Fillable Table - 75H70726Q00054.docx
DOCX document 15 KB Posted
- Solicitation number
- 75H70726Q00054
About this file
This is a fillable pricing table for Request for Quotation (RFQ) No. 75H70726Q00054 issued by the Department of Health and Human Services Indian Health Service for medical equipment replacement and upgrade at the Ute Mountain Ute Health Center Nursing Department in Towaoc, Colorado. The table contains seven contract line items (CLINs) requiring unit pricing, quantities, and extended total amounts. The requested medical equipment includes three Accuvein Vein Viewers (CLIN 1), one Welch Allyn Scale-Tronix Stand on Scale (CLIN 2), two GE Resting ECG-EKG machines (CLIN 3), two SECA Infant Scales (CLIN 4), ten Masimo Rad-G Pulse Oximeters (CLIN 5), twelve Exergen Thermometers (CLIN 6), and delivery charges (CLIN 7). Vendors must submit completed pricing for unit prices and total quoted price, technical documentation demonstrating compliance with specifications and brand name requirements, and Indian Economic Enterprise representation. This acquisition is set-aside exclusively for Indian Small Business Economic Enterprise (ISBEE) concerns. Quotes must be submitted via email to Shandiin.DeWolfe@ihs.gov by 12:00 pm MDT on Friday, June 12, 2026, with delivery to the Ute Mountain Ute Service Unit Nursing Department in Towaoc, Colorado.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Fillable Table RFQ No. 75H70726Q00054 Medical Equipment Replacement/Upgrade – Ute Mountain Ute Health Center
| Item # |
| Item No. |
| Manufacturer |
| Product Name |
| Unit Price |
| Qty. |
| Total Amount |
| CLIN 1 |
| AV500 |
| Accuvein |
| Vein Viewer |
| $___________ |
| 3 |
| $_____________ |
| CLIN 2 |
| 5002 |
| Welch Allyn Scale-Tronix |
| Stand on Scale |
| $_________ |
| 1 |
| $_____________ |
| CLIN 3 |
| MAC VU360 |
| GE |
| Resting ECG - EKG |
| $_________ |
| 2 |
| $_____________ |
| CLIN 4 |
| 3741321004 |
| SECA |
| Infant Scale |
| $_________ |
| 2 |
| $_____________ |
| CLIN 5 |
| 95164 |
| Masimo |
| Rad-G Pulse Oximeter |
| $_________ |
| 10 |
| $_____________ |
| CLIN 6 |
| EXN-124275S |
| Exergen |
| Thermometer |
| $_________ |
| 12 |
| $_____________ |
| CLIN 7 |
| ---- |
| ---- |
| Delivery |
| ---- |
| Grand Total: |
| $_____________ |
File details come from the government source that posted it. Updated .