Offeror pricing Spreadsheet - Prescription Safety Eyewear 8-5-2022 (1) (1).xlsx

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Prescription Safety Eyewear
Solicitation number
47QFSA22Q0131
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RFQ Price Sheet -47QFSA22K0098

PRICING TEMPLATE
Component Name:Fleet Readiness Center SEProject Title:Prescription Safety Eyeweare (PSE)
Date:Project Number:47QFSA22K0098
INSTRUCTIONS
ColumnsComplete all columns.
Item(s)Add/delete rows as applicable (ensure item subtotal includes amounts from added rows).
BaseOption 1Option 2Option 3Option 4Option to extend up to 6 months
POP 16SEP22-15SEP23POP 16SEP23-15SEP24POP 16SEP24-15SEP25POP 16SEP25-15SEP26POP 16SEP26-15SEP27POP 16SEP27-15MAR28
Item(s)QuantityUnit CostAmountQuantityUnit CostAmountQuantityUnit CostAmountQuantityUnit CostAmountQuantityUnit CostAmountQuantityUnit CostAmount
Single Vision lenses55$0.0055$0.00$0.0055$0.0055$0.0055$0.0027.5$0.00
Single Vision lenses w/Transitions35$0.0035$0.00$0.0035$0.0035$0.0035$0.0017.5$0.00
Bifocal lenses (FT-28)76$0.0076$0.00$0.0076$0.0076$0.0076$0.0038$0.00
Bifocal lenses (FT-28) w/Transitions18$0.0018$0.00$0.0018$0.0018$0.0018$0.009$0.00
Bifocal Lenses (FT-35)14$0.0014$0.00$0.0014$0.0014$0.0014$0.007$0.00
Bifocal Lenses (FT-35) w/Transitions10$0.0010$0.00$0.0010$0.0010$0.0010$0.005$0.00
Double Segmented Bifocals12$0.0012$0.00$0.0012$0.0012$0.0012$0.006$0.00
Trifocal Lenses (7x28)12$0.0012$0.00$0.0012$0.0012$0.0012$0.006$0.00
Trifocal Lenses (7x28) w/Transitions12$0.0012$0.00$0.0012$0.0012$0.0012$0.006$0.00
Trifocal Lenses (8x35)12$0.0012$0.00$0.0012$0.0012$0.0012$0.006$0.00
Trifocal Lenses (8x35) w/Transitions12$0.0012$0.00$0.0012$0.0012$0.0012$0.006$0.00
Progressive120$0.00120$0.00$0.00120$0.00120$0.00120$0.0060$0.00
Progressive w/Transitions75$0.0075$0.00$0.0075$0.0075$0.0075$0.0037.5$0.00
Frames300$0.00300$0.00$0.00300$0.00300$0.00300$0.00150$0.00
Dispensing Fee300$0.00300$0.00$0.00300$0.00300$0.00300$0.00150$0.00
Anti-Reflective Coating100$0.00100$0.00$0.00100$0.00100$0.00100$0.0050$0.00
Prism - Per Diopter, Per Lens50$0.0050$0.00$0.0050$0.0050$0.0050$0.0025$0.00
High Prescription Power (over+/- 6.00 Sphere or 4.00 Cylinder)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
Per Diopter, Per Lens200$0.00200$0.00$0.00200$0.00200$0.00200$0.00100$0.00
High Add - Over + 3.0050$0.0050$0.00$0.0050$0.0050$0.0050$0.0025$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
Period Total
Cumulative TOTAL$0.00$0.00$0.00$0.00$0.00$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
Prepared By: _______________________

Dated: _____________________

Ver:Apr 2013

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