Attachment A - Offeror Worksheet.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
6830--AMENDMENT #2 - Weekly/Reoccuring Dry Ice Supply Delivery
Solicitation number
36C24E26Q0032
Issued by

About this file

This is an Offeror Worksheet template for submitting pricing in response to a Request for Quotation (RFQ) for weekly dry ice supply services. The worksheet contains two tabs: the first captures offeror company information including name, address, contact details, and SAM UEI; the second tab presents the pricing schedule with five line items covering a base year plus four option years, each requiring 500 lbs of dry ice per week for 52 weeks. Offerors must enter unit prices in the highlighted fields, with totals auto-calculating, and all quoted prices must be inclusive of shipping (FOB Destination), hazardous material costs, surcharges, and ancillary charges. The solicitation is set aside for 100% Service-Disabled Veteran-Owned Small Businesses (SDVOSB), with a NAICS code of 325120 and a size standard of 1,200 employees. Responses must be submitted electronically via email to Millicent Covert at millicent.covert@va.gov by Wednesday, April 29, 2026, at 11:59 AM Eastern Daylight Time, with the solicitation number 36C24E26Q0032 referenced in the subject line. The contract is being issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4 for the Dallas VA Medical Center under FAR Part 13 Simplified Acquisition Procedures.

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Other files

File Type Posted
Attachment B - RFQ 36C24E26Q0032_updated.docx DOCX document
36C24E26Q0032_4.docx DOCX document
Attachment D - RFQ 36C24E26Q0032.docx DOCX document
Attachment C - Amendment RFQ 36C24E26Q0032.docx DOCX document
36C24E26Q0032_3.docx DOCX document
Attachment B - RFQ 36C24E26Q0032 - Weekly Dry Ice Supply Service for Dallas VAMC.docx DOCX document
36C24E26Q0032_2.docx DOCX document

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Text version

TAB 1 - OFFEROR INFORMATION

OFFERER / CONTRACTOR: (COLUMN B - OFFEROR/COMPANY INFORMATION)

[Company Name]:
[DBA (if applicable)]:
[Street Address]:
[City, State, Zip]:
[Telephone Number]:
[Email Address]:
[Point of Contact]:
[SAM UEI]:

TAB 2 - OFFER

CLINDESCRIPTIONQUANTITYUNIT OF MEASUREUNIT PRICETOTAL
0001Base Year - Dry Ice, 500 lbs/week52WK0
1001Option Year 1 - Dry Ice, 500 lbs/week52WK0
2001Option Year 2 - Dry Ice, 500 lbs/week52WK0
3001Option Year 3 - Dry Ice, 500 lbs/week52WK0
4001Option Year 4 - Dry Ice, 500 lbs/week52WK0
TOTAL AMOUNT:0
- Enter unit price in highlighted fields. Totals will autopopulate.

NOTE: All shipping shall be inclusive of prices within the schedule and FOB Destination.

Quoted prices shall be inclusive of all ancillary costs not limited to, hazardous material cost, surcharges, and shipping.

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