36C77018Q0358-002.xlsx

XLSX spreadsheet 17 KB Posted

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Hines IL CMOP Emergency Med/Surg. 4 Line Items
Solicitation number
36C77018Q0358
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36C77018Q0358 Pricing spreadsheet 4 Line MedSurg Q-0358.xlsx

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36C77018Q0358-001.docx DOCX document
36C77018Q0358-003.doc DOC document
36C77018Q0358-000.docx DOCX document

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Quote Spreadsheet

CMOP Hines IL
36C77018Q0358Delivery ARO 5 Day or Before or On: 03-21-2018**Alternate delivery schedule may be proposed; however, must indicate delivery schedule, quantity per delivery and total delivery time in comments
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:3/9/18
Vendor CompleteClosing Date:3/12/18
Vendor Name:Closing Time:4:00 PM Central Standard Time (CST)
DUNS #:Preferred E-mail quotes to Karen.Griffin4@va.gov
POC Name:Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required
POC Address:**PLEASE NOTE - OTC Med. Surg. items only - include an email verification of authorized distributor for the OTC
POC E-Mail:Vendors shall submit no more than (1) one quote per vendor
Phone:Trade Agreement Act (TAA)-Compliant National Drug Codes (NDC) Preferred
If vendors are proposing NDC with count other than CMOP listed NDC,
QTY shall be adjusted for that count and this should be noted in "Vendor Comments"
All Brand specific items below:Vendor CompleteVendor Complete
Line ItemVA Item NumberDescriptionNDC#MfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor CommentsTotalVendor Comments
1XH509SENSOR ENLITE MMT-700876300-0008-05200BX$ - 0$0.00$ - 0
2XZ835RESERVOIR, MINIMED #MMT-332A76300-0332-101,000BX$ - 0$0.00
3XU057CARTRIDGE, ANIMAS IR 2ML 1200 #100-124-0165781-0012-46200BX$ - 0$0.00
4U0004UREA CREAM 40%54295-0308-24700EA$ - 0$0.00
GRAND TOTAL PRICE:$0.00$0.00
All Quotes are Confidential

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