN/ATBD
DM-033Communication Cards (picture boards)Large with common shelter pictures2 eachN/AN/AN/AN/AN/ATBD
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)2 eachN/AN/AN/AN/AN/ATBD
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand2 eachN/AN/AN/AN/AN/ATBD
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left1 eachN/AN/AN/AN/AN/ATBD
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right1 eachN/AN/AN/AN/AN/ATBD
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right1 eachN/AN/AN/AN/AN/ATBD
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left1 eachN/AN/AN/AN/AN/ATBD
DM-042Bedside CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.1 eachN/AN/AN/AN/AN/ATBD
DM-0443-in-1 CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl4 eachN/AN/AN/AN/AN/ATBD
DM-046Digital Infrared Thermometer (temporal)Digital Infrared½ dozenN/AN/AN/AN/AN/ATBD
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sox for Bariatric Resident10 eachN/AN/AN/AN/AN/ATBD
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)2 eachN/AN/AN/AN/AN/ATBD
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications2 eachN/AN/AN/AN/AN/ATBD
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb1eachN/AN/AN/AN/AN/ATBD

Option Year 3

Attachment 2 - DME CLIN Pricing Kit
CLIN 3001CLIN 3002CLIN 3003CLIN 3004CLIN 3005CLIN 3006
ITEM #NameDescriptionQuantityASSYMBLED KIT PRICE (001-050)ASSYMBLED KIT PRICE (051-150)ASSYMBLED KIT PRICE (151-300)ASSYMBLED KIT PRICE (301-500)ASSYMBLED KIT PRICE (501-750)DELIVERY COST
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”3 eachN/AN/AN/AN/AN/ATBD
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity3 eachN/AN/AN/AN/AN/ATBD
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails5 eachN/AN/AN/AN/AN/ATBD
DM-004Bedside Commode300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
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"2 eachN/AN/AN/AN/AN/ATBD
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.1 eachN/AN/AN/AN/AN/ATBD
DM-008Walker, Dual ReleaseStandard w/out Wheels1 eachN/AN/AN/AN/AN/ATBD
DM-009Walker, Dual ReleaseStandard w/wheels1 eachN/AN/AN/AN/AN/ATBD
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest1 eachN/AN/AN/AN/AN/ATBD
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish2 eachN/AN/AN/AN/AN/ATBD
DM-014Canes, WhiteStandard Cane for the Blind2 eachN/AN/AN/AN/AN/ATBD
DM-015Canes, QuadLarge Base2 eachN/AN/AN/AN/AN/ATBD
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )2 pairN/AN/AN/AN/AN/ATBD
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )1 pairN/AN/AN/AN/AN/ATBD
DM-018Handheld ShowerWith 84" Hose2 eachN/AN/AN/AN/AN/ATBD
DM-019Shower Chair (Bariatric)700lbs; Bath Bench2 eachN/AN/AN/AN/AN/ATBD
DM-020Privacy Screen3 Panel with Castors10 eachN/AN/AN/AN/AN/ATBD
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated2 eachN/AN/AN/AN/AN/ATBD
DM-022Transfer BoardsStandard for Wheelchair2 eachN/AN/AN/AN/AN/ATBD
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H2 eachN/AN/AN/AN/AN/ATBD
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-026Seated Bariatric WalkerUp to 800lb capacity1 eachN/AN/AN/AN/AN/ATBD
DM-027Gait Belt70” wipe able/ antimicrobial2 eachN/AN/AN/AN/AN/ATBD
DM-028Gait Belt96”’ wipe able/ antimicrobial1 eachN/AN/AN/AN/AN/ATBD
DM-029IV Pole 2 Hook4 leg; 2 hook2 eachN/AN/AN/AN/AN/ATBD
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone2 eachN/AN/AN/AN/AN/ATBD
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones500 eachN/AN/AN/AN/AN/ATBD
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)1 eachN/AN/AN/AN/AN/ATBD
DM-033Communication Cards (picture boards)Large with common shelter pictures2 eachN/AN/AN/AN/AN/ATBD
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)2 eachN/AN/AN/AN/AN/ATBD
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand2 eachN/AN/AN/AN/AN/ATBD
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left1 eachN/AN/AN/AN/AN/ATBD
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right1 eachN/AN/AN/AN/AN/ATBD
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right1 eachN/AN/AN/AN/AN/ATBD
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left1 eachN/AN/AN/AN/AN/ATBD
DM-042Bedside CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.1 eachN/AN/AN/AN/AN/ATBD
DM-0443-in-1 CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl4 eachN/AN/AN/AN/AN/ATBD
DM-046Digital Infrared Thermometer (temporal)Digital Infrared½ dozenN/AN/AN/AN/AN/ATBD
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sox for Bariatric Resident10 eachN/AN/AN/AN/AN/ATBD
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)2 eachN/AN/AN/AN/AN/ATBD
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications2 eachN/AN/AN/AN/AN/ATBD
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb1eachN/AN/AN/AN/AN/ATBD

Option Year 4

Attachment 2 - DME CLIN Pricing Kit
CLIN 4001CLIN4002CLIN 4003CLIN 4004CLIN 4005CLIN 4006
ITEM #NameDescriptionQuantityASSYMBLED KIT PRICE (001-050)ASSYMBLED KIT PRICE (051-150)ASSYMBLED KIT PRICE (151-300)ASSYMBLED KIT PRICE (301-500)ASSYMBLED KIT PRICE (501-750)DELIVERY COST
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”3 eachN/AN/AN/AN/AN/ATBD
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity3 eachN/AN/AN/AN/AN/ATBD
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails5 eachN/AN/AN/AN/AN/ATBD
DM-004Bedside Commode300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity2 eachN/AN/AN/AN/AN/ATBD
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"2 eachN/AN/AN/AN/AN/ATBD
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.1 eachN/AN/AN/AN/AN/ATBD
DM-008Walker, Dual ReleaseStandard w/out Wheels1 eachN/AN/AN/AN/AN/ATBD
DM-009Walker, Dual ReleaseStandard w/wheels1 eachN/AN/AN/AN/AN/ATBD
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest1 eachN/AN/AN/AN/AN/ATBD
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish2 eachN/AN/AN/AN/AN/ATBD
DM-014Canes, WhiteStandard Cane for the Blind2 eachN/AN/AN/AN/AN/ATBD
DM-015Canes, QuadLarge Base2 eachN/AN/AN/AN/AN/ATBD
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )2 pairN/AN/AN/AN/AN/ATBD
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )1 pairN/AN/AN/AN/AN/ATBD
DM-018Handheld ShowerWith 84" Hose2 eachN/AN/AN/AN/AN/ATBD
DM-019Shower Chair (Bariatric)700lbs; Bath Bench2 eachN/AN/AN/AN/AN/ATBD
DM-020Privacy Screen3 Panel with Castors10 eachN/AN/AN/AN/AN/ATBD
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated2 eachN/AN/AN/AN/AN/ATBD
DM-022Transfer BoardsStandard for Wheelchair2 eachN/AN/AN/AN/AN/ATBD
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H2 eachN/AN/AN/AN/AN/ATBD
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-026Seated Bariatric WalkerUp to 800lb capacity1 eachN/AN/AN/AN/AN/ATBD
DM-027Gait Belt70” wipe able/ antimicrobial2 eachN/AN/AN/AN/AN/ATBD
DM-028Gait Belt96”’ wipe able/ antimicrobial1 eachN/AN/AN/AN/AN/ATBD
DM-029IV Pole 2 Hook4 leg; 2 hook2 eachN/AN/AN/AN/AN/ATBD
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone2 eachN/AN/AN/AN/AN/ATBD
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones500 eachN/AN/AN/AN/AN/ATBD
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)1 eachN/AN/AN/AN/AN/ATBD
DM-033Communication Cards (picture boards)Large with common shelter pictures2 eachN/AN/AN/AN/AN/ATBD
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)2 eachN/AN/AN/AN/AN/ATBD
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand2 eachN/AN/AN/AN/AN/ATBD
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand2 eachN/AN/AN/AN/AN/ATBD
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left1 eachN/AN/AN/AN/AN/ATBD
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right1 eachN/AN/AN/AN/AN/ATBD
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right1 eachN/AN/AN/AN/AN/ATBD
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left1 eachN/AN/AN/AN/AN/ATBD
DM-042Bedside CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.1 eachN/AN/AN/AN/AN/ATBD
DM-0443-in-1 CommodeCapacity 650lbs or greater1 eachN/AN/AN/AN/AN/ATBD
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl4 eachN/AN/AN/AN/AN/ATBD
DM-046Digital Infrared Thermometer (temporal)Digital Infrared½ dozenN/AN/AN/AN/AN/ATBD
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs1 eachN/AN/AN/AN/AN/ATBD
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sox for Bariatric Resident10 eachN/AN/AN/AN/AN/ATBD
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)2 eachN/AN/AN/AN/AN/ATBD
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest2 eachN/AN/AN/AN/AN/ATBD
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications2 eachN/AN/AN/AN/AN/ATBD
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb1eachN/AN/AN/AN/AN/ATBD

File details come from the government source that posted it. Updated .