VA259-17-R-0100-A00006010.xlsx

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AMENDMENT 9
Solicitation number
VA25917R0100
Issued by

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This document is a price schedule for oxygen equipment rental and related services for the Denver VA Medical Center. It includes line items for initial setup and ongoing rental of various oxygen concentrators, portable oxygen systems, liquid oxygen systems, and emergency visits. Estimated quantities and periods of performance are provided for the base year and four option years. Item descriptions specify equipment, maintenance requirements, and consumable supplies to be provided. The solicitation number is listed as VA25917R0100 and relates to Amendment 9 for an opportunity with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19.

VA259-17-R-0100 A00006 Attachment 1, Sheridan CLINS.xlsx

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Denver

PRICE SCHEDULE
SHERIDAN VA MEDICAL CENTER
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.300Each
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.1,200Each
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.25Each
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.300Each
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.50Each
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.600Each
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).60Each
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).60Each
0004ABE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )30Each
0005E0431Rental 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.12,000Each
0005E0431Rental 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 M6. (these require a 12 cylinder rack).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, canula or mask and tubing.21Each
0006E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents.5,280LBS
0007E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing.24Each
0008VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.60Each
0009E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.12Each
0009AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.12Each
0010E0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)12,000Each
0010AAE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6,)4,000Each
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.300Each
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.1,200Each
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.25Each
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.300Each
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.50Each
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.600Each
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).60Each
0004AAE1392Rental 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).60Each
0004ABE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )30Each
0005E0431Rental 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.12,000Each
0005E0431Rental 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 M6. (these require a 12 cylinder rack).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, canula or mask and tubing.21Each
0006E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents.5,280LBS
0007E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing.24Each
0008VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.60Each
0009E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.12Each
0009AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.12Each
0010E0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)12,000Each
0010AAE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6,)4,000Each
ESTIMATED TOTAL
PERIOD OF PERFORMANCE: OPTION YEAR 2 OCTOBER 1, 2020 TO SEPTEMBER 30, 2021
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.300Each
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.1,200Each
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.25Each
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.300Each
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.50Each
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.600Each
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).60Each
0004AAE1392Rental 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).60Each
0004ABE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )30Each
0005E0431Rental 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.12,000Each
0005E0431Rental 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 M6. (these require a 12 cylinder rack).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, canula or mask and tubing.21Each
0006E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents.5,280LBS
0007E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing.24Each
0008VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.60Each
0009E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.12Each
0009AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.12Each
0010E0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)12,000Each
0010AAE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6,)4,000Each
ESTIMATED TOTAL
PERIOD OF PERFORMANCE: OPTION YEAR 3 OCTOBER 1, 2020 TO SEPTEMBER 30, 2021
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.300Each
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.1,200Each
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.25Each
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.300Each
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.50Each
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.600Each
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).60Each
0004AAE1392Rental 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).60Each
0004ABE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )30Each
0005E0431Rental 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.12,000Each
0005E0431Rental 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 M6. (these require a 12 cylinder rack).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, canula or mask and tubing.21Each
0006E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents.5,280LBS
0007E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing.24Each
0008VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.60Each
0009E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.12Each
0009AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.12Each
0010E0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)12,000Each
0010AAE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6,)4,000Each
ESTIMATED TOTAL
PERIOD OF PERFORMANCE: OPTION YEAR 4 OCTOBER 1, 2020 TO SEPTEMBER 30, 2021
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.300Each
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.1,200Each
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.25Each
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.300Each
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.50Each
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.600Each
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).60Each
0004AAE1392Rental 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).60Each
0004ABE1392Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )30Each
0005E0431Rental 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.12,000Each
0005E0431Rental 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 M6. (these require a 12 cylinder rack).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, canula or mask and tubing.21Each
0006E0442Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents.5,280LBS
0007E0434Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing.24Each
0008VA120CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs.60Each
0009E0600Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies.12Each
0009AAE0600Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies.12Each
0010E0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)12,000Each
0010AAE0443Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6,)4,000Each
ESTIMATED TOTAL

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