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This pricing sheet template and related solicitation provide details for an upcoming prescription eyeglass and optician services contract for the Department of Veterans Affairs. The four-year IDIQ contract will serve VA medical centers in Northern California, Central California, and Reno, Nevada. Services include single vision, bifocal, and progressive lenses made of glass, plastic, polycarbonate, and high-index materials. Add-ons such as anti-reflective coating, tinting, and prisms will also be provided. Full-time optician staffing is priced at the hourly rate. The solicitation will be a total small business set-aside for SDVOSBs. Proposals are due approximately 30 days following issuance of the solicitation on September 3rd, 2020, with the contract to be awarded under FAR Part 12 and 15.

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36C26120R0029 0004.docx DOCX document
36C26120R0029 0003.docx DOCX document
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Base Year

VA Norther California Health Care System
Base Year (October 1, 2020 - September 30, 2021)
Line ItemDescriptionUnitEstimated 12 MO QuantityUnit PriceTotal Estimated Price
0001Single Vision
0001AEGlassPR20$ - 0$ - 0
0001AFPlastic-CR39PR3,100$ - 0$ - 0
0001AGPolycarbonatePR5,700$ - 0$ - 0
0001AHHi-IndexPR10$ - 0$ - 0
0002Bifocal
0002AEGlassPR60$ - 0$ - 0
0002AFPlastic-CR39PR2,500$ - 0$ - 0
0002AGPolycarbonatePR6,800$ - 0$ - 0
0002AHHi-IndexPR10$ - 0$ - 0
0003Trifocal
0003AEGlassPR20$ - 0$ - 0
0003AFPlastic-CR39PR200$ - 0$ - 0
0003AGPolycarbonatePR1,500$ - 0$ - 0
0003AHHi-IndexPR10$ - 0$ - 0
0004Progressive (No-Line)
0004AEGlassPR10$ - 0$ - 0
0004AFPlastic-CR39PR1,800$ - 0$ - 0
0004AGPolycarbonatePR1,864$ - 0$ - 0
0004AHHi-IndexPR10$ - 0$ - 0
0005Special Lenses / Add-Ons
0005AKPrismPR100$ - 0$ - 0
0005ALBalancedPR60$ - 0$ - 0
0005AMRoll & Polished EdgePR50$ - 0$ - 0
0005ANSlab Off PrismPR1$ - 0$ - 0
0005AOSolid/Gradient TintPR700$ - 0$ - 0
0005APAnti ReflectivePR100$ - 0$ - 0
0005AQLenses, Oversize Eye Greater Than 58PR20$ - 0$ - 0
0005ARPhotochromicPR1,512$ - 0$ - 0
0005ASPolarizedPR50$ - 0$ - 0
0005ATAsphericPR1$ - 0$ - 0
0006Lens Only
0006AESV-Glass, Plastic-CR39, Polycarbonate, Hi-IndexEA150$ - 0$ - 0
0006AFBifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
0006AGTrifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
0006AHProgressive (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
EYEGLASS TOTAL$ - 0
0007Optician Services
0007AGOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
0007AHOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
0007AIOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
0007AJOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
0007AKOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
0007ALOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
0007AMOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
0007ANOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
OPTICIAN TOTAL$ - 0
Base Year Total$ - 0

Ordering Period 1

VA Norther California Health Care System
Ordering Period One (October 1, 2021 - September 30, 2022)
Line ItemDescriptionUnitEstimated 12 MO QuantityUnit PriceTotal Estimated Price
1001Single Vision
1001AEGlassPR20$ - 0$ - 0
1001AFPlastic-CR39PR3,100$ - 0$ - 0
1001AGPolycarbonatePR5,700$ - 0$ - 0
1001AHHi-IndexPR10$ - 0$ - 0
1002Bifocal
1002AEGlassPR60$ - 0$ - 0
1002AFPlastic-CR39PR2,500$ - 0$ - 0
1002AGPolycarbonatePR6,800$ - 0$ - 0
1002AHHi-IndexPR10$ - 0$ - 0
1003Trifocal
1003AEGlassPR20$ - 0$ - 0
1003AFPlastic-CR39PR200$ - 0$ - 0
1003AGPolycarbonatePR1,500$ - 0$ - 0
1003AHHi-IndexPR10$ - 0$ - 0
1004Progressive (No-Line)
1004AEGlassPR10$ - 0$ - 0
1004AFPlastic-CR39PR1,800$ - 0$ - 0
1004AGPolycarbonatePR1,864$ - 0$ - 0
1004AHHi-IndexPR10$ - 0$ - 0
1005Special Lenses / Add-Ons
1005AKPrismPR100$ - 0$ - 0
1005ALBalancedPR60$ - 0$ - 0
1005AMRoll & Polished EdgePR50$ - 0$ - 0
1005ANSlab Off PrismPR1$ - 0$ - 0
1005AOSolid/Gradient TintPR700$ - 0$ - 0
1005APAnti ReflectivePR100$ - 0$ - 0
1005AQLenses, Oversize Eye Greater Than 58PR20$ - 0$ - 0
1005ARPhotochromicPR1,512$ - 0$ - 0
1005ASPolarizedPR50$ - 0$ - 0
1005ATAsphericPR1$ - 0$ - 0
1006Lens Only
1006AESV-Glass, Plastic-CR39, Polycarbonate, Hi-IndexEA150$ - 0$ - 0
1006AFBifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
1006AGTrifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
1006AHProgressive (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
EYEGLASS TOTAL$ - 0
1007Optician Services
1007AGOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
1007AHOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
1007AIOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
1007AJOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
1007AKOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
1007ALOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
1007AMOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
1007ANOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
OPTICIAN TOTAL$ - 0
Ordering Period 1 Total$ - 0

Ordering Period 2

VA Norther California Health Care System
Ordering Period Two (October 1, 2022 - September 30, 2023)
Line ItemDescriptionUnitEstimated 12 MO QuantityUnit PriceTotal Estimated Price
2001Single Vision
2001AEGlassPR20$ - 0$ - 0
2001AFPlastic-CR39PR3,100$ - 0$ - 0
2001AGPolycarbonatePR5,700$ - 0$ - 0
2001AHHi-IndexPR10$ - 0$ - 0
2002Bifocal
2002AEGlassPR60$ - 0$ - 0
20002AFPlastic-CR39PR2,500$ - 0$ - 0
2002AGPolycarbonatePR6,800$ - 0$ - 0
2002AHHi-IndexPR10$ - 0$ - 0
2003Trifocal
2003AEGlassPR20$ - 0$ - 0
2003AFPlastic-CR39PR200$ - 0$ - 0
2003AGPolycarbonatePR1,500$ - 0$ - 0
2003AHHi-IndexPR10$ - 0$ - 0
2004Progressive (No-Line)
2004AEGlassPR10$ - 0$ - 0
2004AFPlastic-CR39PR1,800$ - 0$ - 0
2004AGPolycarbonatePR1,864$ - 0$ - 0
2004AHHi-IndexPR10$ - 0$ - 0
2005Special Lenses / Add-Ons
2005AKPrismPR100$ - 0$ - 0
2005ALBalancedPR60$ - 0$ - 0
2005AMRoll & Polished EdgePR50$ - 0$ - 0
2005ANSlab Off PrismPR1$ - 0$ - 0
2005AOSolid/Gradient TintPR700$ - 0$ - 0
2005APAnti ReflectivePR100$ - 0$ - 0
2005AQLenses, Oversize Eye Greater Than 58PR20$ - 0$ - 0
2005ARPhotochromicPR1,512$ - 0$ - 0
2005ASPolarizedPR50$ - 0$ - 0
2005ATAsphericPR1$ - 0$ - 0
2006Lens Only
2006AESV-Glass, Plastic-CR39, Polycarbonate, Hi-IndexEA150$ - 0$ - 0
2006AFBifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
2006AGTrifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
2006AHProgressive (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
EYEGLASS TOTAL$ - 0
2007Optician Services
2007AGOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
2007AHOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
2007AIOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
2007AJOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
2007AKOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
2007ALOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
2007AMOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
2007ANOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
OPTICIAN TOTAL$ - 0
Ordering Period 2 Total$ - 0

Ordering Period 3

VA Norther California Health Care System
Ordering Period Three (October 1, 2023 - September 2024)
Line ItemDescriptionUnitEstimated 12 MO QuantityUnit PriceTotal Estimated Price
3001Single Vision
3001AEGlassPR20$ - 0$ - 0
3001AFPlastic-CR39PR3,100$ - 0$ - 0
3001AGPolycarbonatePR5,700$ - 0$ - 0
3001AHHi-IndexPR10$ - 0$ - 0
3002Bifocal
3002AEGlassPR60$ - 0$ - 0
3002AFPlastic-CR39PR2,500$ - 0$ - 0
3002AGPolycarbonatePR6,800$ - 0$ - 0
3002AHHi-IndexPR10$ - 0$ - 0
3003Trifocal
3003AEGlassPR20$ - 0$ - 0
3003AFPlastic-CR39PR200$ - 0$ - 0
3003AGPolycarbonatePR1,500$ - 0$ - 0
3003AHHi-IndexPR10$ - 0$ - 0
3004Progressive (No-Line)
3004AEGlassPR10$ - 0$ - 0
30004AFPlastic-CR39PR1,800$ - 0$ - 0
3004AGPolycarbonatePR1,864$ - 0$ - 0
3004AHHi-IndexPR10$ - 0$ - 0
3005Special Lenses / Add-Ons
3005AKPrismPR100$ - 0$ - 0
3005ALBalancedPR60$ - 0$ - 0
3005AMRoll & Polished EdgePR50$ - 0$ - 0
3005ANSlab Off PrismPR1$ - 0$ - 0
3005AOSolid/Gradient TintPR700$ - 0$ - 0
3005APAnti ReflectivePR100$ - 0$ - 0
3005AQLenses, Oversize Eye Greater Than 58PR20$ - 0$ - 0
3005ARPhotochromicPR1,512$ - 0$ - 0
3005ASPolarizedPR50$ - 0$ - 0
3005ATAsphericPR1$ - 0$ - 0
3006Lens Only
3006AESV-Glass, Plastic-CR39, Polycarbonate, Hi-IndexEA150$ - 0$ - 0
3006AFBifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
3006AGTrifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
3006AHProgressive (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
EYEGLASS TOTAL$ - 0
3007Optician Services
3007AGOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
3007AHOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
3007AIOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
3007AJOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
3007AKOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
3007ALOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
3007AMOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
3007ANOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
OPTICIAN TOTAL$ - 0
Ordering Period 3 Total$ - 0

Ordering Period 4

VA Norther California Health Care System
Ordering Period Four (October 1, 2024 - September 30, 2025)
Line ItemDescriptionUnitEstimated 12 MO QuantityUnit PriceTotal Estimated Price
4001Single Vision
4001AEGlassPR20$ - 0$ - 0
4001AFPlastic-CR39PR3,100$ - 0$ - 0
4001AGPolycarbonatePR5,700$ - 0$ - 0
4001AHHi-IndexPR10$ - 0$ - 0
4002Bifocal
4002AEGlassPR60$ - 0$ - 0
4002AFPlastic-CR39PR2,500$ - 0$ - 0
4002AGPolycarbonatePR6,800$ - 0$ - 0
4002AHHi-IndexPR10$ - 0$ - 0
4003Trifocal
4003AEGlassPR20$ - 0$ - 0
4003AFPlastic-CR39PR200$ - 0$ - 0
4003AGPolycarbonatePR1,500$ - 0$ - 0
4003AHHi-IndexPR10$ - 0$ - 0
4004Progressive (No-Line)
4004AEGlassPR10$ - 0$ - 0
4004AFPlastic-CR39PR1,800$ - 0$ - 0
4004AGPolycarbonatePR1,864$ - 0$ - 0
4004AHHi-IndexPR10$ - 0$ - 0
4005Special Lenses / Add-Ons
4005AKPrismPR100$ - 0$ - 0
4005ALBalancedPR60$ - 0$ - 0
4005AMRoll & Polished EdgePR50$ - 0$ - 0
4005ANSlab Off PrismPR1$ - 0$ - 0
4005AOSolid/Gradient TintPR700$ - 0$ - 0
4005APAnti ReflectivePR100$ - 0$ - 0
4005AQLenses, Oversize Eye Greater Than 58PR20$ - 0$ - 0
4005ARPhotochromicPR1,512$ - 0$ - 0
4005ASPolarizedPR50$ - 0$ - 0
4005ATAsphericPR1$ - 0$ - 0
4006Lens Only
4006AESV-Glass, Plastic-CR39, Polycarbonate, Hi-IndexEA150$ - 0$ - 0
4006AFBifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
4006AGTrifocal (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
4006AHProgressive (Plastic-CR39, Hi-Index, Polycarbonate)EA150$ - 0$ - 0
EYEGLASS TOTAL$ - 0
4007Optician Services
4007AGOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
4007AHOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
4007AIOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
4007AJOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
4007AKOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
4007ALOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
4007AMOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
4007ANOptician, Full Time Employee (FTE)HR2080$ - 0$ - 0
OPTICIAN TOTAL$ - 0
Ordering Period 4 Total$ - 0

Base & 4 Ordering Periods Grand Total $ - 0

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