S02_Attachment SF DME LineItems.xlsx
XLSX spreadsheet 352 KB Posted
- Solicitation number
- 36C26123Q0407
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| 36C26123Q0407_1.docx | DOCX document | |
| Wage Determinations.pdf |
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Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| IDC-CON | 36C26122D0073 | Prosthetic Hawaii DME Contract Supplies - 36C261-21-AP-2510 | Percent | 0 |
KB Version: FY22.09B
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE | UNIT OF PURCHASE TEXT/DESC. |
| 0001 | Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address. This fee shall include set-up, and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 1294 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0002 | Fee for delivery - drop off ONLY. No set up and training. The unit of measure (UOM) is each job. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 60 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0003 | Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 13 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0004 | Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 129 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0005 | Pickup of durable medical equipment (DME) within 50 miles of Distribution Center/VA clinic. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is per each job. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 15 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0006 | The contractor shall be reimbursed for mileage that exceeds 50 miles from the Distribution Center/VA clinic for deliveries and pickups made. The mileage shall be calculated using the distances provided by MapQuest or equivalent software that the following website: www.mapquest.com. The one-way reimbursement rate will be the GSA contract rate for Privately Owned Vehicle Mileage-- www.gsa.gov. When multiple Jobs routes are consolidated Mapquest routes sheets with waypoints must be submitted for mileage reimbursements. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 1200 | MI | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0007 | Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 1851 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0008 | Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010 | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 19 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0009 | Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 185 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0010 | Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 3333 | HR | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0011 | Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 106 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0012 | Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0013 | Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0014 | Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 17 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0015 | Set up and delivery of Power Wheelchair Group 4 as defined by Medicare guidelines | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 35 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 0016 | Set up and delivery of Power Wheelchair Group 5 as defined by Medicare guidelines. | ORDERING PERIOD #1 | Yes | Base | 05/01/23 | 04/30/24 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1001 | Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address. This fee shall include set-up, and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 1294 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1002 | Fee for delivery - drop off ONLY. No set up and training. The unit of measure (UOM) is each job. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 60 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1003 | Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 13 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1004 | Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 129 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1005 | Pickup of durable medical equipment (DME) within 50 miles of Distribution Center/VA clinic. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is per each job. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 15 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1006 | The contractor shall be reimbursed for mileage that exceeds 50 miles from the Distribution Center/VA clinic for deliveries and pickups made. The mileage shall be calculated using the distances provided by MapQuest or equivalent software that the following website: www.mapquest.com. The one-way reimbursement rate will be the GSA contract rate for Privately Owned Vehicle Mileage-- www.gsa.gov. When multiple Jobs routes are consolidated Mapquest routes sheets with waypoints must be submitted for mileage reimbursements. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 1200 | MI | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1007 | Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 1851 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1008 | Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010 | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 19 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1009 | Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 185 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1010 | Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 3333 | HR | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1011 | Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 106 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1012 | Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1013 | Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1014 | Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 17 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1015 | Set up and delivery of Power Wheelchair Group 4 as defined by Medicare guidelines | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 35 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 1016 | Set up and delivery of Power Wheelchair Group 5 as defined by Medicare guidelines. | ORDERING PERIOD #2 | Yes | Option 1 | 05/01/24 | 04/30/25 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2001 | Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address. This fee shall include set-up, and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 1294 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2002 | Fee for delivery - drop off ONLY. No set up and training. The unit of measure (UOM) is each job. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 60 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2003 | Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 13 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2004 | Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 129 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2005 | Pickup of durable medical equipment (DME) within 50 miles of Distribution Center/VA clinic. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is per each job. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 15 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2006 | The contractor shall be reimbursed for mileage that exceeds 50 miles from the Distribution Center/VA clinic for deliveries and pickups made. The mileage shall be calculated using the distances provided by MapQuest or equivalent software that the following website: www.mapquest.com. The one-way reimbursement rate will be the GSA contract rate for Privately Owned Vehicle Mileage-- www.gsa.gov. When multiple Jobs routes are consolidated Mapquest routes sheets with waypoints must be submitted for mileage reimbursements. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 1200 | MI | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2007 | Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 1851 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2008 | Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010 | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 19 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2009 | Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 185 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2010 | Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 3333 | HR | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2011 | Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 106 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2012 | Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2013 | Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2014 | Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 17 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2015 | Set up and delivery of Power Wheelchair Group 4 as defined by Medicare guidelines | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 35 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 2016 | Set up and delivery of Power Wheelchair Group 5 as defined by Medicare guidelines. | ORDERING PERIOD #3 | Yes | Option 2 | 05/01/25 | 04/30/26 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3001 | Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address. This fee shall include set-up, and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 1294 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3002 | Fee for delivery - drop off ONLY. No set up and training. The unit of measure (UOM) is each job. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 60 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3003 | Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 13 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3004 | Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 129 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3005 | Pickup of durable medical equipment (DME) within 50 miles of Distribution Center/VA clinic. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is per each job. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 15 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3006 | The contractor shall be reimbursed for mileage that exceeds 50 miles from the Distribution Center/VA clinic for deliveries and pickups made. The mileage shall be calculated using the distances provided by MapQuest or equivalent software that the following website: www.mapquest.com. The one-way reimbursement rate will be the GSA contract rate for Privately Owned Vehicle Mileage-- www.gsa.gov. When multiple Jobs routes are consolidated Mapquest routes sheets with waypoints must be submitted for mileage reimbursements. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 1200 | MI | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3007 | Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 1851 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3008 | Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010 | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 19 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3009 | Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 185 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3010 | Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 3333 | HR | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3011 | Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 106 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3012 | Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3013 | Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3014 | Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 17 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3015 | Set up and delivery of Power Wheelchair Group 4 as defined by Medicare guidelines | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 35 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 3016 | Set up and delivery of Power Wheelchair Group 5 as defined by Medicare guidelines. | ORDERING PERIOD #4 | Yes | Option 3 | 05/01/26 | 04/30/27 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4001 | Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address. This fee shall include set-up, and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 1294 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4002 | Fee for delivery - drop off ONLY. No set up and training. The unit of measure (UOM) is each job. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 60 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4003 | Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 13 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4004 | Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 129 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4005 | Pickup of durable medical equipment (DME) within 50 miles of Distribution Center/VA clinic. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is per each job. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 15 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4006 | The contractor shall be reimbursed for mileage that exceeds 50 miles from the Distribution Center/VA clinic for deliveries and pickups made. The mileage shall be calculated using the distances provided by MapQuest or equivalent software that the following website: www.mapquest.com. The one-way reimbursement rate will be the GSA contract rate for Privately Owned Vehicle Mileage-- www.gsa.gov. When multiple Jobs routes are consolidated Mapquest routes sheets with waypoints must be submitted for mileage reimbursements. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 1200 | MI | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4007 | Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 1851 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4008 | Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010 | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 19 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4009 | Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 185 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4010 | Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 3333 | HR | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4011 | Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 106 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4012 | Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4013 | Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4014 | Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 17 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4015 | Set up and delivery of Power Wheelchair Group 4 as defined by Medicare guidelines | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 35 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA | ||||||||||||||||||||||||||||||
| 4016 | Set up and delivery of Power Wheelchair Group 5 as defined by Medicare guidelines. | ORDERING PERIOD #5 | Yes | Option 4 | 05/01/27 | 04/30/28 | 5 | JB | 1 | Quantity | Priced | Percent | 0 | DELIVERY TO VETERAN | NONE | No | 621610 | Q999 | NA |
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