Price Schedule 2023.docx

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Q523--Endoscopy Services at VA Palo Alto Health Care System (VAPAHCS)
Solicitation number
36C26123Q0609
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About this file

This document contains a price schedule and details of a federal contract opportunity for endoscopy services. The price schedule lists estimated quantities and provides space to enter unit prices and totals for eight categories of medical equipment over a base year and four option years. The related federal contract opportunity is a sources sought notice from the Department of Veterans Affairs seeking capability statements from small businesses, with a preference for Service-Disabled Veteran-Owned Small Businesses, for providing endoscopy services at the VA Palo Alto Health Care System. Responses are due by May 1, 2023, and the period of performance is expected to be a base year starting June 1, 2023 plus four option years. The NAICS code is 811210 and the small business size standard is $34 million.

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Text version

Attachment # 3 Price Schedule Price Schedule Base Year: June 1, 2023 – May 31, 2024

Item
Description
Unit
Estimated Quantity
Unit Price
Estimated Total
0001
Ortho Scope
EA
180
0002
Cysto Scope
EA
550
0003
Hysto Scope
EA
35
004
Laparoscopic-General
EA
280
005
Laparoscopic-GYNI
EA
280
006
Thorasic
EA
30
007
ENT
EA
135
008
Video Services
EA
1375

Base Total

Total

Option Year One: June 1, 2024 – May 31, 2025

Item
Description
Unit
Estimated Quantity
Unit Price
Estimated Total
0001
Ortho Scope
EA
180
0002
Cysto Scope
EA
550
0003
Hysto Scope
EA
35
004
Laparoscopic-General
EA
280
005
Laparoscopic-GYNI
EA
280
006
Thorasic
EA
30
007
ENT
EA
135
008
Video Services
EA
1375

Base Total

Total

Option Year Two: June 1, 2025 – May 31, 2026

Item
Description
Unit
Estimated Quantity
Unit Price
Estimated Total
0001
Ortho Scope
EA
180
0002
Cysto Scope
EA
550
0003
Hysto Scope
EA
35
004
Laparoscopic-General
EA
280
005
Laparoscopic-GYNI
EA
280
006
Thorasic
EA
30
007
ENT
EA
135
008
Video Services
EA
1375

Base Total

Total

Option Year Three: June 1, 2026 – May 31, 2027

Item
Description
Unit
Estimated Quantity
Unit Price
Estimated Total
0001
Ortho Scope
EA
180
0002
Cysto Scope
EA
550
0003
Hysto Scope
EA
35
004
Laparoscopic-General
EA
280
005
Laparoscopic-GYNI
EA
280
006
Thorasic
EA
30
007
ENT
EA
135
008
Video Services
EA
1375

Base Total

Total

Option Year Four: June 1, 2027 – May 31, 2028

Item
Description
Unit
Estimated Quantity
Unit Price
Estimated Total
0001
Ortho Scope
EA
180
0002
Cysto Scope
EA
550
0003
Hysto Scope
EA
35
004
Laparoscopic-General
EA
280
005
Laparoscopic-GYNI
EA
280
006
Thorasic
EA
30
007
ENT
EA
135
008
Video Services
EA
1375

Base Total

Total

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