Attachment_A_Revised_Eyeglass_Price_Schedule.xlsx

XLSX spreadsheet 78 KB Posted Jun 13, 2019

Attached to: PRESCRIPTION EYEGLASSES
Solicitation number: RFQ-10-19-025-REL
Issued by: Department of Health and Human Services Indian Health Service

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Click on link to access Revised Attachment A, Eyeglass Price Schedule.

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File	Type	Posted
SF30.A1_Prescription_Eyeglasses.pdf	PDF	Jun 13, 2019
Amendment_One.RFQ-10-19-025-REL.docx	DOCX document	Jun 13, 2019
Attachment_B.Area_Map.Billings_Area_IHS.pdf	PDF	Jun 3, 2019
Attachment_A_Eyeglass_Price_Schedule.xlsx	XLSX spreadsheet	Jun 3, 2019
SF1449.Prescription_Eyeglasses.pdf	PDF	Jun 3, 2019

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Base Year

BILLINGS AREA EYEGLASS CONTRACT	Base Year
		Unit of
Item/Description	Est.Quantity	Issue	Unit Price	Total Amount
1. *Frames – A minimum of 100
different frame types in various	10,500
styles, sizes and colors.
Budget frame	4,000	EA	$________	$________
Mid-range frame	5,000	EA	$________	$________
Premium frame	1,000	EA	$________	$________
Designer Frame/Speciality Frame	500	EA	$________	$________

2. Lenses, basic, per pair, in clear	$________	$________
glass or CR-39, unless otherwise
noted, not oversized

*a. Single glass vision lenses	270	EA	$________	$________
*b. Single vision plastic lenses	2028	EA	$________	$________
with scratch and UV coat
*c. Polycarbonate single vision	10500	EA	$________	$________
lenses, scratch coated,
polished edges
*d. High index (1.60 & 1.67)	350	EA	$________	$________
*e. Thin & Light w/AR Coating (1.74)	200	EA	$________	$________
*f. Transition Lenses
1. Standard transitions (Level 1)	340	EA	$________	$________
2. Upgraded Transitions (Level 2)	40	EA	$________	$________
3. Other _____________	75	EA	$________	$________

3. All lined bifocal (R-22, FT-25,

FT-28, FT-35 or executive) lenses

*a. Glass	280	EA	$________	$________
*b. Plastic	1850	EA	$________	$________
with scratch and UV Coat
*c. Polycarb	942	EA	$________	$________
*d. High index	28	EA	$________	$________
*e. Transitions	318	EA	$________	$________

4. All FT-25 or FT-28 Trifocals
* a. Glass	5	EA	$________	$________
* b. Plastic	40	EA	$________	$________
with scratch and UV coat
*c.Polycarb	10	EA	$________	$________
*d. High index	5	EA	$________	$________

*5. Progressive Multi-focal

*a. Progressive 1, specify___________
1. polycarb	750	EA	$________	$________
2. plastic	45	EA	$________	$________
3. high index	100	EA	$________	$________
4. transitions poly	200	EA	$________	$________
5. transitions plastic	80	EA	$________	$________

*b. Progressive 2, specify___________
1. polycarb	500	EA	$________	$________
2. plastic	35	EA	$________	$________
3. high index	75	EA	$________	$________
4. transitions poly	100	EA	$________	$________
5. transitions plastic	60	EA	$________	$________

*c. Progressive 3, specify___________
1. polycarb	250	EA	$________	$________
2. plastic	22	EA	$________	$________
3. high index	65	EA	$________	$________
4. transitions poly	40	EA	$________	$________
5. transitions plastic	40	EA	$________	$________

*d. Progressive 4, specify___________
1. polycarb	150	EA	$________	$________
2. plastic	15	EA	$________	$________
3. high index	45	EA	$________	$________
4. transitions poly	30	EA	$________	$________
5. transitions plastic	20	EA	$________	$________

*e. Glass Multi-focal
1. Clear	20	EA	$________	$________
2. Photochromatic	20	EA	$________	$________

*f. Other, specify _______________	150	EA	$________	$________
*g. Other, specify _______________	150	EA	$________	$________
*h. Other, specify _______________	150	EA	$________	$________

6. Glass Lens, extra charge, per pair
*a. Oversized single vision	15	EA	$________	$________
(specify eye size) ________
*b. Oversized bifocal	13	EA	$________	$________
(specify eye size)_________
*c. UV and Polaroid coatings	75	EA	$________	$________
*d. Color coating
1. Solid	40	EA	$________	$________
2. Gradient	40	EA	$________	$________
3. Other, specify_________	40	EA	$________	$________
e. Edge coating	20	EA	$________	$________
f. Mirror coating	20	EA	$________	$________
1. Standard	15	EA	$________	$________
2. Other, specify__________	5	EA	$________	$________
*g. Antireflectant coating
1. Standard AR coating	50	EA	$________	$________
2. Other specify _____________	50	EA	$________	$________
*h. Horizontal Prism (per diopter/per lens)	15	EA	$________	$________
*i. Vertical Prism (per diopter/per lens)	5	EA	$________	$________
*j. Prism over_______ diopters (fill in blank)	5	EA	$________	$________
*k. Slab-off	10	EA	$________	$________
*l. Anti-fog	5	EA	$________	$________
*m. Other glass Lens, extra charge, per pair, specify ___________	10	EA	$________	$________

7. Plastic/Polycarb Lens/high index, extra charge, per pair

*a. Oversized single vision	600	EA	$________	$________
(specify eye size)__________
*b. Oversized bifocal	280	EA	$________	$________
(specify eye size)___________

*c. Antireflectant coating
1. Standard AR coating	1500	EA	$________	$________
2. Other specify _____________	700	EA	$________	$________

*d. Mirror Coating
1. Standard	35	EA	$________	$________
2. Other specify _____________	20	EA	$________	$________

*e. Anti-fog 25 EA $________ $________

*f. Horiz. Prism (per diopter/per lens)	125	EA	$________	$________
*g. Vert. Prism (per diopter/per lens)	25	EA	$________	$________
*h. Prism over ______ diopters (fill in blank)	10	EA	$________	$________

*i. Slab-off 10 EA $________ $________

*j. Lens faceting	15	EA	$________	$________
*k. Grooving & mounting for	170	EA	$________	$________
semi-rimless
*l. 4-Hole Drilled	225	EA	$________	$________
*m. Edge polishing	10	EA	$________	$________

*n. Solid tint	800	EA	$________	$________
*o. Gradient tint	800	EA	$________	$________
*p. Double gradient tint	65	EA	$________	$________
*q. Tint removal	15	EA	$________	$________
*r. Other Plastic/Polycarb Lens/high index, extra charge, per pair, specify _________	25	EA	$________	$________
8. High Power
*a. Spheres (+)or(-) _______________ per lens (please specify diopter range)	500	EA	$________	$________
1. Spheres over_________diopters (fill in blank)	100	EA	$________	$________

*b. Cylinder (+)or(-) ________________per lens (please specify diopter range)	300	EA	$________	$________
1. Cylinders over ______ diopters (fill in blank)	50	EA	$________	$________

9. Repairs, per pair

a. Replace nosepads

1. Hard jumbo pads	10	EA	$________	$________
2. Soft jumbo pads	10	EA	$________	$________
3. Silicone pads	75	EA	$________	$________

*b. Install adjustable arms & pads 10 EA $________ $________

*c. Repair hinge (plastic frame) 10 EA $________ $________

*d. Solder hinge, pad arm, bridge	7	EA	$________	$________
or eyewire on metal frame

Opt Yr 1

BILLINGS AREA EYEGLASS CONTRACT	Option Year One
		Unit of
Item/Description	Est.Quantity	Issue	Unit Price	Total Amount
1. *Frames – A minimum of 100
different frame types in various	10,500
styles, sizes and colors.
Budget frame	4,000	EA	$________	$________
Mid-range frame	5,000	EA	$________	$________
Premium frame	1,000	EA	$________	$________
Designer Frame/Speciality Frame	500	EA	$________	$________

2. Lenses, basic, per pair, in clear	$________	$________
glass or CR-39, unless otherwise
noted, not oversized

*a. Single glass vision lenses	270	EA	$________	$________
*b. Single vision plastic lenses	2028	EA	$________	$________
with scratch and UV coat
*c. Polycarbonate single vision	10500	EA	$________	$________
lenses, scratch coated,
polished edges
*d. High index (1.60 & 1.67)	350	EA	$________	$________
*e. Thin & Light w/AR Coating (1.74)	200	EA	$________	$________
*f. Transition Lenses
1. Standard transitions (Level 1)	340	EA	$________	$________
2. Upgraded Transitions (Level 2)	40	EA	$________	$________
3. Other _____________	75	EA	$________	$________

3. All lined bifocal (R-22, FT-25,

FT-28, FT-35 or executive) lenses

*a. Glass	280	EA	$________	$________
*b. Plastic	1850	EA	$________	$________
with scratch and UV Coat
*c. Polycarb	942	EA	$________	$________
*d. High index	28	EA	$________	$________
*e. Transitions	318	EA	$________	$________

4. All FT-25 or FT-28 Trifocals
* a. Glass	5	EA	$________	$________
* b. Plastic	40	EA	$________	$________
with scratch and UV coat
*c.Polycarb	10	EA	$________	$________
*d. High index	5	EA	$________	$________

*5. Progressive Multi-focal

*a. Progressive 1, specify___________
1. polycarb	750	EA	$________	$________
2. plastic	45	EA	$________	$________
3. high index	100	EA	$________	$________
4. transitions poly	200	EA	$________	$________
5. transitions plastic	80	EA	$________	$________

*b. Progressive 2, specify___________
1. polycarb	500	EA	$________	$________
2. plastic	35	EA	$________	$________
3. high index	75	EA	$________	$________
4. transitions poly	100	EA	$________	$________
5. transitions plastic	60	EA	$________	$________

*c. Progressive 3, specify___________
1. polycarb	250	EA	$________	$________
2. plastic	22	EA	$________	$________
3. high index	65	EA	$________	$________
4. transitions poly	40	EA	$________	$________
5. transitions plastic	40	EA	$________	$________

*d. Progressive 4, specify___________
1. polycarb	150	EA	$________	$________
2. plastic	15	EA	$________	$________
3. high index	45	EA	$________	$________
4. transitions poly	30	EA	$________	$________
5. transitions plastic	20	EA	$________	$________

*e. Glass Multi-focal
1. Clear	20	EA	$________	$________
2. Photochromatic	20	EA	$________	$________

*f. Other, specify _______________	150	EA	$________	$________
*g. Other, specify _______________	150	EA	$________	$________
*h. Other, specify _______________	150	EA	$________	$________

6. Glass Lens, extra charge, per pair
*a. Oversized single vision	15	EA	$________	$________
(specify eye size) ________
*b. Oversized bifocal	13	EA	$________	$________
(specify eye size)_________
*c. UV and Polaroid coatings	75	EA	$________	$________
*d. Color coating
1. Solid	40	EA	$________	$________
2. Gradient	40	EA	$________	$________
3. Other, specify_________	40	EA	$________	$________
e. Edge coating	20	EA	$________	$________
f. Mirror coating	20	EA	$________	$________
1. Standard	15	EA	$________	$________
2. Other, specify__________	5	EA	$________	$________
*g. Antireflectant coating
1. Standard AR coating	50	EA	$________	$________
2. Other specify _____________	50	EA	$________	$________
*h. Horizontal Prism (per diopter/per lens)	15	EA	$________	$________
*i. Vertical Prism (per diopter/per lens)	5	EA	$________	$________
*j. Prism over_______ diopters (fill in blank)	5	EA	$________	$________
*k. Slab-off	10	EA	$________	$________
*l. Anti-fog	5	EA	$________	$________
*m. Other glass Lens, extra charge, per pair, specify ___________	10	EA	$________	$________

7. Plastic/Polycarb Lens/high index, extra charge, per pair

*a. Oversized single vision	600	EA	$________	$________
(specify eye size)__________
*b. Oversized bifocal	280	EA	$________	$________
(specify eye size)___________

*c. Antireflectant coating
1. Standard AR coating	1500	EA	$________	$________
2. Other specify _____________	700	EA	$________	$________

*d. Mirror Coating
1. Standard	35	EA	$________	$________
2. Other specify _____________	20	EA	$________	$________

*e. Anti-fog 25 EA $________ $________

*f. Horiz. Prism (per diopter/per lens)	125	EA	$________	$________
*g. Vert. Prism (per diopter/per lens)	25	EA	$________	$________
*h. Prism over ______ diopters (fill in blank)	10	EA	$________	$________

*i. Slab-off 10 EA $________ $________

*j. Lens faceting	15	EA	$________	$________
*k. Grooving & mounting for	170	EA	$________	$________
semi-rimless
*l. 4-Hole Drilled	225	EA	$________	$________
*m. Edge polishing	10	EA	$________	$________

*n. Solid tint	800	EA	$________	$________
*o. Gradient tint	800	EA	$________	$________
*p. Double gradient tint	65	EA	$________	$________
*q. Tint removal	15	EA	$________	$________
*r. Other Plastic/Polycarb Lens/high index, extra charge, per pair, specify _________	25	EA	$________	$________
8. High Power
*a. Spheres (+)or(-) _______________ per lens (please specify diopter range)	500	EA	$________	$________
1. Spheres over_________diopters (fill in blank)	100	EA	$________	$________

*b. Cylinder (+)or(-) ________________per lens (please specify diopter range)	300	EA	$________	$________
1. Cylinders over ______ diopters (fill in blank)	50	EA	$________	$________

9. Repairs, per pair

a. Replace nosepads

1. Hard jumbo pads	10	EA	$________	$________
2. Soft jumbo pads	10	EA	$________	$________
3. Silicone pads	75	EA	$________	$________

*b. Install adjustable arms & pads 10 EA $________ $________

*c. Repair hinge (plastic frame) 10 EA $________ $________

*d. Solder hinge, pad arm, bridge	7	EA	$________	$________
or eyewire on metal frame

Opt Yr 2

BILLINGS AREA EYEGLASS CONTRACT	Option Year Two
		Unit of
Item/Description	Est.Quantity	Issue	Unit Price	Total Amount
1. *Frames – A minimum of 100
different frame types in various	10,500
styles, sizes and colors.
Budget frame	4,000	EA	$________	$________
Mid-range frame	5,000	EA	$________	$________
Premium frame	1,000	EA	$________	$________
Designer Frame/Speciality Frame	500	EA	$________	$________

2. Lenses, basic, per pair, in clear	$________	$________
glass or CR-39, unless otherwise
noted, not oversized

*a. Single glass vision lenses	270	EA	$________	$________
*b. Single vision plastic lenses	2028	EA	$________	$________
with scratch and UV coat
*c. Polycarbonate single vision	10500	EA	$________	$________
lenses, scratch coated,
polished edges
*d. High index (1.60 & 1.67)	350	EA	$________	$________
*e. Thin & Light w/AR Coating (1.74)	200	EA	$________	$________
*f. Transition Lenses
1. Standard transitions (Level 1)	340	EA	$________	$________
2. Upgraded Transitions (Level 2)	40	EA	$________	$________
3. Other _____________	75	EA	$________	$________

3. All lined bifocal (R-22, FT-25,

FT-28, FT-35 or executive) lenses

*a. Glass	280	EA	$________	$________
*b. Plastic	1850	EA	$________	$________
with scratch and UV Coat
*c. Polycarb	942	EA	$________	$________
*d. High index	28	EA	$________	$________
*e. Transitions	318	EA	$________	$________

4. All FT-25 or FT-28 Trifocals
* a. Glass	5	EA	$________	$________
* b. Plastic	40	EA	$________	$________
with scratch and UV coat
*c.Polycarb	10	EA	$________	$________
*d. High index	5	EA	$________	$________

*5. Progressive Multi-focal

*a. Progressive 1, specify___________
1. polycarb	750	EA	$________	$________
2. plastic	45	EA	$________	$________
3. high index	100	EA	$________	$________
4. transitions poly	200	EA	$________	$________
5. transitions plastic	80	EA	$________	$________

*b. Progressive 2, specify___________
1. polycarb	500	EA	$________	$________
2. plastic	35	EA	$________	$________
3. high index	75	EA	$________	$________
4. transitions poly	100	EA	$________	$________
5. transitions plastic	60	EA	$________	$________

*c. Progressive 3, specify___________
1. polycarb	250	EA	$________	$________
2. plastic	22	EA	$________	$________
3. high index	65	EA	$________	$________
4. transitions poly	40	EA	$________	$________
5. transitions plastic	40	EA	$________	$________

*d. Progressive 4, specify___________
1. polycarb	150	EA	$________	$________
2. plastic	15	EA	$________	$________
3. high index	45	EA	$________	$________
4. transitions poly	30	EA	$________	$________
5. transitions plastic	20	EA	$________	$________

*e. Glass Multi-focal
1. Clear	20	EA	$________	$________
2. Photochromatic	20	EA	$________	$________

*f. Other, specify _______________	150	EA	$________	$________
*g. Other, specify _______________	150	EA	$________	$________
*h. Other, specify _______________	150	EA	$________	$________

6. Glass Lens, extra charge, per pair
*a. Oversized single vision	15	EA	$________	$________
(specify eye size) ________
*b. Oversized bifocal	13	EA	$________	$________
(specify eye size)_________
*c. UV and Polaroid coatings	75	EA	$________	$________
*d. Color coating
1. Solid	40	EA	$________	$________
2. Gradient	40	EA	$________	$________
3. Other, specify_________	40	EA	$________	$________
e. Edge coating	20	EA	$________	$________
f. Mirror coating	20	EA	$________	$________
1. Standard	15	EA	$________	$________
2. Other, specify__________	5	EA	$________	$________
*g. Antireflectant coating
1. Standard AR coating	50	EA	$________	$________
2. Other specify _____________	50	EA	$________	$________
*h. Horizontal Prism (per diopter/per lens)	15	EA	$________	$________
*i. Vertical Prism (per diopter/per lens)	5	EA	$________	$________
*j. Prism over_______ diopters (fill in blank)	5	EA	$________	$________
*k. Slab-off	10	EA	$________	$________
*l. Anti-fog	5	EA	$________	$________
*m. Other glass Lens, extra charge, per pair, specify ___________	10	EA	$________	$________

7. Plastic/Polycarb Lens/high index, extra charge, per pair

*a. Oversized single vision	600	EA	$________	$________
(specify eye size)__________
*b. Oversized bifocal	280	EA	$________	$________
(specify eye size)___________

*c. Antireflectant coating
1. Standard AR coating	1500	EA	$________	$________
2. Other specify _____________	700	EA	$________	$________

*d. Mirror Coating
1. Standard	35	EA	$________	$________
2. Other specify _____________	20	EA	$________	$________

*e. Anti-fog 25 EA $________ $________

*f. Horiz. Prism (per diopter/per lens)	125	EA	$________	$________
*g. Vert. Prism (per diopter/per lens)	25	EA	$________	$________
*h. Prism over ______ diopters (fill in blank)	10	EA	$________	$________

*i. Slab-off 10 EA $________ $________

*j. Lens faceting	15	EA	$________	$________
*k. Grooving & mounting for	170	EA	$________	$________
semi-rimless
*l. 4-Hole Drilled	225	EA	$________	$________
*m. Edge polishing	10	EA	$________	$________

*n. Solid tint	800	EA	$________	$________
*o. Gradient tint	800	EA	$________	$________
*p. Double gradient tint	65	EA	$________	$________
*q. Tint removal	15	EA	$________	$________
*r. Other Plastic/Polycarb Lens/high index, extra charge, per pair, specify _________	25	EA	$________	$________
8. High Power
*a. Spheres (+)or(-) _______________ per lens (please specify diopter range)	500	EA	$________	$________
1. Spheres over_________diopters (fill in blank)	100	EA	$________	$________

*b. Cylinder (+)or(-) ________________per lens (please specify diopter range)	300	EA	$________	$________
1. Cylinders over ______ diopters (fill in blank)	50	EA	$________	$________

9. Repairs, per pair

a. Replace nosepads

1. Hard jumbo pads	10	EA	$________	$________
2. Soft jumbo pads	10	EA	$________	$________
3. Silicone pads	75	EA	$________	$________

*b. Install adjustable arms & pads 10 EA $________ $________

*c. Repair hinge (plastic frame) 10 EA $________ $________

*d. Solder hinge, pad arm, bridge	7	EA	$________	$________
or eyewire on metal frame

Opt Yr 3

BILLINGS AREA EYEGLASS CONTRACT	Option Year Three
		Unit of
Item/Description	Est.Quantity	Issue	Unit Price	Total Amount
1. *Frames – A minimum of 100
different frame types in various	10,500
styles, sizes and colors.
Budget frame	4,000	EA	$________	$________
Mid-range frame	5,000	EA	$________	$________
Premium frame	1,000	EA	$________	$________
Designer Frame/Speciality Frame	500	EA	$________	$________

2. Lenses, basic, per pair, in clear	$________	$________
glass or CR-39, unless otherwise
noted, not oversized

*a. Single glass vision lenses	270	EA	$________	$________
*b. Single vision plastic lenses	2028	EA	$________	$________
with scratch and UV coat
*c. Polycarbonate single vision	10500	EA	$________	$________
lenses, scratch coated,
polished edges
*d. High index (1.60 & 1.67)	350	EA	$________	$________
*e. Thin & Light w/AR Coating (1.74)	200	EA	$________	$________
*f. Transition Lenses
1. Standard transitions (Level 1)	340	EA	$________	$________
2. Upgraded Transitions (Level 2)	40	EA	$________	$________
3. Other _____________	75	EA	$________	$________

3. All lined bifocal (R-22, FT-25,

FT-28, FT-35 or executive) lenses

*a. Glass	280	EA	$________	$________
*b. Plastic	1850	EA	$________	$________
with scratch and UV Coat
*c. Polycarb	942	EA	$________	$________
*d. High index	28	EA	$________	$________
*e. Transitions	318	EA	$________	$________

4. All FT-25 or FT-28 Trifocals
* a. Glass	5	EA	$________	$________
* b. Plastic	40	EA	$________	$________
with scratch and UV coat
*c.Polycarb	10	EA	$________	$________
*d. High index	5	EA	$________	$________

*5. Progressive Multi-focal

*a. Progressive 1, specify___________
1. polycarb	750	EA	$________	$________
2. plastic	45	EA	$________	$________
3. high index	100	EA	$________	$________
4. transitions poly	200	EA	$________	$________
5. transitions plastic	80	EA	$________	$________

*b. Progressive 2, specify___________
1. polycarb	500	EA	$________	$________
2. plastic	35	EA	$________	$________
3. high index	75	EA	$________	$________
4. transitions poly	100	EA	$________	$________
5. transitions plastic	60	EA	$________	$________

*c. Progressive 3, specify___________
1. polycarb	250	EA	$________	$________
2. plastic	22	EA	$________	$________
3. high index	65	EA	$________	$________
4. transitions poly	40	EA	$________	$________
5. transitions plastic	40	EA	$________	$________

*d. Progressive 4, specify___________
1. polycarb	150	EA	$________	$________
2. plastic	15	EA	$________	$________
3. high index	45	EA	$________	$________
4. transitions poly	30	EA	$________	$________
5. transitions plastic	20	EA	$________	$________

*e. Glass Multi-focal
1. Clear	20	EA	$________	$________
2. Photochromatic	20	EA	$________	$________

*f. Other, specify _______________	150	EA	$________	$________
*g. Other, specify _______________	150	EA	$________	$________
*h. Other, specify _______________	150	EA	$________	$________

6. Glass Lens, extra charge, per pair
*a. Oversized single vision	15	EA	$________	$________
(specify eye size) ________
*b. Oversized bifocal	13	EA	$________	$________
(specify eye size)_________
*c. UV and Polaroid coatings	75	EA	$________	$________
*d. Color coating
1. Solid	40	EA	$________	$________
2. Gradient	40	EA	$________	$________
3. Other, specify_________	40	EA	$________	$________
e. Edge coating	20	EA	$________	$________
f. Mirror coating	20	EA	$________	$________
1. Standard	15	EA	$________	$________
2. Other, specify__________	5	EA	$________	$________
*g. Antireflectant coating
1. Standard AR coating	50	EA	$________	$________
2. Other specify _____________	50	EA	$________	$________
*h. Horizontal Prism (per diopter/per lens)	15	EA	$________	$________
*i. Vertical Prism (per diopter/per lens)	5	EA	$________	$________
*j. Prism over_______ diopters (fill in blank)	5	EA	$________	$________
*k. Slab-off	10	EA	$________	$________
*l. Anti-fog	5	EA	$________	$________
*m. Other glass Lens, extra charge, per pair, specify ___________	10	EA	$________	$________

7. Plastic/Polycarb Lens/high index, extra charge, per pair

*a. Oversized single vision	600	EA	$________	$________
(specify eye size)__________
*b. Oversized bifocal	280	EA	$________	$________
(specify eye size)___________

*c. Antireflectant coating
1. Standard AR coating	1500	EA	$________	$________
2. Other specify _____________	700	EA	$________	$________

*d. Mirror Coating
1. Standard	35	EA	$________	$________
2. Other specify _____________	20	EA	$________	$________

*e. Anti-fog 25 EA $________ $________

*f. Horiz. Prism (per diopter/per lens)	125	EA	$________	$________
*g. Vert. Prism (per diopter/per lens)	25	EA	$________	$________
*h. Prism over ______ diopters (fill in blank)	10	EA	$________	$________

*i. Slab-off 10 EA $________ $________

*j. Lens faceting	15	EA	$________	$________
*k. Grooving & mounting for	170	EA	$________	$________
semi-rimless
*l. 4-Hole Drilled	225	EA	$________	$________
*m. Edge polishing	10	EA	$________	$________

*n. Solid tint	800	EA	$________	$________
*o. Gradient tint	800	EA	$________	$________
*p. Double gradient tint	65	EA	$________	$________
*q. Tint removal	15	EA	$________	$________
*r. Other Plastic/Polycarb Lens/high index, extra charge, per pair, specify _________	25	EA	$________	$________
8. High Power
*a. Spheres (+)or(-) _______________ per lens (please specify diopter range)	500	EA	$________	$________
1. Spheres over_________diopters (fill in blank)	100	EA	$________	$________

*b. Cylinder (+)or(-) ________________per lens (please specify diopter range)	300	EA	$________	$________
1. Cylinders over ______ diopters (fill in blank)	50	EA	$________	$________

9. Repairs, per pair

a. Replace nosepads

1. Hard jumbo pads	10	EA	$________	$________
2. Soft jumbo pads	10	EA	$________	$________
3. Silicone pads	75	EA	$________	$________

*b. Install adjustable arms & pads 10 EA $________ $________

*c. Repair hinge (plastic frame) 10 EA $________ $________

*d. Solder hinge, pad arm, bridge	7	EA	$________	$________
or eyewire on metal frame

Opt Yr 4

BILLINGS AREA EYEGLASS CONTRACT	Option Year Four
		Unit of
Item/Description	Est.Quantity	Issue	Unit Price	Total Amount
1. *Frames – A minimum of 100
different frame types in various	10,500
styles, sizes and colors.
Budget frame	4,000	EA	$________	$________
Mid-range frame	5,000	EA	$________	$________
Premium frame	1,000	EA	$________	$________
Designer Frame/Speciality Frame	500	EA	$________	$________

2. Lenses, basic, per pair, in clear	$________	$________
glass or CR-39, unless otherwise
noted, not oversized

*a. Single glass vision lenses	270	EA	$________	$________
*b. Single vision plastic lenses	2028	EA	$________	$________
with scratch and UV coat
*c. Polycarbonate single vision	10500	EA	$________	$________
lenses, scratch coated,
polished edges
*d. High index (1.60 & 1.67)	350	EA	$________	$________
*e. Thin & Light w/AR Coating (1.74)	200	EA	$________	$________
*f. Transition Lenses
1. Standard transitions (Level 1)	340	EA	$________	$________
2. Upgraded Transitions (Level 2)	40	EA	$________	$________
3. Other _____________	75	EA	$________	$________

3. All lined bifocal (R-22, FT-25,

FT-28, FT-35 or executive) lenses

*a. Glass	280	EA	$________	$________
*b. Plastic	1850	EA	$________	$________
with scratch and UV Coat
*c. Polycarb	942	EA	$________	$________
*d. High index	28	EA	$________	$________
*e. Transitions	318	EA	$________	$________

4. All FT-25 or FT-28 Trifocals
* a. Glass	5	EA	$________	$________
* b. Plastic	40	EA	$________	$________
with scratch and UV coat
*c.Polycarb	10	EA	$________	$________
*d. High index	5	EA	$________	$________

*5. Progressive Multi-focal

*a. Progressive 1, specify___________
1. polycarb	750	EA	$________	$________
2. plastic	45	EA	$________	$________
3. high index	100	EA	$________	$________
4. transitions poly	200	EA	$________	$________
5. transitions plastic	80	EA	$________	$________

*b. Progressive 2, specify___________
1. polycarb	500	EA	$________	$________
2. plastic	35	EA	$________	$________
3. high index	75	EA	$________	$________
4. transitions poly	100	EA	$________	$________
5. transitions plastic	60	EA	$________	$________

*c. Progressive 3, specify___________
1. polycarb	250	EA	$________	$________
2. plastic	22	EA	$________	$________
3. high index	65	EA	$________	$________
4. transitions poly	40	EA	$________	$________
5. transitions plastic	40	EA	$________	$________

*d. Progressive 4, specify___________
1. polycarb	150	EA	$________	$________
2. plastic	15	EA	$________	$________
3. high index	45	EA	$________	$________
4. transitions poly	30	EA	$________	$________
5. transitions plastic	20	EA	$________	$________

*e. Glass Multi-focal
1. Clear	20	EA	$________	$________
2. Photochromatic	20	EA	$________	$________

*f. Other, specify _______________	150	EA	$________	$________
*g. Other, specify _______________	150	EA	$________	$________
*h. Other, specify _______________	150	EA	$________	$________

6. Glass Lens, extra charge, per pair
*a. Oversized single vision	15	EA	$________	$________
(specify eye size) ________
*b. Oversized bifocal	13	EA	$________	$________
(specify eye size)_________
*c. UV and Polaroid coatings	75	EA	$________	$________
*d. Color coating
1. Solid	40	EA	$________	$________
2. Gradient	40	EA	$________	$________
3. Other, specify_________	40	EA	$________	$________
e. Edge coating	20	EA	$________	$________
f. Mirror coating	20	EA	$________	$________
1. Standard	15	EA	$________	$________
2. Other, specify__________	5	EA	$________	$________
*g. Antireflectant coating
1. Standard AR coating	50	EA	$________	$________
2. Other specify _____________	50	EA	$________	$________
*h. Horizontal Prism (per diopter/per lens)	15	EA	$________	$________
*i. Vertical Prism (per diopter/per lens)	5	EA	$________	$________
*j. Prism over_______ diopters (fill in blank)	5	EA	$________	$________
*k. Slab-off	10	EA	$________	$________
*l. Anti-fog	5	EA	$________	$________
*m. Other glass Lens, extra charge, per pair, specify ___________	10	EA	$________	$________

7. Plastic/Polycarb Lens/high index, extra charge, per pair

*a. Oversized single vision	600	EA	$________	$________
(specify eye size)__________
*b. Oversized bifocal	280	EA	$________	$________
(specify eye size)___________

*c. Antireflectant coating
1. Standard AR coating	1500	EA	$________	$________
2. Other specify _____________	700	EA	$________	$________

*d. Mirror Coating
1. Standard	35	EA	$________	$________
2. Other specify _____________	20	EA	$________	$________

*e. Anti-fog 25 EA $________ $________

*f. Horiz. Prism (per diopter/per lens)	125	EA	$________	$________
*g. Vert. Prism (per diopter/per lens)	25	EA	$________	$________
*h. Prism over ______ diopters (fill in blank)	10	EA	$________	$________

*i. Slab-off 10 EA $________ $________

*j. Lens faceting	15	EA	$________	$________
*k. Grooving & mounting for	170	EA	$________	$________
semi-rimless
*l. 4-Hole Drilled	225	EA	$________	$________
*m. Edge polishing	10	EA	$________	$________

*n. Solid tint	800	EA	$________	$________
*o. Gradient tint	800	EA	$________	$________
*p. Double gradient tint	65	EA	$________	$________
*q. Tint removal	15	EA	$________	$________
*r. Other Plastic/Polycarb Lens/high index, extra charge, per pair, specify _________	25	EA	$________	$________
8. High Power
*a. Spheres (+)or(-) _______________ per lens (please specify diopter range)	500	EA	$________	$________
1. Spheres over_________diopters (fill in blank)	100	EA	$________	$________

*b. Cylinder (+)or(-) ________________per lens (please specify diopter range)	300	EA	$________	$________
1. Cylinders over ______ diopters (fill in blank)	50	EA	$________	$________

9. Repairs, per pair

a. Replace nosepads

1. Hard jumbo pads	10	EA	$________	$________
2. Soft jumbo pads	10	EA	$________	$________
3. Silicone pads	75	EA	$________	$________

*b. Install adjustable arms & pads 10 EA $________ $________

*c. Repair hinge (plastic frame) 10 EA $________ $________

*d. Solder hinge, pad arm, bridge	7	EA	$________	$________
or eyewire on metal frame

File details come from the government source that posted it.