ATTACHMENT E_REPORTING TOOL_NX EQ TEE SCANNING SYSTEMS.xlsx

XLSX spreadsheet 44 KB Posted

Attached to
NX EQ Transesophageal Echocardiography (TEE) Scanning Systems
Solicitation number
36C10X27R0011
Issued by

About this file

Written by GovTribe AI ·

This is a Sales Reporting Tool template for quarterly sales reporting on NX EQ Transesophageal Echocardiography (TEE) Scanning Systems supplied under VA contract 36C10X27R0011. The template is designed for the Department of Veterans Affairs' Strategic Acquisition Center Frederick and is formatted to track FY 2027 quarterly sales across all 23 Veterans Integrated Service Networks (VISNs) and their associated medical facilities nationwide.

The reporting tool captures sales data by line item/CLIN with fields for contract number, part number, unit price inclusive of SLA (Service Level Agreement) fees, and quantity sold to each of the 140 VA facilities listed by VISN and facility code. The template includes calculation rows for total quarterly quantity sold, total quarterly sales inclusive of SLA fees, anticipated SLA amounts, and total sales without SLA (to be uploaded in Pay.gov). The facilities span geographically from New England Healthcare System (VISN 1) through Desert Pacific Healthcare Network (VISN 22), with an additional Midwest Health Care Network (VISN 23) section, plus a Central Mail Outpatient Pharmacy (CMOP) line item. This is a blank template with all fields populated with zero values, designed for contractors to complete and submit quarterly sales reports.

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Other files

File Type Posted
S02 36C10X27R0011 Combined Synopsis Solicitation.docx DOCX document
ATTACHMENT B_CONTRACT ADMINISTRATION_NX EQ TEE SCANNING SYSTEMS.docx DOCX document
ATTACHMENT F_PAST PERFORMANCE REFERENCE_NX EQ TEE SCANNING SYSTEMS.docx DOCX document
ATTACHMENT J_CERTIFICATION OF RECALL OR SAFETY ISSUES_NX EQ TEE SCANNING SYSTEMS.docx DOCX document
ATTACHMENT G_PAST PERFORMANCE QUESTIONNAIRE_NX EQ TEE SCANNING SYSTEMS.docx DOCX document
ATTACHMENT C_CONTRACT CLAUSES_NX EQ TEE SCANNING SYSTEMS.docx DOCX document
ATTACHMENT D_SOLICITATION PROVISIONS_NX EQ TEE SCANNING SYSTEMS.docx DOCX document
ATTACHMENT H_RFQ QUESTIONS_NX EQ TEE SCANNING SYSTEMS.xlsx XLSX spreadsheet
ATTACHMENT A_PRICE COST SCHEDULE_NX EQ TEE SCANNING SYSTEMS.xlsx XLSX spreadsheet

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Sheet2

117932669203010102525142613211115755710510182673115213351671211211414181614
11111111222223333334444444444555566666666777
402405518523608631650689528528A5528 A6528A7528 A8526561620630630A4632460503529540542562595642646693512512A5613688517558565590637652658659508509521
TogusWhite River JctBedfordBoston (Roxbury and Brockton)ManchesterNorthhamptonProvidenceVA Connecticut (Newington)1Buffalo (Batavia)CanadaiguaBathSyracuseAlbany2BronxVA New Jersey (Lyons and East Orange)VA Hudson Valley (CastlePoint and Montrose)New YorkBrooklynNorthport3WilmingtonAltoonaButlerClarksburgCoatesvilleErieLebanonPhiladelphiaVA Pittsburgh (Pittsburgh HD)VAMC Wilkes-Barre4VA MarylandPerry PointMartinsburgWashington5BeckleyDurhamFayettevilleHamptonAshevilleRichmondSalemSalisbury6AtlantaAugustaBirmingham (posted stock purchased and reported by Tuscaloosa)

Sales Report

Contractor:
Contract Number:

FY 2027

Reporting Quarter: ___ QtrLine Item(s)12345678910111213141516171819202122
CLIN/SLIN:
Description/Salient Characteristics
Contract/Part Number:
Price Inclusive of SLA Fee:
VISNFACILITYVA New England Healthcare SystemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of Item
1402Togus, ME
1405White River Junction, VT
1518Bedford, MA
1523Boston HCS
1608Manchester, NH
1631Northampton, MA
1650Providence, RI
1689Connecticut HCS
New York/New Jersey VA Health Care Network
2526Bronx, NY
2528Buffalo, NY
2528A5Canandaigua, NY
2528A6Bath, NY
2528A7Syracuse, NY
2528A8Albany, NY
2561New Jersey HCS
2620Hudson Valley HCS
2630New York HHS
2632Northport, NY
VA Pittsburgh Healthcare System
4460Wilmington, DE
4503Altoona, PA
4529Butler, PA
4542Coatesville, PA
4562Erie, PA
4595Lebanon, PA
4642Philadelphia, PA
4646Pittsburgh HCS
4693Wilkes-Barre, PA
VA Capitol Health Care Network
5512Maryland HCS
5517Beckley, WV
5540Clarksburg, WV
5581Huntington, WV
5613Martinsburg, WV
5688Washington DC
VA Mid-Atlantic Health Care Network
6558Durham, NC
6565Fayetteville, NC
6590Hampton, VA
6637Asheville, NC
6652Richmond, VA
6658Salem, VA
6659Salisbury, NC
VA Southeast Network
7508Atlanta, GA
7509Augusta, GA
7521Birmingham, AL
7534Charleston, SC
7544Columbia, SC
7557Dublin, GA
7619Central Alabama HCS
7679Tuscaloosa
VA Sunshine Healthcare Network
8516Bay Pines, FL
8546Miami, FL
8548West Palm Beach, FL
8573N. Florida/S. Georgia HCS
8672San Juan, PR
8673Tampa, FL
8675Orlando, FL
VA MidSouth Healthcare Network
9596Lexington, KY
9603Louisville, KY
9614Memphis, TN
9621Mountain Home, TN
9626Tennessee Valley HCS
VA Healthcare System
10506Ann Arbor, MI
10515Battle Creek, MI
10538Chillicothe, OH
10539Cincinnati, OH
10541Cleveland, OH
10552Dayton, OH
10553Detroit, MI
10583Indianapolis, IN
10610Northern Indiana HCS
10655Saginaw, MI
10757Columbus, OH
VA Great Lakes Health Care System
12537Chicago, IL
12550Illiana HCS
12556North Chicago, IL
12578Hines, IL
12585Iron Mountain, MI
12607Madison, WI
12676Tomah, WI
12695Milwaukee, WI
VA Heartland Network
15589Kansas City, MO
15589A4Columbia, MO
15589A5Eastern Kansas HCS
15589A7Wichita, KS
15657St. Louis, MO
15657A4Poplar Bluff, MO
15657A5Marion, IL
South Central VA Health Care Network
16502Alexandria, LA
16520Biloxi, MS
16564Fayetteville, AR
16580Houston, TX
16586Jackson, MS
16598Central Arkansas HCS
16629New Orleans, LA
16667Shreveport, LA
VA Heart of Texas Health Care Network
17504Amarillo, TX
17519West Texas HCS
17549North Texas HCS
17671South Texas HCS
17674Central Texas HCS
17740Texas Valley Coastal Bend HCS
17757El Paso, TX
Rocky Mountain Network
19436Montana HCS
19442Cheyenne, WY
19554Eastern Colorado HCS
19575Grand Junction, CO
19623Muskogee, OK
19635Oklahoma City, OK
19660Salt Lake City HCS
19666Sheridan, WY
Northwest Network
20463Alaska VAHSRO
20531Boise, ID
20648Portland, OR
20653Roseburg HCS
20663Puget Sound HCS
20668Spokane, WA
20687Walla Walla, WA
20692White City, OR
Sierra Pacific Network
21358Manila, Philippines
21459VA Pacific Islands HCS
21570Central California HCS
21593Southern Nevada HCS
21612Northern California HCS
21640Palo Alto HCS
21654Sierra Nevada HCS
21662San Francisco, CA
Desert Pacific Healthcare Network
22501New Mexico HCS
22600Long Beach HCS
22605Loma Linda, CA
22644Phoenix, AZ
22649Northern Arizona HCS
22664San Diego HCS
22678Southern Arizona HCS
22691Greater Los Angeles HCS
VA Midwest Health Care Network
23437Fargo, ND
23438Sioux Falls, SD
23568Black Hills HCS
23618Minneapolis, MN
23636Omaha, NE
23636A6Central Iowa HCS
23636A8Iowa City, IA
23656St. Cloud, MN
Null764CMOP
Total Quarterly Quantity Sold0000000000000000000000
Total Quantity Sold of All Items0
Total Quarterly Quantity Sold x Price$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
Total Quarterly Sales inclusive of the SLA$0.00
Anticipated SLA$0.00
Total Sales amount without the SLA(Figure uploaded in Pay.gov)$0.00
SLA Received (For HINES FISCAL ONLY)

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