Attachment 5 - 36H79725R0003 Contract PriceBook Template.xlsx

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Attached to
6525--Radiology & Imaging FY2025 Solicitation
Solicitation number
36H79725R0003
Issued by

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Attachment 5 is a Price Book Template for Solicitation 36H79725R0003, which is a draft Request for Proposal (RFP) for Radiology & Imaging Systems from the Department of Veterans Affairs (VA) National Acquisition Center (NAC) and Defense Logistics Agency (DLA) Troop Support. The draft solicitation is seeking contractor feedback and input, with responses due by July 17, 2025, at 12 PM Central Time.

Contractors are instructed to submit questions, comments, and concerns using Attachment #10 DRAFT Solicitation Question Matrix, directly to LaTonya L. Whiteside via email. The government emphasizes that this is a draft RFP and does not constitute a contract award or authorization to begin performance. After receiving industry feedback, the VA may update the solicitation before releasing the official solicitation. Interested parties can contact LaTonya L. Whiteside at latonya.whiteside@va.gov or 708-786-4985 for further information.

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Other files

File Type Posted
36H79725R0003 0001.pdf PDF
GOVERNMENT RESPONSE Attachment 10 - 36H79725R0003 DRAFT RFP Question Matrix.xlsx XLSX spreadsheet
36H79725R0003 0001_1.docx DOCX document
36H79725R0003_2.docx DOCX document
Attachment 9 - 36H79725R0003 OIG Review Requirements.pdf PDF
Attachment 3 - 36H79725R0003 Discount and Pricing Information DPI Worksheet.docx DOCX document
Attachment 6 - 36H79725R0003 Modality Matrix.xlsx XLSX spreadsheet
36H79725R0003 RADIOLOGY AND IMAGING DRAFT.docx DOCX document
Attachment 8 - 36H79725R0003 VA Information System Security-Privacy REVISED.pdf PDF
Attachment 10 - 36H79725R0003 DRAFT RFP Question Matrix.xlsx XLSX spreadsheet
Attachment 7 - 36H79725R0003 VHA National BAA Template Aug2023.pdf PDF
Attachment 2 - 36H79725R0003 VA10091.pdf PDF
Attachment 4 - 36H79725R0003 Medical Marking Standard No 1D.pdf PDF
DRAFT SOLICITATION RADIOLOGY AND IMAGING 2025.docx DOCX document
36H79725R0003_1.docx DOCX document
Attachment 1 - 36H79725R0003 DICOM Conformance Requirements.pdf PDF
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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
TUBABOLP000270N/A26
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VIBVBWAP000290N/A28
YDBRBVTP000300N/A29
IOBRAP00031ERROR:#N/AERROR:#N/A
VGIOTP00032ERROR:#N/AERROR:#N/A
BNBRNP00033ERROR:#N/AERROR:#N/A
BGBGRP00034ERROR:#N/AERROR:#N/A
BFBFAP00035ERROR:#N/AERROR:#N/A
BIBDIP00036ERROR:#N/AERROR:#N/A
KHKHMP00037ERROR:#N/AERROR:#N/A
CMCMRP00038ERROR:#N/AERROR:#N/A
CACANP00039ERROR:#N/AERROR:#N/A
CVComponent - RUSP00040ERROR:#N/AERROR:#N/A
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CFComponent - CHNP00042ERROR:#N/AERROR:#N/A
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CXComponent - IRQP00046ERROR:#N/AERROR:#N/A
CCComponent - IRNP00047ERROR:#N/AERROR:#N/A
COComponent - LKAP00048ERROR:#N/AERROR:#N/A
KMCPVP00049ERROR:#N/AERROR:#N/A
CGCYMP00050
CKCAF
CRTCD
CICHL
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CUCXR
CWCCK
CYCOL
CZCOM
KPCOG
CDCOD
DKCOK
DJCRI
DMCIV
DOHRV
TPCUB
ECCYP
EGCZE
SVDNK
GQDJI
ERDMA
EEDOM
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FKEGY
FOSLV
FMGNQ
FJERI
FIEST
FRETH
GFFRO
PFFLK
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GAFIN
GMFRA
GEGUF
DEPYF
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GIGAB
GBGMB
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GLDEU
GDGHA
GPGIB
GUGBR
GTGRC
GNGRL
GWGRD
GYGLP
HTGUM
HMGTM
HNGGY
HKGIN
HUGNB
ISGUY
INHTI
IDHMD
IRHND
IQHKG
IEHUN
ILISL
ITIND
JMIDN
JPIRN
JOIRQ
KZIRL
KEIMN
KIISR
KVITA
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MKLBN
MGLSO
MWLBR
MYLBY
MVLIE
MLLTU
MTLUX
MHMAC
MQMKD
MRMDG
MUMWI
YTMYS
MXMDV
MDMLI
MCMLT
MNMHL
MEMTQ
MSMRT
MAMUS
MZMYT
MMMEX
NAFSM
NRMDA
NPMCO
NLMNG
ANMNE
NCMSR
NZMAR
NIMOZ
NEMMR
NGNAM
NUNRU
NFNPL
MPNLD
NOANT
OMNCL
PKNZL
PWNIC
PSNER
PANGA
PGNIU
PYNFK
PEPRK
PHMNP
PNNOR
PLOMN
PTPAK
PRPLW
QAPSE
KRPAN
REPNG
ROPRY
RUPER
RWPHL
SHPCN
KNPOL
LCPRT
PMPRI
VCQAT
WSREU
SMROU
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SARWA
SNBLM
SCSHN
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SGLCA
SKMAF
SISPM
SBVCT
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ESSAU
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SDSRB
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SJSLE
SZSGP
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TWSOM
TJZAF
THSGS
TGKOR
TKESP
TOLKA
TTSDN
TNSUR
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TCSWE
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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 #:36H79725R0003
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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