Exhibit_1_-_Pricing_Sheet.xlsx

XLSX spreadsheet 33 KB Posted Mar 13, 2019

Attached to: Medical Gas Services
Solicitation number: W91YTZ19R0021
Issued by: Department of the Army Medical Command

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Pricing Breakout - Please use to identify pricing. Include a narrative as needed.

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Other files

File	Type	Posted
Technical_Exhibit_1_-_Price_List.xlsx	XLSX spreadsheet	May 1, 2019
QASP.pdf	PDF	May 1, 2019
Technical_Exhibit_1_-_Gas_List.pdf	PDF	May 1, 2019
PWS-Med_Gas.pdf	PDF	May 1, 2019
PRS.pdf	PDF	May 1, 2019
PWS.pdf	PDF	Mar 13, 2019
PRS.pdf	PDF	Mar 13, 2019
QASP.pdf	PDF	Mar 13, 2019
Exhibit_1.pdf	PDF	Mar 13, 2019
A.09.03_Combo_Synopsis_&_Solicitation.pdf	PDF	Jan 25, 2019

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Base Year

Eisenhower Army Medical Center Gas Quotation
TYPE OF GAS/TANK	PART NUMBER	CLIN	QUANTITY	UNIT	PRICE EA	EXTENDED PRICE
Blood Gas Mix Size E (CO2 4%, 02 16%) AE		0001AA	10	EA
Blood Gas Mix Size E (26% 02 Bal NZ) AH		0001AB	10	EA
Blood Gas mix sz E(2% C02, 98% N2)		0001AC	1	EA
Liquid Medical Nitrogen NF AQ Size 240LT		0001AD	48	EA
Med Carbon Dioxide Size E PN MCDE AV A		0001AE	180	EA
Med Carbon Dioxide Size G ... AW		0001AF	72	EA
lung Diff 179 (.3 CO, 0.3% METHANE, 02 21% Size 200 AV		0001AG	12	EA
Medical Helium UHP 6000 psig 512 001BA		0001AH	16	EA
Medical Nitrogen Size G PN MNIG BC		0001AI	90	EA
Medical Nitrous Oxide Size G PN MNOG BE		0001AJ	23	EA
Medical Oxygen Alum Size D PN MOAD BH X		0001AK	3,168	EA
Med Oxygen Aluminum Size E PN MOAE BJ		0001AL	60	EA
Medical Oxygen 251 CF PN MO200 BK		0001AM	150	EA
Med Oxygen Aluminum Size M PN MOM BN		0001AN	5	EA
Gas MBAG Med Breathing Air Size G CT		0001AO	23	EA
Gas MN020C Med Nitro Oxide Size 201b CY		0001AP	4	EA
Gas MNOAE Medical Nitro Oxide Size E CZ		0001AQ	24	EA
Argon 6K UHP 6000 PSI DW		0001AR	12	EA
Al USP300 Air Medical USP Size 300 0lEA		0001AS	6	EA
Medical Oxygen size M		0001AT	24	EA
Medical Helium Size G		0001AU	4	EA
Argon FS 40 CF		0001AV	70	EA
Anerobic Mix 210 cf 10% CO2 10% Hyd Bal N2		0001AW	5	EA
Gas Mix-1.5% CO2, 20% O2, 79.5% N2		0001AX	2	EA
LOX Dewar		0001AY	48	EA
HP O2 "G" Cylinder		0001AZ	2	EA
Liquid Nitrogen (every 2 months)		0001BA	204	EA
Industrial Oxygen Size 80		0001BB	4	EA
Propane		0001BA	2	EA
Argon FS size 150 AR 150 CG		0001BB	60	EA
Med Nitrous Oxide		0001BC	3	EA
C02Research Grade Sipho Tube 50 Size G		0001BD	2	EA
N2 E Cylinder/ Nitrogen FS 80 CF N180		0001BD	2	EA
Cylinder Rental (liquid cylinder)		0001BE	3,650	EA
Cylinder Rental((High pressure cylinder)		0001BF	165,710	EA
Blood gas mix-2% C02, 98% N2, E-Cylinder		0001BG	1	EA
Mix balance Nitro Mix-5% C02, 20% 02		0001BH	4	EA
Fees Associated with Delivery
HAZMAT Fees		0001BI	6	EA
Delivery Fees		0001BJ	197	EA
Emergency Delivery		0001BK	197	EA
Contract Manpower Report		0001BL	1	EA

Quotation Valid Until: ________________________ Base Year - 05May2019-31Jan2020 TOTAL

COMPANY NAME, ADDRESS, POC, CONTACT NUMBER
		Time Frame
	Option Year 1 - 01Feb2020-31Jan2021		TOTAL

Option Year 2 - 01Feb2021-31Jan2022 TOTAL

Option Year 3 - 01Feb2022-31Jan2023 TOTAL

DUNS NUMBER______________________________ Option Year 4 - 01Feb2023-31Jan2024 TOTAL

CAGE CODE__________________________________
	Grand Total

Option Year (1)

Eisenhower Army Medical Center Gas Quotation
TYPE OF GAS/TANK	PART NUMBER	CLIN	QUANTITY	UNIT	PRICE EA	EXTENDED PRICE
Blood Gas Mix Size E (CO2 4%, 02 16%) AE		1001AA	10	EA
Blood Gas Mix Size E (26% 02 Bal NZ) AH		1001AB	10	EA
Blood Gas mix sz E(2% C02, 98% N2)		1001AC	1	EA
Liquid Medical Nitrogen NF AQ Size 240LT		1001AD	48	EA
Med Carbon Dioxide Size E PN MCDE AV A		1001AE	180	EA
Med Carbon Dioxide Size G ... AW		1001AF	72	EA
lung Diff 179 (.3 CO, 0.3% METHANE, 02 21% Size 200 AV		1001AG	12	EA
Medical Helium UHP 6000 psig 512 001BA		1001AH	16	EA
Medical Nitrogen Size G PN MNIG BC		1001AI	90	EA
Medical Nitrous Oxide Size G PN MNOG BE		1001AJ	23	EA
Medical Oxygen Alum Size D PN MOAD BH X		1001AK	3,168	EA
Med Oxygen Aluminum Size E PN MOAE BJ		1001AL	60	EA
Medical Oxygen 251 CF PN MO200 BK		1001AM	150	EA
Med Oxygen Aluminum Size M PN MOM BN		1001AN	5	EA
Gas MBAG Med Breathing Air Size G CT		1001AO	23	EA
Gas MN020C Med Nitro Oxide Size 201b CY		1001AP	4	EA
Gas MNOAE Medical Nitro Oxide Size E CZ		1001AQ	24	EA
Argon 6K UHP 6000 PSI DW		1001AR	12	EA
Al USP300 Air Medical USP Size 300 0lEA		1001AS	6	EA
Medical Oxygen size M		1001AT	24	EA
Medical Helium Size G		1001AU	4	EA
Argon FS 40 CF		1001AV	70	EA
Anerobic Mix 210 cf 10% CO2 10% Hyd Bal N2		1001AW	5	EA
Gas Mix-1.5% CO2, 20% O2, 79.5% N2		1001AX	2	EA
LOX Dewar		1001AY	48	EA
HP O2 "G" Cylinder		1001AZ	2	EA
Liquid Nitrogen (every 2 months)		1001BA	204	EA
Industrial Oxygen Size 80		1001BB	4	EA
Propane		1001BA	2	EA
Argon FS size 150 AR 150 CG		1001BB	60	EA
Med Nitrous Oxide		1001BC	3	EA
C02Research Grade Sipho Tube 50 Size G		1001BD	2	EA
N2 E Cylinder/ Nitrogen FS 80 CF N180		1001BD	2	EA
Cylinder Rental (liquid cylinder)		1001BE	3,650	EA
Cylinder Rental((High pressure cylinder)		1001BF	165,710	EA
Blood gas mix-2% C02, 98% N2, E-Cylinder		1001BG	1	EA
Mix balance Nitro Mix-5% C02, 20% 02		1001BH	4	EA
Fees Associated with Delivery
HAZMAT Fees		1001BI	6	EA
Delivery Fees		1001BJ	197	EA
Emergency Delivery		1001BK	197	EA
Contract Manpower Report		1001BL	1	EA

Option Year 1 - 01Feb2020-31Jan2021 TOTAL

Time Frame

Option Year (2)

Eisenhower Army Medical Center Gas Quotation
TYPE OF GAS/TANK	PART NUMBER	CLIN	QUANTITY	UNIT	PRICE EA	EXTENDED PRICE
Blood Gas Mix Size E (CO2 4%, 02 16%) AE		2001AA	10	EA
Blood Gas Mix Size E (26% 02 Bal NZ) AH		2001AB	10	EA
Blood Gas mix sz E(2% C02, 98% N2)		2001AC	1	EA
Liquid Medical Nitrogen NF AQ Size 240LT		2001AD	48	EA
Med Carbon Dioxide Size E PN MCDE AV A		2001AE	180	EA
Med Carbon Dioxide Size G ... AW		2001AF	72	EA
lung Diff 179 (.3 CO, 0.3% METHANE, 02 21% Size 200 AV		2001AG	12	EA
Medical Helium UHP 6000 psig 512 001BA		2001AH	16	EA
Medical Nitrogen Size G PN MNIG BC		2001AI	90	EA
Medical Nitrous Oxide Size G PN MNOG BE		2001AJ	23	EA
Medical Oxygen Alum Size D PN MOAD BH X		2001AK	3,168	EA
Med Oxygen Aluminum Size E PN MOAE BJ		2001AL	60	EA
Medical Oxygen 251 CF PN MO200 BK		2001AM	150	EA
Med Oxygen Aluminum Size M PN MOM BN		2001AN	5	EA
Gas MBAG Med Breathing Air Size G CT		2001AO	23	EA
Gas MN020C Med Nitro Oxide Size 201b CY		2001AP	4	EA
Gas MNOAE Medical Nitro Oxide Size E CZ		2001AQ	24	EA
Argon 6K UHP 6000 PSI DW		2001AR	12	EA
Al USP300 Air Medical USP Size 300 0lEA		2001AS	6	EA
Medical Oxygen size M		2001AT	24	EA
Medical Helium Size G		2001AU	4	EA
Argon FS 40 CF		2001AV	70	EA
Anerobic Mix 210 cf 10% CO2 10% Hyd Bal N2		2001AW	5	EA
Gas Mix-1.5% CO2, 20% O2, 79.5% N2		2001AX	2	EA
LOX Dewar		2001AY	48	EA
HP O2 "G" Cylinder		2001AZ	2	EA
Liquid Nitrogen (every 2 months)		2001BA	204	EA
Industrial Oxygen Size 80		2001BB	4	EA
Propane		2001BA	2	EA
Argon FS size 150 AR 150 CG		2001BB	60	EA
Med Nitrous Oxide		2001BC	3	EA
C02Research Grade Sipho Tube 50 Size G		2001BD	2	EA
N2 E Cylinder/ Nitrogen FS 80 CF N180		2001BD	2	EA
Cylinder Rental (liquid cylinder)		2001BE	3,650	EA
Cylinder Rental((High pressure cylinder)		2001BF	165,710	EA
Blood gas mix-2% C02, 98% N2, E-Cylinder		2001BG	1	EA
Mix balance Nitro Mix-5% C02, 20% 02		2001BH	4	EA
Fees Associated with Delivery
HAZMAT Fees		2001BI	6	EA
Delivery Fees		2001BJ	197	EA
Emergency Delivery		2001BK	197	EA
Contract Manpower Report		2001BL	1	EA

Option Year 2 - 01Feb2021-31Jan2022 TOTAL

Option Year (3)

Eisenhower Army Medical Center Gas Quotation
TYPE OF GAS/TANK	PART NUMBER	CLIN	QUANTITY	UNIT	PRICE EA	EXTENDED PRICE
Blood Gas Mix Size E (CO2 4%, 02 16%) AE		3001AA	10	EA
Blood Gas Mix Size E (26% 02 Bal NZ) AH		3001AB	10	EA
Blood Gas mix sz E(2% C02, 98% N2)		3001AC	1	EA
Liquid Medical Nitrogen NF AQ Size 240LT		3001AD	48	EA
Med Carbon Dioxide Size E PN MCDE AV A		3001AE	180	EA
Med Carbon Dioxide Size G ... AW		3001AF	72	EA
lung Diff 179 (.3 CO, 0.3% METHANE, 02 21% Size 200 AV		3001AG	12	EA
Medical Helium UHP 6000 psig 512 001BA		3001AH	16	EA
Medical Nitrogen Size G PN MNIG BC		3001AI	90	EA
Medical Nitrous Oxide Size G PN MNOG BE		3001AJ	23	EA
Medical Oxygen Alum Size D PN MOAD BH X		3001AK	3,168	EA
Med Oxygen Aluminum Size E PN MOAE BJ		3001AL	60	EA
Medical Oxygen 251 CF PN MO200 BK		3001AM	150	EA
Med Oxygen Aluminum Size M PN MOM BN		3001AN	5	EA
Gas MBAG Med Breathing Air Size G CT		3001AO	23	EA
Gas MN020C Med Nitro Oxide Size 201b CY		3001AP	4	EA
Gas MNOAE Medical Nitro Oxide Size E CZ		3001AQ	24	EA
Argon 6K UHP 6000 PSI DW		3001AR	12	EA
Al USP300 Air Medical USP Size 300 0lEA		3001AS	6	EA
Medical Oxygen size M		3001AT	24	EA
Medical Helium Size G		3001AU	4	EA
Argon FS 40 CF		3001AV	70	EA
Anerobic Mix 210 cf 10% CO2 10% Hyd Bal N2		3001AW	5	EA
Gas Mix-1.5% CO2, 20% O2, 79.5% N2		3001AX	2	EA
LOX Dewar		3001AY	48	EA
HP O2 "G" Cylinder		3001AZ	2	EA
Liquid Nitrogen (every 2 months)		3001BA	204	EA
Industrial Oxygen Size 80		3001BB	4	EA
Propane		3001BA	2	EA
Argon FS size 150 AR 150 CG		3001BB	60	EA
Med Nitrous Oxide		3001BC	3	EA
C02Research Grade Sipho Tube 50 Size G		3001BD	2	EA
N2 E Cylinder/ Nitrogen FS 80 CF N180		3001BD	2	EA
Cylinder Rental (liquid cylinder)		3001BE	3,650	EA
Cylinder Rental((High pressure cylinder)		3001BF	165,710	EA
Blood gas mix-2% C02, 98% N2, E-Cylinder		3001BG	1	EA
Mix balance Nitro Mix-5% C02, 20% 02		3001BH	4	EA
Fees Associated with Delivery
HAZMAT Fees		3001BI	6	EA
Delivery Fees		3001BJ	197	EA
Emergency Delivery		3001BK	197	EA
Contract Manpower Report		3001BL	1	EA

Option Year 3 - 01Feb2022-31Jan2023 TOTAL

Option Year (4)

Eisenhower Army Medical Center Gas Quotation
TYPE OF GAS/TANK	PART NUMBER	CLIN	QUANTITY	UNIT	PRICE EA	EXTENDED PRICE
Blood Gas Mix Size E (CO2 4%, 02 16%) AE		4001AA	10	EA
Blood Gas Mix Size E (26% 02 Bal NZ) AH		4001AB	10	EA
Blood Gas mix sz E(2% C02, 98% N2)		4001AC	1	EA
Liquid Medical Nitrogen NF AQ Size 240LT		4001AD	48	EA
Med Carbon Dioxide Size E PN MCDE AV A		4001AE	180	EA
Med Carbon Dioxide Size G ... AW		4001AF	72	EA
lung Diff 179 (.3 CO, 0.3% METHANE, 02 21% Size 200 AV		4001AG	12	EA
Medical Helium UHP 6000 psig 512 001BA		4001AH	16	EA
Medical Nitrogen Size G PN MNIG BC		4001AI	90	EA
Medical Nitrous Oxide Size G PN MNOG BE		4001AJ	23	EA
Medical Oxygen Alum Size D PN MOAD BH X		4001AK	3,168	EA
Med Oxygen Aluminum Size E PN MOAE BJ		4001AL	60	EA
Medical Oxygen 251 CF PN MO200 BK		4001AM	150	EA
Med Oxygen Aluminum Size M PN MOM BN		4001AN	5	EA
Gas MBAG Med Breathing Air Size G CT		4001AO	23	EA
Gas MN020C Med Nitro Oxide Size 201b CY		4001AP	4	EA
Gas MNOAE Medical Nitro Oxide Size E CZ		4001AQ	24	EA
Argon 6K UHP 6000 PSI DW		4001AR	12	EA
Al USP300 Air Medical USP Size 300 0lEA		4001AS	6	EA
Medical Oxygen size M		4001AT	24	EA
Medical Helium Size G		4001AU	4	EA
Argon FS 40 CF		4001AV	70	EA
Anerobic Mix 210 cf 10% CO2 10% Hyd Bal N2		4001AW	5	EA
Gas Mix-1.5% CO2, 20% O2, 79.5% N2		4001AX	2	EA
LOX Dewar		4001AY	48	EA
HP O2 "G" Cylinder		4001AZ	2	EA
Liquid Nitrogen (every 2 months)		4001BA	204	EA
Industrial Oxygen Size 80		4001BB	4	EA
Propane		4001BA	2	EA
Argon FS size 150 AR 150 CG		4001BB	60	EA
Med Nitrous Oxide		4001BC	3	EA
C02Research Grade Sipho Tube 50 Size G		4001BD	2	EA
N2 E Cylinder/ Nitrogen FS 80 CF N180		4001BD	2	EA
Cylinder Rental (liquid cylinder)		4001BE	3,650	EA
Cylinder Rental((High pressure cylinder)		4001BF	165,710	EA
Blood gas mix-2% C02, 98% N2, E-Cylinder		4001BG	1	EA
Mix balance Nitro Mix-5% C02, 20% 02		4001BH	4	EA
Fees Associated with Delivery
HAZMAT Fees		4001BI	6	EA
Delivery Fees		4001BJ	197	EA
Emergency Delivery		4001BK	197	EA
Contract Manpower Report		4001BL	1	EA

Option Year 4 - 01Feb2023-31Jan2024 TOTAL

Time Frame

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