REQUEST FOR QUOTE: CPAP EQUIPMENT February 26, 2017 SET-ASIDE: VOSB REQUIRED SUPPLIES Ref: 600-17-2-087-2096 Manufacturer Item # Description Quantity Unit RESMED 61500 Mask, Swift FX Nasal Pillows Syst; S,M,L 240 EA RESMED 62103 Mask, Mirage FX Nasal w Grey Hgr -Stand 240 EA RESMED 62702 Mask, Quattro Air Full Face w Hgr - Med 240 EA RESMED 62703 Mask, Quattro Air Full Face w Hgr - Lrg 195 EA RESMED 62900 Mask, AirFit P10 Nasal Pillows Syst; S,M,L 150 EA Fisher & Paykel 400421 Mask, Pilario Q nasal Pillows w both Hgr 150 EA Fisher & Paykel 400476 Mask, Simplus Full Cace w Hgr - Med 300 EA Fisher & Paykel 400477 Mask, Simplus Full Cace w Hgr - Lrg 300 EA DELIVERY LOCATION T Rubin VA Healthcare System 5901 E. 7th St. Prosthetics, Bldg. 150 Long Beach, CA 90822 DELIVERY SCHEDULE ORDER TO BE DIVIDED INTO THIRDS FOR DELIVERY NO LATER THAN APRIL 1, MAY 1, AND JUNE 1, 2017; (3) DELIVERIES REQUIREMENTS MUST BE REGISTERED IN SAM MUST BE REGISTERED IN VIP EXACT MATCH PRICES MUST INCLUDE SHIPPING AND HANDLING MUST BE ABLE TO DIVIDE ORDER INTO THREE SHIPMENTS RESPONSES DUE BY 1200 NOON ON FRIDAY, MARCH 3, 2017, PACIFIC STANDARD TIME TO: MICHAEL JENSEN CONTRACTING OFFICER [email protected]

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