36C77019Q0435-002.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
760 Leavenworth Med/Surg. 4 Line items Federal contract opportunity
Solicitation number
36C77019Q0435
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77019Q0435 Solicitation Attachment 1 - Quote Spreadsheet Q0435.xlsx

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36C77019Q0435-003.pdf PDF
36C77019Q0435-001.docx DOCX document
36C77019Q0435-000.docx DOCX document

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Quote Spreadsheet

LEAVENWORTH KS CMOP**All "Yellow" highlighted fields must be completed.
36C77019Q0435Delivery ARO 10 Days
Solicitation Attachment 1 - Quote Spreadsheet
Vendor Name:
DUNS #:
POC Name:Signed SF1449 Form and Copy of State-Issued Wholesale Drug Distributor License Required
POC E-Mail:Email spreadsheet, SF1449, State License, and any inquirie prior to closing to : Karen.Griffin4@va.gov
Phone:***Provide Letter of Authorized Distributor Test Strips on this request.
Tax ID Number:PRODUCTS PROPOSED SHALL BE FDA COMPLIANT.
Vendor CompleteVendor CompleteTotal PriceVendor Comments/ Alternate Proposed Delivery Date
Line ItemCMOP Item NumberDescriptionNDCProposed Alternate NDCsAlternative Bottle/PKG sizeMfrCountry of OriginQTYUnitUnit Price
Vendor CommentsTotal
1XT791SET,INTRAVENOUS

ADMINISTRATION,INFUSION,QUICK

SET,LENGTH 32 INCH, 9 MM CANNULA

MMT-386 SET, INFUSION MINIMED (10 PER BX)76300-0386-101000BX$ - 0$0.00
2XZ109MINIMED #373 SILHOUETTE INFUSION SET (10 PER BX)76300-0373-1012BX$ - 0$0.00
3XZ110SET, INFUSION MINIMED, MMT-371 (10 PER BX)76300-0371-1012BX$ - 0$0.00
4XZ835RESERVOIR MINIMED#MMT-332A (10 PER BX)76300-0332-101800BX$ - 0$0.00
$0.00
ALL QUOTES ARE CONFIDENTIAL

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