S02_Pricing_Schedule_Q0115.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
SUBJECT* MED/SURGE 7‐line Provox supplies ‐ Tucson & Lancaster CMOPs
Solicitation number
36C77025Q0115
Issued by

About this file

This is a Pricing Schedule (Excel spreadsheet) for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration for medical supplies. The solicitation (RFQ 36C77025Q0115) seeks brand-name Provox medical supplies for the Tucson and Lancaster Central Medical Operating Pharmacies (CMOPs), with a focus on tracheostomy-related medical devices manufactured by ATOS Medical from Sweden.

The procurement includes seven line items covering trach support adhesives and heat/moisture exchangers, with quantities ranging from 420 to 1,440 units per item. The solicitation requires vendors to submit quotes by 3/14/25 at 4:00 PM CST, with specific documentation including a signed SF1449, quote spreadsheet, OEM authorization letter, and Buy American Act (BAA) certificate. Delivery is structured as a single shipment for the first line item and monthly deliveries over a 6-month period for subsequent items. All pharmaceutical and medical surgical supplies must have at least one year of expiration from the delivery date. Quotes are to be emailed to Jennifer.Knight@va.gov, with all unit prices currently listed as $0.00 in the pricing schedule.

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File Type Posted
S02_JnA_Q0115_Provox_Allsigned_.pdf PDF
S02_RFQ_36C77025Q0115__Final.pdf PDF

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Sheet1

CMOP'S: 762 Tucson |763 Lancaster
RFQ: 36C77025Q0115Delivery: See item Description for location specific, delivery information.Required Documents:
Solicitation - Quote SpreadsheetPosted Date:3/6/251. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:3/14/252. Quote - excel spreadsheet (Country of Origin)
Vendor Name:Closing Time:4pm Central Standard Time (CST)3. OEM authorized dealer, authorized distributor, or authorized
UEI #:reseller - Letter or other documentation - Direct from the OEM.
P0C Name:4. BAA Certificate - Required for all lines.
POC E-Mail:5. If a large business - Subcontracting Plan Required.
Phone:
Buy American Act Applies (BAA)* Per the Statement of Requirements, expiration dates of all pharmaceuticals and/or medical surgical suppliesEmail quotes to: Jennifer.Knight@va.gov
Gray Market Language Appliesshall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short-dated
Delivery Information
Line Item: 1 - Single Shipment - per-option - if exercised.
Line items: 2-7 - Monthly Deliveries, over 6-months period; per option - if exercised.
Base Contract
Line
ItemCMOPFile
NumberDescriptionManufacturer
Stock NumberLocal
Stock NumberManufacturer/ OEM
Brand Name OnlyCountry
of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceDelivery (Turn around time) How long
1Tucson17225XH175: TRACH SUPPORT ADHESIVE PROVOX #7669Provox # 766999922-2076-69Provox Life/
ATOS MedicalSweden1EA720$0.00
2Lancaster18632HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657)Provox # 831199222-0083-11Provox Life/
ATOS MedicalSweden30BX1,200$0.00
3Lancaster18636HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656)Provox #831099222-0083-10Provox Life/
ATOS MedicalSweden30BX1,440$0.00
4Lancaster18633HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658)Provox #831299222-0083-12Provox Life/
ATOS MedicalSweden30BX480$0.00
5Lancaster18631TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649)Provox #826399222-0082-63Provox Life/
ATOS MedicalSweden15BX840$0.00
6Lancaster18637TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767)Provox #746099222-0074-60Provox Life/
ATOS MedicalSweden30BX480$0.00
7Lancaster18638TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768)Provox #746199222-7461-30Provox Life/
ATOS MedicalSweden30BX420$0.00
Grand Total Price$0.00
Option 1
Line
ItemCMOPFile
NumberDescriptionManufacturer
Stock NumberLocal
Stock NumberManufacturer/ OEM
Brand Name OnlyCountry
of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceDelivery (Turn around time) How long
1Tucson17225XH175: TRACH SUPPORT ADHESIVE PROVOX #7669Provox # 766999922-2076-69Provox Life/
ATOS MedicalSweden1EA720$0.00
2Lancaster18632HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657)Provox # 831199222-0083-11Provox Life/
ATOS MedicalSweden30BX1,200$0.00
3Lancaster18636HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656)Provox #831099222-0083-10Provox Life/
ATOS MedicalSweden30BX1,440$0.00
4Lancaster18633HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658)Provox #831299222-0083-12Provox Life/
ATOS MedicalSweden30BX480$0.00
5Lancaster18631TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649)Provox #826399222-0082-63Provox Life/
ATOS MedicalSweden15BX840$0.00
6Lancaster18637TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767)Provox #746099222-0074-60Provox Life/
ATOS MedicalSweden30BX480$0.00
7Lancaster18638TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768)Provox #746199222-7461-30Provox Life/
ATOS MedicalSweden30BX420$0.00
Grand Total Price$0.00
Option 2
Line
ItemCMOPFile
NumberDescriptionManufacturer
Stock NumberLocal
Stock NumberManufacturer/ OEM
Brand Name OnlyCountry
of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceDelivery (Turn around time) How long
1Tucson17225XH175: TRACH SUPPORT ADHESIVE PROVOX #7669Provox # 766999922-2076-69Provox Life/
ATOS MedicalSweden1EA720$0.00
2Lancaster18632HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657)Provox # 831199222-0083-11Provox Life/
ATOS MedicalSweden30BX1,200$0.00
3Lancaster18636HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656)Provox #831099222-0083-10Provox Life/
ATOS MedicalSweden30BX1,440$0.00
4Lancaster18633HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658)Provox #831299222-0083-12Provox Life/
ATOS MedicalSweden30BX480$0.00
5Lancaster18631TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649)Provox #826399222-0082-63Provox Life/
ATOS MedicalSweden15BX840$0.00
6Lancaster18637TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767)Provox #746099222-0074-60Provox Life/
ATOS MedicalSweden30BX480$0.00
7Lancaster18638TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768)Provox #746199222-7461-30Provox Life/
ATOS MedicalSweden30BX420$0.00
Grand Total Price$0.00
Option 3
Line
ItemFile
NumberCMOP
FacilityDescriptionManufacturer
Stock NumberLocal
Stock NumberManufacturer/ OEM
Brand Name OnlyCountry
of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceDelivery (Turn around time) How long
1Tucson17225XH175: TRACH SUPPORT ADHESIVE PROVOX #7669Provox # 766999922-2076-69Provox Life/
ATOS MedicalSweden1EA720$0.00
2Lancaster18632HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657)Provox # 831199222-0083-11Provox Life/
ATOS MedicalSweden30BX1,200$0.00
3Lancaster18636HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656)Provox #831099222-0083-10Provox Life/
ATOS MedicalSweden30BX1,440$0.00
4Lancaster18633HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658)Provox #831299222-0083-12Provox Life/
ATOS MedicalSweden30BX480$0.00
5Lancaster18631TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649)Provox #826399222-0082-63Provox Life/
ATOS MedicalSweden15BX840$0.00
6Lancaster18637TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767)Provox #746099222-0074-60Provox Life/
ATOS MedicalSweden30BX480$0.00
7Lancaster18638TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768)Provox #746199222-7461-30Provox Life/
ATOS MedicalSweden30BX420$0.00
Grand Total Price$0.00

File details come from the government source that posted it. Updated .