Attachment_C-Price_Schedule_Template-Refrigerated_Gases.pdf

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NIMH Refrigerated Liquid Gases
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NIMH19002601
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Attachment C: Price Schedule Template

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National Institute of Mental Health (NIMH) refrigerated liquid gases

Attachment C: Price Schedule Template

Contractor Name: ----------------------------------------------------------------------------------------------------------

DUNS: ----------------------------------------------------------------------------------------------------------

Year One (April 27, 2019 – April 26, 2020):

Item

Number Description Unit Unit Price ($)

0001 Nitrogen as specified in the purchase description

Gallon

0002 Oxygen as specified in the purchase description

Gallon

0003 Carbon Dioxide as specified in the purchase description

Pound

0004 Leasing, maintenance, and telemetry services as specified in the purchase description

12 Month

Year Two (April 27, 2020 – April 26, 2021):

Item

Number Description Unit Unit Price ($)

1001 Nitrogen as specified in the purchase description

Gallon

1002 Oxygen as specified in the purchase description

Gallon

1003 Carbon Dioxide as specified in the purchase description

Pound

1004 Leasing, maintenance, and telemetry services as specified in the purchase description

12 Month

Year Three (April 27, 2021 – April 26, 2022):

Item

Number Description Unit Unit Price ($)

2001 Nitrogen as specified in the purchase description

Gallon

2002 Oxygen as specified in the purchase description

Gallon

2003 Carbon Dioxide as specified in the purchase description

Pound

2004 Leasing, maintenance, and telemetry services as specified in the purchase description

12 Month

National Institute of Mental Health (NIMH) refrigerated liquid gases

Year Four (April 27, 2022 – April 26, 2023):

Item

Number Description Unit Unit Price ($)

3001 Nitrogen as specified in the purchase description

Gallon

3002 Oxygen as specified in the purchase description

Gallon

3003 Carbon Dioxide as specified in the purchase description

Pound

3004 Leasing, maintenance, and telemetry services as specified in the purchase description

12 Month

Year Five (April 27, 2023 – April 26, 2024):

Item

Number Description Unit Unit Price ($)

4001 Nitrogen as specified in the purchase description

Gallon

4002 Oxygen as specified in the purchase description

Gallon

4003 Carbon Dioxide as specified in the purchase description

Pound

4004 Leasing, maintenance, and telemetry services as specified in the purchase description

12 Month

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