The file's text, extracted by GovTribe without its formatting.
INFORMATION
| PERIODS OF PERFORMANCE | |
| BASE PERIOD: ESTIMATED DATE - JULY 21, 2023 - JULY 20, 2028 | Separately Priced |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 21, 2028 - JULY 20, 2033 | Separately Priced |
SAMPLE CLIN (VISN) PRICING
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| SAMPLE CLIN (VISN) PRICING |
Company Name:
VISNs of Interest at Delivery Order Level:
| BASE PERIOD: ESTIMATED DATE - JULY 21, 2023 - JULY 20, 2028 | |
| CLIN 0001BB Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0001AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0001AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0001AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0001AD- Saturday Deliveries | ______________% |
| CLIN 0001AE- Sunday Deliveries | ______________% |
| CLIN 0001AF- Deliveries on Federal Government Holidays | ______________% |
| CLIN 0001AG- Alaska Surcharge (If Required) | ______________% |
| CLIN 0001AH- Hawaii Surcharge (If Required) | ______________% |
| LUM | |
| CLIN 0001AI- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0001AJ- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0001AK- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0001AL- Saturday Deliveries | ______________% |
| CLIN 0001AM- Sunday Deliveries | ______________% |
| CLIN 0001AN- Deliveries on Federal Government Holidays | ______________% |
| CLIN 0001AO- Alaska Surcharge (If Required) | ______________% |
| CLIN 0001AP- Hawaii Surcharge (If Required) | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0001AQ- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0001AR- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0001AS- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0001AT- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) |
| CLIN 0001AU Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0001AV Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0001AW Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0001AX Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0001AY- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) |
| CLIN 0001AZ Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0001BA Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 21, 2028 - JULY 20, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1001AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1001AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1001AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1001AD- Saturday Deliveries | ______________% |
| CLIN 1001AE- Sunday Deliveries | ______________% |
| CLIN 1001AF- Deliveries on Federal Government Holidays | ______________% |
| CLIN 1001AG- Alaska Surcharge (If Required) | ______________% |
| CLIN 1001AH- Hawaii Surcharge (If Required) | ______________% |
| LUM | |
| CLIN 1001AI- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1001AJ- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1001AK- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1001AL- Saturday Deliveries | ______________% |
| CLIN 1001AM- Sunday Deliveries | ______________% |
| CLIN 1001AN- Deliveries on Federal Government Holidays | ______________% |
| CLIN 1001AO- Alaska Surcharge (If Required) | ______________% |
| CLIN 1001AP- Hawaii Surcharge (If Required) | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1001AQ- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1001AR- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1001AS- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1001AT- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) |
| CLIN 1001AU Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1001AV Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1001AW Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1001AX Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1001AY- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) |
| CLIN 1001AZ Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1001BA Commercial Fee | ____________________% |
image1.PNG
