Price Schedule.docx

DOCX document 19 KB Posted

Attached to
ISBEE set aside for Ambulance Defibrillators
Solicitation number
246-26-Q0035
Issued by

About this file

This is a Price Schedule/Quotation Form for a federal solicitation by the Indian Health Service's Lawton Service Unit for ambulance defibrillator equipment and related supplies. The solicitation (246-26-Q0035) is a small business set-aside (ISBEE) requiring three ZOLL X Series Monitor/Defibrillator units with 12-lead ECG, pacing, NIBP, SpO2, SpCO, SPMet, EtCO2, IBP/Temp, and CPR expansion pack capabilities (Part Number 601-2241511-01), along with eleven associated line items for accessories and consumables including cables, electrodes, blood pressure cuffs, pulse oximetry sensors, and rechargeable batteries.

The pricing template requires unit pricing and extended pricing entries for all twelve line items (CLINs 01-11), with quantities of three units each across most items. All pricing is FOB Destination with shipping and tax included in the total price. The specification document is referenced as attached but not included in this form. Contractors must complete the unit and extended price columns for each CLIN to submit a complete quotation in response to this solicitation supporting transport and emergency medical services at the Lawton Indian Hospital.

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Other files

File Type Posted
Buy Indian Compliant Form.pdf PDF
Specifications Defibrillators.pdf PDF
CSS 246-26-Q0035.pdf PDF

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Text version

Price Schedule / Quotation Form

(FOB DESTINATION ‐ Shipping and tax is to be included in the total price)

CLIN DESCRIPTION
Unit of

Issue

Qty
Unit Price
Ext. Price
01 – X Series Monitor/Defibrillator 12-lead ECG, Pacing< NIBP, SpO2, SpCO, SPMet, EtCO2, IBP/Temp, CPR Expansion Pack for the Lawton Indian Hospital ATTACHED SPECIFICATIONS
EA
3
$
$
02 – OneStep Cable, X Series
EA
3
$
$
03 – CPR-D-padz and CPR Stat Padz Connector
EA
3
$
$
04 - OneStep Pediatric CPR Electrode (1) pair
EA
3
$
$
05 – Welch Allyn REUSE-13-2MQ Cuff, Thigh, 2-Tube Twist Lock Connector
EA
3
$
$
06 – Welch Allyn REUSE-12-2MQ Cuff, Lg Adult, 2-Tube, Twist Lock Connector
EA
3
$
$
07 - Welch Allyn REUSE-09-2MQ Cuff, Child, 2-Tube, Twist Lock Connector
EA
3
$
$
08 – Masimo RD SET Reusable SpCO2 Sensor, Adult, 3 ft
EA
3
$
$
09 – Masimo RD SET Reusable SpCO2 Sensor, Pediatric/Slender Digit, 3 ft
EA
3
$
$
10 – Six-Hour Rechargeable, SurePower II Smart Battery
EA
3
$
$
11 – Single Bay Charger for the SurePower and SurePower II Batteries
EA
3
$
$

10 – Six-Hour Rechargeable, SurePower II Smart Battery

TOTAL:
EA
3
$
$

File details come from the government source that posted it. Updated .