VA259-17-R-0100-A00010005.xlsx
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- AMENDMENT 9
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- VA25917R0100
About this file
This document is a price schedule for oxygen and respiratory equipment rental and supplies for the Department of Veterans Affairs (VA) Cheyenne VA Medical Center. It includes pricing and estimated quantities for line items covering oxygen concentrators, liquid oxygen systems, portable oxygen equipment, suction machines, cough assist devices, and related supplies. The period of performance is for a base year from November 1, 2017 to September 30, 2018 with four one-year option periods extending to September 30, 2022. Key products and services covered include initial setup and monthly rental of various oxygen concentrator models; stationary and portable liquid oxygen systems and contents; portable oxygen concentrators and batteries; air compressors; and purchase of suction machines, cough assist devices, and percussive vests. The schedule provides detailed descriptions, Healthcare Common Procedure Coding System codes, estimated annual quantities, unit of issue, and blank fields for contractors to enter unit prices and estimated totals for each line item for the base year and option periods.
VA259-17-R-0100 A00010 Attachment 1, Cheyenne CLINS.xlsx
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| PRICE SCHEDULE | ||||||
| Cheyenne 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. | 100 | 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. | 9,240 | 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. | 2,310 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 175 | Each | ||
| 0002AA | E1390 | 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. | 10,680 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 2,670 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 60 | 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. | 1,020 | Each | ||
| 0003AB | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 255 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 240 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 144,000 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 60 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 24 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 24 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 24 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 24 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 24 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | 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. | 60 | Each | ||
| 0013AA | E0431 | Monthly Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 60 | Each | ||
| 0013AB | E0431 | Monthly Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 60 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 68,400 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 68,400 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 360 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment and for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 360 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 360 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 360 | Each | ||
| 0017 | K0738 | 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. | 12 | Each | ||
| 0017AA | K0738 | Monthly Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 36 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 120 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 1 OCTOBER 1, 2018 TO SEPTEMBER 30, 2019 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 103 | Each | ||
| 0001AA | E1390 | 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. | 9,517 | 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. | 2380 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 180 | Each | ||
| 0002AA | E1390 | 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. | 11,000 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 2,750 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 62 | Each | ||
| 0003AA | E1390 | 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. | 1,050 | |||
| 0003AB | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 263 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 247 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 148,320 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 62 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | 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. | 62 | Each | ||
| 0013AA | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 62 | Each | ||
| 0013AB | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 62 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 70,450 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 70,450 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 370 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 370 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 370 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 370 | Each | ||
| 0017 | K0738 | 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. | 12 | Each | ||
| 0017AA | K0738 | Monthly Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 123 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 2 OCTOBER 1, 2019 TO SEPTEMBER 30, 2020 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 106 | Each | ||
| 0001AA | E1390 | 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. | 9,803 | 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. | 2,451 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 185 | Each | ||
| 0002AA | E1390 | 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. | 11,330 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 2,833 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 64 | Each | ||
| 0003AA | E1390 | 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. | 1,080 | Each | ||
| 0003AB | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 270 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 254 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 152,770 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 64 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | 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. | 64 | Each | ||
| 0013AA | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 64 | Each | ||
| 0013AB | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 64 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 72,565 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 72,565 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 380 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 380 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 380 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 380 | Each | ||
| 0017 | K0738 | 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. | 12 | Each | ||
| 0017AA | K0738 | Monthly Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 129 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 3 OCTOBER 1, 2020 TO SEPTEMBER 30, 2021 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 109 | Each | ||
| 0001AA | E1390 | 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. | 10,097 | 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. | 2,525 | Each | ||
| 0002 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 190 | Each | ||
| 0002AA | E1390 | 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. | 11,670 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 2,918 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 66 | Each | ||
| 0003AA | E1390 | 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. | 1,110 | Each | ||
| 0003AB | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 278 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 261 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 157,355 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 66 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | 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. | 66 | Each | ||
| 0013AA | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 66 | Each | ||
| 0013AB | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 66 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 74,740 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 74,740 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 391 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 391 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 391 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 391 | Each | ||
| 0017 | K0738 | 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. | 12 | Each | ||
| 0017AA | K0738 | Monthly Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 132 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 4 OCTOBER 1, 2021 TO SEPTEMBER 30, 2022 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental Concentrators : Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 112 | Each | ||
| 0001AA | E1390 | 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. | 10,400 | 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. | 2,600 | 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. | 195 | 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. | 12,020 | Each | ||
| 0002AB | E1390 | Equipment Maintenance 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. | 3,005 | Each | ||
| 0003 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 68 | Each | ||
| 0003AA | E1390 | 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. | 1,145 | Each | ||
| 0003AB | E1390 | Rental of High Flow Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies. | 287 | Each | ||
| 0004 | E0439 | Rental of Stationary Liquid Oxygen System: Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 270 | Each | ||
| 0005 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 162,075 | LBS | ||
| 0006 | E0434 | Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, canula or mask and tubing. | 68 | Each | ||
| 0007 | E0565 | Rental of Air Compressor: Delivery, Set-up, Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 25 | Each | ||
| 0007AA | E0565 | Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 25 | Each | ||
| 0008 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 25 | Each | ||
| 0009 | E600 | Purchase of Suction Machine: Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Machine, Portable electric with battery back up, to include all supplies. | 25 | Each | ||
| 0009AA | E600 | Purchase of Suction Machine: Contractor to deliver the replacement of associated supplies. | 25 | Each | ||
| 0010 | E0482 | Purchase of Cough Assist: Purchase, Delivery, Set-up, and Training of Contractor Model Cough Assist Device. | 10 | Each | ||
| 0010AA | E0482 | Purchase of Cough Assist: Contractor to deliver the replacement of associated supplies. | 10 | Each | ||
| 0011 | A7025 | Purchase of Percussive Vest: Purchase, Delivery, Set-up, and Training of Contractor Model Percussive Vests. | 10 | Each | ||
| 0012 | VA120 | Set-up of Airvo: Set-up, Training of VA owned Airvo. | 10 | Each | ||
| 0012AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 10 | Each | ||
| 0013 | E0431 | 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. | 66 | Each | ||
| 0013AA | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C. | 66 | Each | ||
| 0013AB | E0431 | Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6. | 66 | Each | ||
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C) | 76,980 | Each | ||
| 0014AA | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6) | 76,980 | Each | ||
| 0015 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 400 | Each | ||
| 0015AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 400 | Each | ||
| 0015AB | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 400 | Each | ||
| 0016 | E1399 | MISCELLANEOUS EQUIPMENT: Dual Lumen Conserver. | 400 | Each | ||
| 0017 | K0738 | 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. | 12 | Each | ||
| 0017AA | K0738 | Monthly Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems of contractor owned equipment. | 12 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance. | 12 | Each | ||
| 0018 | A4616 | SCOOP H2560/H1250 TRANSTRACH O2 HOSE: Deliver, Set-up, To include all necessary supplies. | 37 | Each | ||
| 0018AA | A4608 | Transtracheal Oxygen Catheter: Deliver, Set-up,to include all necessary supplies | 135 | Each | ||
| ESTIMATED TOTAL |
File details come from the government source that posted it. Updated .