S02 - 36C25024R0176 Line Items Template.xlsx

XLSX spreadsheet 457 KB Posted

Attached to
W065--DME Services - FCC VISN 10 IN & MI
Solicitation number
36C25024R0176
Issued by

About this file

This document is a Line Items Template for a federal solicitation for Durable Medical Equipment (DME) services for the Department of Veterans Affairs Veterans Integrated Service Network 10 (VISN 10) in Indiana and Michigan. The solicitation is for a Base year and four option years, with various line items for DME deliveries, assistive technology professional deliveries, emergency deliveries, and different levels of DME repair services to be provided at various VA medical centers within VISN 10. The contract period runs from May 1, 2024 to April 30, 2029, with pricing provided for each year. The solicitation number is 36C25024R0176, and the incumbent contractor details are not provided. No set-asides or pricing terms are mentioned in the document.

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36C25024R0176 0003.docx DOCX document
36C25024R0176 0002.docx DOCX document
36C25024R0176 0001.docx DOCX document
S02 - D.3 Past Performance Questionnaire.pdf PDF
36C25024R0176.docx DOCX document
S02 - D.2 QASP (FINAL dated 12.15.23).pdf PDF

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
VHA-SERVICES-IDC-RFP36C25024R0036DME Services - IN & MI
FCC - VISN 10Percent0

KB Version: FY24.05A

Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentInclude Data Values in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTED
0001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25900JB0QuantityPriced0Percent0NONENoNo532283W065
0001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25600JB0QuantityPriced0Percent0NONENoNo532283W065
0001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25450JB0QuantityPriced0Percent0NONENoNo532283W065
0001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25600JB0QuantityPriced0Percent0NONENoNo532283W065
0001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25300JB0QuantityPriced0Percent0NONENoNo532283W065
0001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25750JB0QuantityPriced0Percent0NONENoNo532283W065
0002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2527JB0QuantityPriced0Percent0NONENoNo
0002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2518JB0QuantityPriced0Percent0NONENoNo532283W065
0002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2514JB0QuantityPriced0Percent0NONENoNo532283W065
0002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2518JB0QuantityPriced0Percent0NONENoNo532283W065
0002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2523JB0QuantityPriced0Percent0NONENoNo532283W065
0003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo
0003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo532283W065
0003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo532283W065
0003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase5/1/244/30/253JB0QuantityPriced0Percent0NONENoNo532283W065
0003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase5/1/244/30/258JB0QuantityPriced0Percent0NONENoNo532283W065
0003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo532283W065
0004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2518JB0QuantityPriced0Percent0NONENoNo
0004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2512JB0QuantityPriced0Percent0NONENoNo532283W065
0004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2512JB0QuantityPriced0Percent0NONENoNo532283W065
0004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/256JB0QuantityPriced0Percent0NONENoNo532283W065
0004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2515JB0QuantityPriced0Percent0NONENoNo532283W065
0005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/2514JB0QuantityPriced0Percent0NONENoNo
0005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/257JB0QuantityPriced0Percent0NONENoNo532283W065
0005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo532283W065
0005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/2511JB0QuantityPriced0Percent0NONENoNo532283W065
0006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo
0006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007NSP (Not Separately Priced)
Emergency Repair in conjunction with CLINS 4-6NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with CLINS 4-6NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo
0007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with CLINS 4-6NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with CLINS 4-6NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo532283W065
0007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with CLINS 4-6NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with CLINS 4-6NoBase5/1/244/30/254JB0QuantityPriced0Percent0NONENoNo532283W065
0007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with CLINS 4-6NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo532283W065
1001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26990JB0QuantityPriced0Percent0NONENoNo532283W065
1001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26660JB0QuantityPriced0Percent0NONENoNo532283W065
1001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26495JB0QuantityPriced0Percent0NONENoNo532283W065
1001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26660JB0QuantityPriced0Percent0NONENoNo532283W065
1001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26330JB0QuantityPriced0Percent0NONENoNo532283W065
1001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26825JB0QuantityPriced0Percent0NONENoNo532283W065
1002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2630JB0QuantityPriced0Percent0NONENoNo
1002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2620JB0QuantityPriced0Percent0NONENoNo532283W065
1002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2615JB0QuantityPriced0Percent0NONENoNo532283W065
1002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2620JB0QuantityPriced0Percent0NONENoNo532283W065
1002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2625JB0QuantityPriced0Percent0NONENoNo532283W065
1003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 15/1/254/30/266JB0QuantityPriced0Percent0NONENoNo
1003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo532283W065
1003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 15/1/254/30/266JB0QuantityPriced0Percent0NONENoNo532283W065
1003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 15/1/254/30/264JB0QuantityPriced0Percent0NONENoNo532283W065
1003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 15/1/254/30/269JB0QuantityPriced0Percent0NONENoNo532283W065
1003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 15/1/254/30/266JB0QuantityPriced0Percent0NONENoNo532283W065
1004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2620JB0QuantityPriced0Percent0NONENoNo
1004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2613JB0QuantityPriced0Percent0NONENoNo532283W065
1004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2613JB0QuantityPriced0Percent0NONENoNo532283W065
1004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/267JB0QuantityPriced0Percent0NONENoNo532283W065
1004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2617JB0QuantityPriced0Percent0NONENoNo532283W065
1005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2615JB0QuantityPriced0Percent0NONENoNo
1005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/267JB0QuantityPriced0Percent0NONENoNo532283W065
1005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/265JB0QuantityPriced0Percent0NONENoNo532283W065
1005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2612JB0QuantityPriced0Percent0NONENoNo532283W065
1006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo
1006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1007NSP (Not Separately Priced)
Emergency Repair in conjunction with CLINS 4-6NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with CLINS 4-6NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo
1007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with CLINS 4-6NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo532283W065
1007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 15/1/254/30/262JB0QuantityPriced0Percent0NONENoNo532283W065
1007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 15/1/254/30/264JB0QuantityPriced0Percent0NONENoNo532283W065
1007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo532283W065
2001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/271080JB0QuantityPriced0Percent0NONENoNo532283W065
2001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27720JB0QuantityPriced0Percent0NONENoNo532283W065
2001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27540JB0QuantityPriced0Percent0NONENoNo532283W065
2001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27720JB0QuantityPriced0Percent0NONENoNo532283W065
2001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27360JB0QuantityPriced0Percent0NONENoNo532283W065
2001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27900JB0QuantityPriced0Percent0NONENoNo532283W065
2002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2732JB0QuantityPriced0Percent0NONENoNo
2002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2722JB0QuantityPriced0Percent0NONENoNo532283W065
2002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2716JB0QuantityPriced0Percent0NONENoNo532283W065
2002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2722JB0QuantityPriced0Percent0NONENoNo532283W065
2002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2727JB0QuantityPriced0Percent0NONENoNo532283W065
2003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo
2003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 25/1/264/30/274JB0QuantityPriced0Percent0NONENoNo532283W065
2003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo532283W065
2003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 25/1/264/30/275JB0QuantityPriced0Percent0NONENoNo532283W065
2003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 25/1/264/30/2710JB0QuantityPriced0Percent0NONENoNo532283W065
2003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo532283W065
2004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2722JB0QuantityPriced0Percent0NONENoNo
2004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo532283W065
2004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2718JB0QuantityPriced0Percent0NONENoNo532283W065
2005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2716JB0QuantityPriced0Percent0NONENoNo
2005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/278JB0QuantityPriced0Percent0NONENoNo532283W065
2005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/275JB0QuantityPriced0Percent0NONENoNo532283W065
2005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo
2006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007NSP (Not Separately Priced)
Emergency Repair in conjunction with CLINS 4-6NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with CLINS 4-6NoOption 25/1/264/30/273JB0QuantityPriced0Percent0NONENoNo
2007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with CLINS 4-6NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 25/1/264/30/273JB0QuantityPriced0Percent0NONENoNo532283W065
2007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 25/1/264/30/275JB0QuantityPriced0Percent0NONENoNo532283W065
2007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 25/1/264/30/273JB0QuantityPriced0Percent0NONENoNo532283W065
3001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/281170JB0QuantityPriced0Percent0NONENoNo532283W065
3001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28780JB0QuantityPriced0Percent0NONENoNo532283W065
3001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28585JB0QuantityPriced0Percent0NONENoNo532283W065
3001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28780JB0QuantityPriced0Percent0NONENoNo532283W065
3001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28390JB0QuantityPriced0Percent0NONENoNo532283W065
3001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28975JB0QuantityPriced0Percent0NONENoNo532283W065
3002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2835JB0QuantityPriced0Percent0NONENoNo
3002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2823JB0QuantityPriced0Percent0NONENoNo532283W065
3002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2818JB0QuantityPriced0Percent0NONENoNo532283W065
3002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2823JB0QuantityPriced0Percent0NONENoNo532283W065
3002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2812JB0QuantityPriced0Percent0NONENoNo532283W065
3002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2829JB0QuantityPriced0Percent0NONENoNo532283W065
3003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 35/1/274/30/288JB0QuantityPriced0Percent0NONENoNo
3003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 35/1/274/30/285JB0QuantityPriced0Percent0NONENoNo532283W065
3003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 35/1/274/30/288JB0QuantityPriced0Percent0NONENoNo532283W065
3003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 35/1/274/30/286JB0QuantityPriced0Percent0NONENoNo532283W065
3003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 35/1/274/30/2811JB0QuantityPriced0Percent0NONENoNo532283W065
3003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 35/1/274/30/288JB0QuantityPriced0Percent0NONENoNo532283W065
3004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/2823JB0QuantityPriced0Percent0NONENoNo
3004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/2816JB0QuantityPriced0Percent0NONENoNo532283W065
3004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/2812JB0QuantityPriced0Percent0NONENoNo532283W065
3004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/2816JB0QuantityPriced0Percent0NONENoNo532283W065
3004AEJohn D. Dingell VA Medical Center, Detroit, MI

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