S02_Attachment 0001_RFP 36C79126R0011_Price Marix_Fillable.xlsx
XLSX spreadsheet 24 KB Posted
- Solicitation number
- 36C79126R0011
About this file
This is a Price Matrix template and instructions for Solicitation Number 36C79126R0011 for the Electro-Therapeutic Modalities for Pain Management (ETMPM) - Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19. Offerors must submit a completed Attachment 0001 - Price Matrix as a Microsoft Excel (.xlsx) file as a material condition of proposal responsiveness. The matrix requires manual entry of firm-fixed-price unit prices (in USD rounded to two decimal places) for five contract line items (CLINs) and their associated subordinate contract line items (SLINs) across a five-year period consisting of a Base Year and four Option Years. CLINs X001 and X002 require mandatory subordinate SLINs for TENS and Interferential Current (IFC) electrodes in various configurations (2 in. x 2 in., 2 in. x 4 in., sensitive skin, and alternate options), with incomplete SLIN pricing rendering the entire CLIN technically unacceptable. CLIN X003 and X004 address Short Wave Diathermy Thermal and Non-Thermal devices respectively. CLIN X005 for Portable Neuromodulation Devices for Headache Disorders must be paired inseparably with SLIN X005AA for neuromodulation electrodes and evaluated under a Best Value-Tradeoff methodology. Government-estimated ordering quantities are locked and provided solely for Total Evaluated Price (TEP) calculation purposes and do not represent guarantees or enforceable commitments. Offerors offering multiple alternative electrodes must submit separate Price Matrices for each alternate offering with clear labeling to associate each matrix to the correct CLIN/SLIN grouping. The solicitation follows the VA Tiered Set-Aside Evaluation Approach under 38 U.S.C. 8127, evaluating offers sequentially by tier priority: Tier-1 (Service-Disabled Veteran-Owned Small Business), Tier-2 (Veteran-Owned Small Business), Tier-3 (Small Business), and Tier-4 (Other-Than-Small Business), with the response due date of October 19, 2026, at 3:00 PM Central Daylight Time.
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Instructions To Offerors Attachment 0001 – Price Matrix Instructions to Offerors:
1. Offerors must complete and submit a responsive Attachment 0001 – Price Matrix as part of the proposal package for Solicitation Number 36C79126R0011. Submission of a fully completed, accurate, and unaltered Attachment 0001 - Price Matrix is a material condition of proposal submission conforming to the material solicitation requirements for all CLINs/SLINs offered for sale to the VA. The Attachment 0001 - Price Matrix supports the LPTA Price Factor evaluations for CLINs X001 through X004 and their associated mandatory CLIN/SLIN groupings, the Best Value – Tradeoff Price Factor evaluations for CLIN X005 and its associated mandatory SLIN X005AA grouping, the Tiered Set Aside evaluations, and the Government’s calculation of each Offeror’s Total Evaluated Price (TEP) on a per-CLIN or mandatory CLIN/SLIN grouping basis.
2. Each unit price proposed for a specific contract period shall be firm-fixed-price for that period. Offerors may propose different firm-fixed unit prices for the Base Year and each Option Year, provided all entries comply with the solicitation and Attachment 0001 instructions. Each proposed unit price will be fixed at the time of award for the corresponding period of performance and will remain firm-fixed throughout that period. The awarded unit prices for the Base Year and each Option Year will collectively establish the fixed pricing schedule for the full contract term.
3. The Attachment 0001 - Price Matrix is responsive only when all material requirements are met, including:
3.a. Accurate, complete unit prices for every offered parent CLIN and all subordinate SLINs across all five (5) periods of performance;
3.b. Manual entry of a unit price into every applicable “ORANGE”-colored cell for each offered CLIN and SLIN, stated in accordance with the unit of issue Each (EA);
3.c. No modified formulas or altered locked cells;
3.d. For CLINs and groupings not offered, leave the Government-provided $0.00 value unchanged. Do not delete the value, enter “N/A,” or insert text;
3.e. Full consistency with the Offeror’s Technical Capability Statement submission, full alignment with the shipped/delivered product samples to the VA's DLS facility, and full alignment with all the solicitation attachments. Attachment 0001 pricing and product identification must be fully consistent with the Offeror’s Technical Capability Statement, product samples, applicable FDA regulatory documentation, OEM-issued Authorized Distributor Letter(s), Attachment 0004 - Buy American Certificate, when required for eligibility within Tiers 1 through 3, and Attachment 0005 - Trade Agreements Certificate, when required for eligibility within Tier-4. Attachment 0005 is mandatory for Other-Than-Small Business Offerors and for any Small Business Offeror seeking eligibility for evaluation and award consideration within Tier-4.
3.f. Any deviation affecting price, quantity, quality, or delivery renders the proposal ineligible for evaluation.
3.g. Offerors shall enter the unit price for each product in the applicable, "ORANGE"-colored cells using the unit of issue Each (EA). For CLINs X001 - X005 the unit of issue EA equals one (1) device. For all SLINs X001AA/AB/AC/AD, X002AA/AB/AC/AD, and X005AA the unit of issue EA equals one (1) package containing four (4) electrodes. Unit prices for all SLINs shall be stated on a per package basis, rather than per individual electrode.
4. Offerors shall manually type all Firm Fixed Prices directly into the ORANGE cells. Unit prices shall be expressed as U.S. Dollars and Cents (USD), rounded to no more than two (2) decimal places, and stated per unit of issue Each (EA). Copy and paste entries or formula derived values are prohibited and result in Price Matrix rejection. If an Offeror is not proposing a particular CLIN or mandatory CLIN/SLIN grouping, the Offeror shall leave the Government-provided $0.00 values unchanged in all corresponding ORANGE-colored cells. The Offeror shall not delete the $0.00 values, enter “N/A,” insert text, or otherwise modify those cells. The Price Matrix will automatically calculate the applicable Total Evaluated Price (TEP) for each CLIN or mandatory CLIN/SLIN grouping for which the Offeror enters unit prices.
5. Offerors proposing CLIN X001 must also propose SLINs X001AA, X001AB, X001AC, and X001AD. Partial SLIN pricing is not permitted. Under LPTA evaluation, CLIN X001 is evaluated as one combined TEP containing all required SLINs. Any missing SLIN pricing results in technical unacceptability for CLIN X001.
6. Offerors proposing CLIN X002 must also propose SLINs X002AA, X002AB, X002AC, and X002AD. CLIN X002 is also evaluated as one combined TEP with all required SLINs under LPTA procedures. Incomplete SLIN pricing for CLIN X002 results in technical unacceptability.
| 7. | Offerors proposing CLIN X005 must also propose its required subordinate SLIN X005AA. CLIN X005 and SLIN X005AA constitute a single inseparable Best Value - Tradeoff evaluation package, and both must be priced across all five (5) periods of performance. Missing pricing for either CLIN X005 or SLIN X005AA renders the entire CLIN X005 package being rated as ineligible for evaluation. |
| 8. | Offerors proposing CLIN X001 must submit product samples for SLINs X001AA, X001AB, X001AC, and X001AD. All product samples must be clearly labeled by CLIN and SLIN to permit verification of device-to-electrode compatibility. Offerors proposing CLIN X002 must submit product samples for SLINs X002AA, X002AB, X002AC, and X002AD. All product samples must be clearly labeled by CLIN and SLIN to permit verification of device-to-electrode compatibility. Offerors proposing CLIN X005 must submit product samples for CLIN X005 and SLIN X005AA. All product samples must be clearly labeled by CLIN and SLIN to permit verification of device-to-electrode compatibility. |
9. CLIN X005 under Best Value – Tradeoff will use the Price Matrix to calculate the Offeror’s Normalized Price Score and final adjectival rating. The Price Matrix ensures correct CLIN–SLIN relationships for CLIN X005 and supports the Tiered Set Aside Evaluation Approach.
10. The Government’s Estimated Ordering Quantities shown in LOCKED cells are provided solely to calculate the TEP for evaluation purposes. These quantities are not guarantees, minimums, or enforceable commitments. Offerors must not unlock, overwrite, alter, or tamper with any Government protected cells. Any altered formulas or modified locked cells may render the affected CLIN or CLIN/SLIN grouping ineligible for evaluation or technically unacceptable, as applicable.
11. Attachment 0001 must be submitted only as a functional Microsoft Excel (.xlsx) spreadsheet (Excel 2016 or later). Any submission in PDF or any non-Excel format is unusable for evaluation purposes and will result in the entire proposal package for the affected CLIN(s) being rated as ineligible for evaluation or technical unacceptability based on the affected CLIN. Offerors shall not apply any additional password, workbook, worksheet, cell, file-access, or editing protection to Attachment 0001. All Government-applied worksheet protection, locked cells, and formulas shall remain intact. A submitted Price Matrix that requires the Government to remove Offeror-applied protection may result in the affected CLIN or mandatory CLIN/SLIN grouping being determined ineligible for evaluation or technically unacceptable, as applicable under the solicitation.
12. The Government will calculate a separate Total Evaluated Price (TEP) for each offered standalone CLIN or mandatory parent-CLIN/subordinate-SLIN grouping. For each applicable grouping, TEP equals the sum, across the Base Year and all four Option Years, of each proposed unit price multiplied by the corresponding Government-estimated quantity. CLINs X001, X002, and X005 will be evaluated with their mandatory subordinate SLINs as inseparable groupings.
13. Attachment 0001 must be submitted as a separate Excel file labeled: “Attachment 0001 – Price Matrix – [Offeror Name]”.
14. The Government is not obligated to permit correction of any omission, pricing error, formula alteration, or other deficiency in Attachment 0001. Clerical corrections may be permitted when they do not affect proposed unit prices, Government formulas, locked cells, or the evaluated price. Material proposal revisions will be permitted only if the Government conducts exchanges or discussions in accordance with the solicitation and applicable acquisition procedures.
15. Offerors proposing multiple Alternative Electrodes against SLINs X001AD, X002AD, and X005AA shall submit a separate Attachment 0001 - Price Matrix for each Alternate Electrode offer due to the inseparability of the CLIN/SLINs grouping at the time of Government evaluation and at the time of award. Clearly label each Attachment 0001 - Price Matrix submission so that the Government Evaluators can easily associate the Attachment 0001 - Price Matrix to the correct CLIN/SLINs grouping for evaluations. The submission of multiple Attachment 0001 - Price Matrices is permissible and encouraged for all Offerors with multiple Alternative Electrode offerings.
ETMPM-TENS Price Matrix
| BASE | OY1 | OY2 | OY3 | OY4 | ||||||||||||||
| CLIN or SLIN | Device Type | Qty. (EA) | Unit Price | CLIN/SLIN Total | Qty. (EA) | Unit Price | CLIN/SLIN Total | Qty. (EA) | Unit Price | CLIN/SLIN Total | Qty. (EA) | Unit Price | CLIN/SLIN Total | Qty. (EA) | Unit Price | CLIN/SLIN Total | CLIN/SLIN SUB-TOTALS ($) | |
| X001 | PORTABLE TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) | |||||||||||||||||
| (HCPCS: E0720 / E0730) | 170,556 | $0.00 | $0.00 | 179,084 | $0.00 | $0.00 | 188,038 | $0.00 | $0.00 | 197,440 | $0.00 | $0.00 | 207,312 | $0.00 | $0.00 | $0.00 | ||
| X001AA | TENS ELECTRODES 2 in. x 2 in. | |||||||||||||||||
| (HCPCS: A4595) | 951,565 | $0.00 | $0.00 | 999,143 | $0.00 | $0.00 | 1,049,100 | $0.00 | $0.00 | 1,101,555 | $0.00 | $0.00 | 1,156,633 | $0.00 | $0.00 | $0.00 | ||
| X001AB | TENS ELECTRODES 2 in. x 4 in. | |||||||||||||||||
| (HCPCS: A4595) | 36,637 | $0.00 | $0.00 | 38,469 | $0.00 | $0.00 | 40,392 | $0.00 | $0.00 | 42,412 | $0.00 | $0.00 | 44,533 | $0.00 | $0.00 | $0.00 | ||
| X001AC | TENS ELECTRODES SENSITIVE SKIN | |||||||||||||||||
| (HCPCS: A4595) | 3,822 | $0.00 | $0.00 | 4,013 | $0.00 | $0.00 | 4,214 | $0.00 | $0.00 | 4,424 | $0.00 | $0.00 | 4,646 | $0.00 | $0.00 | $0.00 | ||
| X001AD | TENS ELECTRODES ALTERNATE OPTIONS | |||||||||||||||||
| (HCPCS: A4595) | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | $0.00 | ||
| CLIN/SLIN PoP Grand Total ($) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||
| X002 | PORTABLE INTERFERENTIAL CURRENT (IFC) | |||||||||||||||||
| (HCPCS: S8130 / S8131) | 61,220 | $0.00 | $0.00 | 64,281 | $0.00 | $0.00 | 67,495 | $0.00 | $0.00 | 70,870 | $0.00 | $0.00 | 74,413 | $0.00 | $0.00 | $0.00 | ||
| X002AA | IFC ELECTRODES 2 in. x 2 in. | |||||||||||||||||
| (HCPCS: A4595) | 34,691 | $0.00 | $0.00 | 36,426 | $0.00 | $0.00 | 38,247 | $0.00 | $0.00 | 40,159 | $0.00 | $0.00 | 42,167 | $0.00 | $0.00 | $0.00 | ||
| X002AB | IFC ELECTRODES 2in. x 4 in. | |||||||||||||||||
| (HCPCS: A4595) | 5,102 | $0.00 | $0.00 | 5,357 | $0.00 | $0.00 | 5,625 | $0.00 | $0.00 | 5,906 | $0.00 | $0.00 | 6,201 | $0.00 | $0.00 | $0.00 | ||
| X002AC | IFC ELECTRODES SENSITIVE SKIN | |||||||||||||||||
| (HCPCS: A4595) | 1,020 | $0.00 | $0.00 | 1,071 | $0.00 | $0.00 | 1,125 | $0.00 | $0.00 | 1,181 | $0.00 | $0.00 | 1,240 | $0.00 | $0.00 | $0.00 | ||
| X002AD | IFC ELECTRODES ALTERNATE OPTIONS | |||||||||||||||||
| (HCPCS: A4595) | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | $0.00 | ||
| CLIN/SLIN PoP Grand Total ($) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||
| X003 | SHORT WAVE DIATHERMY THERMAL | |||||||||||||||||
| (HCPCS: K1004) | 7,696 | $0.00 | $0.00 | 8,081 | $0.00 | $0.00 | 8,485 | $0.00 | $0.00 | 8,909 | $0.00 | $0.00 | 9,355 | $0.00 | $0.00 | $0.00 | ||
| CLIN PoP Grand Total ($) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||
| X004 | SHORT WAVE DIATHERMY NON-THERMAL | |||||||||||||||||
| (HCPCS: K1004) | 5,131 | $0.00 | $0.00 | 5,388 | $0.00 | $0.00 | 5,657 | $0.00 | $0.00 | 5,940 | $0.00 | $0.00 | 6,237 | $0.00 | $0.00 | $0.00 | ||
| CLIN PoP Grand Total ($) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||
| X005 | PORTABLE NEUROMODULATION DEVICES FOR HEADACHE DISORDERS | |||||||||||||||||
| (HCPCS: K1023 / VA202 / K1002 / K1020) | 20,357 | $0.00 | $0.00 | 23,411 | $0.00 | $0.00 | 26,922 | $0.00 | $0.00 | 30,960 | $0.00 | $0.00 | 35,605 | $0.00 | $0.00 | $0.00 | ||
| X005AA | NEUROMODULATION ELECTRODES ALTERNATE OPTIONS | |||||||||||||||||
| (HCPCS: K1023 / VA202 / K1002 / K1020) | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | 1 | $0.00 | $0.00 | $0.00 | ||
| CLIN/SLIN PoP Grand Total ($) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||
| Aggregate Price Matrix Total for All Offered CLINs/Groupings ($) | BASE | $0.00 | OY1 | $0.00 | OY2 | $0.00 | OY3 | $0.00 | OY4 | $0.00 | $0.00 | |||||||
| Aggregate Total of All Offered CLIN/SLIN Grouping TEPs ($) | $0.00 |
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