Attachment 3 - Quarterly Reporting Tool.xlsx

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Attached to
6515--Clitoral Therapy Device (CTD) (VA-24-00037945)
Solicitation number
36C10G26Q0004
Issued by

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The file is a Quarterly Reporting Tool Excel spreadsheet for a Department of Veterans Affairs (VA) solicitation for a Clitoral Therapy Device (CTD), Solicitation Number 36C10G26Q0004. The spreadsheet provides a detailed reporting template for tracking quarterly sales across 23 VA healthcare networks and 121 specific VA medical facilities nationwide, including locations in New England, New York/New Jersey, Pittsburgh, Mid-Atlantic, Southeast, Sunshine, MidSouth, and other regional networks.

The reporting template is structured to capture granular sales data, allowing contractors to record quantities sold by line item (CLIN) for each VA facility, with columns for calculating total quarterly quantities, total sales, Service Level Agreement (SLA) fees, and net sales amounts. The template includes fields for contract number, reporting quarter, facility details, and pricing information, suggesting it is a standardized reporting mechanism for a specific VA medical supply contract related to the Clitoral Therapy Device procurement.

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Other files

File Type Posted
36C10G26Q0004_2.docx DOCX document
36C10G26Q0004 0001.docx DOCX document
Attachment CTD Q and A.xlsx XLSX spreadsheet
Attachment 8 - Authorized Gov Distributor Letter.docx DOCX document
Attachment 1 - Schedule of Supplies.xlsx XLSX spreadsheet
36C10G26Q0004.docx DOCX document
Attachment 2 - Pay.gov Vendor Submittal Instructions.docx DOCX document
Attachment 7 - Sample Letter of Supply.docx DOCX document
Attachment 6 - Past Performance Questionnaire -CTD.docx DOCX document
Attachment 5 - CTD Questions - Clitoral Therapy Device.xlsx XLSX spreadsheet
Attachment 4 - Contract Discrepancy Report.pdf PDF
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Sheet2

117932669203010102525142613211115755710510182673115213351671211211414181614
11111111222223333334444444444555566666666777
402405518523608631650689528528A5528 A6528A7528 A8526561620630630A4632460503529540542562595642646693512512A5613688517558565590637652658659508509521
TogusWhite River JctBedfordBoston (Roxbury and Brockton)ManchesterNorthhamptonProvidenceVA Connecticut (Newington)1Buffalo (Batavia)CanadaiguaBathSyracuseAlbany2BronxVA New Jersey (Lyons and East Orange)VA Hudson Valley (CastlePoint and Montrose)New YorkBrooklynNorthport3WilmingtonAltoonaButlerClarksburgCoatesvilleErieLebanonPhiladelphiaVA Pittsburgh (Pittsburgh HD)VAMC Wilkes-Barre4VA MarylandPerry PointMartinsburgWashington5BeckleyDurhamFayettevilleHamptonAshevilleRichmondSalemSalisbury6AtlantaAugustaBirmingham (posted stock purchased and reported by Tuscaloosa)

Sheet3

Contractor
Contract Number:
Reporting Quarter: __ Qtr FY2026Line Item(s)12345678910111213141516171819202122
CLIN Number:
Description/Salient Characteristics
Contract/Part Number:
Price Inclusive of SLA Fee:
VISNFACILITYVA New England Healthcare SystemQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance DescriptionQuantity Sold of Item or Performance Description
1402Togus
1405White River Jct
1518Bedford
1523Boston (Roxbury and Brockton)
1608Manchester
1631Northhampton
1650Providence
1523Jamaica Plain
1689VA Connecticut (Newington & West Haven)
New York/New Jersey VA Health Care Network
2528Buffalo (Batavia)
2528A5Canadaigua
2528 A6Bath
2528A7Syracuse
2528 A8Albany
2526Bronx
2561VA New Jersey (Lyons and East Orange)
2620VA Hudson Valley (CastlePoint and Montrose)
2630New York
2630A4Brooklyn
2632Northport
VA Pittsburgh Healthcare System
4460Wilmington
4503Altoona
4529Butler
4542Coatesville
4562Erie
4595Lebanon
4642Philadelphia
4646VA Pittsburgh (Pittsburgh HD)
4693VAMC Wilkes-Barre
VA Capitol Health Care Network
5512VA Maryland
6517Beckley
5512A5Perry Point
5512GBLoch Raven
5540Clarksburg
5581Hershel
5613Martinsburg
5688Washington
VA Mid-Atlantic Health Care Network
6558Durham
6565Fayetteville
6590Hampton
6637Asheville
6652Richmond
6658Salem
6659Salisbury
VA Southeast Network
7508Atlanta
7509Augusta
7521Birmingham (posted stock purchased and reported by Tuscaloosa)
7534Charleston
7544Columbia
7557Dublin
7619CAVHCS ( Tuskegee and Montgomery)
7679Tuscaloosa
VA Sunshine Healthcare Network
8516Bay Pines
8546Miami
8548West Palm Beach
8573NF/SGVHS
8672San Juan
8675Orlando
8673Tampa and Annex
VA MidSouth Healthcare Network
9581Huntington
9596Lexington
9603Lousiville
9614Memphis
9621Mountain Home
9626VA Tennessee
VA Health Care System
10538Chillicothe
10539Cincinnati
10541Cleveland
10552Dayton
10757Columbus
10506Ann Arbor
10515Battle Creek
10550Danville
10553Detroit
10583Indianapolis
10610VA Northern Indiana
10655Saginaw
VA Great Lakes Health Care System
12537VA Chicago Healthcare
12556North Chicago
12578Hines
12550Danville
12585Iron Mountain
12607Madison
12676Tomah
12695Milwaukee
VA Heartland Network
15452Wichita
15543Columbia
15589Kansas City
15609Marion
15647Poplar Bluff
15657St. Louis
15677VA Eastern Kansas ( Leavenworth)
South Central VA Health Care Network
16502Alexandria
16520VA Gulf Coast
16564Fayetteville
16580Houston
16586Jackson
16598Central Arkansas
16623Muskogee
16629New Orleans
16635Oklahoma City
16667Shreveport
VA Heart of Texas Health Care Network
17549North Texas (Dallas and Bonham)
17504Amarillo
17671South Texas ( San Antonio and Kerrville)
17756El Paso
17519Big Spring
17740Harlingen
17674Central Texas ( Temple, Waco and Marlin)
Rocky Mountain Network
19442Cheyenne
19554Denver
19567Southern Colorado
19575Grand Junction
19623Muskogee
19666Sheridan
Northwest Network
20463Alaska
20531Boise
20648Portland
20653Roseburg
20663VA Puget Sound ( Seattle and American Lake)
20668Spokane
20687Walla Walla
20692White City
Sierra Pacific Network
21358Manila
21459Honolulu
21570C. California
21612N. California
21640Palo Alto (Livermore)
21654Sierra Nevada
21662San Francisco
Desert Pacific Healthcare Network
22593Southern Nevada
22501Albuquerque
22600Long Beach
22605Loma Linda
22664San Diego
22504Amarillo
22519West Texas
22644Phoenix
22649Northern Arizona (Prescott)
22678Southern Arizona (Tucson)
22756El Paso
22691Greater Los Angeles ( Sepulveda and Los Angeles)
VA Midwest Health Care Network
23437Fargo
23438Sioux Falls
23568BHHCS (Black Hills and Hot Springs)
23618Minneapolis
23656St Cloud
23636NWIHCS (Omaha, Grand Island and Lincoln)
23636A4Grand Island
23636 A6CIHCS ( DM & Knx)
23636 A8Iowa City
Total Quarterly Quantity Sold0000000000000000000000
Total Quantity Sold of All Items0
Total Quarterly Quantity Sold x Price$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
Total Quarterly Sales inclusive of theSLA$0.00
Anticipated SLA$0.00
Total Sales amount without the SLA(Figure uploaded in Pay.gov)$0.00
SLA Received (For HINES FISCAL ONLY)

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