Medical Oxygen Supply.docx

DOCX document 19 KB Posted

Attached to
Medical Oxygen Tank Rental & Supply
Solicitation number
2136581
Issued by
Queens County, New York

About this file

This is a bid sheet and solicitation document for the New York State Veterans Home at St. Albans, located in Jamaica, New York, for the procurement of medical oxygen supply and delivery services. The facility requires a vendor to supply medical-grade oxygen (USP) in E-cylinders and K-cylinders, with estimated monthly usage of 234 units and 126 units respectively. The vendor must provide cylinder rental and lease services, routine scheduled deliveries on Tuesdays and Thursdays, emergency delivery within two hours including weekends, hazardous materials handling, compliance services, and hydrostatic testing or valve maintenance as needed. The New York State intends to award a single vendor for a five-year contract term, with pricing expected to remain fixed for the first 36 months.

This procurement is restricted exclusively to New York State-certified Minority-Owned Business Enterprises (MWBE) and Service-Disabled Veteran-Owned Businesses (SDVOB) vendors under Article 15-A of the NYS Executive Law and State Finance Law 163(6). Bidders must submit itemized pricing for gas commodity costs, cylinder rental fees, delivery and service fees, and provide a five-year cost projection. Vendors must certify FDA/USP compliance with 99.5% purity lot-tracked standards and guarantee 24/7/365 emergency response capability. All successful contractors must complete vendor responsibility documentation, comply with NYS Finance Law 139 (lobbying law), provide current NYS Workers' Compensation and Disability Forms, and submit NYS Tax Law Section 5-a documentation. Interested parties should contact Cleo Villegas for procurement details, and unauthorized contact with other facility representatives may result in contract denial or vendor debarment.

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File Type Posted
QA Medical Oxygen.docx DOCX document
E and K Tanks.docx DOCX document

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Text version

Medical Oxygen Supply & Delivery — Bid Sheet Facility Name: New York State Veterans Home at St. Albans 178-50 Linden Blvd. Jamaica, NY 11434 RFB/RFP Number Vendor Name: ________________________________ Date: _______________

1. Commodity Cost (Gas Fill) Submit the cost per unit for the medical-grade oxygen ($O_2$ USP) gas fill, excluding cylinder rental.

Cylinder Type
Estimated Monthly Usage (Units)
Unit Price per Gas Fill ($)
Total Estimated Monthly Cost ($)
E-Cylinder ($O_2$ USP Fill)
234
$
$
K-Cylinder ($O_2$ USP Fill)
126
$
$

Total Monthly Commodity Cost

2. Cylinder Rental / Lease Fees Submit the monthly rental or daily "demurrage" fee for the physical cylinders held on facility grounds to maintain required par levels.

Cylinder Type
Required On-Site Par Level
Rental Fee Per Cylinder (Per Month)
Total Monthly Rental Cost ($)
E-Cylinder (Physical Tank)
80
$
$
K-Cylinder (Physical Tank)
42
$
$

Total Monthly Rental Cost

3. Delivery and Service Fees All delivery, hazardous material handling, and compliance fees must be disclosed below. Any fee not listed here will not be honored during invoicing.

Service Description
Pricing Structure
Flat Fee / Rate ($)
Routine Scheduled Delivery (Tues & Thurs)
Per Delivery Trip
$
Emergency Delivery (Within 2 Hours) including Weekends
Per Emergency Trip
$
Hazardous Materials (HazMat) Fee
Per Delivery Trip
$
Fuel Surcharge Formula (if applicable)
[Specify baseline fuel price or flat rate]
$
Hydrostatic Testing / Valve Maintenance
Per Cylinder (If billed separately)
$

4. Summary of Total Estimated Annual Cost

Cost Category
Monthly Subtotal
Multiplier

Year 1

Year 2

Year 3

Year 4

Year 5

GRAND TOTAL

Gas Commodity Total (Section 1)
$
X 12 months
Cylinder Rental Total (Section 2)
$
X 12 months
Routine Delivery Fees (Section 3)
$
X 12 months
Hydrostatic Testing / Valve Maintenance Delivery Fees
$
X 12 months
ESTIMATED TOTAL ANNUAL CONTRACT BID
$

5. Vendor Acknowledgment & Certifications By signing below, the vendor certifies that all prices submitted are fixed for the first 36 months of the contract and comply with the Scope of Work requirements. Prices submitted are accurate to the term of the contract.

· FDA / USP Compliance: Do your gases meet or exceed $99.5\%$ purity lot-tracked standards? [ ] Yes [ ] No

· Emergency Response: Can you guarantee a 2-hour response time for emergency deliveries to this facility 24/7/365? [ ] Yes [ ] No Authorized Representative Name: _______________________________________ Title: _________________________ Signature: _______________________________ Date: _______________

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