Attachment 2_Pricing Table_Dental Supplies ZCCHC.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Solicitation 75H70726Q00082_Dental Supplies for Zuni Comprehensive Community Health Center
- Solicitation number
- Solicitation_75H70726Q00082
About this file
This is a pricing schedule template for commercial dental supplies required by the Zuni Comprehensive Community Health Center (ZCCHC) under Solicitation 75H70726Q00082. The solicitation is a combined synopsis/solicitation conducted pursuant to the Buy Indian Act and is set aside for Indian Small Business Economic Enterprises (ISBEEs), with cascading tier consideration for Service-Disabled Veteran-Owned Small Businesses, HUBZone Small Businesses, Small Disadvantaged Businesses, and other small business concerns if no acceptable ISBEE quotation is received. The NAICS code is 339114 for Dental Equipment and Sales Manufacturing with a small business size standard of 750 employees.
The pricing schedule contains 68 line items (CLINs 0001-0068) covering various dental supplies including etching materials, retraction cord, irrigator tips, syringe covers, restorative materials, impression materials, prophy angles, matrices, and related dental consumables. Quoters must complete unit prices for the Base Period (BP) and four Option Years (OY1-OY4), with all costs including shipping, handling, packaging, freight, and delivery (FOB Destination). Estimated annual quantities are provided for evaluation purposes only and do not guarantee future purchases. The pricing instructions specify that failure to price all CLINs may render the quotation unacceptable. The submission must include Volume I (Technical Capability), Volume II (Past Performance Survey), Volume III (Pricing Schedule), completed Indian Economic Enterprise Representation (if applicable), signed SF 1449, and any signed amendments.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_75H70726Q00082_terms and conditions.pdf | ||
| Attachment 1_Past Performance Survey_Sol 75H70726Q00082.docx | DOCX document | |
| IHS IEE Representation Form_Jan 2022_508 Compliant.pdf | ||
| Attachment 3_QA.docx | DOCX document |
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Text version
Dental Supply List
| Attachment 2 – Pricing Schedule Dental Supply List Commercial Dental Supplies. Solicitation 75H70726Q00082 Zuni Comprehensive Community Health Center (ZCCHC) | ||||||||||||||
| CLIN | Catalog No. | Item Description | U/I | Estimated Annual Qty | BP Unit Price | BP Ext Price | OY1 Unit Price: | OY1 Ext. Price | OY2 Unit Price | OY2 Ext Price | OY3 Unit Price | OY3 Ext. Price | OY4 Unit Price | OY4 Ext. Price |
| 0001 | 164 | Ultra-Etch Econo Refills (4 pk) | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0002 | 168 | Ultra-Etch Econo Refill (20 pk) | Pack | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0003 | 137 | Ultrapak Cord Size #000 | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0004 | 136 | Ultrapak Cord Size #00 | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0005 | 131 | Ultrapak Cord Size #0 | 10 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0006 | 132 | Ultrapak Cord Size #1 | 10 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0007 | 133 | Ultrapak Cord Size #2 | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0008 | 134 | Ultrapak Cord Size #3 | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0009 | 207 | Endo-Eze™Irrigator Tip 20pk | Pack | 5 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0010 | 249 | Ultradent Syringe Cover 300pk | Pack | 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0011 | 124 | 1.2 ml Delivery Syringe 20 pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0012 | 686 | Astringedent IndiSpense Syringe Refill 1pk | Pack | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0013 | 689 | Consepsis Scrub IndiSpense Syringe Refill 1 pk | Pack | 4 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0014 | 690 | Astringedent X IndiSpense Syringe Refill 1pk | Pack | 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0015 | 416 | Ultra-Blend plus 4pk Refill | Pack | 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0016 | 947 | PermaFlo A1 Mini Kit | Kit | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0017 | 948 | PermaFlo A2 Mini Kit | Kit | 12 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0018 | 949 | PermaFlo A3 Mini Kit | Kit | 12 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0019 | 952 | PermaFlo A3.5 Mini Kit | Kit | 10 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0020 | 1219 | Vit-l-escence Singles Refill A1 | 5 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0021 | 1202 | Vit-l-escence Singles Refill A2 | 1899-12-31 0:00:00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0022 | 1203 | Vit-l-escence Singles Refill A3 | 50 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0023 | 1204 | Vit-l-escence Singles Refill A3.5 | 45 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0024 | 1205 | Vit-l-escence Singles Refill B1 | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0025 | 1252 | Micro 20 ga Tip 100pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0026 | 1667 | Mounting Bracket | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0027 | 1085 | Black Micro Tip 100pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0028 | 1435 | Black Micro Tip 500pk | Pack | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0029 | 127 | Blue Micro Tip 100pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0030 | 1436 | Blue Micro Tip 500pk | Pack | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0031 | 2114 | NaviTip Tip 29ga, 25mm, 20pk | Pack | 10 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0032 | 1376 | NaviTip Tip 29ga, 25mm, 50pk | Pack | 8 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0033 | 5011 | Chromaclone PVS fast set, Heavy Body 2pk | Pack | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0034 | 5013 | Chromaclone PVS fast set, Heavy Body 10pk | Pack | 13 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0035 | 5031 | Chromaclone PVS fast set, Wash/Light 2pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0036 | 5033 | Chromaclone PVS fast set, Wash/Light 10pk | Pack | 5 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0037 | 5023 | Chromaclone PVS fast set, Medium 10 pk | Pack | 10 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0038 | 2904 | Impression Mixing Tip Green | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0039 | 2903 | Impression Mixing Tip Pink | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0040 | 2902 | Impression Mixing Tip Yellow | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0041 | 5916 | UltraTemp Regular Set Kit (2-minute Intraoral Set Time) | 20 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0042 | 8316 | Universal Handpiece Lubricating Oil | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0043 | 5932 | VALO Corded Barrier Sleeve, 500 pk | Pack | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0044 | 5964 | VALO Cordless Barrier Sleeve, 500 pk | Pack | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0045 | 5941 | VALO Cordless Kit | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0046 | 3536 | UltraSeal XT hydro Opaque White Econo Refill | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0047 | 3534 | UltraSeal XT hydro Opaque White Refill | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0048 | 4528 | Enamelast Unit-Dose Walterberry 200pk | Pack | 5 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0049 | 402061 | Ring-Placement Forceps 1pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0050 | 402066 | Wave-Wedge small (white) 100pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0051 | 402065 | Wave-Wedge Medium (pink) 100pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0052 | 402064 | Wave-Wedge large (purple) 100pk | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0053 | 403341 | V3 Ring Refill (universal and narrow) | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0054 | 403342 | V3 Ring Refill (universal) | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0055 | 403343 | V3 Ring Narrow Refill | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0056 | 8360 | Ultrapro Tx Sweep Prophy Angle Firm (purple), 500pk | Pack | 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0057 | 8351 | Ultrapro Tx Skini Prophy Angle Right-angle, Firm 500pk | Pack | 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0058 | 8356 | Ultrapro Tx Tapered Brush, 100pk | Pack | 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0059 | 8355 | Ultrapro Tx Skini Prophy Angle Contra-angle, Firm 500pk | Pack | 3 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0060 | 5149 | UltraCal XS 20pk Econo Refill | 2 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0061 | 5145 | UltraCal XS 4pk Refill | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 0062 | 4955 | Metal Dento-Infusor Tip with Comfort Hub 100pk | Pack | 8 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0063 | 403417 | SuperCurve Matrix 3.5mm (gray), 50pk Refill | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0064 | 403418 | SuperCurve Matrix 4.5mm (green), 50pk Refill | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0065 | 403419 | SuperCurve Matrix 5.5mm (blue), 50pk Refill | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0066 | 403420 | SuperCurve Matrix 6.5 mm (maroon), 50pk Refill | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0067 | 403412 | SuperCurve Matrix 7.5 mm (gray), 50 pk Refill | Pack | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| 0068 | 201 | 5ml Plastic Syringe | 1 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| BP Total | $0.00 | OY1 Total: | $0.00 | OY2 Total: | $0.00 | OY3 Total: | $0.00 | OY4 Total: | $0.00 | |||||
| Base Period Total | $0.00 | |||||||||||||
| Option Year One Total | $0.00 | |||||||||||||
| Option Year Two Total | $0.00 | |||||||||||||
| Option Year Three Total | $0.00 | |||||||||||||
| Option Year Four Total | $0.00 | |||||||||||||
| GRAND TOTAL: | $0.00 | |||||||||||||
| Pricing Instructions | ||||||||||||||
| 1. Quoters shall complete all unit price columns. | ||||||||||||||
| 2. Extended prices will be calculated automatically. | ||||||||||||||
| 3. Unit prices shall include all shipping, handling, packaging, freight, and delivery costs (FOB Destination). | ||||||||||||||
| 4. Estimated Annual Quantities are provided for evaluation purposes only and do not guarantee future purchases. | ||||||||||||||
| 5. Failure to price all CLINs may render the quotation unacceptable. |
File details come from the government source that posted it. Updated .