ITEM INFORMATION
ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QTY UNIT UNIT PRICE AMOUNT
0001 SHIELDED DC POWER CORD SYSTEM, VA156-10
MANUFACTURER PART NUMBER (MPN): 1001979
LOCAL STOCK NUMBER: 1001979 25.00 EA _________ _________
0002 CHAMBER, HUMIDIFICATION, SYSTEM ONE, HEATED, REPLACEMENT
MANUFACTURER PART NUMBER (MPN): 1063785 30.00 EA _________ _________
0003 FILTER, CPAP, FOR VARIOUS REMSTAR AND BIPAP MODELS, REUSABLE
MANUFACTURER PART NUMBER (MPN): FPR1-2 800.00 PG _________ _________
0004 FILTER, CPAP, REMSTAR PLUS/PRO, ULTRA FINE, DISP, 3 1/2 X 1 1/2IN
MANUFACTURER PART NUMBER (MPN): UFPR1-6 1,600.00 PG _________ _________
0005 COMFORT GEL BLUE NASAL, SMALL
MANUFACTURER PART NUMBER (MPN): 1071269 20.00 EA _________ _________
0006 SIMPLUS FFM&HG, SMALL
MANUFACTURER PART NUMBER (MPN): 400475 10.00 EA _________ _________
0007 SYSTEM, CPAP, REMSTAR 60 SERIES, HEATED HUMIDIFIER
MANUFACTURER PART NUMBER (MPN): DS460HS 25.00 EA _________ _________
GRAND TOTAL _________
DELIVERY SCHEDULE
ALL ITEMS DELIVERY DATE
SHIP TO: VA MEDICAL CENTER
1100 TUNNEL ROAD
ATTN: PROSTHETICS
ASHEVILLE, NC 28805 ON OR BEFORE 03/25/2016
Bid Protests Not Available