S02 - 36C25025R0036 Line Items Template.xlsx

XLSX spreadsheet 457 KB Posted

Attached to
W065--DME Services - FCC VISN 10 IN & MI
Solicitation number
36C25025R0036
Issued by

About this file

This is a Contract Line Item Number (CLIN) template spreadsheet for VA solicitation 36C25025R0036 covering Durable Medical Equipment (DME) services across six VA medical facilities in Indiana and Michigan. The template covers a base period (1/1/25-12/31/25) and four one-year option periods through 12/31/29.

The CLINs are structured around seven main service categories for each facility: standard deliveries including setup and patient education, Assistive Technology Professional (ATP) deliveries, emergency deliveries, Level 1 repairs (<1 hour), Level 2 repairs (<2 hours), Level 3 repairs (>2 hours), and emergency repairs. The quantities vary by facility, with the Richard L. Roudebush VA Medical Center in Indianapolis having the highest volume (900-1,260 standard deliveries per year) and John D. Dingell VA Medical Center in Detroit having the lowest (300-420 standard deliveries per year). The template includes "Not Separately Priced" (NSP) parent CLINs and priced sub-CLINs for each service category and facility. All quantities show a gradual increase across the option years.

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36C25025R0036 0002.docx DOCX document
36C25025R0036 0001.docx DOCX document
S02 - 36C25025R0036 Document 12.31.24.docx DOCX document
S02 - 36C25025R0036 Document 12.31.24 1.docx DOCX document
S02 - D.2 QASP (FINAL dated 12.15.23).pdf PDF
36C25025R0036.docx DOCX document
S02 - D.3 Past Performance Questionnaire.pdf PDF

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Text version

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-upNoBase1/1/2512/31/250JB0QuantityNSP0Percent0NONENoNo532283W065
0001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase1/1/2512/31/25900JB0QuantityPriced0Percent0NONENoNo532283W065
0001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase1/1/2512/31/25600JB0QuantityPriced0Percent0NONENoNo532283W065
0001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase1/1/2512/31/25450JB0QuantityPriced0Percent0NONENoNo532283W065
0001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase1/1/2512/31/25600JB0QuantityPriced0Percent0NONENoNo532283W065
0001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase1/1/2512/31/25300JB0QuantityPriced0Percent0NONENoNo532283W065
0001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase1/1/2512/31/25750JB0QuantityPriced0Percent0NONENoNo532283W065
0002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoBase1/1/2512/31/250JB0QuantityNSP0Percent0NONENoNo532283W065
0002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoBase1/1/2512/31/2527JB0QuantityPriced0Percent0NONENoNo
0002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoBase1/1/2512/31/2518JB0QuantityPriced0Percent0NONENoNo532283W065
0002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoBase1/1/2512/31/2514JB0QuantityPriced0Percent0NONENoNo532283W065
0002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoBase1/1/2512/31/2518JB0QuantityPriced0Percent0NONENoNo532283W065
0002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoBase1/1/2512/31/259JB0QuantityPriced0Percent0NONENoNo532283W065
0002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoBase1/1/2512/31/2523JB0QuantityPriced0Percent0NONENoNo532283W065
0003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase1/1/2512/31/250JB0QuantityNSP0Percent0NONENoNo532283W065
0003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase1/1/2512/31/255JB0QuantityPriced0Percent0NONENoNo
0003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase1/1/2512/31/252JB0QuantityPriced0Percent0NONENoNo532283W065
0003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase1/1/2512/31/255JB0QuantityPriced0Percent0NONENoNo532283W065
0003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase1/1/2512/31/253JB0QuantityPriced0Percent0NONENoNo532283W065
0003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase1/1/2512/31/258JB0QuantityPriced0Percent0NONENoNo532283W065
0003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoBase1/1/2512/31/255JB0QuantityPriced0Percent0NONENoNo532283W065
0004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase1/1/2512/31/250JB0QuantityNSP0Percent0NONENoNo532283W065
0004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase1/1/2512/31/2518JB0QuantityPriced0Percent0NONENoNo
0004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase1/1/2512/31/2512JB0QuantityPriced0Percent0NONENoNo532283W065
0004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase1/1/2512/31/259JB0QuantityPriced0Percent0NONENoNo532283W065
0004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase1/1/2512/31/2512JB0QuantityPriced0Percent0NONENoNo532283W065
0004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase1/1/2512/31/256JB0QuantityPriced0Percent0NONENoNo532283W065
0004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase1/1/2512/31/2515JB0QuantityPriced0Percent0NONENoNo532283W065
0005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase1/1/2512/31/250JB0QuantityNSP0Percent0NONENoNo532283W065
0005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase1/1/2512/31/2514JB0QuantityPriced0Percent0NONENoNo
0005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase1/1/2512/31/259JB0QuantityPriced0Percent0NONENoNo532283W065
0005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase1/1/2512/31/257JB0QuantityPriced0Percent0NONENoNo532283W065
0005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase1/1/2512/31/259JB0QuantityPriced0Percent0NONENoNo532283W065
0005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase1/1/2512/31/255JB0QuantityPriced0Percent0NONENoNo532283W065
0005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase1/1/2512/31/2511JB0QuantityPriced0Percent0NONENoNo532283W065
0006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase1/1/2512/31/250JB0QuantityNSP0Percent0NONENoNo532283W065
0006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo
0006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007NSP (Not Separately Priced)
Emergency Repair in conjunction with CLINS 4-6NoBase1/1/2512/31/250JB0QuantityNSP0Percent0NONENoNo532283W065
0007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with CLINS 4-6NoBase1/1/2512/31/252JB0QuantityPriced0Percent0NONENoNo
0007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with CLINS 4-6NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with CLINS 4-6NoBase1/1/2512/31/252JB0QuantityPriced0Percent0NONENoNo532283W065
0007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with CLINS 4-6NoBase1/1/2512/31/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with CLINS 4-6NoBase1/1/2512/31/254JB0QuantityPriced0Percent0NONENoNo532283W065
0007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with CLINS 4-6NoBase1/1/2512/31/252JB0QuantityPriced0Percent0NONENoNo532283W065
1001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 11/1/2612/31/260JB0QuantityNSP0Percent0NONENoNo532283W065
1001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 11/1/2612/31/26990JB0QuantityPriced0Percent0NONENoNo532283W065
1001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 11/1/2612/31/26660JB0QuantityPriced0Percent0NONENoNo532283W065
1001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 11/1/2612/31/26495JB0QuantityPriced0Percent0NONENoNo532283W065
1001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 11/1/2612/31/26660JB0QuantityPriced0Percent0NONENoNo532283W065
1001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 11/1/2612/31/26330JB0QuantityPriced0Percent0NONENoNo532283W065
1001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 11/1/2612/31/26825JB0QuantityPriced0Percent0NONENoNo532283W065
1002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 11/1/2612/31/260JB0QuantityNSP0Percent0NONENoNo532283W065
1002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 11/1/2612/31/2630JB0QuantityPriced0Percent0NONENoNo
1002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 11/1/2612/31/2620JB0QuantityPriced0Percent0NONENoNo532283W065
1002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 11/1/2612/31/2615JB0QuantityPriced0Percent0NONENoNo532283W065
1002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 11/1/2612/31/2620JB0QuantityPriced0Percent0NONENoNo532283W065
1002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 11/1/2612/31/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 11/1/2612/31/2625JB0QuantityPriced0Percent0NONENoNo532283W065
1003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 11/1/2612/31/260JB0QuantityNSP0Percent0NONENoNo532283W065
1003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 11/1/2612/31/266JB0QuantityPriced0Percent0NONENoNo
1003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 11/1/2612/31/263JB0QuantityPriced0Percent0NONENoNo532283W065
1003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 11/1/2612/31/266JB0QuantityPriced0Percent0NONENoNo532283W065
1003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 11/1/2612/31/264JB0QuantityPriced0Percent0NONENoNo532283W065
1003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 11/1/2612/31/269JB0QuantityPriced0Percent0NONENoNo532283W065
1003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 11/1/2612/31/266JB0QuantityPriced0Percent0NONENoNo532283W065
1004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 11/1/2612/31/260JB0QuantityNSP0Percent0NONENoNo532283W065
1004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 11/1/2612/31/2620JB0QuantityPriced0Percent0NONENoNo
1004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 11/1/2612/31/2613JB0QuantityPriced0Percent0NONENoNo532283W065
1004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 11/1/2612/31/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 11/1/2612/31/2613JB0QuantityPriced0Percent0NONENoNo532283W065
1004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 11/1/2612/31/267JB0QuantityPriced0Percent0NONENoNo532283W065
1004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 11/1/2612/31/2617JB0QuantityPriced0Percent0NONENoNo532283W065
1005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 11/1/2612/31/260JB0QuantityNSP0Percent0NONENoNo532283W065
1005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 11/1/2612/31/2615JB0QuantityPriced0Percent0NONENoNo
1005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 11/1/2612/31/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 11/1/2612/31/267JB0QuantityPriced0Percent0NONENoNo532283W065
1005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 11/1/2612/31/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 11/1/2612/31/265JB0QuantityPriced0Percent0NONENoNo532283W065
1005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 11/1/2612/31/2612JB0QuantityPriced0Percent0NONENoNo532283W065
1006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 11/1/2612/31/260JB0QuantityNSP0Percent0NONENoNo532283W065
1006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 11/1/2612/31/261JB0QuantityPriced0Percent0NONENoNo
1006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 11/1/2612/31/261JB0QuantityPriced0Percent0NONENoNo532283W065
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 11/1/2612/31/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 11/1/2612/31/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 11/1/2612/31/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 11/1/2612/31/261JB0QuantityPriced0Percent0NONENoNo532283W065
1007NSP (Not Separately Priced)
Emergency Repair in conjunction with CLINS 4-6NoOption 11/1/2612/31/260JB0QuantityNSP0Percent0NONENoNo532283W065
1007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with CLINS 4-6NoOption 11/1/2612/31/263JB0QuantityPriced0Percent0NONENoNo
1007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with CLINS 4-6NoOption 11/1/2612/31/261JB0QuantityPriced0Percent0NONENoNo532283W065
1007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 11/1/2612/31/263JB0QuantityPriced0Percent0NONENoNo532283W065
1007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 11/1/2612/31/262JB0QuantityPriced0Percent0NONENoNo532283W065
1007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 11/1/2612/31/264JB0QuantityPriced0Percent0NONENoNo532283W065
1007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 11/1/2612/31/263JB0QuantityPriced0Percent0NONENoNo532283W065
2001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 21/1/2712/31/270JB0QuantityNSP0Percent0NONENoNo532283W065
2001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 21/1/2712/31/271080JB0QuantityPriced0Percent0NONENoNo532283W065
2001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 21/1/2712/31/27720JB0QuantityPriced0Percent0NONENoNo532283W065
2001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 21/1/2712/31/27540JB0QuantityPriced0Percent0NONENoNo532283W065
2001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 21/1/2712/31/27720JB0QuantityPriced0Percent0NONENoNo532283W065
2001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 21/1/2712/31/27360JB0QuantityPriced0Percent0NONENoNo532283W065
2001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 21/1/2712/31/27900JB0QuantityPriced0Percent0NONENoNo532283W065
2002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 21/1/2712/31/270JB0QuantityNSP0Percent0NONENoNo532283W065
2002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 21/1/2712/31/2732JB0QuantityPriced0Percent0NONENoNo
2002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 21/1/2712/31/2722JB0QuantityPriced0Percent0NONENoNo532283W065
2002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 21/1/2712/31/2716JB0QuantityPriced0Percent0NONENoNo532283W065
2002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 21/1/2712/31/2722JB0QuantityPriced0Percent0NONENoNo532283W065
2002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 21/1/2712/31/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 21/1/2712/31/2727JB0QuantityPriced0Percent0NONENoNo532283W065
2003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 21/1/2712/31/270JB0QuantityNSP0Percent0NONENoNo532283W065
2003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 21/1/2712/31/277JB0QuantityPriced0Percent0NONENoNo
2003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 21/1/2712/31/274JB0QuantityPriced0Percent0NONENoNo532283W065
2003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 21/1/2712/31/277JB0QuantityPriced0Percent0NONENoNo532283W065
2003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 21/1/2712/31/275JB0QuantityPriced0Percent0NONENoNo532283W065
2003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 21/1/2712/31/2710JB0QuantityPriced0Percent0NONENoNo532283W065
2003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 21/1/2712/31/277JB0QuantityPriced0Percent0NONENoNo532283W065
2004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 21/1/2712/31/270JB0QuantityNSP0Percent0NONENoNo532283W065
2004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 21/1/2712/31/2722JB0QuantityPriced0Percent0NONENoNo
2004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 21/1/2712/31/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 21/1/2712/31/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 21/1/2712/31/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 21/1/2712/31/277JB0QuantityPriced0Percent0NONENoNo532283W065
2004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 21/1/2712/31/2718JB0QuantityPriced0Percent0NONENoNo532283W065
2005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 21/1/2712/31/270JB0QuantityNSP0Percent0NONENoNo532283W065
2005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 21/1/2712/31/2716JB0QuantityPriced0Percent0NONENoNo
2005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 21/1/2712/31/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 21/1/2712/31/278JB0QuantityPriced0Percent0NONENoNo532283W065
2005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 21/1/2712/31/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 21/1/2712/31/275JB0QuantityPriced0Percent0NONENoNo532283W065
2005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 21/1/2712/31/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 21/1/2712/31/270JB0QuantityNSP0Percent0NONENoNo532283W065
2006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo
2006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo532283W065
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 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007NSP (Not Separately Priced)
Emergency Repair in conjunction with CLINS 4-6NoOption 21/1/2712/31/270JB0QuantityNSP0Percent0NONENoNo532283W065
2007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with CLINS 4-6NoOption 21/1/2712/31/273JB0QuantityPriced0Percent0NONENoNo
2007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with CLINS 4-6NoOption 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 21/1/2712/31/273JB0QuantityPriced0Percent0NONENoNo532283W065
2007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 21/1/2712/31/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 21/1/2712/31/275JB0QuantityPriced0Percent0NONENoNo532283W065
2007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with CLINS 4-6NoOption 21/1/2712/31/273JB0QuantityPriced0Percent0NONENoNo532283W065
3001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 31/1/2812/31/280JB0QuantityNSP0Percent0NONENoNo532283W065
3001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 31/1/2812/31/281170JB0QuantityPriced0Percent0NONENoNo532283W065
3001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 31/1/2812/31/28780JB0QuantityPriced0Percent0NONENoNo532283W065
3001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 31/1/2812/31/28585JB0QuantityPriced0Percent0NONENoNo532283W065
3001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 31/1/2812/31/28780JB0QuantityPriced0Percent0NONENoNo532283W065
3001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 31/1/2812/31/28390JB0QuantityPriced0Percent0NONENoNo532283W065
3001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 31/1/2812/31/28975JB0QuantityPriced0Percent0NONENoNo532283W065
3002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 31/1/2812/31/280JB0QuantityNSP0Percent0NONENoNo532283W065
3002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 31/1/2812/31/2835JB0QuantityPriced0Percent0NONENoNo
3002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 31/1/2812/31/2823JB0QuantityPriced0Percent0NONENoNo532283W065
3002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 31/1/2812/31/2818JB0QuantityPriced0Percent0NONENoNo532283W065
3002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 31/1/2812/31/2823JB0QuantityPriced0Percent0NONENoNo532283W065
3002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 31/1/2812/31/2812JB0QuantityPriced0Percent0NONENoNo532283W065
3002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 31/1/2812/31/2829JB0QuantityPriced0Percent0NONENoNo532283W065
3003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 31/1/2812/31/280JB0QuantityNSP0Percent0NONENoNo532283W065
3003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 31/1/2812/31/288JB0QuantityPriced0Percent0NONENoNo
3003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 31/1/2812/31/285JB0QuantityPriced0Percent0NONENoNo532283W065
3003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 31/1/2812/31/288JB0QuantityPriced0Percent0NONENoNo532283W065
3003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 31/1/2812/31/286JB0QuantityPriced0Percent0NONENoNo532283W065
3003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 31/1/2812/31/2811JB0QuantityPriced0Percent0NONENoNo532283W065
3003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with CLIN 1 or CLIN 2)NoOption 31/1/2812/31/288JB0QuantityPriced0Percent0NONENoNo532283W065
3004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 31/1/2812/31/280JB0QuantityNSP0Percent0NONENoNo532283W065
3004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 31/1/2812/31/2823JB0QuantityPriced0Percent0NONENoNo
3004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 31/1/2812/31/2816JB0QuantityPriced0Percent0NONENoNo532283W065
3004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 31/1/2812/31/2812JB0QuantityPriced0Percent0NONENoNo532283W065
3004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 31/1/2812/31/2816JB0QuantityPriced0Percent0NONENoNo532283W065

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