VA259-17-R-0100-A00006009.xlsx

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AMENDMENT 9
Solicitation number
VA25917R0100
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This document is a price schedule for respiratory medical equipment and services for the Department of Veterans Affairs Salt Lake City Health Care System. It includes line items for the initial setup and ongoing rental of various oxygen concentrators, portable oxygen systems, ventilators, nebulizers, suction machines, and related supplies. Estimated quantities, units of issue, and periods of performance are provided for the base year and four option years. Specific equipment includes concentrators, portable oxygen concentrators, stationary and portable liquid oxygen systems, portable gaseous oxygen systems, ventilators, air compressors, and purchased items such as suction machines, nebulizers, and percussive vests. Services include equipment maintenance, clinician visits, setup and training, and replacement of supplies. The solicitation number is VA259-17-R-0100-A00006009 and relates to Amendment 9 of solicitation VA25917R0100 for the Department of Veterans Affairs Veterans Health Administration VISN 19.

VA259-17-R-0100 A00006 Attachment 1, Salt Lake City CLINS.xlsx

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PRICE SCHEDULE
VA SALT LAKE CITY HEALTH CARE SYSTEM
PERIOD OF PERFORMANCE: BASE YEAR OCTOBER 1, 2017 TO SEPTEMBER 30, 2018
LINE ITEMHCPSC CODEDESCRIPTION OF SERVICESESTIMATED ANNUAL QUANTITYUNIT OF ISSUEUNIT PRICEESTIMATED TOTAL
0001E1390Initial 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.3,600Each
0001AAE1390Rental 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.14,400Each
0002E1390Initial 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.500Each
0002AAE1390Rental 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.2,000Each
0003E1390Initial 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.130Each
0003AAE1390Rental 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.520Each
0004E1392Rental 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).100Each
0004AAE1392Rental 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).100Each
0004ABE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )300Each
0004ACE1392Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards.200Each
0005E0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: C, D, and E.4,500Each
0005AAE0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: MM, H (these require a 12 cylinder rack).500Each
0005ABE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)168,000Each
0005ACE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, MM, H)2,000Each
0006E0439Rental 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, cannula or mask and tubing.144Each
0007E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents (LBS).36,000LBS
0008E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.120Each
0009E0465Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).10Each
0009AAE0465Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment.120Each
0009ABE0465Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.120Each
0010E0565Rental 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 )20Each
0010AAE0565Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)240Each
0011VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.200Each
0012E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.1Each
0012AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.1
0012ABE0600Set-up of Suction Machine: Retrieval of government owned suction machine with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.1Each
0013VA120Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies.20Each
0013AAVA120Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies.240Each
0014VA120Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device.120Each
0014AAVA120Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies.120Each
0014AB'VA120Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.120Each
0015VA120Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests.10Each
0015AAVA120Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies.10Each
0015ABVA120Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.10Each
0016E600Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction machine, Stationary electric, to include all supplies.36Each
0016AAE600Purchase 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.36Each
0016ABE600Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies.36Each
0017E0570Purchase of Nebulizer: Purchase, Delivery, Set-up, and Training of Contractor Model Compressor Nebulizers. To include all necessary supplies.1Each
0017AAE0570Purchase of Nebulizer: Contractor to deliver the replacement of associated supplies.1Each
0018E0482Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device.60Each
0018AAE0482Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies.60Each
0019A7025Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests.5Each
0020E1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go. VA staff will determine number based on travel itinerary.100Each
0020AAE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go Mini. VA staff will determine number based on travel itinerary.100Each
0020ABE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for I-GO. VA staff will determine number based on travel itinerary.100Each
0021VA120Set-up of Airvo: Set-up, Training of VA owned Airvo.60Each
0021AAVA120Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo .60Each
0022VA120Setup- of CPAP/Bi Levels: VA issued CPAP/Bi-Levels shall be set-up by an RRT, CRT, or RN.36Each
0022VA120Setup- of CPAP/Bi Levels: Oxygen enrichment attachments: oxygen enrichment adapter and pressure (relief) valve necessary shall be provided by the Contractor as prescribed for bleed in oxygen.2,000Each
ESTIMATED TOTAL
PERIOD OF PERFORMANCE: OPTION YEAR 1 OCTOBER 1, 2018 TO SEPTEMBER 30, 2019
LINE ITEMHCPSC CODEDESCRIPTION OF SERVICESESTIMATED ANNUAL QUANTITYUNIT OF ISSUEUNIT PRICEESTIMATED TOTAL
0001E1390Initial 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.3,600Each
0001AAE1390Rental 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.14,400Each
0002E1390Initial 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.500Each
0002AAE1390Rental 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.2,000Each
0003E1390Initial 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.130Each
0003AAE1390Rental 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.520Each
0004E1392Rental 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).100Each
0004AAE1392Rental 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).100Each
0004ACE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )300Each
0004ADE1392Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards.200Each
0005E0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: C, D, and E.4,500Each
0005AAE0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: MM, H (these require a 12 cylinder rack).500Each
0005ABE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)168,000Each
0005ACE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, MM, H)2,000Each
0006E0439Rental 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, cannula or mask and tubing.144Each
0007E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents (LBS).36,000LBS
0008E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.120Each
0009E0465Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).10Each
0009AAE0465Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment.120Each
0009ABE0465Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.120Each
0010E0565Rental 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 )20Each
0010AAE0565Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)240Each
0011VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.200Each
0012E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.1Each
0012AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.1
0012ABE0600Set-up of Suction Machine: Retrieval of government owned suction machine with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.1Each
0013VA120Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies.20Each
0013AAVA120Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies.240Each
0014VA120Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device.120Each
0014AAVA120Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies.120Each
0014AB'VA120Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.120Each
0015VA120Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests.10Each
0015AAVA120Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies.10Each
0015ABVA120Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.10Each
0016E600Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction machine, Stationary electric, to include all supplies.36Each
0016AAE600Purchase 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.36Each
0016ABE600Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies.36Each
0017E0570Purchase of Nebulizer: Purchase, Delivery, Set-up, and Training of Contractor Model Compressor Nebulizers. To include all necessary supplies.1Each
0017AAE0570Purchase of Nebulizer: Contractor to deliver the replacement of associated supplies.1Each
0018E0482Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device.60Each
0018AAE0482Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies.60Each
0019A7025Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests.5Each
0020E1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go. VA staff will determine number based on travel itinerary.100Each
0020AAE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go Mini. VA staff will determine number based on travel itinerary.100Each
0020ABE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for I-GO. VA staff will determine number based on travel itinerary.100Each
0021VA120Set-up of Airvo: Set-up, Training of VA owned Airvo.60Each
0021AAVA120Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo .60Each
0022VA120Setup- of CPAP/Bi Levels: VA issued CPAP/Bi-Levels shall be set-up by an RRT, CRT, or RN.36Each
0022VA120Setup- of CPAP/Bi Levels: Oxygen enrichment attachments: oxygen enrichment adapter and pressure (relief) valve necessary shall be provided by the Contractor as prescribed for bleed in oxygen.2,000Each
ESTIMATED TOTAL
PERIOD OF PERFORMANCE: OPTION YEAR 2 OCTOBER 1, 2018 TO SEPTEMBER 30, 2019
LINE ITEMHCPSC CODEDESCRIPTION OF SERVICESESTIMATED ANNUAL QUANTITYUNIT OF ISSUEUNIT PRICEESTIMATED TOTAL
0001E1390Initial 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.3,600Each
0001AAE1390Rental 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.14,400Each
0002E1390Initial 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.500Each
0002AAE1390Rental 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.2,000Each
0003E1390Initial 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.130Each
0003AAE1390Rental 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.520Each
0004E1392Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment and for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).100Each
0004AAE1392Rental 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).100Each
0004ACE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )300Each
0004ADE1392Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards.200Each
0005E0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: C, D, and E.4,500Each
0005AAE0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: MM, H (these require a 12 cylinder rack).500Each
0005ABE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)168,000Each
0005ACE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, MM, H)2,000Each
0006E0439Rental 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, cannula or mask and tubing.144Each
0007E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents (LBS).36,000LBS
0008E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.120Each
0009E0465Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).10Each
0009AAE0465Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment.120Each
0009ABE0465Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.120Each
0010E0565Rental 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 )20Each
0010AAE0565Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)240Each
0011VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.200Each
0012E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.1Each
0012AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.1
0012ABE0600Set-up of Suction Machine: Retrieval of government owned suction machine with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.1Each
0013VA120Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies.20Each
0013AAVA120Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies.240Each
0014VA120Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device.120Each
0014AAVA120Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies.120Each
0014AB'VA120Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.120Each
0015VA120Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests.10Each
0015AAVA120Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies.10Each
0015ABVA120Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.10Each
0016E600Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction machine, Stationary electric, to include all supplies.36Each
0016AAE600Purchase 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.36Each
0016ABE600Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies.36Each
0017E0570Purchase of Nebulizer: Purchase, Delivery, Set-up, and Training of Contractor Model Compressor Nebulizers. To include all necessary supplies.1Each
0017AAE0570Purchase of Nebulizer: Contractor to deliver the replacement of associated supplies.1Each
0018E0482Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device.60Each
0018AAE0482Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies.60Each
0019A7025Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests.5Each
0020E1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go. VA staff will determine number based on travel itinerary.100Each
0020AAE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go Mini. VA staff will determine number based on travel itinerary.100Each
0020ABE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for I-GO. VA staff will determine number based on travel itinerary.100Each
0021VA120Set-up of Airvo: Set-up, Training of VA owned Airvo.60Each
0021AAVA120Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo .60Each
0022VA120Setup- of CPAP/Bi Levels: VA issued CPAP/Bi-Levels shall be set-up by an RRT, CRT, or RN.36Each
0022VA120Setup- of CPAP/Bi Levels: Oxygen enrichment attachments: oxygen enrichment adapter and pressure (relief) valve necessary shall be provided by the Contractor as prescribed for bleed in oxygen.2,000Each
ESTIMATED TOTAL
PERIOD OF PERFORMANCE: OPTION YEAR 3 OCTOBER 1, 2018 TO SEPTEMBER 30, 2019
LINE ITEMHCPSC CODEDESCRIPTION OF SERVICESESTIMATED ANNUAL QUANTITYUNIT OF ISSUEUNIT PRICEESTIMATED TOTAL
0001E1390Initial 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.3,600Each
0001AAE1390Rental 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.14,400Each
0002E1390Initial 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.500Each
0002AAE1390Rental 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.2,000Each
0003E1390Initial 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.130Each
0003AAE1390Rental 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.520Each
0004E1392Rental 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).100Each
0004AAE1392Rental 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).100Each
0004ACE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )300Each
0004ADE1392Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards.200Each
0005E0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: C, D, and E.4,500Each
0005AAE0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: MM, H (these require a 12 cylinder rack).500Each
0005ABE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)168,000Each
0005ACE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, MM, H)2,000Each
0006E0439Rental 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, cannula or mask and tubing.144Each
0007E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents (LBS).36,000LBS
0008E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.120Each
0009E0465Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).10Each
0009AAE0465Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment.120Each
0009ABE0465Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.120Each
0010E0565Rental 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 )20Each
0010AAE0565Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)240Each
0011VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.200Each
0012E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.1Each
0012AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.1
0012ABE0600Set-up of Suction Machine: Retrieval of government owned suction machine with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.1Each
0013VA120Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies.20Each
0013AAVA120Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies.240Each
0014VA120Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device.120Each
0014AAVA120Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies.120Each
0014AB'VA120Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.120Each
0015VA120Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests.10Each
0015AAVA120Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies.10Each
0015ABVA120Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.10Each
0016E600Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction machine, Stationary electric, to include all supplies.36Each
0016AAE600Purchase 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.36Each
0016ABE600Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies.36Each
0017E0570Purchase of Nebulizer: Purchase, Delivery, Set-up, and Training of Contractor Model Compressor Nebulizers. To include all necessary supplies.1Each
0017AAE0570Purchase of Nebulizer: Contractor to deliver the replacement of associated supplies.1Each
0018E0482Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device.60Each
0018AAE0482Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies.60Each
0019A7025Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests.5Each
0020E1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go. VA staff will determine number based on travel itinerary.100Each
0020AAE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go Mini. VA staff will determine number based on travel itinerary.100Each
0020ABE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for I-GO. VA staff will determine number based on travel itinerary.100Each
0021VA120Set-up of Airvo: Set-up, Training of VA owned Airvo.60Each
0021AAVA120Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo .60Each
0022VA120Setup- of CPAP/Bi Levels: VA issued CPAP/Bi-Levels shall be set-up by an RRT, CRT, or RN.36Each
0022VA120Setup- of CPAP/Bi Levels: Oxygen enrichment attachments: oxygen enrichment adapter and pressure (relief) valve necessary shall be provided by the Contractor as prescribed for bleed in oxygen.2,000Each
ESTIMATED TOTAL
PERIOD OF PERFORMANCE: OPTION YEAR 4 OCTOBER 1, 2021 TO SEPTEMBER 30, 2022
LINE ITEMHCPSC CODEDESCRIPTION OF SERVICESESTIMATED ANNUAL QUANTITYUNIT OF ISSUEUNIT PRICEESTIMATED TOTAL
0001E1390Initial 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.3,600Each
0001AAE1390Rental 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.14,400Each
0002E1390Initial 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.500Each
0002AAE1390Rental 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.2,000Each
0003E1390Initial 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.130Each
0003AAE1390Rental 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.520Each
0004E1392Rental 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).100Each
0004AAE1392Rental 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).100Each
0004ACE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )300Each
0004ADE1392Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards.200Each
0005E0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: C, D, and E.4,500Each
0005AAE0431Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: MM, H (these require a 12 cylinder rack).500Each
0005ABE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)168,000
0005ACE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, MM, H)2,000
0006E0439Rental 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, cannula or mask and tubing.144Each
0007E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents (LBS).36,000LBS
0008E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.120Each
0009E0465Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).10Each
0009AAE0465Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment.120Each
0009ABE0465Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.120Each
0010E0565Rental 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 )20Each
0010AAE0565Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)240Each
0011VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.200Each
0012E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.1Each
0012AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.1
0012ABE0600Set-up of Suction Machine: Retrieval of government owned suction machine with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.1Each
0013VA120Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies.20Each
0013AAVA120Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies.240Each
0014VA120Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device.120Each
0014AAVA120Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies.120Each
0014AB'VA120Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.120Each
0015VA120Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests.10Each
0015AAVA120Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies.10Each
0015ABVA120Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines.10Each
0016E600Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction machine, Stationary electric, to include all supplies.36Each
0016AAE600Purchase 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.36Each
0016ABE600Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies.36Each
0017E0570Purchase of Nebulizer: Purchase, Delivery, Set-up, and Training of Contractor Model Compressor Nebulizers. To include all necessary supplies.1Each
0017AAE0570Purchase of Nebulizer: Contractor to deliver the replacement of associated supplies.1Each
0018E0482Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device.60Each
0018AAE0482Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies.60Each
0019A7025Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests.5Each
0020E1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go. VA staff will determine number based on travel itinerary.100Each
0020AAE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go Mini. VA staff will determine number based on travel itinerary.100Each
0020ABE1390Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for I-GO. VA staff will determine number based on travel itinerary.100Each
0021VA120Set-up of Airvo: Set-up, Training of VA owned Airvo.60Each

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