ATTACHMENT E - REPORTING TOOL - NX EQ remOVE DC Impulse Generator.xlsx

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Attached to
6515--NX EQ remOVE DC Impulse Generator (VA-26-00004179)
Solicitation number
36C10G25Q0112
Issued by

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Written by GovTribe AI ·

This file is a Sales Reporting Tool Excel spreadsheet for a VA medical device contract for NX EQ remOVE DC Impulse Generators. The document details a comprehensive quarterly sales reporting template for tracking device sales across 23 VA Healthcare Networks and 764 facilities nationwide, including locations in all 50 states, U.S. territories, and even Manila, Philippines. The reporting tool enables contractors to record quantities sold by specific line items, VISN (Veterans Integrated Service Network) facilities, and calculates total quarterly sales, including provisions for Service Level Agreement (SLA) fees.

The related federal contract opportunity (Solicitation Number 36C10G25Q0112) confirms the procurement is for medical devices specifically designed to fragment and remove endoscopic clips (OTSCA and FTRDA) used in digestive tract procedures. The solicitation was issued under a streamlined commercial items acquisition process, utilizing a unique statutory authority for sole-source procurement. The VA seeks to acquire these specialized medical devices for patient care delivery across its nationwide medical centers and territories, with the remOVE DC Impulse Generator being a critical tool for addressing potential endoscopic clip positioning or procedural complications.

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Other files

File Type Posted
36C10G25Q0112 0004.docx DOCX document
36C10G25Q0112 0003.docx DOCX document
36C10G25Q0112 0002.docx DOCX document
36C10G25Q0112 0001.docx DOCX document
ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ remOVE DC Impulse Generator.docx DOCX document
36C10G25Q0112.docx DOCX document
ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ remOVE DC Impulse Generator.docx DOCX document
ATTACHMENT C - Contract Clauses NX EQ remOVE DC Impulse Generators.docx DOCX document
ATTACHMENT A - PRICE COST SCHEDULE -NX EQ remOVE DC Impulse Generator.xlsx XLSX spreadsheet

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Sheet2

117932669203010102525142613211115755710510182673115213351671211211414181614
11111111222223333334444444444555566666666777
402405518523608631650689528528A5528 A6528A7528 A8526561620630630A4632460503529540542562595642646693512512A5613688517558565590637652658659508509521
TogusWhite River JctBedfordBoston (Roxbury and Brockton)ManchesterNorthhamptonProvidenceVA Connecticut (Newington)1Buffalo (Batavia)CanadaiguaBathSyracuseAlbany2BronxVA New Jersey (Lyons and East Orange)VA Hudson Valley (CastlePoint and Montrose)New YorkBrooklynNorthport3WilmingtonAltoonaButlerClarksburgCoatesvilleErieLebanonPhiladelphiaVA Pittsburgh (Pittsburgh HD)VAMC Wilkes-Barre4VA MarylandPerry PointMartinsburgWashington5BeckleyDurhamFayettevilleHamptonAshevilleRichmondSalemSalisbury6AtlantaAugustaBirmingham (posted stock purchased and reported by Tuscaloosa)

Sales Report

Contractor:
Contract Number:

FY 2023

Reporting Quarter: ___ QtrLine Item(s)12345678910111213141516171819202122
CLIN/SLIN:
Description/Salient Characteristics
Contract/Part Number:
Price Inclusive of SLA Fee:
VISNFACILITYVA New England Healthcare SystemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of ItemQuantity Sold of Item
1402Togus, ME
1405White River Junction, VT
1518Bedford, MA
1523Boston HCS
1608Manchester, NHWarming/Cooling Units - Patients
1631Northampton, MA
1650Providence, RI
1689Connecticut HCS
New York/New Jersey VA Health Care Network
2526Bronx, NY
2528Buffalo, NY
2528A5Canandaigua, NY
2528A6Bath, NY
2528A7Syracuse, NY
2528A8Albany, NY
2561New Jersey HCS
2620Hudson Valley HCS
2630New York HHS
2632Northport, NY
VA Pittsburgh Healthcare System
4460Wilmington, DE
4503Altoona, PA
4529Butler, PA
4542Coatesville, PA
4562Erie, PA
4595Lebanon, PA
4642Philadelphia, PA
4646Pittsburgh HCS
4693Wilkes-Barre, PA
VA Capitol Health Care Network
5512Maryland HCS
5517Beckley, WV
5540Clarksburg, WV
5581Huntington, WV
5613Martinsburg, WV
5688Washington DC
VA Mid-Atlantic Health Care Network
6558Durham, NC
6565Fayetteville, NC
6590Hampton, VA
6637Asheville, NC
6652Richmond, VA
6658Salem, VA
6659Salisbury, NC
VA Southeast Network
7508Atlanta, GA
7509Augusta, GA
7521Birmingham, AL
7534Charleston, SC
7544Columbia, SC
7557Dublin, GA
7619Central Alabama HCS
7679Tuscaloosa
VA Sunshine Healthcare Network
8516Bay Pines, FL
8546Miami, FL
8548West Palm Beach, FL
8573N. Florida/S. Georgia HCS
8672San Juan, PR
8673Tampa, FL
8675Orlando, FL
VA MidSouth Healthcare Network
9596Lexington, KY
9603Louisville, KY
9614Memphis, TN
9621Mountain Home, TN
9626Tennessee Valley HCS
VA Healthcare System
10506Ann Arbor, MI
10515Battle Creek, MI
10538Chillicothe, OH
10539Cincinnati, OH
10541Cleveland, OH
10552Dayton, OH
10553Detroit, MI
10583Indianapolis, IN
10610Northern Indiana HCS
10655Saginaw, MI
10757Columbus, OH
VA Great Lakes Health Care System
12537Chicago, IL
12550Illiana HCS
12556North Chicago, IL
12578Hines, IL
12585Iron Mountain, MI
12607Madison, WI
12676Tomah, WI
12695Milwaukee, WI
VA Heartland Network
15589Kansas City, MO
15589A4Columbia, MO
15589A5Eastern Kansas HCS
15589A7Wichita, KS
15657St. Louis, MO
15657A4Poplar Bluff, MO
15657A5Marion, IL
South Central VA Health Care Network
16502Alexandria, LA
16520Biloxi, MS
16564Fayetteville, AR
16580Houston, TX
16586Jackson, MS
16598Central Arkansas HCS
16629New Orleans, LA
16667Shreveport, LA
VA Heart of Texas Health Care Network
17504Amarillo, TX
17519West Texas HCS
17549North Texas HCS
17671South Texas HCS
17674Central Texas HCS
17740Texas Valley Coastal Bend HCS
17757El Paso, TX
Rocky Mountain Network
19436Montana HCS
19442Cheyenne, WY
19554Eastern Colorado HCS
19575Grand Junction, CO
19623Muskogee, OK
19635Oklahoma City, OK
19660Salt Lake City HCS
19666Sheridan, WY
Northwest Network
20463Alaska VAHSRO
20531Boise, ID
20648Portland, OR
20653Roseburg HCS
20663Puget Sound HCS
20668Spokane, WA
20687Walla Walla, WA
20692White City, OR
Sierra Pacific Network
21358Manila, Philippines
21459VA Pacific Islands HCS
21570Central California HCS
21593Southern Nevada HCS
21612Northern California HCS
21640Palo Alto HCS
21654Sierra Nevada HCS
21662San Francisco, CA
Desert Pacific Healthcare Network
22501New Mexico HCS
22600Long Beach HCS
22605Loma Linda, CA
22644Phoenix, AZ
22649Northern Arizona HCS
22664San Diego HCS
22678Southern Arizona HCS
22691Greater Los Angeles HCS
VA Midwest Health Care Network
23437Fargo, ND
23438Sioux Falls, SD
23568Black Hills HCS
23618Minneapolis, MN
23636Omaha, NE
23636A6Central Iowa HCS
23636A8Iowa City, IA
23656St. Cloud, MN
Null764CMOP
Total Quarterly Quantity Sold0000000000000000000000
Total Quantity Sold of All Items0
Total Quarterly Quantity Sold x Price$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
Total Quarterly Sales inclusive of the SLA$0.00
Anticipated SLA$0.00
Total Sales amount without the SLA(Figure uploaded in Pay.gov)$0.00
SLA Received (For HINES FISCAL ONLY)

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