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| SOLICITATION #HT9404-12-Q-0066 | | | |
| LIQUID GASES FOR USUHS AND AFRRI | | | |
| OFFEROR NAME: | | | |
| INSTRUCTIONS: Please complete the cells highlighted in yellow. Formulas have already been entered to calculate the total amounts. | | | |
| CLIN 0001: BASE YEAR. POP: 11 AUG 2012 - 10 AUG 2013 | | | |
| Product | Cost Per Liter | Estimate Per Year (in liters) | Total Cost |
| Liquid Nitrogen | $ - 0 | 130,000 | $ - 0 |
| Product | Cost per Tank (180 liters) | Estimate Per Year | Total Cost |
| Liquid Argon | $ - 0 | 12 | $ - 0 |
| Service | Cost Per Month | Months | Total Cost |
| Liquid Nitrogen Telemetry - USUHS | $ - 0 | 12 | $ - 0 |
| Liquid Nitrogen Telemetry - AFRRI | $ - 0 | 12 | $ - 0 |
| Liquid Argon Container Rentals | $ - 0 | 12 | $ - 0 |
| | Total Annual Cost (Base Year) | $ - 0 |
| CLIN 1001: OPTION YEAR I. POP: 11 AUG 2013 - 10 AUG 2014 | | | |
| Product | Cost Per Liter | Estimate Per Year (in liters) | Total Cost |
| Liquid Nitrogen | $ - 0 | 130,000 | $ - 0 |
| Product | Cost per Tank (160 liters) | Estimate Per Year | Total Cost |
| Liquid Argon | $ - 0 | 12 | $ - 0 |
| Service | Cost Per Month | Months | Total Cost |
| Liquid Nitrogen Telemetry - USUHS | $ - 0 | 12 | $ - 0 |
| Liquid Nitrogen Telemetry - AFRRI | $ - 0 | 12 | $ - 0 |
| Liquid Argon Container Rentals | $ - 0 | 12 | $ - 0 |
| | Total Annual Cost (Option Year I) | $ - 0 |
| CLIN 2001: OPTION YEAR II. POP: 11 AUG 2014 - 10 AUG 2015 | | | |
| Product | Cost Per Liter | Estimate Per Year (in liters) | Total Cost |
| Liquid Nitrogen | $ - 0 | 130,000 | $ - 0 |
| Product | Cost per Tank (160 liters) | Estimate Per Year | Total Cost |
| Liquid Argon | $ - 0 | 12 | $ - 0 |
| Service | Cost Per Month | Months | Total Cost |
| Liquid Nitrogen Telemetry - USUHS | $ - 0 | 12 | $ - 0 |
| Liquid Nitrogen Telemetry - AFRRI | $ - 0 | 12 | $ - 0 |
| Liquid Argon Container Rentals | $ - 0 | 12 | $ - 0 |
Total Annual Cost (Option Year II) $ - 0
TOTAL QUOTE AMOUNT (BASE PLUS ALL OPTIONS) $ - 0
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