Attachment 2 - Detailed Product Information for Contract Line Item.docx
DOCX document 19 KB Posted
- Solicitation number
- 36C79123R0005
About this file
This document contains a solicitation for assistive listening devices and related products and services. The solicitation seeks proposals for 12 contract line items including radio frequency TV amplification devices, tabletop/bedside receivers, smoke and carbon monoxide detectors/alarms, wireless bed shakers, alarm clocks, personal amplifiers, amplified and power corded and cordless phones, and tinnitus sound generators. Proposals will be evaluated on a lowest price technically acceptable basis, with evaluation factors including price, technical acceptability of documentation, past performance, and product demonstrations. Awards may be made to up to four offerors per line item. The soliciting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19. The period of performance includes a one-year base period and four one-year options.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C79123R0005 0002.docx | DOCX document | |
| 36C79123R0005 0001.docx | DOCX document | |
| Attachment 4 - Key Points of Contact.docx | DOCX document | |
| Attachment 1 - ALD Price Schedule 1 - Final.xlsx | XLSX spreadsheet | |
| Attachment 9 -Box.com Download Example.png | PNG image | |
| Attachment 5 - Quarterly Invoice Report Template.xlsx | XLSX spreadsheet | |
| Attachment 8 _ Past Performance Questionnaire.docx | DOCX document | |
| Attachment 7 - ALD QASP.docx | DOCX document | |
| 36C79123R0005.docx | DOCX document | |
| Attachment 6 - Contractor Discrepancy Report.docx | DOCX document | |
| Attachment 3 - Small Business Subcontract Plan.docx | DOCX document |
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Text version
36C79123R0005 Attachment 2–Detailed Product Information for Contract Line Items Form Assistive Listening Devices 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, 0005, 0006, 0007, 0008, 0009, 0010, 00011 and 0012.) Information provided will be used to determine if items offered meet the minimum technical/function requirements and product description as listed in section E.2.2 of the solicitation and in accordance to the technical evaluation requirements as stated in Section E.
For CLINS 0008-0011 Energy Star Notice for ALL Phones Applies As required in clause FAR 52.223-15 Energy Efficiency in Energy-Consuming Products, the contractor shall only provide products that earn the ENERGY STAR label and meet ENERGY STAR specifications for energy efficiency. The contractor is encouraged to visit http://www.energystar.gov for complete product specifications and updated lists of qualifying products.
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 0005 0006 0007 0008 0009 0010 0011 0012
2. Contractor Name: ____________________________________________________
3. Contractor Unique Entity Identifier (SAM):__________________________________
4. Contractor TIN:_______________________________________________________
5. Brand Name: ________________________________________________________
6. Model/Package Part Number: ___________________________________________
7. Country of Origin:_____________________________________________________
8. TAA/BAA Compliant:___________________________________________________
9. Manufacturer or Distributor:______________________________________________
10. Unit Price: ___________________________________________________________
11. Warranty Information:___________________________________________________
12. Product Descriptive Literature and Warranty (insert below or attach to this page):
13. If you plan to submit accessories for this category, you will need to complete the same questions for the sub-contract line item numbers (SLIN)/accessories. This section is required for each accessory.
14. Accessory Brand Name: ___________________________________________________________________
15. Model/Package Part Number: ___________________________________________
16. Country of Origin:_____________________________________________________
17. TAA/BAA Compliant:___________________________________________________
18. Manufacturer or Distributor:______________________________________________
19. Unit Price: ___________________________________________________________
20. Warranty Information:___________________________________________________
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