Fillable Table - 75H70724Q00097.docx

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Dental Supplies & Equipment - One-Time Purchase - AMENDMENT 001 - Ute Mountain Ute Health Center - Towaoc, CO
Solicitation number
75H70724Q00097
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This document is a fillable table related to Request for Quotes (RFQ) No. 75H70724Q00097 for Dental Supplies & Equipment - One-Time Purchase for the Ute Mountain Ute Health Center in Towaoc, CO. The RFQ was issued by the Indian Health Service (IHS), a civilian agency within the Department of Health and Human Services.

The fillable table lists 37 line items for various dental supplies and equipment, including scalers, mirrors, pliers, cassettes, prophy angles, and Cavitron tips. Offerors are required to provide unit prices and total prices for each line item. The RFQ states the offer period must be valid for at least 90 calendar days, and the selected vendor must be registered in the System for Award Management (SAM) and comply with specified commercial item terms and conditions. Proposals are due by 5:30 pm MDT on Tuesday, August 6th, 2024 and must be submitted via email.

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DETAILS FOR ITEM 35 - DAN FORCE HEADLAMP.pdf PDF
IHS IEE Representation Form_Jan 2022_508 Compliant.pdf PDF
RFQ NO. 75H70724Q00097.pdf PDF

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Fillable Table RFQ No. 75H70724Q00097 Dental Supplies & Equipment – One-Time Purchase Ute Mountain Ute Health Center

Inventory ID
Supplies
Description
Unit Price
Quantity
Total Price

Henry Schein

1
SH6/7XE2
H6/H7
ANT SCALER
$___________
60
$___________
2
SH5/33XE2
H5/33
ADULT ANT SCALER
$___________
40
$___________
3
S204SXE2
204S
ADULT POST SCALER
$___________
40
$___________
4
SCNEV14XE2
NEVI4
ADULT POST SCALER
$___________
40
$___________
5
XP23/128
PROBE/EXPLORER
PROBE 3,5,9,12/EXPORER
$___________
40
$___________
6
MH6
MIRROR
MIRROR
$___________
60
$___________
7
MIR5DSHD
MIRROR HANDLE
HANDLE
$___________
60
$___________
8
DPU17
PLIERS
PLIERS
$___________
60
$___________
9
1MN5084
CASSETTE
ADULT
$___________
40
$___________
10
SBH5/6XE2
BARNHART 5/6
KIDS POST UNIVERSAL
$___________
20
$___________
11
EXS238
EXPLORER
EXPLORER
$___________
20
$___________
12
1MN60511
CASSETTE
KIDS
$___________
20
$___________
13
DPA-CFB
PROPHY ANGLES
FIRM PRO-1000
$___________
1
$___________
14
SSDGRIT
DUAL GRIT STONE
STONE FOR SHARPENING
$___________
1
$___________
15
IMS-1280L
INSTRUMENT RINGS
COLOR CODING 90 RINGS
$___________
1
$___________
16
RLF10044
RE-LEAF HOSE ASSEMBLY
6 TUBINGS KIT
$___________
2
$___________
17
RFL10096
RE-LEAF
KIDS-100 LEAFS
$___________
1
$___________
18
RLF10040
GREEN RELEAF
ADULTS-100 LEAFS
$___________
1
$___________
19
DENTSPLY – 90741L03
FREEDOM CORDLESS
DENTSPLY – NO PEDAL
$___________
1
$___________
20
DENTSPLY – 90796
FREEDOM COVER
METAL OUTER SHEATH
$___________
5
$___________
21
DENTSPLY – A8019
DIS PLASTIC SHIELDS
SHIELD BARRIERS – 500
1
$___________
22
DENTSPLY – 965670
DISP PROPHY ANGLES
PROPHY CUPS – 200
$___________
1
$___________
23
DENTSPLY – 80799
CAVITRON TIP
POWERLINE FSI-1000 30KHZ
$___________
5
$___________
24
DENTSPLY – 80395
CAVITRON TIP
SLIMLINE FSI-SLI 10S 30KHZ
$___________
5
$___________
25
DENTSPLY – 81551
CAVITRON TIP
THINSERT 30KHZ
$___________
5
$___________
26
DENTSPLY – 90158
WATER FILTER
REPLACEMENT FILTER
$___________
1
$___________
27
DENTSPLY – 78703
CAVITRON STERI-MATE
DETACHABLE HANDPIECE
$___________
2
$___________
28
DENTSPLY – 66400
ORAQIX DISPENSER
TOPICAL ANESTHETIC
$___________
2
$___________
29
DENTSPLY - 6631211020
ORAQIX TOPICAL
ANESTHETIC GEL
$___________
1
$___________
30
355DK-VT
FACE SHIELD
REUSABLE FULL FACE VIOLET
$___________
1
$___________
31
3085512
REPLACEMENT SHIELD
LONG DISPOSABLE SHIELDS
$___________
1
$___________
32
01N2110
SEPTODONT ASPIRATING SYRINGE
GOLD STANDARD
$___________
5
$___________
33
403017
ACTEON SOPRO INTRAORAL
CAMERA SHEATH
$___________
1
$___________
34
6837874
HPTC, INC - EESE
EMERGENCY EYE WASH STATION
$___________
1
$___________

Amazon

35
Dan Force
Dan Force headlamp
Pink rechargeable LED
$___________
1
$___________
36
Black & Decker
BDST60500APB
STACKABLE STORAGE SYS – 3PC SERIES
$___________
1
$___________

AVTEC DENTAL

37
TPC PC 2700
Portable Dental Chair Package
Includes: PC 2720, PC 2760, PC 2740, PC 2780, PC 2790, PC 2795
$___________
38
Shipping
Grand Total:
$___________

*You may submit a quote in your own format, if preferred. Please include lead times*

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