36C77018Q0410-002.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Hines IL CMOP Emergency 5 Med/Surg Line Items
- Solicitation number
- 36C77018Q0410
About this file
36C77018Q0410 Pricing spreadsheet Q0410.xlsx
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77018Q0410-003.pdf | ||
| 36C77018Q0410-001.docx | DOCX document | |
| 36C77018Q0410-000.docx | DOCX document |
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Quote Spreadsheet
| CMOP Hines, IL | ||||||||||||
| EMERGENCY REQUEST 36C77018Q0410 | Delivery ARO 5 Days **Alternate delivery schedule may be proposed; however, must indicate delivery schedule, quantity per delivery and total delivery time in comments | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 4/6/18 | ||||||||||
| Vendor Complete | Closing Date: | 4/9/18 | ||||||||||
| Vendor Name: | Closing Time: | 11:00 AM Central Standard Time (CST) - No quotes will be accepted after closing time. | ||||||||||
| 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, please notate, and add and highlight proposed NDC for evaluation | ||||||||||||
| QTY shall be adjusted for that count, in stock amount & expected delivery of remainder> this information should be noted in "Vendor Comments" | ||||||||||||
| Items Listed Below: | Vendor Complete | Vendor Complete | ||||||||||
| Line Item | VA Item Number | Description | NDC# | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments | Total | Vendor Comments |
| 1 | XH218 | BARRIER,BRAVA STRIPS | 82112073107 | 300 | EA | |||||||
| 2 | Z0054 | ZINC OXIDE 16% TOP PASTE | 62103033302 | 1800 | EA | |||||||
| 3 | XV653 | SET,INFUSION MINIMED #MMT-382 | 76300038210 | 100 | BX | |||||||
| 4 | XH5019 | GLUCOSE SENSOR ENLITE MMT-7008 | 76300000805 | 150 | BX | |||||||
| 5 | L0524 | LUBRICATING TOP JELLY PKT 5GM | 00281020545 | 1500 | PG | |||||||
| GRAND TOTAL PRICE: | ||||||||||||
| All Quotes are Confidential |
OFFERORS SHOULD BID ON ITEMS THAT THEY HAVE IN STOCK, AND CAN PROVIDE ITEM QUOTED.
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