Item Requirement Word Doc for source sought.docx
DOCX document 17 KB Posted
- Attached to
- Brand Name or Equal: Ellex Integre ProScan
- Solicitation number
- 36C26125Q0168
About this file
This is a price/cost schedule document for medical equipment procurement that lists 9 line items required by the VA Northern California Healthcare System. The items include an Ellex Integre ProScan Green Console multi-color scanning photocoagulator, Keeler Vantage Plus LIO, Ellex Total Solution Table components, various Volk lenses (Iridotomy, Super Quad 160, Area Centralis), extended warranties, and installation services.
The period of performance for all items is January 15, 2025 to March 16, 2025. Per the associated sources sought notice, responses are due by January 24, 2025 at 4:00 PM to jason.olliff@va.gov. The procurement falls under NAICS code 334510 (Electromedical and Electrotherapeutic Apparatus Manufacturing). Respondents must provide business size status, socioeconomic status, SAM registration, VetCert Registry status if applicable, country of manufacture details for Buy American Act compliance, and current commercial pricing. The VA may use GSA schedules for the final procurement, though this is only a market research effort at this stage.
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Text version
2 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ellex Integre ProScan Green Console (P/N INTEGRESCAN_G) Multi- Color Scanning Photocoagulator (532nm) Contract Period: Base POP Begin: 01-15-2025 POP End: 03-16-2025
LOCAL STOCK NUMBER: P/N INTEGRESCAN_G
Manufacturer Part No.: __________________________________ OEM Name: ___________________________________________ Country of Origin: ______________________________________
| 1.00 |
| EA |
| __________________ |
| __________________ |
Keeler Vantage Plus LIO - Green Integre Series (P/N 6341610)
POP Begin: 01-15-2025 POP End: 03-16-2025
LOCAL STOCK NUMBER: P/N 6341610
Manufacturer Part No.: __________________________________
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ellex Total Solution Table Base Only (P/N TS_ACCESS-MOBILE)
POP Begin: 01-15-2025 POP End: 03-16-2025
LOCAL STOCK NUMBER: P/N TS_ACCESS-MOBILE
Manufacturer Part No.: __________________________________
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ellex Total Solution Table Column Only (P/N Column_LV)
POP Begin: 01-15-2025 POP End: 03-16-2025 LOCAL STOCK NUMBER: P/N Column_LV Manufacturer Part No.: __________________________________
| 1.00 |
| EA |
| __________________ |
| __________________ |
Volk Iridotomy Lens (P/N 6338115)
POP Begin: 01-15-2025 POP End: 03-16-2025
LOCAL STOCK NUMBER: P/N 6338115
Manufacturer Part No.: __________________________________
| 1.00 |
| EA |
| __________________ |
| __________________ |
Volk Lens Volk Super Quad 160
POP Begin: 01-15-2025 POP End: 03-16-2025
LOCAL STOCK NUMBER: P/N XLSSUPVER
Manufacturer Part No.: __________________________________
| 1.00 |
| EA |
| __________________ |
| __________________ |
Volk Area Centralis Laser Lens
POP Begin: 01-15-2025 POP End: 03-16-2025
LOCAL STOCK NUMBER: P/N XLAREAVER
Manufacturer Part No.: __________________________________
| 3.00 |
| EA |
| __________________ |
| __________________ |
Ellex Integre Pro Scan Green-Gold 12 Month Extended Warranty
POP Begin: 01-15-2025 POP End: 03-16-2025
LOCAL STOCK NUMBER: P/N00102501
Manufacturer Part No.: __________________________________
| 1.00 |
| EA |
| __________________ |
| __________________ |
Lumibird Installation
POP Begin: 01-15-2025 POP End: 03-16-2025
Manufacturer Part No.: __________________________________
| GRAND TOTAL |
| __________________ |
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