Line Items Template -Sample.xlsx

XLSX spreadsheet 424 KB Posted

Attached to
6515--Amendment P0002 | Follow-On Blanket Purchase Agreement (BPA) Electrophysiology (EP) Catheters
Solicitation number
36C10G21R0010
Issued by

About this file

This document provides details on a federal solicitation for follow-on blanket purchase agreements for electrophysiology catheters. The Department of Veterans Affairs is seeking to award multiple BPAs for a period of up to sixty months for the acquisition of electrophysiology catheters to be used for both invasive and non-invasive diagnostic testing and treatment procedures. The catheters must be approved by the Food and Drug Administration under the 510K pre-market notification process. BPA holders will provide written notice of any product, pricing, or company information changes to the VA Strategic Acquisition Center BPA Administrator. All orders placed against the BPA will be subject to its terms and conditions.

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Other files

File Type Posted
36C10G21R0010 0002.docx DOCX document
36C10G21R0010 0001_1.docx DOCX document
Amendment 0001_ EP Catheters_ 36C10G21R0010 .docx DOCX document
ATTACHMENT E - QUARTERLY REPORT TEMPLATE.xlsx XLSX spreadsheet
ATTACHMENT F_ SF1449 36C10G21R0010_EP CATHETERS.docx DOCX document
36C10G21R0010.docx DOCX document
ATTACHMENT D_ JJBW_PRICE COST LIST.xlsx XLSX spreadsheet

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Text version

Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
RFQ36C26319Q0654RFQ TrainingPercent0

KB Version: FY19.09A

Items Item Number Author: This is the CLIN number

SLIN

Author: This is the SLIN Number for the CLIN in Column A - if applicable Description Author: The is the Industry Standard Long Description for the Manufacture Part Number.

Ref CLIN Comments Include Comments in Document Contract Period Pop Begin Pop End Quantity Author: Quantity refers to the unit of measure for the purchase of an item. It is not the forecasted quantity of the contract.

Unit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/
Comments in DocumentPRINCIPAL NAICS CODEPRODUCT/
SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT
/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/
NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODEUNIT OF PURCHASE TEXT/DESC.NDCFOOD GROUP CODENIF ITEM NUMBERMINIMUM ORDER QUANTITYMAXIMUM ORDER QUANTITYREQUIRED ORDER MULTIPLEUNIT CONVERSION FACTORSPECIAL REMARKSCLINICAL DISCIPLINEITEM PRICE ON BPACONTROLLED SUBSTANCEENVIRONMENTAL ATTRIBUTE CODEESTIMATED QUANTITYITEM PRICE ON FSS/BOAITEM PRICE ON FSSITEM PRICE ON FSS (1-500 UNITS)ITEM PRICE ON FSS (501-1000 UNITS)ITEM PRICE ON FSS (1001-1500 UNITS)ITEM PRICE ON FSS (1500+ UNITS)EVALUATED ITEM PRICE ON FSSGPC ACCEPTEDGREEN PRODUCTHAZARDOUS MATERIALITEM PART NAMEITEM PART NUMBERITEM TYPEITEMS PER UNIT OF SALE (UOS)LATEX FREEITEM MODEL NUMBEROEM CAGE CODEOEM COUNTRY OF ORIGINOEM DUNS NUMBEROEM NAMESALE START DATESALE END DATEITEM SALE PRICESALIENT CHARACTERISTICREFERENCED CONTRACT NUMBERREFERENCED CONTRACT LINE NUMBERREFERENCED CONTRACT SUB LINE NUMBERDRAWING NUMBERSPECIFICATION NUMBERSERIAL NUMBERMANUFACTURER NAMEYEAR OF MANUFACTUREPROGRAM CODE
0001Advanced Source SelectionNo3EA0QuantityPriced15000Percent07485 New Horizon WayFrederickMD21703United States of AmeJohn Jones222-222-2222John.Jones@va.govNONENo

RefData

Discount TypeYNOptionsReceipt TypeLine Item isFOBState CodeState Description
PercentYesBaseQuantityPriced(none)AKAlaska
AmountNoOption 1AmountNSPOriginALAlabama
Option 2N/CDestinationARArkansas
Option 3ASAmerican Samoa
Option 4AZArizona
Option 5CACalifornia
Option 6COColorado
Option 7CTConnecticut
Option 8DCDistrict of Columbia
Option 9DEDelaware
Option 10FLFlorida
FMFederal States of Micronesia
GAGeorgia
GUGuam
HIHawaii
IAIowa
IDIdaho
ILIllinois
INIndiana
KSKansas
KYKentucky
LALouisiana
MAMassachusetts
MDMaryland
MEMaine
MHMarshall Islands
MIMichigan
MNMinnesota
MOMissouri
MPNorthern Mariana Islands
MSMississippi
MTMontana
NCNorth Carolina
NDNorth Dakota
NENebraska
NHNew Hampshire
NJNew Jersy
NMNew Mexico
NVNevada
NYNew York
OHOhio
OKOklahoma
OROregon
PAPennsylvania
PRPuerto Rico
PWPalau
RIRhode Island
SCSouth Carolina
SDSouth Dakota
TNTennessee
TXTexas
UTUtah
VAVirginia
VIVirgin Islands
VTVermont
WAWashington
WIWisconsin
WVWest Virginia
WYWyoming

UOMRef

DescriptionValue
Percentage of Medicare% OF MEDICARE
AMPOULEAM
ASSORTMENTAT
ASSEMBLYAY
BALLBA
BUNDLEBD
BALEBE
BOARD FOOTBF
BAGBG
BOOKBK
BARRELBL
BOLTBO
BARBR
BOTTLEBT
BOXBX
CARTRIDGECA
CARBOYCB
CELSIUSCC
CUBIC YARDCD
CONECE
CUBIC FOOTCF
CAKECK
COILCL
CENTIMETERCM
CANCN
CONTAINERCO
CASECS
CARTONCT
CYLINDERCY
CUBIC METERCZ
DRUMDR
DAYDY
DOZENDZ
EACHEA
FOOTFT
GALLONGL
GRAMGM
GROUPGP
GROSSGR
HUNDREDHD
HANKHK
HOURHR
INCHIN
JOBJB
JARJR
KILOGRAMKG
KILOMETERKM
KITKT
POUNDLB
LENGTHLG
LITERLI
LOTLT
THOUSAND CUBIC FEETMC
MEALME
MILLIGRAMMG
MILLILITERML
MILLIMETERMM
MONTHMO
METERMR
THOUSANDMX
OUTFITOT
OUNCEOZ
PADPD
PACKAGEPG
PLATEPM
PAIRPR
PINTPT
PACKETPZ
QUARTQT
RATIONRA
REELRL
REAMRM
ROLLRO
SACKSA
SQUARE CENTIMETERSC
SKIDSD
SETSE
SQUARE FOOTSF
SHEETSH
SKEINSK
SPOOLSL
SQUARE METERSM
SHOTSO
STRIPSP
STICKSX
SQUARE YARDSY
TONTN
TROY OUNCETO
TUBETU
UNITUN
VIALVI
WEEKWK
YARDYD
YEARYR

NAICS

DescriptionValue
Soybean Farming111110
Oilseed (except Soybean) Farming111120
Dry Pea and Bean Farming111130
Wheat Farming111140
Corn Farming111150
Rice Farming111160
Oilseed and Grain Combination Farming111191
All Other Grain Farming111199
Potato Farming111211
Other Vegetable (except Potato) and Melon Farming111219
Orange Groves111310
Citrus (except Orange) Groves111320
Apple Orchards111331
Grape Vineyards111332
Strawberry Farming111333
Berry (except Strawberry) Farming111334
Tree Nut Farming111335
Fruit and Tree Nut Combination Farming111336
Other Noncitrus Fruit Farming111339
Mushroom Production111411
Other Food Crops Grown Under Cover111419
Nursery and Tree Production111421
Floriculture Production111422
Tobacco Farming111910
Cotton Farming111920
Sugarcane Farming111930
Hay Farming111940
Sugar Beet Farming111991
Peanut Farming111992
All Other Miscellaneous Crop Farming111998
Beef Cattle Ranching and Farming112111
Cattle Feedlots112112
Dairy Cattle and Milk Production112120
Dual-Purpose Cattle Ranching and Farming112130
Hog and Pig Farming112210
Chicken Egg Production112310
Broilers and Other Meat Type Chicken Production112320
Turkey Production112330
Poultry Hatcheries112340
Other Poultry Production112390
Sheep Farming112410
Goat Farming112420
Finfish Farming and Fish Hatcheries112511
Shellfish Farming112512
Other Animal Aquaculture112519
Apiculture112910
Horses and Other Equine Production112920
Fur-Bearing Animal and Rabbit Production112930
All Other Animal Production112990
Timber Tract Operations113110
Forest Nurseries and Gathering of Forest Products113210
Logging113310
Finfish Fishing114111
Shellfish Fishing114112
Other Marine Fishing114119
Hunting and Trapping114210
Cotton Ginning115111
Soil Preparation, Planting, and Cultivating115112
Crop Harvesting, Primarily by Machine115113
Postharvest Crop Activities (except Cotton Ginning)115114
Farm Labor Contractors and Crew Leaders115115
Farm Management Services115116
Support Activities for Animal Production115210
Support Activities for Forestry115310
Crude Petroleum Extraction211120
Natural Gas Extraction211130
Bituminous Coal and Lignite Surface Mining212111
Bituminous Coal Underground Mining212112
Anthracite Mining212113
Iron Ore Mining212210
Gold Ore Mining212221
Silver Ore Mining212222
Copper, Nickel, Lead, and Zinc Mining212230
Uranium-Radium-Vanadium Ore Mining212291
All Other Metal Ore Mining212299
Dimension Stone Mining and Quarrying212311
Crushed and Broken Limestone Mining and Quarrying212312
Crushed and Broken Granite Mining and Quarrying212313
Other Crushed and Broken Stone Mining and Quarrying212319
Construction Sand and Gravel Mining212321
Industrial Sand Mining212322
Kaolin and Ball Clay Mining212324
Clay and Ceramic and Refractory Minerals Mining212325
Potash, Soda, and Borate Mineral Mining212391
Phosphate Rock Mining212392
Other Chemical and Fertilizer Mineral Mining212393
All Other Nonmetallic Mineral Mining212399
Drilling Oil and Gas Wells213111
Support Activities for Oil and Gas Operations213112
Support Activities for Coal Mining213113
Support Activities for Metal Mining213114
Support Activities for Nonmetallic Minerals (except Fuels) Mining213115
Hydroelectric Power Generation221111
Fossil Fuel Electric Power Generation221112
Nuclear Electric Power Generation221113
Solar Electric Power Generation221114
Wind Electric Power Generation221115
Geothermal Electric Power Generation221116
Biomass Electric Power Generation221117
Other Electric Power Generation221118
Electric Bulk Power Transmission and Control221121
Electric Power Distribution221122
Natural Gas Distribution221210
Water Supply and Irrigation Systems221310
Sewage Treatment Facilities221320
Steam and Air-Conditioning Supply221330
New Single-Family Housing Construction (except For-Sale Builders)236115
New Multifamily Housing Construction (except For-Sale Builders)236116
New Housing For-Sale Builders236117
Residential Remodelers236118
Industrial Building Construction236210
Commercial and Institutional Building Construction236220
Water and Sewer Line and Related Structures Construction237110
Oil and Gas Pipeline and Related Structures Construction237120
Power and Communication Line and Related Structures Construction237130
Land Subdivision237210
Highway, Street, and Bridge Construction237310
Other Heavy and Civil Engineering Construction237990
Poured Concrete Foundation and Structure Contractors238110
Structural Steel and Precast Concrete Contractors238120
Framing Contractors238130
Masonry Contractors238140
Glass and Glazing Contractors238150
Roofing Contractors238160
Siding Contractors238170
Other Foundation, Structure, and Building Exterior Contractors238190
Electrical Contractors and Other Wiring Installation Contractors238210
Plumbing, Heating, and Air-Conditioning Contractors238220
Other Building Equipment Contractors238290
Drywall and Insulation Contractors238310
Painting and Wall Covering Contractors238320
Flooring Contractors238330
Tile and Terrazzo Contractors238340
Finish Carpentry Contractors238350
Other Building Finishing Contractors238390
Site Preparation Contractors238910
All Other Specialty Trade Contractors238990
Dog and Cat Food Manufacturing311111
Other Animal Food Manufacturing311119
Flour Milling311211
Rice Milling311212
Malt Manufacturing311213
Wet Corn Milling311221
Soybean and Other Oilseed Processing311224
Fats and Oils Refining and Blending311225
Breakfast Cereal Manufacturing311230
Beet Sugar Manufacturing311313
Cane Sugar Manufacturing311314
Nonchocolate Confectionery Manufacturing311340
Chocolate and Confectionery Manufacturing from Cacao Beans311351
Confectionery Manufacturing from Purchased Chocolate311352
Frozen Fruit, Juice, and Vegetable Manufacturing311411
Frozen Specialty Food Manufacturing311412
Fruit and Vegetable Canning311421
Specialty Canning311422
Dried and Dehydrated Food Manufacturing311423
Fluid Milk Manufacturing311511
Creamery Butter Manufacturing311512
Cheese Manufacturing311513
Dry, Condensed, and Evaporated Dairy Product Manufacturing311514
Ice Cream and Frozen Dessert Manufacturing311520
Animal (except Poultry) Slaug

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