ITEM # QTY. (Estimated 12- month Quantity/Usage) UOM DESCRIPTION UNIT PRICE EXTENDED PRICE 1 50 Each Glass Single Vision Lenses, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 2 50 Each Glass Bifocal ST-28, 35, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 3 100 Each Glass Trifocal 7 x 28, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 4 7,000 Each Plastic Single Vision, CR-39, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 5 6,000 Each Plastic Bifocal ST-28 - 35 Round, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 6 350 Each Plastic Trifocal 7 x 28, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 7 10,500 Each Polycarbonate Single Vision, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 8 5,500 Each Polycarbonate Bifocal ST-28, Round, ST - 35, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 9 500 Each Progressive Multifocal CR-39 Glass, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 10 8,000 Each Progressive Multifocal Polycarbonate, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 11 1,500 Each Other Progressives, CR-39, Poly, Glass, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 12 400 Each Transition Lenses for CR-39, Poly ( Single Vision Only), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 13 900 Each Transition Lenses for Bifocals, Progressive Lenses, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 14 600 Each Tints (Solid and or Gradient) for CR-39 and Polycarbonate, as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 15 500 Each UV Coating (CR-39 Only), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 16 25 Each Photogray XXX ( Single Vision Only), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 17 100 Each Photogray XXX (Bifocal, Progressives), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 18 1,800 Each Anti-Reflective Coating ( Single Vision Multifocals: CR-39, Poly), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 19 100 Each Mirror Coating (Single Vision Multifocals; CR-39, Poly Glass), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 20 150 Each Polarized Lenses (Single Vision, Multifocals; CR-39 Poly), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 21 150 Each Special Base Curves (Single Vision, Multifocals; CR-39, Poly), as per Specifications Manufacturer: _______________ Product #: __________________ $ _______ $ _______ 22 150 Each Myodisc (Single Vision Multifocals; CR39, Poly), as per Specifications Manufacturer: _______________ $ _______ $ _______
