Supply eCMS Line Item Template _ STANDING POWER WHEELCHAIRS PERMOBIL F5 CORPUS VS AND M CORPUS VS.xlsx
XLSX spreadsheet 469 KB Posted
- Attached to
- 8465--BRAND NAME ONLY - STANDING POWER WHEELCHAIRS PERMOBIL F5 CORPUS VS AND M CORPUS VS
- Solicitation number
- 36C24625Q0886
About this file
This file is an eCMS Line Item Template for Standing Power Wheelchairs, specifically for the Permobil F5 Corpus VS and M Corpus VS models. The associated federal contract opportunity is a solicitation (Solicitation Number: 36C24625Q0886) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6. The solicitation appears to be a brand-name-specific procurement for specialized power wheelchairs, indicating a targeted acquisition for medical mobility equipment with precise manufacturer and model requirements.
The template provides a structured format for line item pricing and specifications, suggesting this is part of a detailed procurement process for medical equipment intended for Veterans Affairs healthcare facilities. While the template itself does not contain complete pricing or specification details, it is designed to capture essential information for the wheelchair procurement, likely to standardize vendor responses and facilitate accurate evaluation of the proposed wheelchair models.
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Other files
| File | Type | Posted |
|---|---|---|
| P03 Brand Name Only Justification - Permobil Redacted CO1.pdf | ||
| 36C24625Q0886.docx | DOCX document |
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Text version
Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| RFQ | VA69D-14-Q-0161 | Percent | 0 |
KB Version: FY22.12A
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 | Include Data Values 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 |
| 0001 | Brand Name Only - 5 Corpus VS, Power Platform 1 pcs 108851-99-0 F5 Base Corpus VS - F5 MPO K0884 1 109587-99-0 Antenna Power Platform (global 1 antenna) Info, 110758-99-0, Set Display Speed To Mph Info 1, 110755-99-0 F5 With VS Seat 1, 109799-99-0 Power Platform Firmware Info 1, 108842-99-0 Power Mount Chassis Info 1, 109554-99-0 F-Series Shock Setting 198-264 1 Lbs, 107360-99-0 EMI Hang Tag Info 1, 109963-99-0 USER MANUAL F5 CORPUS 1 VS ENG US, 109190-99-0 Pu Nas Builder Cards 2020 Info 1, 109586-99-0 Power Module - Power Platform Info 1, 107027-99-0 Support Wheels Corpus Vs 1, 107039-99-0 Set Max Speed To 7.5 Mph 1, 108775-99-0 PARAMETERFIL F5 VS PP 1 12K MH Info, 108808-99-0 Software User Weight 76-1 1 00Kg Info 108354-99-0 Shock Absorber, F5, Pair 1, 108414-99-0 Flat Free Tire 3"W X 14"T Black 1 - Standard Tread, 108409-99-0 Flat Free Caster 2.5"W X 8"T 1 Black - Standard, 108445-99-0 Mud Guard Kit 1, 108499-99-0 Shroud Kit, Black, F5 No Color 1 Inserts, 2019 Fl Info, 108407-99-0 Cover Front, Corpus Vs Black, 1 F5, 2019 Fl Info 108967-99-0 F5 Color Kit - Spring 1 108882-99-0 Hub Cap Color - Spring 108873-99-0 ActiveHeight Power Adjustable 1 Seat Height E2298, 108843-99-0 Power Mount Seat Info 1, 107435-99-0 Set Seat Height To 17.5" 1, 108999-99-0 Permobil Batteries, Group 24 - 1 Pair E2363, 109167-99-0 Permobil Voltpro Charger, I, N 1 America 11702 LED Light Kit for F5 - Power 1 Platform, NC 11709 Enhanced Steering Perform 1 Unit (Esp), R-Net 110723-99-0 Base Package For Power Lift Info 1 110669-99-0 Display Axis Lift On JSM Info 1 107756-99-0 50? Power Tilt & 180? Power 1 Recline E1007 108847-99-0 Power Standing Function E2301 1 11287 VA - Multiple Seat Function 1 Control Kit E2311 102798-99-0 Push Buttons On ICS 1 Switchbox (1.4M) 10626 Mount ICS Switchbox Onto R- 1 Net Joystick Bracket 108799-99-0 Software Layout "F" Switch Box Info 1 109793-99-0 Swithcbox layout PP dark 1 background 108805-99-0 Software Indication Level 4 1 Switch Box Info 110156-99-0 Enable Independent 1 Repositioning Mode (IRM) 107030-99-0 Sliding Backrest Kit - 5" 1 Mechanical Shear 11260 Roho Agility Max Contour Direct 1 Mount - 20" Tall E2620, 11266 Set Agility Backrest At 25" 1 _____ 108220-99-0 Roho Agility Max Contour Direct 1 Mount - 18"Wx20"T, 107024-99-0 Set Seat Width At 19": ____ 1 107019-99-0 Seat Depth 20" 1 108817-99-0 Software Corpus Ape Seat 1 Depth 520Mm/21" Info 11168 Roho High Profile Single Comp 1 < 22"W E2622 107542-99-0 Roho Sensor Ready High 1 Profile 1R1011H-Ca-Sr E2622, 105069-99-0 Height Adjustable Armrests - Nc 1 106544-99-0 Wide Armrest Kit, Inf Adjustable 1 19"W - 23"W, 105085-99-0 Set Armbar At 19"W Between 1 Armrests:____10682 Set Armrest Height At 11" 1, 105070-99-0 Right Armrest Bracket - Fixed 1, 105071-99-0 Left Armrest Bracket - Fixed 1, 105105-99-0 4"X16" Corpus Armrest Pad 1 Right - Leatherette 105107-99-0 4"X16" Corpus Armrest Pad 1 Left - Leatherette 107176-99-0 Chest Support Medium - 12"W 1 X 5.75"T 107203-99-0 Adj Removable Chest Support 1 Hardware E1028 107760-99-0 Corpus VS Power Legrest 1 Elevation - 180? E1012 106965-99-0 Corpus VS Stand and Drive 1 Package K0108 106971-99-0 2pc Wide Corpus VS 1 Footplates - 9"D x 7.5"W 106190-99-0 VS Calf Support Kit (A) w Mesh 1 Cover & Adj Hardware 107038-99-0 Knee Support - Single Post E0957 1 11129 Adj Removable Knee Support 1 Hardware (1 Each) E1028 10698 Set Footplate At 15" (Seat Pan 1 To Footplate) 107028-99-0 Holder Kneestop Unitrack 1 Corpus Vs 108266-99-0 Bodypoint Padded Hip Belt 1 "Airplane" Latch - Large 107469-99-0 Permobil 10"W Headrest E0955 1 108721-99-0 Adj/Removable BodiLink Head 1 Support Hdwr - MAX 8 E1028 1 109624-99-0 Extra 4" Link for BodiLink 1 Headrest Hdwr 108723-99-0 Bodilink Headrest Bracket 1 Corpus Short/Agility 109043-99-0 Bodilink Premium Lpts Pad (A), 1 Stretch-Air - Pair E0953 109044-99-0 Adj/Removable BodiLink LPTS 2 Hdwr Med Corpus Pair E1028 109041-99-0 Bodilink Premium Lpts Pad (C), 1 Stretch-Air - Pair E0953 11700 USB Charger - Power Platform, 1 NC 11095 Mount USB On Right Armrest 1 105839-99-0 Bodypoint Monoflex Large 1 Chest Support Belt Kit E0960 109023-99-0 Bodilink Universal Manual 1 Corpus - Amer 110271-99-0 Latched Function On Power 1 Platform 110261-99-0 Stand Seq F5VS Open Sit To 1 Stand 0-100 Kg Info 110727-99-0 Base Package For Articulation 1 Legrest Info 110726-99-0 Base Package For Power 1 Legrest Info 110725-99-0 Base Package For Power 1 Recline Info 110670-99-0 Display Axis Back On JSM Info 1 110671-99-0 Display Axis Tilt On JSM Info 1 110672-99-0 Display Axis Legrest On JSM Info 1 110675-99-0 Display Axis Footplate On JSM Info 1 110678-99-0 Display Axis Stand 1 On JSM Info 1 110724-99-0 Base Package For Power Tilt Info 1 110744-99-0 Power Recline Min As 85? To 1 Horizon Info 110745-99-0 Power Recline Min As 85? To 1 Seat Info 110757-99-0 Power Tilt Posterior 50? 1 110759-99-0 Softkey 4 Toggle Stand 1 Setup Info 1, 11704 Color Joystick Module (CJSM) - 1 Power Platform HSB 109638-99-0 Paramfil Package CJSM-HSB Info 1 108849-99-0 R-Net Cabel High Speed Bu S Info 1, 108037-99-0 Slimline Retractable Joystick 1 Mount - Right E1028, 107960-99-0 Adjustable Height Panel 1 Bracket - Rjm Right, 10411 Expandable Controller - R-Net E2377 1 10513 Harness For Expandable 1 Controller E231, 105847-99-0 Bodypoint J/S Handle 4" U- 1 Shaped W/ Flex-Shaft E2323, 110117-99-0 Software AB and BT JSM Setup Info 1 110766-99-0 Softkey 2 Toggle Artlegs Info 1 | Base | 08/29/25 | 11/29/25 | 2 | 339113 | 8465 | ||||||||||||||||||||||||||||||||||||||||||
| 0002 | Brand Name Only - 108406-99-0 Shroud Front Black Corpus F3 1 F5, 2019 Fl Info 109858-99-0 M VS Color Kit - Spring 1108882-99-0 Hub Cap Color - Spring 1 108873-99-0 ActiveHeight Power Adjustable 1 Seat Height E2298 108843-99-0 Power Mount Seat Info 1 107435-99-0 Set Seat Height To 17.5" 1 108999-99-0 Permobil Batteries, Group 24 - 1 Pair E2363 109167-99-0 Permobil Voltpro Charger, I, N 1 America 11703 LED Light Kit for M-Series - 1 Power Platform, NC 11709 Enhanced Steering Perform 1 Unit (Esp), R-Net 110723-99-0 Base Package For Power Lift Info 1 110669-99-0 Display Axis Lift On JSM Info 1 107756-99-0 50? Power Tilt & 180? Power 1 Recline E1007 108847-99-0 Power Standing Function E2301 1 11287 VA - Multiple Seat Function 1 Control Kit E2311 102798-99-0 Push Buttons On ICS 1 Switchbox (1.4M) 10626 Mount ICS Switchbox Onto R- 1 Net Joystick Bracket 108799-99-0 Software Layout "F" Switch Box Info 1 109793-99-0 Swithcbox layout PP dark 1 background 108805-99-0 Software Indication Level 4 1 Switch Box Info 110156-99-0 Enable Independent 1 Repositioning Mode (IRM) 0.00 107030-99-0 Sliding Backrest Kit - 5" 1 Mechanical Shear 105063-99-0 Set Corpus Backrest At 26" 1 _____ 11290 VA - Corpus Ergo Back 18"W x 1 23"-28"T E2620 11335 Leatherette Cushion - Corpus 1 Ergo Back 108655-99-0 Ergo Backrest Cushion 1 18"Wx26-28"T, Leatherette 105570-99-0 Corpus Backrest Wedge 1 107024-99-0 Set Seat Width At 19": ____ 1 107019-99-0 Seat Depth 20" 1 108817-99-0 Software Corpus Ape Seat 1 Depth 520Mm/21" Info 11168 Roho High Profile Single Comp 1 < 22"W E2622 107542-99-0 Roho Sensor Ready High 1 Profile 1R1011H-Ca-Sr E2622 105069-99-0 Height Adjustable Armrests - Nc 1 106544-99-0 Wide Armrest Kit, Inf Adjustable 1 19"W - 23"W 105085-99-0 Set Armbar At 19"W Between 1 Armrests:____ 10682 Set Armrest Height At 11" 1 105070-99-0 Right Armrest Bracket - Fixed 1 105071-99-0 Left Armrest Bracket - Fixed 1 105105-99-0 4"X16" Corpus Armrest Pad 1 Right - Leatherette 105107-99-0 4"X16" Corpus Armrest Pad 1 Left - Leatherette 107176-99-0 Chest Support Medium - 12"W 1 X 5.75"T 107203-99-0 Adj Removable Chest Support 1 Hardware E1028 107760-99-0 Corpus VS Power Legrest 1 Elevation - 180? E1012 106965-99-0 Corpus VS Stand and Drive 1 Package K0108 106971-99-0 2pc Wide Corpus VS 1 Footplates - 9"D x 7.5"W 106190-99-0 VS Calf Support Kit (A) w Mesh 1 Cover & Adj Hardware 1007038-99-0 Knee Support - Single Post E0957 1 11129 Adj Removable Knee Support 1 Hardware (1 Each) E1028 10698 Set Footplate At 15" (Seat Pan 1 To Footplate) 107028-99-0 Holder Kneestop Unitrack 1 Corpus Vs 104516-99-0 Bodypoint Padded Hip Belt - 1 Large 107469-99-0 Permobil 10"W Headrest E0955 1 108721-99-0 Adj/Removable BodiLink Head 1 Support Hdwr - MAX 8 E1028 109624-99-0 Extra 4" Link for BodiLink 1 Headrest Hdwr 108722-99-0 Bodilink Headrest Bracket 1 Corpus (Pw2A) 109043-99-0 Bodilink Premium Lpts Pad (A), 1 Stretch-Air - Pair E0953 109044-99-0 Adj/Removable BodiLink LPTS 2 Hdwr Med Corpus Pair E1028 109041-99-0 Bodilink Premium Lpts Pad (C), 1 Stretch-Air - Pair E0953 11700 USB Charger - Power Platform, 1 NC 11094 Mount USB On Left Armrest 1 105839-99-0 Bodypoint Monoflex Large 1 Chest Support Belt Kit E0960 109023-99-0 Bodilink Universal Manual 1 Corpus - Amer 110271-99-0 Latched Function On Power 1 Platform 110557-99-0 Stand Seq 1 MVS Open Sit to 1 Stand 0-75 Kg Info 110727-99-0 Base Package For Articulation 1 Legrest Info 110726-99-0 Base Package For Power 1 Legrest Info 110725-99-0 Base Package For Power 1 Recline Info 110670-99-0 Display Axis Back On JSM Info 1 110671-99-0 Display Axis Tilt On JSM Info 1110672-99-0 Display Axis Legrest On JSM Info 1 110675-99-0 Display Axis Footplate On JSM Info 1 110678-99-0 Display Axis Stand 1 On JSM Info 1 110724-99-0 Base Package For Power Tilt Info 1 110744-99-0 Power Recline Min As 85? To 1 Horizon Info 110745-99-0 Power Recline Min As 85? To 1 Seat Info 110757-99-0 Power Tilt Posterior 50? 1 110759-99-0 Softkey 4 Toggle Stand 1 Setup Info 1 11704 Color Joystick Module (CJSM) - 1 Power Platform HSB 109638-99-0 Paramfil Package CJSM-HSB Info 1 108849-99-0 R-Net Cabel High Speed Bu S Info 1 108037-99-0 Slimline Retractable Joystick 1 Mount - Right E1028 107960-99-0 Adjustable Height Panel 1 Bracket - Rjm Right 10411 Expandable Controller - R-Net E2377 1 10513 Harness For Expandable 1 Controller E2313 110117-99-0 Software AB and BT JSM Setup Info 1 110766-99-0 Softkey 2 Toggle Artlegs Info 1 | Base | 08/29/25 | 11/29/25 | 2 | 339113 | 8465 | ||||||||||||||||||||||||||||||||||||||||||
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