SECTION B_ CLIN 0001 - 0011 RFP 2010-N-11987.doc
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- Attached to
- RECOVERY - 2010 Adult Vaccine Contract
- Solicitation number
- 2010-N-11987
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Attachment 1 - MS Word Version (.doc) of Section B of RFP 2010-N-11987 (Vaccine Offerings _Contract Line Item No. 0001 - 0011)
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SECTION B - CONTINUATION OF SF1449tc \l2 "CONTINUATION OF SF 1449 Contract Line
Item No. (CLIN) Vaccine Description
Hepatitis A Adult Vaccine
Maximum Estimated Quantity:
250,000 Doses
Guaranteed Minimum: 100 Doses
Product Requirements:
Minimum Shelf Life:
12 Months
Minimum Order Size:
100 Doses Per Destination
Federal Excise Tax:
$0.75 Per Dose
Size Restrictions:
Not to exceed 10 doses per vial or 25 vials/syringes per package.
Proposal Information:
Product/Brand Name:
Proposed Quantities
Total Maximum:
Monthly Maximum:
Vial/Package Size:
Unit Price (Excluding
Federal Excise Tax):
Price Per Dose:
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN)
Hepatitis B Adult Vaccine
500,000 Doses
300 Doses Per Destination
Proposal Information:
Total Maximum: ____________________________________________
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN)
Hepatitis A & B Combination Adult Vaccine
350,000 Doses
300 Doses Per Destination
$1.50 Per Dose
NDC Number:
Federal ExciseTax):
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN)
Pneumococcal Polysaccharide Adult Vaccine
20 Doses Per Destination
Not Applicable
Proposal Information:
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN)
Tetanus and Diphtheria Toxoids Adult Vaccine
100,000 Doses
$1.50 Per Dose
Monthly Maximum
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN)
Herpes Zoster Adult Vaccine
Not Applicable
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN)
Tetanus, Reduced Diphtheria Toxoids, and Acellular Pertussis (Tdap) Adult Vaccine
1,000,000 Doses
$2.25 Per Dose
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN) Vaccine Description
Measles, Mumps, and Rubella (MMR)
200,000 Doses
$2.25 Per Dose
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN) Vaccine Description
Meningococcal Conjugate (Groups A,C,Y & W)
100 Doses Per Destination
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN) Vaccine Description
Human Papillomavirus
300,000 Doses
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
Contract Line
Item No. (CLIN) Vaccine Description
Varicella
100,000 Doses
In the space below or on a separate page, the offeror shall enter the following information for all package options offered: Vial/Package Size, NDC Number and Unit Price (excluding Federal Excise Tax):
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