HT941024Q2035- Attachment 3 - Quote Sheet.xlsx

XLSX spreadsheet 25 KB Posted

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Medical Gases at Naval Health Clinic Hawaii and associated Branch Health Clinics
Solicitation number
HT941024Q2035
Issued by

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This document is a Quote Sheet Attachment for Solicitation Number HT941024Q2035 for the provision of medical grade gases, including liquid nitrogen and oxygen cylinders, to the Naval Health Clinic Hawaii and associated Branch Clinics. The Period of Performance is from 08 May 2024 to 07 May 2029, with a base period and four option periods. The Contracting Office is the DHA Western Markets Contracting Division, and quotations must be received by 11:59 am PDT on April 23, 2024. The Quote Sheet lists the various CLIN items, quantities, and pricing for the base period and four option periods. Offerors must provide pricing on the Quote Sheet, acknowledge any amendments to the solicitation, and agree to all terms and conditions. The total evaluated price for the base period and all option periods must be provided.

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Other files

File Type Posted
HT941024Q2035 - Question and Answer.pdf PDF
HT941024Q2035- Attachment 2 - Past Performance Questionnaire.docx DOCX document
Combined Synopsis Solicitation - HT941024Q2035.pdf PDF
HT941024Q2035 - Attachment 1- Statement Of Work Medical Gases.pdf PDF
FAR Provision 52.204-24 - COMPLETE & SUBMIT WITH QUOTE.docx DOCX document

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Quote Sheet

Attachment 2 - Quote Sheet
Solicitation Number:HT941024Q2035
Requirement:Medical Grade Gases for Naval Health Clinic Hawaii and Associated Branch Clinics
Period of Performance:08 May 2024 - 07 May 2029
Contracting Office:DHA Western Markets Contracting Division
Quotations must be received by:no later than 11:59 am PDT on April 23, 2024
CLINDescription of SuppliesQuantityUnit PriceTotal Price
0001Liquid Nitrogen, 30 Liter Tank - Base Period26$ - 0
0002Liquid Nitrogen, 35 Liter Tank - Base Period15$ - 0
0003Oxygen Size E Cylinder - Base Period42$ - 0
0004Oxygen Size H Cylinder - Base Period26$ - 0
0005Hydrostatic Testing of O2 Cylinder - Base Period14$ - 0
0006HazMat Fee - Base Period109$ - 0
0007Delivery Fee - Base Period109$ - 0
0008Fuel Charge - Base Period109$ - 0
1001Liquid Nitrogen, 30 Liter Tank - Option Period 126$ - 0
1002Liquid Nitrogen, 35 Liter Tank - Option Period 115$ - 0
1003Oxygen Size E Cylinder - Option Period 142$ - 0
1004Oxygen Size H Cylinder - Option Period 126$ - 0
1005Hydrostatic Testing of O2 Cylinder - Option Period 114$ - 0
1006HazMat Fee - Option Period 1109$ - 0
1007Delivery Fee - Option Period 1109$ - 0
1008Fuel Charge - Option Period 1109$ - 0
2001Liquid Nitrogen, 30 Liter Tank - Option Period 226$ - 0
2002Liquid Nitrogen, 35 Liter Tank - Option Period 215$ - 0
2003Oxygen Size E Cylinder - Option Period 242$ - 0
2004Oxygen Size H Cylinder - Option Period 226$ - 0
2005Hydrostatic Testing of O2 Cylinder - Option Period 214$ - 0
2006HazMat Fee - Option Period 2109$ - 0
2007Delivery Fee - Option Period 2109$ - 0
2008Fuel Charge - Option Period 2109$ - 0
3001Liquid Nitrogen, 30 Liter Tank - Option Period 326$ - 0
3002Liquid Nitrogen, 35 Liter Tank - Option Period 315$ - 0
3003Oxygen Size E Cylinder - Option Period 342$ - 0
3004Oxygen Size H Cylinder - Option Period 326$ - 0
3005Hydrostatic Testing of O2 Cylinder - Option Period 314$ - 0
3006HazMat Fee - Option Period 3109$ - 0
3007Delivery Fee - Option Period 3109$ - 0
3008Fuel Charge - Option Period 3109$ - 0
4001Liquid Nitrogen, 30 Liter Tank - Option Period 426$ - 0
4002Liquid Nitrogen, 35 Liter Tank - Option Period 415$ - 0
4003Oxygen Size E Cylinder - Option Period 442$ - 0
4004Oxygen Size H Cylinder - Option Period 426$ - 0
4005Hydrostatic Testing of O2 Cylinder - Option Period 414$ - 0
4006HazMat Fee - Option Period 4109$ - 0
4007Delivery Fee - Option Period 4109$ - 0
4008Fuel Charge - Option Period 4109$ - 0
TOTAL EVALUATED PRICE (Base + Options 1 through 4)$0.00
Offeror Name:
Street Address:
City, State, ZIP:
Unique Entity ID:
CAGE Code:
Business Size:
Point of Contact:
Phone Number:
Email Address:
The Offeror acknowledges receipt of the following amendments to the solicitation:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:

The Offeror agrees with all terms, conditions, and provisions included in the solicitation and agrees to furnish any or all items set forth or otherwise identified above subject to the terms and conditions specified in the solicitation.

The Offeror agrees to hold the prices in its quote firm for 30 calendar days from the date specified for receipt of quotes.

Person Authorized to Sign Quote:
Signature:
Date:

Payment Terms:

GSA Contract Number, if applicable:

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