Attachment 5 - 36H79725R0004 Contract PriceBook Template.xlsx

XLSX spreadsheet 1 MB Posted

Attached to
6525--VA NAC Radiation Therapy Equipment Systems and Accessories
Solicitation number
36H79725R0004
Issued by

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Attachment 5 is a Contract Price Book Template for Solicitation 36H79725R0004, which is a Request for Proposal (RFP) issued by the Department of Veterans Affairs National Acquisition Center for Radiation Therapy Systems and Accessories. The solicitation is structured as a 10-year contract with a five-year base period and a five-year option period, targeting multiple contract awards under NAICS code 334517.

Key details include a solicitation closing date of Friday, April 11, 2025 at 12:00 PM CT, with questions due by Wednesday, March 19, 2025 at 12:00 PM CT. Potential vendors should submit questions to Taiye Adebowale and Leah Boyd via email. The contract will be administered by the Veterans Health Administration Veterans Integrated Service Network 12, with the government reserving the right to cancel the solicitation before or after the closing date.

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Other files

File Type Posted
BOX Instructions.docx DOCX document
36H79725R0004 A0002.docx DOCX document
36H79725R0004 A0002.pdf PDF
Response to Questions Attachment 10 - 36H79725R0004 UPDATED.xlsx XLSX spreadsheet
36H79725R0004 Solicitation.pdf PDF
36H79725R0004 A0001.pdf PDF
36H79725R0004 Solicitation REVISED.pdf PDF
36H79725R0004_1.docx DOCX document
Response to Questions Attachment 10 - 36H79725R0004.xlsx XLSX spreadsheet
36H79725R0004 Solicitation.docx DOCX document
Attachment 2 - 36H79725R0004 VA10091.pdf PDF
Attachment 9 - 36H79725R0004 OIG Review Requirements.pdf PDF
Attachment 3 - 36H79725R0004 Discount and Pricing Information DPI Worksheet.docx DOCX document
Attachment 4 - 36H79725R0004 Medical Marking Standard No 1D.pdf PDF
Attachment 6 - 36H79725R0004 Modality Matrix.xlsx XLSX spreadsheet
Attachment 8 - 36H79725R0004 VA Information System Security-Privacy REVISED.pdf PDF
36H79725R0004 FINAL.pdf PDF
Attachment 7 - 36H79725R0004 VHA National BAA Template Aug2023.pdf PDF
Attachment 10 - 36H79725R0004 RFP Question Matrix.xlsx XLSX spreadsheet
Attachment 1 - 36H79725R0004 DICOM Conformance Requirements.pdf PDF
36H79725R0004.docx DOCX document
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RequestDiscountsUnit Of SaleCOOCOO 3 - CHARBuyerCurrent DateContract NumberECAT ContractsModification NumberVendorModification Request DatePrice Support 1Price Support 2Price Support 3Price Support 4Price Support 5Type of Commercial CustomerType of Price SupportEngineer 1Engineer 2Engineer Approval DateContracting OfficerPricing Findings 1Pricing Findings 2Pricing Findings 3Pricing Findings 4Pricing Findings 5ProgramDocument TypeModalityModality Discount
AdditionFlat Rate DiscountBGAFAFGP00001GPO discounts/pricinginvoices corresponding to the submitted GPO discounts/pricingcommercial invoicescommercial invoices for similar itemscost breakdownGPOequalequalequalequalPatient Monitoring and Capital Equipment ProgramWordModality/Category 1Discount Percentage 1
DeletionBreak Point 1BOALALAP00002commercial quotesCommercial Customerequal or betterequal or betterequal or betterequal or betterRadiology and Imaging Systems ProgramPDF0N/A
Price IncreaseBreak Point 2BXDZALBP00003a mix of commercial invoices and quotesless favorableless favorableless favorableless favorable0N/A2
Price DecreaseBreak Point 3CAASDZAP00004more favorablemore favorablemore favorablemore favorable0N/A3
Part Number ChangeBreak Point 4CRADASMP000050N/A4
Description ChangeBreak Point 5CTAOANDP000060N/A5
Other or Multiple ChangesDIAIAGOP000070N/A6
DZAQAIAP000080N/A7
EAAGATAP000090N/A8
FTARATGP000100N/A9
GAAMARGP000110N/A10
JBAWARMP000120N/A11
KTAUABWP000130N/A12
LBATAUSP000140N/A13
PCAZAUTP000150N/A14
PKBSAZEP000160N/A15
PRBHBHSP000170N/A16
QTBDBHRP000180N/A17
RFBBBGDP000190N/A18
RLBYBRBP000200N/A19
RMBEBLRP000210N/A20
SHBZBELP000220N/A21
SLBJBLZP000230N/A22
STBMBENP000240N/A23
TBBTBMUP000250N/A24
TTBOBTNP000260N/A25
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Current Price Book

Contractor:INPUT VENDORTotal Item Count:Input the reason(s) for Product Change(s) and/or Deletion(s)Input the discountinued Part Number (Only applicable if "Part Number Change" was selected as request reason)Input the invoice number of most recent invoice. Actual invoice must also be provided. Also complete Commercial Customer, Comparison List, Comparison Discount, Comparison Net, and Net Price Difference columns.If a vendor has a GPO(s), provide the name of GPO(s). Also complete Comparison List, Comparison Discount, Comparison Net, and Net Price Difference columns.If there are no invoices or GPO pricing but the item has been quoted to commercial customers, provide quote number to correspond to attached quote (may be audited later on to confirm invoice price was the same as quoted price). Also complete Commercial Customer, Comparison List, Comparison Discount, Comparison Net, and Net Price Difference columns.Provide the commercial customer name for invoice or quote.If there is no invoice, GPO or quote for offered item, and offered item is similar to or a replacement of an existing contract item, provide P/N of existing item. Complete the Reasonableness Note field with details describing the differences between offered item and existing item that justifies any price difference.List Price from attached invoice, GPO or quote.
Contract #:SPE2D1-20-D-00##0
Solicitation #:36H79725R0004
Modification #:P0000#NOTE: DELETIONS MUST BE THE LAST ACTION TAKEN DUE TO AN EMBEDDED FORMATTING CONFLICT. DO NOT PRESS THE DELETE BUTTON UNLESS THE ONLY ITEMS REMAINING IN THE RFM SPREADSHEET REQUIRE A "DELETION" ACTION.Modality/Category 1
RequestManufacturer Part NumberDealer/Distributor Part NumberCountry Of OriginUnit Of SaleManufacturerShort DescriptionLong DescriptionModality/CategoryList PriceDiscount Percentage 1N/AN/A2N/A3N/A4N/A5N/A6N/A7N/A8N/A9N/A10N/A11N/A12N/A13N/A14N/A15N/A16N/A17N/A18N/A19N/A20N/A21N/A22N/A23N/A24N/A25N/A26N/A27N/A28N/A29Pricing and Discount
DetailsMin_DiscMax_DiscMax Net PriceMin Net PriceModification NumberNotesProduct Change(s)/Deletion(s)Discontinued Part NumberInvoice NumberGPOQuote NumberCommercial CustomerSimilar Item or Item being ReplacedComparison ListComparison DiscountComparison NetNet Price DifferenceReasonableness NoteCommercial Price List

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