VA259-17-R-0100-A00010001.xlsx
XLSX spreadsheet Posted
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- AMENDMENT 9
- Solicitation number
- VA25917R0100
About this file
This document contains a price schedule for respiratory medical equipment and services to be provided under Solicitation Number VA25917R0100 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19. Key requirements include the rental, maintenance, and supply of oxygen concentrators, portable oxygen systems, ventilators, suction machines, and related equipment. The schedule provides estimated annual quantities, units of issue, and pricing terms for base and option years of performance. Medical equipment and services include oxygen concentrators, portable oxygen concentrators, stationary and portable liquid oxygen systems, ventilators, air compressors, suction machines, cough assists, and percussive vests. The contractor must also provide cylinders, contents, and a home fill oxygen system. Performance is to take place at the Denver VA Medical Center Grand Junction facility.
VA259-17-R-0100 A00010 Attachment 1 Grand Junction CLINS.xlsx
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Denver
| PRICE SCHEDULE | ||||||
| GRAND JUNCTION VA MEDICAL CENTER | ||||||
| PERIOD OF PERFORMANCE: BASE YEAR NOVEMBER 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. | 1,800 | Each | ||
| 0001AA | E1390 | Monthly Rental of Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 18,000 | Each | ||
| 0001AB | E1390 | Equipment Maintenance 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. | 4,500 | 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. | 14 | Each | ||
| 0002AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 144 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 36 | 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. | 240 | Each | ||
| 0003AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,400 | Each | ||
| 0003AB | E1390 | Equipment Maintenance 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. | 600 | Each | ||
| 0004 | E1392 | Initial Set Up 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). | 180 | Each | ||
| 0004AA | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 2Ltr continuous flow that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 180 | Each | ||
| 0004AB | E1392 | Initial Set Up 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). | 180 | Each | ||
| 0004AC | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 3Ltr continuous flow. that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 180 | Each | ||
| 0004AD | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 50 | Each | ||
| 0004AE | E1392 | Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. | 360 | Each | ||
| 0005 | E0431 | Initial Set up of Portable Gaseous System Sizes C, D, E, M6: Contractor to deliver, set-up & ensure proper training, functioning of equipment, preventive maintenance for portable system. Portable System, including various tank sizes, regulator for continuous flow, conserving device (pulse dose regulator) with durable back pack to use with smaller tank sizes for flows < 4 LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and oxygen tank cylinder stand capable of holding 12 cylinders. | 380 | Each | ||
| 0005AA | E0431 | Monthly Rental 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. | 350 | Each | ||
| 0005AB | E0431 | Monthly Rental 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: M6. | 30 | Each | ||
| 0006 | 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, cannula or mask and tubing. | 2,400 | Each | ||
| 0007 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 480,000 | LBS | ||
| 0008 | E0434 | Initial Set Up Of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 5,400 | Each | ||
| 0008AA | E0434 | Monthly Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 5,400 | Each | ||
| 0009 | E0465 | Initial 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). | 3 | Each | ||
| 0009AA | E0465 | Monthly 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). | 3 | Each | ||
| 0009AB | E0465 | Maintenanceof 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. | 36 | Each | ||
| 0009AC | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 36 | Each | ||
| 0010 | E0565 | Initial set up 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 ) | 120 | Each | ||
| 0010AA | E0565 | Monthly 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 ) | 12 | Each | ||
| 0010AB | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each | ||
| 0011 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 1 | Each | ||
| 0012 | E0600 | Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 2 | Each | ||
| 0012AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 2 | Each | ||
| 0013 | VA120 | Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device. | 2 | Each | ||
| 0013AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 1 | Each | ||
| 0013AB | VA120 | Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 1 | Each | ||
| 0014 | VA120 | Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 1 | Each | ||
| 0014AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 1 | Each | ||
| 0014AB | VA120 | Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 1 | Each | ||
| 0015 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder sizes, E,D,C) | 18,000 | Each | ||
| 0015AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder size M6) | 2,000 | Each | ||
| 0016 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Stationary electric, to include all supplies. | 3 | Each | ||
| 0016AA | 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. | 3 | Each | ||
| 0016AB | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 3 | Each | ||
| 0017 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 1 | Each | ||
| 0017AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 1 | Each | ||
| 0018 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 1 | Each | ||
| 0019AA | A7025 | Purchase of Percussive Vest: Recovery, cleaning and storage or return to VA. | 1 | Each | ||
| 0020 | K0738 | Initial Set Up 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 capable of holding cylinder sizes A,B,C,D. | 60 | Each | ||
| 0020AA | K0738 | Monthly Rental Home Fill Oxygen System: Delivery, Set-up, Training of Compressor and associated supplies capable of holding cylinder sizes A,B,C,D. | 60 | Each | ||
| 0020AB | K0738 | Home Fill Oxygen System: Maintenance of Home Fill Oxygen system per manufacture guidelines. | 600 | Each | ||
| 0020AC | E0441 | Monthly Rental Homefill Tanks: Delivery, Set-up, and training of cylinders sizes A,B,C, and D. | 1,200 | 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. | 1,980 | Each | ||
| 0001AA | E1390 | Monthly Rental of Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 19,800 | Each | ||
| 0001AB | E1390 | Equipment Maintenance 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. | 4,950 | 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. | 17 | Each | ||
| 0002AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 168 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 42 | 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. | 264 | Each | ||
| 0003AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,640 | Each | ||
| 0003AB | E1390 | Equipment Maintenance 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. | 660 | Each | ||
| 0004 | E1392 | Initial Set Up 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). | 198 | Each | ||
| 0004AA | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 2Ltr continuous flow that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 198 | Each | ||
| 0004AB | E1392 | Initial Set Up 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). | 198 | Each | ||
| 0004AC | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 3Ltr continuous flow. that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 198 | Each | ||
| 0004AD | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 60 | Each | ||
| 0004AE | E1392 | Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. | 396 | Each | ||
| 0005 | E0431 | Initial Set up of Portable Gaseous System Sizes C, D, E, M6: Contractor to deliver, set-up & ensure proper training, functioning of equipment, preventive maintenance for portable system. Portable System, including various tank sizes, regulator for continuous flow, conserving device (pulse dose regulator) with durable back pack to use with smaller tank sizes for flows < 4 LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and oxygen tank cylinder stand capable of holding 12 cylinders. | 431 | Each | ||
| 0005AA | E0431 | Monthly Rental 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. | 396 | Each | ||
| 0005AB | E0431 | Monthly Rental 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: M6. | 35 | Each | ||
| 0006 | 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, cannula or mask and tubing. | 2,640 | Each | ||
| 0007 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 528,000 | LBS | ||
| 0008 | E0434 | Initial Set Up Of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 5,940 | Each | ||
| 0008AA | E0434 | Monthly Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 5,940 | Each | ||
| 0009 | E0465 | Initial 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). | 3 | Each | ||
| 0009AA | E0465 | Monthly 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). | 3 | Each | ||
| 0009AB | E0465 | Maintenanceof 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. | 36 | Each | ||
| 0009AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 36 | Each | ||
| 0010 | E0565 | Initial set up 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 ) | 120 | Each | ||
| 0010AA | E0565 | Monthly 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 ) | 120 | Each | ||
| 0010AB | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each | ||
| 0011 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 1 | Each | ||
| 0012 | E0600 | Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 2 | Each | ||
| 0012AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 1 | Each | ||
| 0013 | VA120 | Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device. | 1 | Each | ||
| 0013AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 1 | Each | ||
| 0013AB | VA120 | Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 1 | Each | ||
| 0014 | VA120 | Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 1 | Each | ||
| 0014AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 1 | Each | ||
| 0014AB | VA120 | Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 1 | Each | ||
| 0015 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder sizes, E,D,C) | 19,800 | Each | ||
| 0015AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder size M6) | 2,000 | Each | ||
| 0016 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Stationary electric, to include all supplies. | 3 | Each | ||
| 0016AA | 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. | 3 | Each | ||
| 0016AB | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 3 | Each | ||
| 0017 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 1 | Each | ||
| 0017AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 1 | Each | ||
| 0018 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 1 | Each | ||
| 0019AA | A7025 | Purchase of Percussive Vest: Recovery, cleaning and storage or return to VA. | 1 | Each | ||
| 0020 | K0738 | Initial Set Up 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 capable of holding cylinder sizes A,B,C,D. | 660 | Each | ||
| 0020AA | K0738 | Monthly Rental Home Fill Oxygen System: Delivery, Set-up, Training of Compressor and associated supplies capable of holding cylinder sizes A,B,C,D. | 660 | Each | ||
| 0020AB | K0738 | Home Fill Oxygen System: Maintenance of Home Fill Oxygen system per manufacture guidelines. | 660 | Each | ||
| 0020AC | E0441 | Monthly Rental Homefill Tanks: Delivery, Set-up, and training of cylinders sizes A,B,C, and D. | 1,320 | 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. | 2,178 | Each | ||
| 0001AA | E1390 | Monthly Rental of Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 21,780 | Each | ||
| 0001AB | E1390 | Equipment Maintenance 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. | 5,445 | 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. | 18 | Each | ||
| 0002AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 185 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 47 | 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. | 290 | Each | ||
| 0003AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,904 | Each | ||
| 0003AB | E1390 | Equipment Maintenance 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. | 726 | Each | ||
| 0004 | E1392 | Initial Set Up 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). | 216 | Each | ||
| 0004AA | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 2Ltr continuous flow that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 216 | Each | ||
| 0004AB | E1392 | Initial Set Up 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). | 216 | Each | ||
| 0004AC | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 3Ltr continuous flow. that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 216 | Each | ||
| 0004AD | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 70 | Each | ||
| 0004AE | E1392 | Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. | 432 | Each | ||
| 0005 | E0431 | Initial Set up of Portable Gaseous System Sizes C, D, E, M6: Contractor to deliver, set-up & ensure proper training, functioning of equipment, preventive maintenance for portable system. Portable System, including various tank sizes, regulator for continuous flow, conserving device (pulse dose regulator) with durable back pack to use with smaller tank sizes for flows < 4 LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and oxygen tank cylinder stand capable of holding 12 cylinders. | 467 | Each | ||
| 0005AA | E0431 | Monthly Rental 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. | 432 | Each | ||
| 0005AB | E0431 | Monthly Rental 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: M6. | 35 | Each | ||
| 0006 | 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, cannula or mask and tubing. | 2,904 | Each | ||
| 0007 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 580,800 | LBS | ||
| 0008 | E0434 | Initial Set Up Of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 6,540 | Each | ||
| 0008AA | E0434 | Monthly Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 6,540 | Each | ||
| 0009 | E0465 | Initial 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). | 3 | Each | ||
| 0009AA | E0465 | Monthly 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). | 3 | Each | ||
| 0009AB | E0465 | Maintenanceof 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. | 36 | Each | ||
| 0009AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 36 | Each | ||
| 0010 | E0565 | Initial set up 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 ) | 120 | Each | ||
| 0010AA | E0565 | Monthly 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 ) | 120 | Each | ||
| 0010AB | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each | ||
| 0011 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 1 | Each | ||
| 0012 | E0600 | Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 24 | Each | ||
| 0012AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 24 | Each | ||
| 0013 | VA120 | Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device. | 12 | Each | ||
| 0013AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 12 | Each | ||
| 0013AB | VA120 | Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 12 | Each | ||
| 0014 | VA120 | Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 12 | Each | ||
| 0014AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 12 | Each | ||
| 0014AB | VA120 | Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 12 | Each | ||
| 0015 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder sizes, E,D,C) | 21,780 | Each | ||
| 0015AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder size M6) | 2,000 | Each | ||
| 0016 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Stationary electric, to include all supplies. | 3 | Each | ||
| 0016AA | 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. | 3 | Each | ||
| 0016AB | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 3 | Each | ||
| 0017 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 1 | Each | ||
| 0017AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 1 | Each | ||
| 0018 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 1 | Each | ||
| 0019AA | A7025 | Purchase of Percussive Vest: Recovery, cleaning and storage or return to VA. | 1 | Each | ||
| 0020 | K0738 | Initial Set Up 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 capable of holding cylinder sizes A,B,C,D. | 720 | Each | ||
| 0020AA | K0738 | Monthly Rental Home Fill Oxygen System: Delivery, Set-up, Training of Compressor and associated supplies capable of holding cylinder sizes A,B,C,D. | 720 | Each | ||
| 0020AB | K0738 | Home Fill Oxygen System: Maintenance of Home Fill Oxygen system per manufacture guidelines. | 720 | Each | ||
| 0020AC | E0441 | Monthly Rental Homefill Tanks: Delivery, Set-up, and training of cylinders sizes A,B,C, and D. | 1,440 | 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. | 2,395 | Each | ||
| 0001AA | E1390 | Monthly Rental of Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 23,952 | Each | ||
| 0001AB | E1390 | Equipment Maintenance 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. | 5,988 | 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. | 21 | Each | ||
| 0002AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 216 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 54 | 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. | 319 | Each | ||
| 0003AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 3,192 | Each | ||
| 0003AB | E1390 | Equipment Maintenance 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. | 798 | Each | ||
| 0004 | E1392 | Initial Set Up 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). | 240 | Each | ||
| 0004AA | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 2Ltr continuous flow that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 240 | Each | ||
| 0004AB | E1392 | Initial Set Up 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). | 240 | Each | ||
| 0004AC | E1392 | Daily Rental of Portable Oxygen Concentrator: rental fees for Concentrators functioning of equipment for 3Ltr continuous flow. that are in use covering all necessary supplies, batteries and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 240 | Each | ||
| 0004AD | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 80 | Each | ||
| 0004AE | E1392 | Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. | 480 | Each | ||
| 0005 | E0431 | Initial Set up of Portable Gaseous System Sizes C, D, E, M6: Contractor to deliver, set-up & ensure proper training, functioning of equipment, preventive maintenance for portable system. Portable System, including various tank sizes, regulator for continuous flow, conserving device (pulse dose regulator) with durable back pack to use with smaller tank sizes for flows < 4 LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and oxygen tank cylinder stand capable of holding 12 cylinders. | 563 | Each | ||
| 0005AA | E0431 | Monthly Rental 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. | 528 | Each | ||
| 0005AB | E0431 | Monthly Rental 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: M6. | 35 | Each | ||
| 0006 | 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, cannula or mask and tubing. | 3,192 | Each | ||
| 0007 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 638,880 | LBS | ||
| 0008 | E0434 | Initial Set Up Of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 7,200 | Each | ||
| 0008AA | E0434 | Monthly Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 7,200 | Each | ||
| 0009 | E0465 | Initial 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). | 3 | Each | ||
| 0009AA | E0465 | Monthly 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). | 3 | Each | ||
| 0009AB | E0465 | Maintenanceof 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. | 36 | Each | ||
| 0009AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 36 | Each | ||
| 0010 | E0565 | Initial set up 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 ) | 120 | Each | ||
| 0010AA | E0565 | Monthly 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 ) | 120 | Each | ||
| 0010AB | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each | ||
| 0011 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 1 | Each | ||
| 0012 | E0600 | Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 24 | Each | ||
| 0012AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 24 | Each | ||
| 0013 | VA120 | Set-up of Cough Assist: Delivery, Set-up, and Training of VA owned cough assist device. | 12 | Each | ||
| 0013AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 12 | Each | ||
| 0013AB | VA120 | Set-up of Cough Assist: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 12 | Each | ||
| 0014 | VA120 | Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 12 | Each | ||
| 0014AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 12 | Each | ||
| 0014AB | VA120 | Set-up of Percussive Vest: Retrieval of government owned cough Assist with Storage of VA owned equipment with proper maintenance/cleaning per manufacture guidelines. | 12 | Each | ||
| 0015 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder sizes, E,D,C) | 23,940 | Each | ||
| 0015AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents. (Refill cylinder size M6) | 2,000 | Each | ||
| 0016 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Stationary electric, to include all supplies. | 36 | Each | ||
| 0016AA | 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. | 36 | Each | ||
| 0016AB | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 36 | Each | ||
| 0017 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 12 | Each | ||
| 0017AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 12 | Each | ||
| 0018 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 12 | Each | ||
| 0019AA | A7025 | Purchase of Percussive Vest: Recovery, cleaning and storage or return to VA. | 12 | Each | ||
| 0020 | K0738 | Initial Set Up 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 capable of holding cylinder sizes A,B,C,D. | 792 | Each | ||
| 0020AA | K0738 | Monthly Rental Home Fill Oxygen System: Delivery, Set-up, Training of Compressor and associated supplies capable of holding cylinder sizes A,B,C,D. | 792 | Each | ||
| 0020AB | K0738 | Home Fill Oxygen System: Maintenance of Home Fill Oxygen system per manufacture guidelines. | 792 | Each | ||
| 0020AC | E0441 | Monthly Rental Homefill Tanks: Delivery, Set-up, and training of cylinders sizes A,B,C, and D. | 1,584 | 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. | 2,628 | Each | ||
| 0001AA | E1390 | Monthly Rental of Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 26,280 | Each | ||
| 0001AB | E1390 | Equipment Maintenance 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. | 6,570 | 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. | 24 | Each | ||
| 0002AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 240 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 60 | 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. | 352 | Each | ||
| 0003AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 3,516 | Each | ||
| 0003AB | E1390 | Equipment Maintenance 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. | 879 | Each |
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