S02 - ATTACHMENT 1 - LINE ITEM DESCRIPTION - CENSITRAC INSTRUMENT TRACKING SOFTWARE - 09-03-2021.pdf

ATTACHMENT 1: LINE ITEM DESCRIPTION

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 EA __________________ __________________

SUBSCRIPTION – INSTRUMENT TRACKING SOFTWARE LICENSE FEE

TIER 3 – ANNUAL LICENSE FEE

“BRAND NAME ONLY”

CONTRACT TYPE: FIRM-FIXED PRICE

PRINCIPAL NAICS CODE: 511210 - Software Publishers

PRODUCT/SERVICE CODE: DA10 - IT and Telecom - Business

Application/Application Development Software As A Service

LOCAL STOCK NUMBER: SUT301

SUBSCRIPTION - CENSITRAC GOV CLOUD SERVER

REFER TO CENSIS AWS GOVCLOUD MEMO

LOCAL STOCK NUMBER: CSGOV

SUBSCRIPTION - SERVICE + BASE YR: CLINICAL ASSESSMENT BASED

ON-SITE VISIT + WEEK OF TRAINING, DISCOUNTS, FREE CTUC TICKETS

MANUFACTURER PART NUMBER (MPN): MSGL01

LOCAL STOCK NUMBER: MSGL01

SUBSCRIPTION - SCOPETRAC ADVANCED BUNDLE BASE YR: INCLUDES

ANY COMBINATION OF THE AER INTERFACES, WITH HANDS-FREE

FUNCTIONALITY AND OR SCHEDULER/PRIORITIZATION FOR SCOPES

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): SUBST02

LOCAL STOCK NUMBER: SUBST02

IMPLEMENTATION - INSTRUMENTRAC IMPLEMENTATION FEE GSA -

FOUR LABOR WEEKS ONSITE TRAINING, PROJECT MANAGEMENT,

DATA VALIDATION, ORV TESTING

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): IMT301

LOCAL STOCK NUMBER: IMT301

2,000.00 EA __________________ __________________

MARKING SERVICES: SINGLE INSTRUMENT CENSIMARK LASER SOW,

ONSITE MARKING, DATA COMMISSIONING & MANAGEMENT

MANUFACTURER PART NUMBER (MPN): IMS101

LOCAL STOCK NUMBER: IMS101

DATA OPTIMIZATION SERVICES DATA VALIDATION/NORMALIZATION,

SUBSTITUTION IDENTIFICATION & PROJECT MANAGEMENT

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): PSD001

LOCAL STOCK NUMBER: PSD001

16.00 EA __________________ __________________

HARDWARE - TANGENT KW 22 WORKSTATION 10% DISCOUNT

APPLIED

VHA OIT APPROVED - 256 GB

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO196

LOCAL STOCK NUMBER: CTO196

7.00 EA __________________ __________________

HARDWARE - COGNEX DM-CT2 BUNDLE SOLE SOURCE - SCANNER +

STAND

MANUFACTURER PART NUMBER (MPN): CTO217

LOCAL STOCK NUMBER: CTO217

9.00 EA __________________ __________________

HARDWARE - FIPS COMPLIANT WIRELESS SCANNER

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO128

LOCAL STOCK NUMBER: CTO128

HARDWARE - LABEL PRINTER WITH NETWORK CARD ZD420

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO182

LOCAL STOCK NUMBER: CTO182

8.00 EA __________________ __________________

HARDWARE - LABEL PRINTER USB ZD420

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO181

LOCAL STOCK NUMBER: CTO181

HARDWARE - LASER JET PRINTER

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO071

LOCAL STOCK NUMBER: CTO071

3.00 EA __________________ __________________

HARDWARE - DOCUMENT SCANNER

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO098

LOCAL STOCK NUMBER: CTO098

4.00 EA __________________ __________________

HARDWARE - CAMERA AND STAND BUNDLE HARDWARE -

WATERPROOF

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO157

LOCAL STOCK NUMBER: CTO157

HARDWARE - WATERPROOF KEYBOARD WITH INTEGRATED

TOUCHPAD MOUSE

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO104

LOCAL STOCK NUMBER: CTO104

HARDWARE - MOUNTING BRACKET 2 -- SIT-STAND COMBO

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO167

LOCAL STOCK NUMBER: CTO167

40.00 EA __________________ __________________

SUPPLIES - KEMSURE LABELS - SMALL LABELS (2X1)

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO185

LOCAL STOCK NUMBER: CTO185

20.00 EA __________________ __________________

SUPPLIES - KEMSURE RIBBONS SMALL

MANUFACTURER PART NUMBER (MPN): CTO186

LOCAL STOCK NUMBER: CTO186

2.00 EA __________________ __________________

HARDWARE - ELECTROCHEMICAL MARKING FILTER CAPS

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO082C

LOCAL STOCK NUMBER: CTO082C

SUPPLIES - ELECTROCHEMICAL MARKING ELECTROLYTE

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO084

LOCAL STOCK NUMBER: CTO084

SUPPLIES - ELECTROCHEMICAL MARKING NEUTRALIZER

Application/Application Development Software As A Service

MANUFACTURER PART NUMBER (MPN): CTO083

LOCAL STOCK NUMBER: CTO083

GRAND TOTAL __________________

B.4 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY DELIVERY DATE

0001 SHIP TO: Martinsburg VA Medical center

WAREHOUSE/ Attn: Elyssa Polomski

510 Butler Avenue

Martinsburg, WA 25405

USA

1.00 DELIVERY IS EXPECTED

WITHIN 30 DAYS ARO

MARK FOR: Elyssa Polomski

304-263-0811 Ext 3409

Elyssa.Polomski@va.gov

0002 SHIP TO: Martinsburg VA Medical center

WAREHOUSE/ Attn: Elyssa Polomski

510 Butler Avenue

MARK FOR: Elyssa Polomski

0003 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0004 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

Martinsburg, WA 25405

1.00 DELIVERY IS EXPECTED

WITHIN 30 DAYS ARO

mailto:Elyssa.Polomski@va.gov mailto:Elyssa.Polomski@va.gov

MARK FOR: Elyssa Polomski

0005 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0006 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

2,000.00 DELIVERY IS EXPECTED

MARK FOR: Elyssa Polomski

0007 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0008 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

16.00 DELIVERY IS EXPECTED

WITHIN 30 DAYS ARO

mailto:Elyssa.Polomski@va.gov mailto:Elyssa.Polomski@va.gov

0009 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

7.00 DELIVERY IS EXPECTED

MARK FOR: Elyssa Polomski

0010 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

9.00 DELIVERY IS EXPECTED

MARK FOR: Elyssa Polomski

0011 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0012 SHIP TO: Martinsburg VA Medical center

8.00 DELIVERY IS EXPECTED

WITHIN 30 DAYS ARO

mailto:Elyssa.Polomski@va.gov mailto:Elyssa.Polomski@va.gov

510 Butler Avenue

0013 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0014 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

3.00 DELIVERY IS EXPECTED

MARK FOR: Elyssa Polomski

0015 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

4.00 DELIVERY IS EXPECTED

MARK FOR: Elyssa Polomski

0016 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0017 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0018 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

40.00 DELIVERY IS EXPECTED

MARK FOR: Elyssa Polomski

0019 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

20.00 DELIVERY IS EXPECTED

mailto:Elyssa.Polomski@va.gov

0020 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

2.00 DELIVERY IS EXPECTED

MARK FOR: Elyssa Polomski

0021 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski

0022 SHIP TO: Martinsburg VA Medical center

510 Butler Avenue

MARK FOR: Elyssa Polomski