Attachment 2 - Detailed Product Information for Contract Line Item.docx

DOCX document 18 KB Posted

Attached to
6515--Blood Pressure Monitors for Home-Use
Solicitation number
36C79122R0004
Issued by

About this file

This document includes an attachment for a federal solicitation requesting blood pressure monitors for home use. The Department of Veterans Affairs intends to award an indefinite-delivery, indefinite-quantity contract with a one-year base period and four option years to provide blood pressure monitor units and cuffs. Offerors must complete the attachment including product information such as brand name, model number, country of origin, and unit price for evaluation. The solicitation will use lowest price technically acceptable source selection with consideration of both price and technical acceptability. Any amendments will be posted to the same site and questions should be directed to the identified contracting officer and contract specialist.

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Other files

File Type Posted
36C79122R0004 0001.docx DOCX document
S02 36C79122R0004_Blood Pressure Monitors.pdf PDF
Attachment 4 - Key Points of Contact.docx DOCX document
Attachment 3 - Small Business Subcontract Plan.docx DOCX document
Attachment 1 - ABPM Price Schedule 1.xlsx XLSX spreadsheet
Attachment 5 - Quarterly Invoice Report Template.xlsx XLSX spreadsheet
Attachment 6 - Contractor Discrepancy Report.docx DOCX document

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36C79122R0004 Attachment 2–Detailed Product Information for Contract Line Items Form Automatic Blood Pressure Monitor with Cuffs Instructions to Offerors:

A completed copy of this form shall be submitted with each proposed product for each contract line item (CLN 0001, 0002, 0003, 0004.) Information provided will be used to determine if items offered meet the minimum technical/function requirements and product description as listed in section B.2.2.3 of the solicitation and in accordance to the technical evaluation requirements as stated in Section E.

Additional sheets may be inserted to provided information. Additional sheets should be stapled to this form.

1. Which Contract Line Items is this for? (Circle only one number): 0001 0002 0003 0004

2. Contractor Name: ____________________________________________________

3. Contractor Unique Entity Identifier (SAM):____________________________________

4. Contractor TIN:_______________________________________________________

5. FDA Device Registration and Listing Number: _______________________________

6. Brand Name: ________________________________________________________

7. Model/Package Part Number: ___________________________________________

8. Country of Origin:_____________________________________________________

9. Unit Price: ___________________________________________________________

10. Warranty Information:__________________________________________________

11. Product Descriptive Literature and Warranty (insert below or attach to this page):

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