PRICE COST SCHEDULE.docx

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Home Medical Equipment (HME) - VISN7
Solicitation number
36C24722R0105
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36C24722R0105 0003.pdf PDF
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PRICE COST SCHEDULE 09222022.docx DOCX document
36C24722R0105 0002.pdf PDF
AMENDED PRICE COST SCHEDULE - 09212022.docx DOCX document
36C24722R0105 0001.pdf PDF
36C24722R0105 - VISN7 HME - SB set-aside.pdf PDF

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CLIN

DESCRIPTION
ESTIMATED ANNUAL QTY
UNIT MEASURE
UNIT PRICE
TOTAL PRICE

PRICING PERIOD ONE 01/01/2023 – 12/31/2023

0001
Atlanta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,042
YR
N/C
N/C
0001AA
Zone 1
EA
$
$
0001AB
Zone 2
EA
$
$
0001AC
Zone 3
EA
$
$
0002
Augusta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
561
YR
N/C
N/C
0002AA
Zone 1
EA
$
$
0002AB
Zone 2
EA
$
$
0002AC
Zone 3
EA
$
$
0003
Birmingham Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,290
YR
N/C
N/C
0003AA
Zone 1
EA
$
$
0003AB
Zone 2
EA
$
$
0003AC
Zone 3
EA
$
$
0004
CAVHCS (Includes Tuscaloosa) Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1425
YR
N/C
N/C
0004AA
Zone 1
EA
$
$
0004AB
Zone 2
EA
$
$
0004AC
Zone 3
EA
$
$
0005
Charleston Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,140
YR
N/C
N/C
0005AA
Zone 1
EA
$
$
0005AB
Zone 2
EA
$
$
0005AC
Zone 3
EA
$
$
0006
Columbia Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
3,855
YR
N/C
N/C
0006AA
Zone 1
EA
$
$
0006AB
Zone 2
EA
$
$
0006AC
Zone 3
EA
$
$
0007
Dublin Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
361
YR
N/C
N/C
0007AA
Zone 1
EA
$
$
0007AB
Zone 2
EA
$
$
0007AC
Zone 3
EA
$
$
0008
Equipment Repairs as required by Section F. of the PWS. Shall not exceed $50,000.00 annually.
1
YR
$50,000.00
$50,000.00
CLIN
DESCRIPTION
ESTIMATED ANNUAL QTY
UNIT MEASURE
UNIT PRICE
TOTAL PRICE

PRICING PERIOD TWO 01/01/2024 – 12/31/2024

0001
Atlanta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,042
YR
N/C
N/C
0001AA
Zone 1
EA
$
$
0001AB
Zone 2
EA
$
$
0001AC
Zone 3
EA
$
$
0002
Augusta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
561
YR
N/C
N/C
0002AA
Zone 1
EA
$
$
0002AB
Zone 2
EA
$
$
0002AC
Zone 3
EA
$
$
0003
Birmingham Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,290
YR
N/C
N/C
0003AA
Zone 1
EA
$
$
0003AB
Zone 2
EA
$
$
0003AC
Zone 3
EA
$
$
0004
CAVHCS (Includes Tuscaloosa) Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1425
YR
N/C
N/C
0004AA
Zone 1
EA
$
$
0004AB
Zone 2
EA
$
$
0004AC
Zone 3
EA
$
$
0005
Charleston Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,140
YR
N/C
N/C
0005AA
Zone 1
EA
$
$
0005AB
Zone 2
EA
$
$
0005AC
Zone 3
EA
$
$
0006
Columbia Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
3,855
YR
N/C
N/C
0006AA
Zone 1
EA
$
$
0006AB
Zone 2
EA
$
$
0006AC
Zone 3
EA
$
$
0007
Dublin Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
361
YR
N/C
N/C
0007AA
Zone 1
EA
$
$
0007AB
Zone 2
EA
$
$
0007AC
Zone 3
EA
$
$
0008
Equipment Repairs as required by Section F. of the PWS. Shall not exceed $50,000.00 annually.
1
YR
$50,000.00
$50,000.00
CLIN
DESCRIPTION
ESTIMATED ANNUAL QTY
UNIT MEASURE
UNIT PRICE
TOTAL PRICE

PRICING PERIOD THREE 01/01/2025 – 12/31/2025

0001
Atlanta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,042
YR
N/C
N/C
0001AA
Zone 1
EA
$
$
0001AB
Zone 2
EA
$
$
0001AC
Zone 3
EA
$
$
0002
Augusta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
561
YR
N/C
N/C
0002AA
Zone 1
EA
$
$
0002AB
Zone 2
EA
$
$
0002AC
Zone 3
EA
$
$
0003
Birmingham Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,290
YR
N/C
N/C
0003AA
Zone 1
EA
$
$
0003AB
Zone 2
EA
$
$
0003AC
Zone 3
EA
$
$
0004
CAVHCS (Includes Tuscaloosa) Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1425
YR
N/C
N/C
0004AA
Zone 1
EA
$
$
0004AB
Zone 2
EA
$
$
0004AC
Zone 3
EA
$
$
0005
Charleston Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,140
YR
N/C
N/C
0005AA
Zone 1
EA
$
$
0005AB
Zone 2
EA
$
$
0005AC
Zone 3
EA
$
$
0006
Columbia Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
3,855
YR
N/C
N/C
0006AA
Zone 1
EA
$
$
0006AB
Zone 2
EA
$
$
0006AC
Zone 3
EA
$
$
0007
Dublin Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
361
YR
N/C
N/C
0007AA
Zone 1
EA
$
$
0007AB
Zone 2
EA
$
$
0007AC
Zone 3
EA
$
$
0008AC
Zone 3
EA
$
$
0008
Equipment Repairs as required by Section F. of the PWS. Shall not exceed $50,000.00 annually.
1
YR
$50,000.00
$50,000.00
CLIN
DESCRIPTION
ESTIMATED ANNUAL QTY
UNIT MEASURE
UNIT PRICE
TOTAL PRICE

PRICING PERIOD FOUR 01/01/2026 – 12/31/2026

0001
Atlanta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,042
YR
N/C
N/C
0001AA
Zone 1
EA
$
$
0001AB
Zone 2
EA
$
$
0001AC
Zone 3
EA
$
$
0002
Augusta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
561
YR
N/C
N/C
0002AA
Zone 1
EA
$
$
0002AB
Zone 2
EA
$
$
0002AC
Zone 3
EA
$
$
0003
Birmingham Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,290
YR
N/C
N/C
0003AA
Zone 1
EA
$
$
0003AB
Zone 2
EA
$
$
0003AC
Zone 3
EA
$
$
0004
CAVHCS (Includes Tuscaloosa) Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1425
YR
N/C
N/C
0004AA
Zone 1
EA
$
$
0004AB
Zone 2
EA
$
$
0004AC
Zone 3
EA
$
$
0005
Charleston Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,140
YR
N/C
N/C
0005AA
Zone 1
EA
$
$
0005AB
Zone 2
EA
$
$
0005AC
Zone 3
EA
$
$
0006
Columbia Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
3,855
YR
N/C
N/C
0006AA
Zone 1
EA
$
$
0006AB
Zone 2
EA
$
$
0006AC
Zone 3
EA
$
$
0007
Dublin Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
361
YR
N/C
N/C
0007AA
Zone 1
EA
$
$
0007AB
Zone 2
EA
$
$
0007AC
Zone 3
EA
$
$
0008
Equipment Repairs as required by Section F. of the PWS. Shall not exceed $50,000.00 annually.
1
YR
$50,000.00
$50,000.00
CLIN
DESCRIPTION
ESTIMATED ANNUAL QTY
UNIT MEASURE
UNIT PRICE
TOTAL PRICE

PRICING PERIOD FIVE 01/01/2027 – 12/31/2027

0001
Atlanta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,042
YR
N/C
N/C
0001AA
Zone 1
EA
$
$
0001AB
Zone 2
EA
$
$
0001AC
Zone 3
EA
$
$
0002
Augusta Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
561
YR
N/C
N/C
0002AA
Zone 1
EA
$
$
0002AB
Zone 2
EA
$
$
0002AC
Zone 3
EA
$
$
0003
Birmingham Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,290
YR
N/C
N/C
0003AA
Zone 1
EA
$
$
0003AB
Zone 2
EA
$
$
0003AC
Zone 3
EA
$
$
0004
CAVHCS (Includes Tuscaloosa) Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1425
YR
N/C
N/C
0004AA
Zone 1
EA
$
$
0004AB
Zone 2
EA
$
$
0004AC
Zone 3
EA
$
$
0005
Charleston Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
1,140
YR
N/C
N/C
0005AA
Zone 1
EA
$
$
0005AB
Zone 2
EA
$
$
0005AC
Zone 3
EA
$
$
0006
Columbia Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
3,855
YR
N/C
N/C
0006AA
Zone 1
EA
$
$
0006AB
Zone 2
EA
$
$
0006AC
Zone 3
EA
$
$
0007
Dublin Delivery Price -Contractor Shall provide services for each Zone in accordance with PWS
361
YR
N/C
N/C
0007AA
Zone 1
EA
$
$
0007AB
Zone 2
EA
$
$
0007AC
Zone 3
EA
$
$
0008
Equipment Repairs as required by Section F. of the PWS. Shall not exceed $50,000.00 annually.
1
YR
$50,000.00
$50,000.00

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