Attachment C Price Delivery Schedule.docx

DOCX document 31 KB Posted

Attached to
6515--Equipment: Pulsed Electric Field Ablation System
Solicitation number
36C24825Q0455
Issued by

About this file

This is a Price/Delivery Schedule template (Attachment C) for solicitation 36C24825Q0455 requesting quotes for a Pulsed Electric Field Ablation System and related components. The schedule details five line items: (1) Pulsed Electric Field Ablation Generator, (2) Cardiac Monitor, (3) Electrodes 5-Pack, (4) Flex Needles 5-Pack, and (5) Needle 19G 5-Pack. All items fall under NAICS code 334510 (Electromedical and Electrotherapeutic Apparatus Manufacturing) and PSC 6515 (Medical and Surgical Instruments, Equipment, and Supplies).

All items are to be delivered to the Department of Veterans Affairs North Florida/South Georgia Veterans Health System in Gainesville, FL. Vendors must provide their best delivery schedule, with delivery terms FOB Destination. The template includes blank spaces for vendors to input unit prices and total amounts for each line item. Each line item requires a quantity of one (1) unit.

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Other files

File Type Posted
Attachment B Salient Characteristics.docx DOCX document
Attachment D VA Limitations on Subcontracting.pdf PDF
36C24825Q0455.docx DOCX document
Attachment A Combined Synopsis Solicitation.docx DOCX document

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36C24825Q0455 Attachment C Price/Delivery Schedule

PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1.00
EA
__________________
__________________

Pulsed Electric Field Ablation Generator PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1.00
EA
__________________
__________________

Cardiac Monitor

1.00
EA
__________________
__________________

Electrodes 5-Pack

1.00
EA
__________________
__________________

Flex Needles 5-Pack

1.00
EA
__________________
__________________

Needle 19G 5-Pack

GRAND TOTAL
__________________

DELIVERY SCHEDULE

ITEM NUMBER
SHIPPING INFORMATION
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Department of Veterans Affairs

North Florida/South Georgia VHS 1601 SW Archer Road Gainesville, FL 32608 1197

USA

1.00

Provide best delivery schedule

FOB:
DESTINATION
0002
SHIP TO:
Department of Veterans Affairs

North Florida/South Georgia VHS 1601 SW Archer Road Gainesville, FL 32608 1197

USA

1.00

FOB:
DESTINATION
0003
SHIP TO:
Department of Veterans Affairs

North Florida/South Georgia VHS 1601 SW Archer Road Gainesville, FL 32608 1197

USA

1.00

FOB:
DESTINATION
0004
SHIP TO:
Department of Veterans Affairs

North Florida/South Georgia VHS 1601 SW Archer Road Gainesville, FL 32608 1197

USA

1.00

FOB:
DESTINATION
0005
SHIP TO:
Department of Veterans Affairs

North Florida/South Georgia VHS 1601 SW Archer Road Gainesville, FL 32608 1197

USA

1.00

FOB:
DESTINATION

File details come from the government source that posted it. Updated .