Pricing Schedule - Q0141.xlsx

This is a Pricing Schedule form for a federal solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation (36C77026Q0141) seeks pricing for a Toyota electric forklift Model #SRI-HPM40 battery replacement, with a quantity of one unit. The solicitation is designated for the VA Shawnee CMOP (Clinical Management Operations Program) facility, though the opportunity documentation references Leavenworth CMOP, with a site visit scheduled for July 17, 2026. The pricing schedule is due by 5:00 PM CST on July 22, 2026.

The form requires vendors to complete standard pricing schedule information including unit price and total price for the forklift battery replacement, along with country of origin and manufacturer information. Vendors must also provide delivery schedule details in the vendor comments section. The vendor is required to populate their company name, point of contact information, phone number, email address, and SAM UEI number on the form. This is a straightforward equipment replacement procurement with a defined scope limited to a single battery replacement item for material handling equipment at a VA facility.