VA259-17-R-0100-A00006008.xlsx
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- AMENDMENT 9
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- VA25917R0100
About this file
This document contains a price schedule for respiratory medical equipment and services required by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19 at the Cheyenne VA Medical Center. The price schedule lists line items for the rental, purchase, setup, maintenance and supplies of various oxygen concentrators, liquid oxygen systems, portable oxygen equipment, suction machines, cough assist devices, percussive vests and related accessories. The period of performance is specified as a base year from October 1, 2017 to September 30, 2018, with four optional one-year extensions. Estimated quantities and unit prices are provided for each line item for the base year and optional extension years.
VA259-17-R-0100 A00006 Attachment 1, Cheyenne CLINS.xlsx
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Denver
| PRICE SCHEDULE | ||||||
| Cheyenne VA Medical Center | ||||||
| PERIOD OF PERFORMANCE: BASE YEAR OCTOBER 1, 2017 TO SEPTEMBER 30, 2018 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 100 | Each | ||
| 0001AA | E1390 | Rental of Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 9,240 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 175 | Each | ||
| 0002AA | E1390 | Rental of Low Decibel Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 10,680 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 60 | Each | ||
| 0003AA | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 1,020 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 240 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 144,000 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 60 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 24 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 24 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 24 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 24 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 24 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 60 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 60 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 68,400 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 68,400 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 360 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment and for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 360 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 360 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 360 | Each | ||
| 0017 | K0738 | Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AA | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 36 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 120 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 1 OCTOBER 1, 2018 TO SEPTEMBER 30, 2019 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 103 | Each | ||
| 0001AA | E1390 | Rental of Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 9,517 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 180 | Each | ||
| 0002AA | E1390 | Rental of Low Decibel Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 11,000 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 62 | Each | ||
| 0003AA | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 1,050 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 247 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 148,320 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 62 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 62 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 62 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 70,450 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 70,450 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 370 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 370 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 370 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 370 | Each | ||
| 0017 | K0738 | Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AA | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 123 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 2 OCTOBER 1, 2019 TO SEPTEMBER 30, 2020 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 106 | Each | ||
| 0001AA | E1390 | Rental of Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 9,803 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 185 | Each | ||
| 0002AA | E1390 | Rental of Low Decibel Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 11,330 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 64 | Each | ||
| 0003AA | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 1,080 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 254 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 152,770 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 64 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 64 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 64 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 72,565 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 72,565 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 380 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 380 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 380 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 380 | Each | ||
| 0017 | K0738 | Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AA | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 129 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 3 OCTOBER 1, 2020 TO SEPTEMBER 30, 2021 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 109 | Each | ||
| 0001AA | E1390 | Rental of Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 10,097 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 190 | Each | ||
| 0002AA | E1390 | Rental of Low Decibel Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 11,670 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 66 | Each | ||
| 0003AA | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 1,110 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 261 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 157,355 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 66 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 66 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 66 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 74,740 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 74,740 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 391 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 391 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 391 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 391 | Each | ||
| 0017 | K0738 | Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AA | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 132 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 4 OCTOBER 1, 2021 TO SEPTEMBER 30, 2022 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 112 | Each | ||
| 0001AA | E1390 | Rental of Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 10,400 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, preventative maintenance, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 195 | Each | ||
| 0002AA | E1390 | Rental of Low Decibel Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 12,020 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 68 | Each | ||
| 0003AA | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 1,145 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 270 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 162,075 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 68 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 66 | Each | ||
| 0013 | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 66 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 76,980 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 76,980 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 400 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 400 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 400 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 400 | Each | ||
| 0017 | K0738 | Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AA | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 135 | Each | ||
| ESTIMATED TOTAL |
File details come from the government source that posted it. Updated .