Fillable pricing table_.docx

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Attached to
Solicitation 75H70726Q00047_Skin Graft Products for Wound Care - Zuni Comprehensive Community Health Center
Solicitation number
Solicitation_75H70726Q00047
Issued by

About this file

This is a fillable pricing table for Solicitation 75H70726Q00047, a combined synopsis/solicitation issued by the Indian Health Service for skin graft products to support wound care at Zuni Comprehensive Community Health Center. The pricing table requests quotations for PS13055 Grafix PL Prime skin substitute products in 5 cm x 5 cm (25 cm²) units, with an estimated quantity of 48 units per contract period. The contract structure includes a base period (TBD/2026 – TBD/2027) and two option periods (TBD/2027 – TBD/2028 and TBD/2028 – TBD/2029), with vendors required to provide unit prices and total prices for each period. The pricing table includes a grand total line for the base period with both option periods combined.

This solicitation is set aside for Indian Small Business Economic Enterprises (ISBEEs) under the Buy Indian Act with cascading tier evaluation criteria, including Service Disabled Veteran Owned Small Business, Certified HubZone Small Business, and other small business categories if no acceptable ISBEE quotation is received. Quotations must be submitted electronically by July 21, 2026, at 3:00 PM Mountain Time to shannon.eldridge-shorty@ihs.gov, and must include technical specifications, past performance documentation, and completed Indian Economic Enterprise Representation forms. Questions must be submitted by July 14, 2026, at 3:00 PM Mountain Time. The NAICS code is 339113 (Surgical Appliance and Supplies Manufacturing), and this is a commercial services procurement under FAR Part 12.

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Text version

Pricing table:

CLIN
Contract Period:
Description of Items:
Unit
Qty:
Unit Price:
Total Price:
0001
Base Period

TBD/2026 – TBD/2027

PS13055 Grafix PL Prime 5 cm x 5 cm (25 cm2) Skin Substitute
EA
*48
$
$
Base Period Total:
$
CLIN
Contract Period:
Description of Items:
Unit
Qty:
Unit Price:
Total Price:
1001
Option Period One

TBD/2027 – TBD/2028

PS13055 Grafix PL Prime 5 cm x 5 cm (25 cm2) Skin Substitute
EA
*48
$
$
Option Period One Total:
$
CLIN
Contract Period:
Description of Items:
Unit
Qty:
Unit Price:
Total Price:
2001
Option Period Two

TBD/2028 – TBD/2029

PS13055 Grafix PL Prime 5 cm x 5 cm (25 cm2) Skin Substitute
EA
*48
$
$
Option Period Two Total:
$
Base Period with Two Option Periods (Grand Total):
$

*Note: The quantities identified above are estimated quantities for evaluation and ordering purposes only and do not constitute a guarantee of the quantity that will be ordered during the contract period.

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