ATTACHMENT D_Price Cost Schedule_36C10X26Q0119.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 36C10X26Q0119
About this file
This is a Price Cost Schedule template for a Request for Quotation (RFQ) solicitation 36C10X26Q0119 issued by the Department of Veterans Affairs Strategic Acquisition Center for Boston Scientific EXALT Model D Duodenoscope Image Controllers (Part Number M00542430). The procurement is conducted under FAR 6.103-1 (Only One Responsible Source authority), with the intended source being Veterans Healthcare Supply Solutions (VHSS), a Service Disabled Veteran Owned Small Business. The schedule requires quoters to submit proposed unit prices for a single line item (CLIN 0001) across a base year and four option years, with estimated quantities of 20 units per year. Quoters must complete all yellow-highlighted spaces in the template, including proposed unit prices, a 3% Service Level Agreement (SLA) fee, total evaluated prices by year, delivery timeframe in days after receipt of order (ARO), and commercial pricing reference.
The template accommodates both the Boston Scientific OEM solution and equivalent products from alternative sources, requiring quoters proposing equivalent items to provide manufacturer name, description, and part numbers. All calculations must be verified for accuracy by the quoter, and the pricing submitted must align with the technical proposal. This acquisition is structured as a single combined synopsis and solicitation with no separate written solicitation to follow, and quoters must reference ATTACHMENT B for the detailed product description and specifications. Quoters proposing solutions other than the specified Boston Scientific controller must clearly identify their proposed manufacturer and equivalent product information in the designated columns.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT B_Product Description_36C10X26Q0119.docx | DOCX document | |
| ATTACHMENT C_Sales Reporting Tool_36C10X26Q0119.xlsx | XLSX spreadsheet | |
| Attachment A_ RFQ 36C10X26Q0119.pdf | ||
| ATTACHMENT E_Template for Industry Questions_36C10X26Q0119.xlsx | XLSX spreadsheet | |
| 36C10X26Q0119_2.docx | DOCX document |
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Text version
EXALT CONTROLLER
| CLIN | Manufacturer Name | Manufacturer Part Number | Item Description | Unit of Measure (UOM) | Estimated Quantity (Base Year) | Estimated Quantity (Opt Year 1) | Estimated Quantity (Opt Year 2) | Estimated Quantity (Opt Year 3) | Estimated Quantity (Opt Year 4) | Manufacturer Name | Manufacturer Part Number | Item Description | Contractor Part Number (if different from OEM) | Unit of Measure | Quantity per UOM | Delivery Days ARO | Commercial Price | Proposed Unit | |||||||||||||||||
| Price (Base Year) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Base Year | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 1) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 1 | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 2) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 2 | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 3) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 3 | Proposed Unit | ||||||||||||||||||||||||||||||||||
| Price (Option Year 4) | SLA (3%) | Total Price (Unit Price plus SLA) | |||||||||||||||||||||||||||||||||
| Option Year 4 | Total Evaluated Price (with 3% SLA and estimated quantities) - Base Year | Total Evaluated Price (with 3% SLA and estimated quantities) - Option Year 1 | Total Evaluated Price (with 3% SLA and estimated quantities) - Option Year 2 | Total Evaluated Price (with 3% SLA and estimated quantities) - Option Year 3 | Total Evaluated Price (with 3% SLA and estimated quantities) - Option Year 4 | Total Evaluated Price | |||||||||||||||||||||||||||||
| 0001 | Boston Scientific | M00542430 | EXALT CONTROLLER | EA | 20 | 20 | 20 | 20 | 20 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||
| Totals: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||||||||||||||||||||||||||
| *OFFEROR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES | |||||||||||||||||||||||||||||||||||
| **ARO = Delivery Days After Receipt of Order | |||||||||||||||||||||||||||||||||||
| Quoters proposing equivalent product must enter Name of Manufacturer for its proposed solution, Description and Part Number(s), etc. starting at Column K. If the Quoter’s proposed solution does not require a particular CLIN, the Quoter shall indicate such by writing N/A, None, or Zero (0). Also, the items priced in the Pricing volume must correspond with the items proposed in Quoter’s Technical volume as the brand name or equivalent solution. NOTE: Quoters are responsible for ensuring that all calculations are correct. |
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