ATTACHMENT A - CLIN Pricing.xlsx
XLSX spreadsheet 227 KB Posted
- Attached to
- 6515--36C10X23R0007 | RFP MSPV Gen-Z V1 - Distribution and Supply Management - Amendment 0002
- Solicitation number
- 36C10X23R0007
About this file
This document provides notice of a draft request for proposals for medical, surgical, dental, and laboratory supply distribution and management services. The Department of Veterans Affairs intends to award multiple indefinite delivery, indefinite quantity contracts to support Veterans Affairs Medical Centers and other government agencies.
The period of performance will include a base period of five years and one optional five-year period, for a total potential contract length of ten years. An implementation period will be included for each delivery order. The North American Industry Classification System code for this acquisition is 423450.
Interested parties should monitor the Contract Opportunities website for the finalized solicitation release anticipated in December 2022. Questions regarding the draft solicitation content or scope of work are due by November 21st and should be sent to the points of contact listed utilizing the provided question template. The government may or may not formally respond to questions received.
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Information
| PERIODS OF PERFORMANCE | |
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | Separately Priced |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | Separately Priced |
VISN 1
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 1 |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0001AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0001AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0001AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0001AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0001AD- Saturday Deliveries | ______________% |
| CLIN 0001AE- Sunday Deliveries | ______________% |
| CLIN 0001AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0001AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0001AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0001AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0001AJ- Saturday Deliveries | ______________% |
| CLIN 0001AK- Sunday Deliveries | ______________% |
| CLIN 0001AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0001AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0001AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0001AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0001AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0001AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0001AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0001AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0001AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0001AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 0001AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0001AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1001AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1001AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1001AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1001AD- Saturday Deliveries | ______________% |
| CLIN 1001AE- Sunday Deliveries | ______________% |
| CLIN 1001AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1001AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1001AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1001AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1001AJ- Saturday Deliveries | ______________% |
| CLIN 1001AK- Sunday Deliveries | ______________% |
| CLIN 1001AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1001AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1001AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1001AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1001AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 1001AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1001AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1001AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1001AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1001AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 1001AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1001AW Commercial Fee | ____________________% |
VISN 2
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 2 |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0002AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0002AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0002AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0002AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0002AD- Saturday Deliveries | ______________% |
| CLIN 0002AE- Sunday Deliveries | ______________% |
| CLIN 0002AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0002AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0002AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0002AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0002AJ- Saturday Deliveries | ______________% |
| CLIN 0002AK- Sunday Deliveries | ______________% |
| CLIN 0002AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0002AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0002AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0002AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0002AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0002AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0002AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0002AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0002AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0002AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 0002AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0002AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1002AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1002AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1002AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1002AD- Saturday Deliveries | ______________% |
| CLIN 1002AE- Sunday Deliveries | ______________% |
| CLIN 1002AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1002AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1002AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1002AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1002AJ- Saturday Deliveries | ______________% |
| CLIN 1002AK- Sunday Deliveries | ______________% |
| CLIN 1002AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1002AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1002AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1002AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1002AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 1002AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1002AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1002AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1002AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1002AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 1002AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1002AW Commercial Fee | ____________________% |
VISN 4
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 4 |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0004AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0004AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0004AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0004AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0004AD- Saturday Deliveries | ______________% |
| CLIN 0004AE- Sunday Deliveries | ______________% |
| CLIN 0004AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0004AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0004AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0004AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0004AJ- Saturday Deliveries | ______________% |
| CLIN 0002AK- Sunday Deliveries | ______________% |
| CLIN 0002AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0004AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0004AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0004AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0004AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0004AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0004AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0004AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0004AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0004AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 0004AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0004AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1004AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1004AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1004AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1004AD- Saturday Deliveries | ______________% |
| CLIN 1004AE- Sunday Deliveries | ______________% |
| CLIN 1004AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1004AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1004AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1004AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1004AJ- Saturday Deliveries | ______________% |
| CLIN 1004AK- Sunday Deliveries | ______________% |
| CLIN 1004AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1004AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1004AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1004AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1004AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 1004AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1004AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1004AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1004AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1004AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 1004AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1004AW Commercial Fee | ____________________% |
VISN 5
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 5 |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0005AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0005AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0005AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0005AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0005AD- Saturday Deliveries | ______________% |
| CLIN 0005AE- Sunday Deliveries | ______________% |
| CLIN 0005AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0005AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0005AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0005AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0005AJ- Saturday Deliveries | ______________% |
| CLIN 0005AK- Sunday Deliveries | ______________% |
| CLIN 0005AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0005AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0005AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0005AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0005AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0005AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0005AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0005AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0005AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0005AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 0005AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0005AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1001AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1005AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1005AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1005AD- Saturday Deliveries | ______________% |
| CLIN 1005AE- Sunday Deliveries | ______________% |
| CLIN 1005AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1005AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1005AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1005AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1005AJ- Saturday Deliveries | ______________% |
| CLIN 1005AK- Sunday Deliveries | ______________% |
| CLIN 1005AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1005AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1005AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1005AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1005AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 1005AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1005AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1005AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1005AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1005AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 1005AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1005AW Commercial Fee | ____________________% |
VISN 6
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 6 |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0006AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0006AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0006AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0006AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0006AD- Saturday Deliveries | ______________% |
| CLIN 0006AE- Sunday Deliveries | ______________% |
| CLIN 0006AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0006AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0006AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0006AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0006AJ- Saturday Deliveries | ______________% |
| CLIN 0006AK- Sunday Deliveries | ______________% |
| CLIN 0006AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0006AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0006AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0006AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0006AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0006AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0006AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0006AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0006AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0006AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee | |
| CLIN 0006AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0006AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1006AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1006AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1006AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1006AD- Saturday Deliveries | ______________% |
| CLIN 1006AE- Sunday Deliveries | ______________% |
| CLIN 1006AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1006AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1006AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1006AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1006AJ- Saturday Deliveries | ______________% |
| CLIN 1006AK- Sunday Deliveries | ______________% |
| CLIN 1006AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1006AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1006AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1006AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1006AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 1006AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1006AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1006AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1006AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1006AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee | |
| CLIN 1006AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1006AW Commercial Fee | ____________________% |
VISN 7
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 7 |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0007AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0007AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0007AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0007AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0007AD- Saturday Deliveries | ______________% |
| CLIN 0007AE- Sunday Deliveries | ______________% |
| CLIN 0007AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0007AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0007AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0007AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0007AJ- Saturday Deliveries | ______________% |
| CLIN 0007AK- Sunday Deliveries | ______________% |
| CLIN 0007AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0007AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0007AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0007AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0007AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0007AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0007AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0007AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0007AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0007AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee | |
| CLIN 0007AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0007AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1007AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1007AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1007AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1007AD- Saturday Deliveries | ______________% |
| CLIN 1007AE- Sunday Deliveries | ______________% |
| CLIN 1007AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1007AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1007AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1007AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1007AJ- Saturday Deliveries | ______________% |
| CLIN 1007AK- Sunday Deliveries | ______________% |
| CLIN 1007AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1007AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1007AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1007AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1007AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 1007AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1007AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1007AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1007AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1007AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee | |
| CLIN 1007AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1007AW Commercial Fee | ____________________% |
VISN 8
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 8 (EXCLUDES PUERTO RICO) |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0008AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0008AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0008AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0008AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0008AD- Saturday Deliveries | ______________% |
| CLIN 0008AE- Sunday Deliveries | ______________% |
| CLIN 0008AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0008AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0008AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0008AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0008AJ- Saturday Deliveries | ______________% |
| CLIN 0008AK- Sunday Deliveries | ______________% |
| CLIN 0008AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0008AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0008AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0008AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0008AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0008AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0008AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0008AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0008AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0008AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 0008AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0008AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1008AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1008AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1008AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1008AD- Saturday Deliveries | ______________% |
| CLIN 1008AE- Sunday Deliveries | ______________% |
| CLIN 1008AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1008AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1008AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1008AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1008AJ- Saturday Deliveries | ______________% |
| CLIN 1008AK- Sunday Deliveries | ______________% |
| CLIN 1008AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 1008AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 1008AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 1008AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 1008AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 1008AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 1008AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 1008AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 1008AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 1008AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 1008AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 1008AW Commercial Fee | ____________________% |
VISN 9
| CLIN PRICING STRUCTURE SHEET |
| Medical/Surgical Prime Vendor Generation-Z Version 1 (MSPV Gen-Z V1) - Solicitation 36C10X23R0007 - Attachment A |
| VISN 9 |
Company Name:
| BASE PERIOD: ESTIMATED DATE - JULY 5, 2023 - JULY 4, 2028 | |
| CLIN 0009AW Implementation Period | NOT SEPARATELY PRICED |
| Conventional/Bulk Distribution Fee | |
| CLIN 0009AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 0009AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0009AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0009AD- Saturday Deliveries | ______________% |
| CLIN 0009AE- Sunday Deliveries | ______________% |
| CLIN 0009AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 0009AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 0009AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 0009AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 0009AJ- Saturday Deliveries | ______________% |
| CLIN 0009AK- Sunday Deliveries | ______________% |
| CLIN 0009AL- Deliveries on Federal Government Holidays | ______________% |
| EMERGENCY DELIVERIES | |
| CLIN 0009AM- Number of Emergency deliveries offered at no additional charge beyond the three allowed per month per account: | Flat rate fee in addition to delivery fee (includes transportation charges) for emergency deliveries in excess of the three deliveries required and the additional deliveries being offered at no cost. Flat fee charges shall be based per delivery trip. |
| ____________ Additional free deliveries per month. | $_________________ |
| DROP SHIPMENT | |
| CLIN 0009AN- Drop Shipment Fee (Flat Fee Per Order / Per Supplier) | $_________________ |
| Restock Fee | |
| CLIN 0009AO- Restock Fee (Flat Fee Per Item, regardless of quantity of item) | $_________________ |
| WILL/CALL | |
| CLIN 0009AP- Will/Call (Flat Fee Per Order) | $_________________ |
| SERVICE REPRESENTIVE FEE | |
| Add-on MSPV Service Rep Distribution Fee (monthly rate) | |
| CLIN 0009AQ Full Time, on-site rep (monthly flat fee) | $_________________ |
| CLIN 0009AR Part Time, on-site rep (monthly flat fee) | $_________________ |
| OFF-SITE DELIVERY FEE | |
| CLIN 0009AS Off-Site Delivery: (<25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| CLIN 0009AT Off-Site Delivery: (>25 miles from ordering facility) (flat fee per delivery) | $_________________ |
| INSIDE DELIVERY FEE | |
| CLIN 0009AU- Delivery to locations within the primary ordering facility (surgical suites, etc) | ____________________% |
| STOCKLESS SERVICE FEE | |
| Add-On Stockless Service Distribution Fee (In Addition To CBD Fee) | |
| CLIN 0009AV Stockless Service Fee: | ____________________% |
| COMMERCIAL FEE | |
| CLIN 0009AX Commercial Fee | ____________________% |
| OPTION PERIOD 1: ESTIMATED DATE - JULY 5, 2028 - JULY 4, 2033 | |
| Conventional/Bulk Distribution Fee | |
| CLIN 1009AA Conventional/Bulk Distribution Fee (Deliveries Five Days a Week): | _______________________________% |
| VALUE-ADDED SERVICES- Conventional/Bulk Distribution Fee | Adjustment To Conventional/Bulk Distribution Fee. (Please indicate proposed adjustment as either an increase(+) or decrease (-) to the conventional/bulk distribution fee. Please indicate “No Change” for no adjustment to conventional/bulk distribution fee.) |
| CLIN 1009AB- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1009AC- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1009AD- Saturday Deliveries | ______________% |
| CLIN 1009AE- Sunday Deliveries | ______________% |
| CLIN 1009AF- Deliveries on Federal Government Holidays | ______________% |
| LUM | |
| CLIN 1009AG- Low Unit of Measure Method (LUM) Fee (Deliveries Five Days a Week) | _______________________________% |
| VALUE-ADDED SERVICES to Low Unit of Measure Method (LUM) | Adjustment To Low Unit of Measure Base Distribution Fee. (Please indicate proposed adjustment as either an increase or decrease to the Low Unit of Measure Base Distribution Fee. Please indicate “No Change” for no adjustment to the Low Unit of Measure Base Distribution Fee.) |
| CLIN 1009AH- Deliveries One or Two Days Per Week | ______________% |
| CLIN 1009AI- Deliveries Three or Four Days Per Week | ______________% |
| CLIN 1009AJ- Saturday Deliveries | ______________% |
| CLIN 1009AK- Sunday Deliveries | ______________% |
| CLIN 1009AL- Deliveries on Federal Government Holidays | ______________% |
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