S02_Pricing_Schedule_Q0115.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- 36C77025Q0115
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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Other files
| File | Type | Posted |
|---|---|---|
| S02_JnA_Q0115_Provox_Allsigned_.pdf | ||
| S02_RFQ_36C77025Q0115__Final.pdf |
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Text version
Sheet1
| CMOP'S: 762 Tucson |763 Lancaster | |||
| RFQ: 36C77025Q0115 | Delivery: See item Description for location specific, delivery information. | Required Documents: | |
| Solicitation - Quote Spreadsheet | Posted Date: | 3/6/25 | 1. SF1449 - Solicitation cover page (signed) |
| Vendor shall complete all areas in orange | Closing Date: | 3/14/25 | 2. 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 supplies | Email quotes to: Jennifer.Knight@va.gov | |
| Gray Market Language Applies | shall 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 | |||||||||
| Item | CMOP | File | |||||||
| Number | Description | Manufacturer | |||||||
| Stock Number | Local | ||||||||
| Stock Number | Manufacturer/ OEM | ||||||||
| Brand Name Only | Country | ||||||||
| of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Delivery (Turn around time) How long | |||
| 1 | Tucson | 17225 | XH175: TRACH SUPPORT ADHESIVE PROVOX #7669 | Provox # 7669 | 99922-2076-69 | Provox Life/ | |||
| ATOS Medical | Sweden | 1 | EA | 720 | $0.00 | ||||
| 2 | Lancaster | 18632 | HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657) | Provox # 8311 | 99222-0083-11 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,200 | $0.00 | ||||
| 3 | Lancaster | 18636 | HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656) | Provox #8310 | 99222-0083-10 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,440 | $0.00 | ||||
| 4 | Lancaster | 18633 | HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658) | Provox #8312 | 99222-0083-12 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 5 | Lancaster | 18631 | TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649) | Provox #8263 | 99222-0082-63 | Provox Life/ | |||
| ATOS Medical | Sweden | 15 | BX | 840 | $0.00 | ||||
| 6 | Lancaster | 18637 | TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767) | Provox #7460 | 99222-0074-60 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 7 | Lancaster | 18638 | TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768) | Provox #7461 | 99222-7461-30 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 420 | $0.00 | ||||
| Grand Total Price | $0.00 |
| Option 1 | |||||||||
| Line | |||||||||
| Item | CMOP | File | |||||||
| Number | Description | Manufacturer | |||||||
| Stock Number | Local | ||||||||
| Stock Number | Manufacturer/ OEM | ||||||||
| Brand Name Only | Country | ||||||||
| of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Delivery (Turn around time) How long | |||
| 1 | Tucson | 17225 | XH175: TRACH SUPPORT ADHESIVE PROVOX #7669 | Provox # 7669 | 99922-2076-69 | Provox Life/ | |||
| ATOS Medical | Sweden | 1 | EA | 720 | $0.00 | ||||
| 2 | Lancaster | 18632 | HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657) | Provox # 8311 | 99222-0083-11 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,200 | $0.00 | ||||
| 3 | Lancaster | 18636 | HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656) | Provox #8310 | 99222-0083-10 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,440 | $0.00 | ||||
| 4 | Lancaster | 18633 | HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658) | Provox #8312 | 99222-0083-12 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 5 | Lancaster | 18631 | TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649) | Provox #8263 | 99222-0082-63 | Provox Life/ | |||
| ATOS Medical | Sweden | 15 | BX | 840 | $0.00 | ||||
| 6 | Lancaster | 18637 | TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767) | Provox #7460 | 99222-0074-60 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 7 | Lancaster | 18638 | TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768) | Provox #7461 | 99222-7461-30 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 420 | $0.00 | ||||
| Grand Total Price | $0.00 |
| Option 2 | |||||||||
| Line | |||||||||
| Item | CMOP | File | |||||||
| Number | Description | Manufacturer | |||||||
| Stock Number | Local | ||||||||
| Stock Number | Manufacturer/ OEM | ||||||||
| Brand Name Only | Country | ||||||||
| of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Delivery (Turn around time) How long | |||
| 1 | Tucson | 17225 | XH175: TRACH SUPPORT ADHESIVE PROVOX #7669 | Provox # 7669 | 99922-2076-69 | Provox Life/ | |||
| ATOS Medical | Sweden | 1 | EA | 720 | $0.00 | ||||
| 2 | Lancaster | 18632 | HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657) | Provox # 8311 | 99222-0083-11 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,200 | $0.00 | ||||
| 3 | Lancaster | 18636 | HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656) | Provox #8310 | 99222-0083-10 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,440 | $0.00 | ||||
| 4 | Lancaster | 18633 | HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658) | Provox #8312 | 99222-0083-12 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 5 | Lancaster | 18631 | TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649) | Provox #8263 | 99222-0082-63 | Provox Life/ | |||
| ATOS Medical | Sweden | 15 | BX | 840 | $0.00 | ||||
| 6 | Lancaster | 18637 | TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767) | Provox #7460 | 99222-0074-60 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 7 | Lancaster | 18638 | TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768) | Provox #7461 | 99222-7461-30 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 420 | $0.00 | ||||
| Grand Total Price | $0.00 |
| Option 3 | |||||||||
| Line | |||||||||
| Item | File | ||||||||
| Number | CMOP | ||||||||
| Facility | Description | Manufacturer | |||||||
| Stock Number | Local | ||||||||
| Stock Number | Manufacturer/ OEM | ||||||||
| Brand Name Only | Country | ||||||||
| of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Delivery (Turn around time) How long | |||
| 1 | Tucson | 17225 | XH175: TRACH SUPPORT ADHESIVE PROVOX #7669 | Provox # 7669 | 99922-2076-69 | Provox Life/ | |||
| ATOS Medical | Sweden | 1 | EA | 720 | $0.00 | ||||
| 2 | Lancaster | 18632 | HEAT & MOISTURE EXCHANGER,PROVOX #8311 (XK657) | Provox # 8311 | 99222-0083-11 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,200 | $0.00 | ||||
| 3 | Lancaster | 18636 | HEAT & MOISTURE EXCHANGER,PROVOX #8310 (XK656) | Provox #8310 | 99222-0083-10 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 1,440 | $0.00 | ||||
| 4 | Lancaster | 18633 | HEAT & MOISTURE EXCHANGER,PROVOX #8312 (XK658) | Provox #8312 | 99222-0083-12 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 5 | Lancaster | 18631 | TRACH BASEPLATE ADHESIVE PROVOX #8263 (XK649) | Provox #8263 | 99222-0082-63 | Provox Life/ | |||
| ATOS Medical | Sweden | 15 | BX | 840 | $0.00 | ||||
| 6 | Lancaster | 18637 | TRACH BASEPLATE ADHESIVE PROVOX #7460 (XK767) | Provox #7460 | 99222-0074-60 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 480 | $0.00 | ||||
| 7 | Lancaster | 18638 | TRACH BASEPLATE ADHESIVE PROVOX #7461 (XK768) | Provox #7461 | 99222-7461-30 | Provox Life/ | |||
| ATOS Medical | Sweden | 30 | BX | 420 | $0.00 | ||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .