Attachment 9 - Pricing Schedule Template Updated 081419.xlsx

Instructions

INSTRUCTIONS: This is the IDIQ Price Cost Schedule preparation instructions. The proposed Government pricing shall be provided in an Excel spreadsheet and emailed as "Volume II - Price" in the format provided on the tabs to include all option years with submission of the proposal . Offerors submission shall be in accordance with Section E of the Solicitation. Offerors are reminded that "Attachment 3 Amendent 00005 - Excel Price Cost Schedule " shall be submitted in addition to the all applicable items described in the solicitation.

PRODUCT INFORMATION

q CLINs (Contract Line Item Numbers): is the break down by the commodities being procured. CLINs 0001 through 0083 are to be completed by the contractor with product size, product form, and price offered by the contractor (see price columns and instructions). Additional forms and sizes may be provided on attachment. An offeror may quote on one or more of the CLINs. Offerors are not required to quote on all items to receive consideration for a contract award. Option Year pricing also must be submitted with prefix numbering to precede CLIN number as to option year, e.g. OY1 is 1, OY2 is 2, OY3 is 3, and OY4 is 4, e.g 1999, 2999, 3999, and 4999.

q Original Equipment Manufacturer (OEM) name: is the name of the company that manufactured the item.

q Original Equipment Manufacturer (OEM) part number: is the part number for the manufacturer that uniquely identifies the product being procured in the manufacture's order entry system.

q Item Description / Name: is name/description of the commodity being procured. Shall be assigned by the Government and should not be changed by the contractor.

q Unit of Measure (UOM): a two (2) character code indicating the physical measurement, count, container, of the commodity being procured.

q Unit of UOM Packaging: numeric value indicating the number of commodity items being procured/units in the Unit of Issue description chosen by the vendor as your unit; i.e. Unit of Issue is BX (Box) and the Quantity per Unit of Issue is 12; therefore in the BX there are 12 of the commodity items being procured q Contract Period: is the performance period. Shall be assigned by the Government and should not be changed by the contractor.

q PoP Begin: is date period of performance started. Shall be assigned by the Government at award.

q PoP End: is date period of performance ends. Shall be assigned by the Government at award.

q Medical Surgical Prime Vendor (MSPV) Distribution And Pricing Agreement ( DAPA) (YES OR NO): See TAB 2 - MSPV Participation q TAA Compliant: refers to the Trade Agreements Act (19 U.S.C. & 2501-2581), which is intended to foster fair and open international trade. TAA requires that the U.S. Government may acquire only “U.S. – made or designated country end products.

q TAA Country of Origin: is the “U.S. – made or designated country end products" q Distributor : is the name of the Offeror (if distributor) of the item .

q Distributor Part Number : is the part number for the distributor that uniquely identifies the product being procured If different from manufacturers part number.

q Unit Price ($): is cost for each commodity being proposed.

q Unit Price Discount (%): is the percentage of price discount for each commodity being proposed from the commercial catalog price.

q Commercial Catalog Price: is price provided in commercial price catalog.

q Most Favored Customer Price: is price provided to most favored customer regardless of terms/conditions.

q Most Favored Government Price: is price provided to most favored Government customer.

q Proposed IDIQ Unit Price without SLA Fee ($): the offered price for each commodity being proposed in response to this solicitation without the 3% SLA fee q SLA Fee 3%: is the 3% of Proposed Price without SLAfFee (calculated automatically) q Proposed IDIQ Unit Price w/ SLA Fee ($): the offered price for each commodity being proposed in response to this solicitation proposed price + 3% SLA fee(calculated automatically)PRODUCT INFORMATION CONTRACT LINE ITEM NUMBER (CLIN) OEM OEM PART NUMBER ITEM DESRCIPTION/NAME UNIT OF MEASURE (UOM) UNITS IN UOM PACKAGING CONTRACT PERIOD POP BEGIN (Date Insert After Award) POP END (Date Insert After Award) MSPV DAPA (YES OR NO) TAA COMPLIANT (YES OR NO) FDA 510K NUMBER (as needed) FDA BK NUMBER (as needed) FDA De Novo NUMBER (as needed) FDA PMA NUMBER (as needed) PRODUCT CODE NUMBER (as needed) TAA COUNTRY OF ORGIN DISTRIBUTOR NAME (IF APPLICABLE) DISTRIBUTOR PART (IF APPLICABLE) UNIT OF ISSUE QUANTITY UNIT PRICE UNIT PRICE DISCOUNT COMMERICAL CATALOG PRICE MOST FAVORED CUSTOMER PRICE MOST FAVORED GOVERNMENT CUSTOMER PRICE PROPOSED IDIQ PRICE W/O SLA FEE SLA FEE 3% PROPOSED IDIQ PRICE WITH SLA FEE (3%) OEM OF SUBSTANTIALLY EQUIVALENT TECHNOLOGY OEM PART NUMBER OF SUBSTANTIALLY EQUIVALENT TECHNOLOGY ITEM DESRCIPTION/NAME OF SUBSTANTIALLY EQUIVALENT TECHNOLOGY FEATURES/BENEFITS/ADVANTAGES OF SUBSTANTIALLY EQUIVALENT TECHNOLOGY REASON FOR SUBSTANTIAL EQUIVALENCE AND/OR TECHNICAL REFRESH PROPOSED IDIQ PRICE W/O SLA FEE SLA FEE 3% PROPOSED IDIQ PRICE WITH SLA FEE (3%) CLIN NUMBER Example Allograft Tissue: Aortic Valve Product Size: Form: EA Base $ - $ - $ - $ -

MSPV - Participation

MEDICAL SURGICAL PRIME VENDOR PARTICIPATION

The Medical Surgical Prime Vendor Program (MSPV) is a process developed to support the distribution of commercial products through a distributor (Prime Vendor) to the VA facilities and other Government Agencies within a geographic region. A Prime Vendor is responsible for the maintenance of adequate inventory levels and for the delivery of a broad range of products produced by numerous suppliers to the Federal Government facilities upon request. Products eligible for distribution through the Prime Vendor programs are medical and surgical items, expendables, consumables, parts and accessories.

For those Offerors that elect to participate in the MSPV, all terms and conditions regarding time, quantity, method of delivery, payment terms, and chargeback agreements shall be determined between the awardee and the authorized Government Prime Vendor. Participation is subject to coordination and final approval by Government.

Please check one of the following:

X Offeror is willing to participate in the MSPV for the items identified in Excel Price/Cost Schedule.

☐Offeror is not willing to participate in the MSPV program at this time.

60 MONTHS

&A Biologics

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