SCHEDULE.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
W065--VISN10 Home 02 Services (IN & MI)
Solicitation number
36C25025R0061
Issued by

About this file

The provided file is a detailed Schedule.xlsx spreadsheet for a VA contract (Solicitation Number 36C25025R0061) for Home Oxygen Services in Veterans Integrated Service Network 10 (VISN 10), covering Indiana and Michigan. The contract, awarded by the Department of Veterans Affairs Veterans Health Administration, runs from January 3, 2025 to January 2, 2026, and includes comprehensive medical equipment rental services primarily focused on oxygen-related medical equipment and supplies.

The schedule itemizes 28 line items for medical equipment rentals, including oxygen concentrators (with various flow rate capacities), portable oxygen systems, oxygen cylinders, refill services, accessories like cannulas and batteries, and specialized medical equipment such as suction machines, ventilators, and tracheostomy care supplies. Equipment quantities range from 1 to 543 units, with specific medical codes (e.g., E1390, E0443) and NAICS code 621610 for Home Health Care Services. Key rental items include portable concentrators (543 units), oxygen thermal fuses (326 units), and various cylinder and respiratory support equipment, demonstrating a comprehensive medical equipment support system for veterans.

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UPDATED 36C25025R0061 LineItems 12 12 25.xlsx XLSX spreadsheet
36C25025R0061 0005.docx DOCX document
UPDATED 36C25025R0061 LineItems 11 18 25.xlsx XLSX spreadsheet
36C25025R0061 0004.docx DOCX document
36C25025R0061 0003.docx DOCX document
36C25025R0061 0002.docx DOCX document
UPDATED 36C25025R0061 LineItems 10 22 25.xlsx XLSX spreadsheet
36C25025R0061 0001.docx DOCX document
36C25025R0061 LineItems 9 30 25.xlsx XLSX spreadsheet
36C25025R0061.docx DOCX document

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Item Information

Item NumberDescriptionContract PeriodPop BeginPop EndQuantityUnit of MeasureUnit PriceAmountPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBER
0001VA Ann Arbor Healthcare System - 2215 Fuller Road, Ann Arbor, MI 481050.00621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001AARental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM. E1390Base1/3/251/2/2622.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001ABRental concentrator with backup system consisting of compressed gas source, regulator, stand (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM. E1390Base1/3/251/2/2610.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001ACRental Concentrator with Portable Gaseous Oxygen System, home compressor used to fill portable oxygen cylinders- (2) self-filling -type oxygen cylinders, integrated oxygen conserving device, regulator, flow meter, humidifier, cannula or mask, tubing, cylinder carrier. Concentrator will have flow rate capacity up to 5 LPM. E1390Base1/3/251/2/26109.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001ADRental Concentrator with Portable Gaseous Oxygen System, home compressor used to fill portable oxygen cylinders- (2) self-filling -type oxygen cylinders, integrated oxygen conserving device, regulator, flow meter, humidifier, cannula or mask, tubing, cylinder carrier. Concentrator will have flow rate capacity up to 10 LPM. E1390Base1/3/251/2/2610.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001AERefillable – type oxygen cylinder- Rental of additional re-fillable cylinders for patients who are assessed to have an extended need for oxygen portability due to high liter flow and/or increased patient activity outside of the home. E0443Base1/3/251/2/262.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001BCylinder, size M or H set-up consisting of regulator, flow meter, safety stand, humidifier and disposable supplies (emergency backup system or as primary) NOTICE: This shall be invoiced per cylinder provided to the patient. This is NOT a recurring rental PRICE, charges will only incur when an empty cylinder is refilled or replaced with a full cylinder (reference CLIN C regarding refills or replacements). SPECIAL NOTE: Regulators and Conserving devices shall be included in the monthly rental price for all applicable equipment; backup system is provided at no costBase1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001CCylinder, size M or H refill/replacement (Backup/Primary) E0443 SPECIAL NOTE: Regulators and Conserving devices shall be included in the monthly rental price for all applicable equipment; backup system is provided at no costBase1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001DPortable system ONLY: prescription does not include concentrator consists of “E”, “D”, “B” (M6), or “C” (M9) size aluminum (or equivalent weight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies. NOTICE: This shall be
invoiced per cylinder provided to the patient. This is NOT a recurring rental PRICE, charges will only incur when an empty cylinder is refilled or replaced (reference clins E-H regarding refills). SPECIAL NOTE: Regulators and Conserving devices shall be included in the monthly rental price for all applicable equipmentBase1/3/251/2/2649.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001ECylinder, size “E” refill/replacement for Item D above; Aluminum (or metal of equivalent weight or less) tanks required E0443 SPECIAL NOTE: Regulators and Conserving devices shall be included in the monthly rental price for all applicable equipmentBase1/3/251/2/2610.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001FCylinder, size “D” (M15) refill/replacement for Item D above. Aluminum (or metal of equivalent weight or less) tanks required E0443 SPECIAL NOTE: Regulators and Conserving devices shall be included in the monthly rental price for all applicable equipmentBase1/3/251/2/2610.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001GCylinder, size “B” (M6) refill/replacement for Item D above; Aluminum (or metal of equivalent weight or less) tanks required E0443 SPECIAL NOTE: Regulators and Conserving devices shall be included in the monthly rental price for all applicable equipmentBase1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001HCylinder, size “C” refill/replacement for Item D above; Aluminum (or metal of equivalent weight) tanks required E0443 SPECIAL NOTE: Regulators and Conserving devices shall be included in the monthly rental price for all applicable equipmentBase1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001IDemand Nasal Cannula (e.g. Oximeter) Reservoir or pendant/equivalent. VA111Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001JRental Demand Pulse Conserver Device; no less than a 5:1 ratio or 60 ML/pulse. VA111 SPECIAL NOTE: Conserving devices shall be included in the monthly rental price for all applicable equipmentBase1/3/251/2/2633.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001KRental liquid oxygen system (90 –100 lbs.) stationary reservoir per patient. E0439; AND Rental portable liquid oxygen system per patient E0434Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001LLiquid oxygen per pound for portable liquid oxygen system under Item K. E0444Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001MDelivery for re-supply and/or relocation of equipment due to change in patient’s residenceBase1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001NAPortable Concentrator- Rental portable oxygen concentrator E1392Base1/3/251/2/26543.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001NBExtra Battery for Portable Oxygen Concentrator – Temporary rental to be used only during patient travel, when extended time away from a permanent power source is expected. E1356Base1/3/251/2/264.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001OOvernight Oximeter- Rental oximeter for overnight oximetry testing E0445Base1/3/251/2/262.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001PSuction Machine- Rental suction machine E0600Base1/3/251/2/2654.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001QCompressor 50 psi - Rental 50 psi air compressor E0565Base1/3/251/2/2654.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001RFull Face PAP Mask - The contractor shall provide a full face mask to Veterans receiving non-invasive mechanical ventilation. This item is to be provided to vetnilator patients only.Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001SPressure support ventilator with volume control mode; may include pressure control mode; Rental pressure support ventilatorBase1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001TOxygen Thermal Fuse (Fire Safe Cannula)- fuse to isolate oxygen supply in case of fireBase1/3/251/2/26326.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001UClosed Suction Catheters – Contractor shall provide closed suction catheters to each ventilator patient each month, Catheters shall be replaced as needed during monthly visit by contractor RT. A4605Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001VHeated Humidifier- The contractor shall provide a heated humidifier to Veterans receiving mechanical ventilation to provide optimal levels of heat and moisture to the patient’s airway.Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001WPortable Suction Machine- The contractor shall provide a portable suction machine equipped with an internal battery for use during transport to Veterans receiving mechanical ventilation only E0600Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001XNebulizer with Compressor- The contractor will provide a nebulizer with compressor to ventilator patients only, as ordered by the VA. MONTHLY PRICE shall include spring loaded T-adapter, neb cups, tubing, masks, trach masks. E0570Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001YTracheostomy care supplies – The contractor shall provide supplies needed to properly clean and maintain trach and stoma to ventilator patients only. These supplies shall include, tracheostomy drain sponges A6402, basic tracheostomy care kits A4629, 3ml UNIT dose normal saline A4649, cuffed and uncuffed tracheostomy tubes A7521, A7520, tracheostomy inner cannulas A4623Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001ZInline HME- The contractor shall provide an inline heated moisture exchanger (HME) to Veterans receiving noninvasive mechanical ventilation in order to provide optimal levels of heat and moisture to the patient’s airway. A4483Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001Z1PAP Pressure Valve- Contractor shall furnish a Positive Airway Pressure (PAP) Valve to each Veteran on nocturnal oxygen bled into a Positive Airway Pressure (PAP) Device when ordered by the VAMC. E1399Base1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
0001Z2Variable Concentration Trach Mask - The contractor shall provide a variable concentration trach mask to Veterans, as ordered by VA Medical Center Staff. This shall include the mask and all mask componentsBase1/3/251/2/261.00EA621610 - Home Health Care ServicesW065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies
Grand Total:

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