VA250-17-R-1170-00002001.xlsx

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VISN 10 Eyeglass Dispensing Services Northern Tier
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VA25017R1170
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VA250-17-R-1170 00002 S06- Proposed Price_Cost Schedule Amendment 2.xlsx

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Price_Cost Schedule

Schedule of Supplies/Services
Unit price offered shall be "all inclusive" and shall include FOB Destination shipping
Veterans Health Indiana
1481 West 10th Street
Indianapolis, IN
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10011April 1, 2018 - March 30, 2019Dispensing Services12,175Each$0.00
20012April 1, 2019 - March 30, 2020Dispensing Services12,784Each$0.00
30013April 1, 2020 - March 30, 2021Dispensing Services13,423Each$0.00
40014April 1, 2021 - March 30, 2022Dispensing Services14,094Each$0.00
50015April 1, 2022 - March 30, 2023Dispensing Services14,799Each$0.00
Total Estimated Price:$0.00
VA Northern Indiana Healthcare System
Fort Wayne Campus
2121 Lake Avenue
Fort Wayne, IN 46805-5100
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10021April 1, 2018 - March 30, 2019Dispensing Services5,980Each$0.00
20022April 1, 2019 - March 30, 2020Dispensing Services6,279Each$0.00
30023April 1, 2020 - March 30, 2021Dispensing Services6,593Each$0.00
40024April 1, 2021 - March 30, 2022Dispensing Services6,923Each$0.00
50025April 1, 2022 - March 30, 2023Dispensing Services7,269Each$0.00
Total Estimated Price:$0.00
VA Northern Indiana Healthcare System
Marion Campus
1700 East 38th Street
Marion, IN 46953-4568
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10031April 1, 2018 - March 30, 2019Dispensing Services3,008Each$0.00
20032April 1, 2019 - March 30, 2020Dispensing Services3,158Each$0.00
30033April 1, 2020 - March 30, 2021Dispensing Services3,316Each$0.00
40034April 1, 2021 - March 30, 2022Dispensing Services3,482Each$0.00
50035April 1, 2022 - March 30, 2023Dispensing Services3,656Each$0.00
Total Estimated Price:$0.00
St. Joseph County VA Clinic (SJCVAC)
1540 Trinity Place
Mishawaka, IN 46545
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10041April 1, 2018 - March 30, 2019Dispensing Services3,008Each$0.00
20042April 1, 2019 - March 30, 2020Dispensing Services3,158Each$0.00
30043April 1, 2020 - March 30, 2021Dispensing Services3,316Each$0.00
40044April 1, 2021 - March 30, 2022Dispensing Services3,482Each$0.00
50045April 1, 2022 - March 30, 2023Dispensing Services3,656Each$0.00
Total Estimated Price:$0.00
John D. Dingell VA Medical Center
4646 John R Street
Detroit, MI 48201-1916
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10051April 1, 2018 - March 30, 2019Dispensing Services13,123Each$0.00
20052April 1, 2019 - March 30, 2020Dispensing Services13,779Each$0.00
30053April 1, 2020 - March 30, 2021Dispensing Services14,468Each$0.00
40054April 1, 2021 - March 30, 2022Dispensing Services15,191Each$0.00
50055April 1, 2022 - March 30, 2023Dispensing Services15,951Each$0.00
Total Estimated Price:$0.00
VA Ann Arbor Health Care System
2215 Fuller Road
Ann Arbor, MI 48105-2303
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10061April 1, 2018 - March 30, 2019Dispensing Services9,246Each$0.00
20062April 1, 2019 - March 30, 2020Dispensing Services9,708Each$0.00
30063April 1, 2020 - March 30, 2021Dispensing Services10,193Each$0.00
40064April 1, 2021 - March 30, 2022Dispensing Services10,703Each$0.00
50065April 1, 2022 - March 30, 2023Dispensing Services11,238Each$0.00
Total Estimated Price:$0.00
Toledo VA Outpatient Clinic
3333 Glendale Avenue
Toledo, OH 43614
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10071April 1, 2018 - March 30, 2019Dispensing Services6,312Each$0.00
20072April 1, 2019 - March 30, 2020Dispensing Services6,628Each$0.00
30073April 1, 2020 - March 30, 2021Dispensing Services6,959Each$0.00
40074April 1, 2021 - March 30, 2022Dispensing Services7,307Each$0.00
50075April 1, 2022 - March 30, 2023Dispensing Services7,672Each$0.00
Total Estimated Price:$0.00
Battle Creek VA Medical Center
5500 Armstrong Road
Battle Creek, MI 49037-7314
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10081April 1, 2018 - March 30, 2019Dispensing Services16,427Each$0.00
20082April 1, 2019 - March 30, 2020Dispensing Services17,248Each$0.00
30083April 1, 2020 - March 30, 2021Dispensing Services18,110Each$0.00
40084April 1, 2021 - March 30, 2022Dispensing Services19,016Each$0.00
50085April 1, 2022 - March 30, 2023Dispensing Services19,967Each$0.00
Total Estimated Price:$0.00
Wyoming Community-Based Outpatient Clinic
5838 Metro Way
Wyoming, MI 49519
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10091April 1, 2018 - March 30, 2019Dispensing Services3,008Each$0.00
20092April 1, 2019 - March 30, 2020Dispensing Services3,158Each$0.00
30093April 1, 2020 - March 30, 2021Dispensing Services3,316Each$0.00
40094April 1, 2021 - March 30, 2022Dispensing Services3,482Each$0.00
50095April 1, 2022 - March 30, 2023Dispensing Services3,656Each$0.00
Total Estimated Price:$0.00
Aleda E. Lutz Medical Center
1500 Weiss Street
Saginaw, MI 48602-5251
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10101April 1, 2018 - March 30, 2019Dispensing Services6,118Each$0.00
20102April 1, 2019 - March 30, 2020Dispensing Services6,424Each$0.00
30103April 1, 2020 - March 30, 2021Dispensing Services6,745Each$0.00
40104April 1, 2021 - March 30, 2022Dispensing Services7,082Each$0.00
50105April 1, 2022 - March 30, 2023Dispensing Services7,436Each$0.00
Total Estimated Price:$0.00
Indy West VA Clinic
3850 Shore Drive, Suite 203
Indianapolis, IN 46254
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10111April 1, 2018 - March 30, 2019Dispensing Services3,008Each$0.00
20112April 1, 2019 - March 30, 2020Dispensing Services3,158Each$0.00
30113April 1, 2020 - March 30, 2021Dispensing Services3,316Each$0.00
40114April 1, 2021 - March 30, 2022Dispensing Services3,482Each$0.00
50115April 1, 2022 - March 30, 2023Dispensing Services3,656Each$0.00
Total Estimated Price:$0.00
Wakeman VA Clinic
3871 10th Street
Edinburgh, IN 46124
CLINOrdering PeriodOrdering Period DatesDescription of ServicesEstimated Quantity (Annually)UnitUnit PriceEstimated Total Price
10121April 1, 2018 - March 30, 2019Dispensing Services3,008Each$0.00
20122April 1, 2019 - March 30, 2020Dispensing Services3,158Each$0.00
30123April 1, 2020 - March 30, 2021Dispensing Services3,316Each$0.00
40124April 1, 2021 - March 30, 2022Dispensing Services3,482Each$0.00
50125April 1, 2022 - March 30, 2023Dispensing Services3,656Each$0.00
Total Estimated Price:$0.00
SiteAggregate Total
Veterans Health Indiana$0.00
VA Northern Indiana Healthcare System- Fort Wayne$0.00
VA Northern Indiana Healthcare System- Marion$0.00
St. Joseph County VA Clinic (SJCVAC)$0.00
John D. Dingell VA Medical Center$0.00
VA Ann Arbor Health Care System$0.00
Toledo VA Outpatient Clinic$0.00
Battle Creek VA Medical Center$0.00
Wyoming Community-Based Outpatient Clinic$0.00
Aleda E. Lutz Medical Center$0.00
Indy West VA Clinic$0.00
Wakeman VA Clinic$0.00
CLINSOrdering PeriodTotal Estimated Price
1001-10101$0.00
2001-20102$0.00
3001-30103$0.00
4001-40104$0.00
5001-50105$0.00
Total Estimated Contract Price:$0.00
Total Contract Ceiling:$0.00
Minimum Guaranteed Contract Value:$25,000.00

Pricing Notes

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