Attachment_3_-_DME_A-La-Carte_Pricing.xlsx
XLSX spreadsheet 47 KB Posted
- Attached to
- Durable Medical Equipment Federal contract opportunity
- Solicitation number
- HSFE70-17-R-0020
About this file
Attachment 3 DMEA-La-Carte Pricing
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment_0002_Signed.pdf | ||
| Durable_Medical_Equipment_Questions_and_Answers.pdf | ||
| HSFE70-17-R-0020.pdf | ||
| Amendment_0001_Signed.pdf | ||
| HSFE70-17-R-0020.pdf | ||
| Attachment_4_Past_Performance.pdf | ||
| Attachment_2-DME_CLIN_Pricing_Kit.xlsx | XLSX spreadsheet | |
| Attachment_1_Statement_of_Work_DME.pdf | ||
| Attachment_1_Statement_of_Work_DME.pdf |
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Text version
Base Year
| Attachment 3, "DME A-La-Carte Pricing" | ||||||||||||||
| ITEM # | Name | Description | 0001A | 0002A | 0003A | 0004A | ||||||||
| 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | |||
| DM-001 | Bed Wedge for Bariatric COT | 24” x 24’ x12” | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-002 | Westcott 700 Cot,Bariatric w/mattress | 600 lb Capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-003 | Westcott 400 Cot w/Mattress | with Half Side Rails | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-004 | Bedside Commode | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, 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" | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-008 | Walker, Dual Release | Standard w/out Wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-009 | Walker, Dual Release | Standard w/wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-010 | Bariatric Walker, Dual Release w/wheels | Heavy duty w/wheels up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-011 | Wheelchair, Adult | 1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-012 | Wheelchair (Bariatric), Adult, XL | Overall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-014 | Canes, White | Standard Cane for the Blind | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-015 | Canes, Quad | Large Base | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children (Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-018 | Handheld Shower | With 84" Hose | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-019 | Shower Chair (Bariatric) | 700lbs; Bath Bench | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-020 | Privacy Screen | 3 Panel with Castors | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-022 | Transfer Boards | Standard for Wheelchair | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-024 | Wheelchair (Bariatric) Ramps | 6’x48”; supports up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-025 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-026 | Seated Bariatric Walker | Up to 800lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-027 | Gait Belt | 70” wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-028 | Gait Belt | 96”’ wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-029 | IV Pole 2 Hook | 4 leg; 2 hook | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-030 | Assistive listening devices | Pocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-031 | Headset (listening devices) covers | Sanitary stretchable headphone covers; fits3 inches in size headphones | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-032 | Magnifying glass | 7x LED illuminated magnifier round (needs AA batteries) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-033 | Communication Cards (picture boards) | Large with common shelter pictures | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-034 | Adapted eating devices Utensils | Food Bumper Translucent plastic (clip on) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-035 | Adapted eating devices Utensils | Comfort grip Angled Fork - Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-036 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Left hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-037 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-038 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-039 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-040 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-041 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-042 | Bedside Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-043 | Elevated toilet seat | Locking elevated; capacity 350lbs. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-044 | 3-in-1 Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-045 | Shower Mat_Non-Slip | 16”x34” Non-Slip Vinyl | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-046 | Digital Infrared Thermometer (temporal) | Digital Infrared | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-047 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-048 | Comfort Box | 1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-049 | Transfer Lift w/2 Mesh Slings | 450LB Capacity (Hoyer Lift) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-050 | Wheelchair, Pediatric | 1ea w/Foot Rest; 1ea w/Elev. Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-051 | Refrigerator(No Freezer) | Counter Height; Used for Medications | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-52 | Seated Bariatric Walker | Dual release; heavy duty w/wheels up to 800lb | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
Option 1
| Attachment 3, "DME A-La-Carte Pricing" | ||||||||||||||
| ITEM # | Name | Description | 1001A | 1002A | 1003A | 1004A | ||||||||
| 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | |||
| DM-001 | Bed Wedge for Bariatric COT | 24” x 24’ x12” | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-002 | Westcott 700 Cot,Bariatric w/mattress | 600 lb Capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-003 | Westcott 400 Cot w/Mattress | with Half Side Rails | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-004 | Bedside Commode | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, 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" | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-008 | Walker, Dual Release | Standard w/out Wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-009 | Walker, Dual Release | Standard w/wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-010 | Bariatric Walker, Dual Release w/wheels | Heavy duty w/wheels up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-011 | Wheelchair, Adult | 1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-012 | Wheelchair (Bariatric), Adult, XL | Overall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-014 | Canes, White | Standard Cane for the Blind | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-015 | Canes, Quad | Large Base | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children (Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-018 | Handheld Shower | With 84" Hose | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-019 | Shower Chair (Bariatric) | 700lbs; Bath Bench | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-020 | Privacy Screen | 3 Panel with Castors | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-022 | Transfer Boards | Standard for Wheelchair | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-024 | Wheelchair (Bariatric) Ramps | 6’x48”; supports up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-025 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-026 | Seated Bariatric Walker | Up to 800lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-027 | Gait Belt | 70” wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-028 | Gait Belt | 96”’ wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-029 | IV Pole 2 Hook | 4 leg; 2 hook | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-030 | Assistive listening devices | Pocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-031 | Headset (listening devices) covers | Sanitary stretchable headphone covers; fits3 inches in size headphones | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-032 | Magnifying glass | 7x LED illuminated magnifier round (needs AA batteries) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-033 | Communication Cards (picture boards) | Large with common shelter pictures | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-034 | Adapted eating devices Utensils | Food Bumper Translucent plastic (clip on) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-035 | Adapted eating devices Utensils | Comfort grip Angled Fork - Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-036 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Left hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-037 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-038 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-039 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-040 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-041 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-042 | Bedside Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-043 | Elevated toilet seat | Locking elevated; capacity 350lbs. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-044 | 3-in-1 Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-045 | Shower Mat_Non-Slip | 16”x34” Non-Slip Vinyl | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-046 | Digital Infrared Thermometer (temporal) | Digital Infrared | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-047 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-048 | Comfort Box | 1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-049 | Transfer Lift w/2 Mesh Slings | 450LB Capacity (Hoyer Lift) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-050 | Wheelchair, Pediatric | 1ea w/Foot Rest; 1ea w/Elev. Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-051 | Refrigerator(No Freezer) | Counter Height; Used for Medications | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-52 | Seated Bariatric Walker | Dual release; heavy duty w/wheels up to 800lb | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
Option 2
| Attachment 3, "DME A-La-Carte Pricing" | ||||||||||||||
| ITEM # | Name | Description | 2001A | 2002A | 2003A | 2004A | ||||||||
| 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | |||
| DM-001 | Bed Wedge for Bariatric COT | 24” x 24’ x12” | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-002 | Westcott 700 Cot,Bariatric w/mattress | 600 lb Capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-003 | Westcott 400 Cot w/Mattress | with Half Side Rails | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-004 | Bedside Commode | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, 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" | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-008 | Walker, Dual Release | Standard w/out Wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-009 | Walker, Dual Release | Standard w/wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-010 | Bariatric Walker, Dual Release w/wheels | Heavy duty w/wheels up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-011 | Wheelchair, Adult | 1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-012 | Wheelchair (Bariatric), Adult, XL | Overall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-014 | Canes, White | Standard Cane for the Blind | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-015 | Canes, Quad | Large Base | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children (Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-018 | Handheld Shower | With 84" Hose | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-019 | Shower Chair (Bariatric) | 700lbs; Bath Bench | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-020 | Privacy Screen | 3 Panel with Castors | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-022 | Transfer Boards | Standard for Wheelchair | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-024 | Wheelchair (Bariatric) Ramps | 6’x48”; supports up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-025 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-026 | Seated Bariatric Walker | Up to 800lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-027 | Gait Belt | 70” wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-028 | Gait Belt | 96”’ wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-029 | IV Pole 2 Hook | 4 leg; 2 hook | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-030 | Assistive listening devices | Pocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-031 | Headset (listening devices) covers | Sanitary stretchable headphone covers; fits3 inches in size headphones | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-032 | Magnifying glass | 7x LED illuminated magnifier round (needs AA batteries) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-033 | Communication Cards (picture boards) | Large with common shelter pictures | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-034 | Adapted eating devices Utensils | Food Bumper Translucent plastic (clip on) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-035 | Adapted eating devices Utensils | Comfort grip Angled Fork - Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-036 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Left hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-037 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-038 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-039 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-040 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-041 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-042 | Bedside Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-043 | Elevated toilet seat | Locking elevated; capacity 350lbs. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-044 | 3-in-1 Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-045 | Shower Mat_Non-Slip | 16”x34” Non-Slip Vinyl | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-046 | Digital Infrared Thermometer (temporal) | Digital Infrared | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-047 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-048 | Comfort Box | 1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-049 | Transfer Lift w/2 Mesh Slings | 450LB Capacity (Hoyer Lift) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-050 | Wheelchair, Pediatric | 1ea w/Foot Rest; 1ea w/Elev. Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-051 | Refrigerator(No Freezer) | Counter Height; Used for Medications | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-52 | Seated Bariatric Walker | Dual release; heavy duty w/wheels up to 800lb | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
Option 3
| Attachment 3, "DME A-La-Carte Pricing" | ||||||||||||||
| ITEM # | Name | Description | 3001A | 3002A | 3003A | 3004A | ||||||||
| 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | |||
| DM-001 | Bed Wedge for Bariatric COT | 24” x 24’ x12” | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-002 | Westcott 700 Cot,Bariatric w/mattress | 600 lb Capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-003 | Westcott 400 Cot w/Mattress | with Half Side Rails | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-004 | Bedside Commode | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, 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" | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-008 | Walker, Dual Release | Standard w/out Wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-009 | Walker, Dual Release | Standard w/wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-010 | Bariatric Walker, Dual Release w/wheels | Heavy duty w/wheels up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-011 | Wheelchair, Adult | 1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-012 | Wheelchair (Bariatric), Adult, XL | Overall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-014 | Canes, White | Standard Cane for the Blind | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-015 | Canes, Quad | Large Base | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children (Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-018 | Handheld Shower | With 84" Hose | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-019 | Shower Chair (Bariatric) | 700lbs; Bath Bench | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-020 | Privacy Screen | 3 Panel with Castors | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-022 | Transfer Boards | Standard for Wheelchair | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-024 | Wheelchair (Bariatric) Ramps | 6’x48”; supports up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-025 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-026 | Seated Bariatric Walker | Up to 800lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-027 | Gait Belt | 70” wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-028 | Gait Belt | 96”’ wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-029 | IV Pole 2 Hook | 4 leg; 2 hook | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-030 | Assistive listening devices | Pocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-031 | Headset (listening devices) covers | Sanitary stretchable headphone covers; fits3 inches in size headphones | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-032 | Magnifying glass | 7x LED illuminated magnifier round (needs AA batteries) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-033 | Communication Cards (picture boards) | Large with common shelter pictures | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-034 | Adapted eating devices Utensils | Food Bumper Translucent plastic (clip on) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-035 | Adapted eating devices Utensils | Comfort grip Angled Fork - Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-036 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Left hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-037 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-038 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-039 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-040 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-041 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-042 | Bedside Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-043 | Elevated toilet seat | Locking elevated; capacity 350lbs. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-044 | 3-in-1 Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-045 | Shower Mat_Non-Slip | 16”x34” Non-Slip Vinyl | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-046 | Digital Infrared Thermometer (temporal) | Digital Infrared | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-047 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-048 | Comfort Box | 1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-049 | Transfer Lift w/2 Mesh Slings | 450LB Capacity (Hoyer Lift) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-050 | Wheelchair, Pediatric | 1ea w/Foot Rest; 1ea w/Elev. Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-051 | Refrigerator(No Freezer) | Counter Height; Used for Medications | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-52 | Seated Bariatric Walker | Dual release; heavy duty w/wheels up to 800lb | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
Option 4
| Attachment 3, "DME A-La-Carte Pricing" | ||||||||||||||
| ITEM # | Name | Description | 4001A | 4002A | 4003A | 4004A | ||||||||
| 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | |||
| DM-001 | Bed Wedge for Bariatric COT | 24” x 24’ x12” | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-002 | Westcott 700 Cot,Bariatric w/mattress | 600 lb Capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-003 | Westcott 400 Cot w/Mattress | with Half Side Rails | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-004 | Bedside Commode | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, 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" | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-008 | Walker, Dual Release | Standard w/out Wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-009 | Walker, Dual Release | Standard w/wheels | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-010 | Bariatric Walker, Dual Release w/wheels | Heavy duty w/wheels up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-011 | Wheelchair, Adult | 1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-012 | Wheelchair (Bariatric), Adult, XL | Overall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-014 | Canes, White | Standard Cane for the Blind | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-015 | Canes, Quad | Large Base | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children (Adjustable ) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-018 | Handheld Shower | With 84" Hose | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-019 | Shower Chair (Bariatric) | 700lbs; Bath Bench | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-020 | Privacy Screen | 3 Panel with Castors | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-022 | Transfer Boards | Standard for Wheelchair | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-024 | Wheelchair (Bariatric) Ramps | 6’x48”; supports up to 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-025 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-026 | Seated Bariatric Walker | Up to 800lb capacity | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-027 | Gait Belt | 70” wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-028 | Gait Belt | 96”’ wipe able/ antimicrobial | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-029 | IV Pole 2 Hook | 4 leg; 2 hook | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-030 | Assistive listening devices | Pocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-031 | Headset (listening devices) covers | Sanitary stretchable headphone covers; fits3 inches in size headphones | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-032 | Magnifying glass | 7x LED illuminated magnifier round (needs AA batteries) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-033 | Communication Cards (picture boards) | Large with common shelter pictures | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-034 | Adapted eating devices Utensils | Food Bumper Translucent plastic (clip on) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-035 | Adapted eating devices Utensils | Comfort grip Angled Fork - Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-036 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Left hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-037 | Adapted eating devices Utensils | Comfort grip Angled Spoon-Right hand | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-038 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-039 | Adapted eating devices Utensils | Pediatric: Comfort grip spoon-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-040 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-right | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-041 | Adapted eating devices Utensils | Pediatric: Comfort grip fork-left | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-042 | Bedside Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-043 | Elevated toilet seat | Locking elevated; capacity 350lbs. | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-044 | 3-in-1 Commode | Capacity 650lbs or greater | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-045 | Shower Mat_Non-Slip | 16”x34” Non-Slip Vinyl | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-046 | Digital Infrared Thermometer (temporal) | Digital Infrared | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-047 | Ramps- (Bariatric) Walker | 6’x 48’; 800lbs | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-048 | Comfort Box | 1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-049 | Transfer Lift w/2 Mesh Slings | 450LB Capacity (Hoyer Lift) | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-050 | Wheelchair, Pediatric | 1ea w/Foot Rest; 1ea w/Elev. Leg Rest | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-051 | Refrigerator(No Freezer) | Counter Height; Used for Medications | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
| DM-52 | Seated Bariatric Walker | Dual release; heavy duty w/wheels up to 800lb | $ - 0 | 100 | $ - 0 | $ - 0 | 200 | $ - 0 | $ - 0 | 400 | $ - 0 | $ - 0 | 600 | $ - 0 |
File details come from the government source that posted it. Updated .