Purchase_Requisition_Worksheet_Jeol.pdf
PDF 85 KB Posted
- Attached to
- FBO For Spectrometer Federal contract opportunity
- Solicitation number
- 75N94022Q00133
About this file
This document is a purchase requisition worksheet for a 400 MHz NMR spectrometer from JEOL USA, Inc. for $316,575. The National Institutes of Health National Institute of Child Health and Human Development seeks this spectrometer with a vibrating magnet table through solicitation number 75N94022Q00133. The requester, Malliga Iyer from building 5625, needs the item by an unspecified date for use in the section on medicinal chemistry. Approval has been obtained from Kara Moyer and Jayme Gemmell. No competition was required as this appears to be a sole-source procurement due to the proprietary or unique nature of the needed equipment for ongoing experiments.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FBO_for_Jeol_USA.pdf | ||
| New_AP_use_for_orders_over_250K_Jeol.pdf | ||
| EntityInformation-20220512-114543.pdf | ||
| acquisition-strategy_Jeol.pdf | ||
| JA_over_250K_Jeol.doc | DOC document | |
| SQC009939_1_NIH_NIAAA_JEOL_JNM-ECZL400S_20220511-112256.pdf |
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Text version
Purchase Request POTS Number : 22-002238 Vendor Confirmation # :
Credit Card Reference # :
NBS Order No : N/A
1. Requester Requester's Name Malliga IYER
Date Needed
2. Recommended Sources
Name of First Vendor
JEOL USA, Inc.
Phone No.
Company Clerk's Name
Date Ordered : Buyer's Name
Christie HALCOMB
3. Ordering Information 4. Totals
Item No
Exp Type
Cat # CAN - Task Catalog No
DESCRIPTION QTY Unit of Issue LIST PRICE DISC. PRICE ESTIMATED
PRICE
1 N/A 8329401- 2022.100
SQC0099
39_1
JNM-ECZL400S: 400
MHz
(See page 3)
1.00 EACH $316,575.00 $316,575.00 $316,575.00
Total Item : 1 please continue to page 3 Grand Total List Price: $316,575.00 Grand Total : $316,575.00
978-535-5900 /
AO Approved by Kara Moyer for Jayme GEMMELL Date :5/12/2022 10:53:51 AM
Approve for George Kunos by Jayme
GEMMELL
Date:5/12/2022 10:01:37 AM
Submitted by Malliga IYER
Instructions:
The Requester completes Sections 1, 2, and 3. The
NBS Order No.
N/A completes the rest of the form.Buyer
Date Submitted:
05/11/2022
CAN O.C Code
Delivery Point Phone No.
Bldg/Room: 5625 Fishe/TS-42 3012175207 5/9/2022
N/A8329401/110372 Organization
HN55
Decal/Cost Adjust. Needed
Requester's Signature Internal Approval Internal Approval(signature) (signature)
(Provide three sources, if possible. Competition is required for open market and non-mandatory FSS orders over $3,000)
Name of Second Vendor
Name of Third Vendor
Phone No.
Company Clerk's Name
Phone No.
Company Clerk's Name
EIN FSS No.
EIN FSS No.
EIN FSS No.
5. Ordering Mechanism
For radioisotope orders only :
Complete Form NIH 88-1, "Request for Purchase and Use of Radioactive Materials."
Clearance no. of approved radioisotope purchaser
BPA/IDC Source No. Competition Required ? Clearances Required ? Clearances Obtained ?
Yes No Yes No Yes No
6. Mandatory Source Availability
Are any of the items available from these sources? If “yes,” and you are not using the mandatory source, explain why in Item 7.
YES NO
NIH Surplus
NIH Required Source (MAPB, Glassware, etc)
NIH/GSA Stock
YES NO
UNICOR
Blind/Severely
Mandatory FSS Schedules
7. Justification for Not Selecting Mandatory Source
YES NO
OPEN-MARKET Supplies
NIH/GSA Self Service
BPA Call (OM)
SF 44
Internal To/Do
NIH Stock Requisition External To/Do
Purchase Card(s)GSA Fedstrip
BPA Call (FSS) Purchase Order(s)
Purchase Cards/Convenience Checks
Cust Code: 15040
N/A Date:N/A
Internal Approval (signature)
See section 11 Required Sources list
Page 1 of 3NIH 1861-1 (Rev. 3/08) FRONT See Reverse
Compatibility with existing equipment.
Other
Mandatory FSS vendor is unacceptable because:
NIH stock item is unacceptable because:
NIH Stores out of stock and urgently needed.
Explain :
Explain :
(specify) :
8. Justification for Sole-source or Other than Small Business on Either Open Market or Non-mandatory FSS
Sole-source: Proprietary data/patent, etc. (FAR 6.302-1.)
Other
Small business is unable to deliver within required timeframe.
Sole-source: Urgent and compelling requirement. (FAR 6.302-2.)
Sole-source: Quality of product required for on-going experiments. (FAR 6.302-1.)
Explain :
Explain :
(specify) :
Explain :
Explain :
Unable to locate small business source(s) for item(s). Explain :
9. Competition (For open market and non-mandatory FSS orders over $3,000.)
Vendor 1
List Price Discount Price Phone No.
Comments
Date Called Company Clerk's Name
Vendor 2
List Price Discount Price Phone No.
Comments
Date Called Company Clerk's Name
Vendor 3
List Price Discount Price Phone No.
Comments
Date Called Company Clerk's Name
10. Price Reasonableness (Check all that apply.)
Lowest price quoted.
Comparison with prices on previous buys where price analysis performed.
Other
Previous order no. Date
(specify) :
YES NO
UNICOR, NIH FSS BPA, FSSI, GSA Advantage or GWAC's
YES NO
NIH OM BPA
The Open Market
Ability One Programs
11.Required Sources for Services
Page 2 of 3NIH 1861-1 (Rev. 3/08) BACK See Reverse
Item List
Item No
Exp Type
Cat # CAN - Task Catalog
DESCRIPTION QTY Unit of Issue
LIST PRICE DISC.
PRICE
ESTIMATED
PRICE
1 N/A 8329401- 2022.100
SQC0099
39_1
JNM-ECZL400S: 400 MHz NMR spectrometer (please see attached quote)
1.00 EACH $316,575.00 $316,575.00 $316,575.00
Total List Price
$316,575.00 Total : $316,575.00
PA Notes : NA
Requester Notes :
Justification : NMR for section on medicinal chemistry
Page 3 of 3NIH 1861-1 (Rev. 3/08) BACK
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