QCC16-G001 Pricing Proposal Form.xlsx

XLSX spreadsheet 21 KB Posted Jul 29, 2015

Attached to: QCC16-G001 Dental Clinic Supplies Bid
Solicitation number: BD-16-1085-3400-100-00000004973
Issued by: Worcester County, Massachusetts

About this file

Written by GovTribe AI · Aug 6, 2024

This document is a Pricing Proposal Form for Bid # QCC16-G001 Dental Clinic Supplies issued by Quinsigamond Community College in Massachusetts. The bid requests pricing for a wide range of dental supplies including anesthetics, needles, disinfectants, impression materials, x-ray supplies, personal protective equipment, and other consumable items. The estimated annual quantities for each product are provided, with bidders required to submit a discounted price and total extended price. The bid also requests a separate percentage discount on all other miscellaneous dental supplies estimated at $100,000 annually. Responses are due by a specified date, but no information is provided on award dates, contract terms, or renewal options.

The pricing proposal form requires bidders to provide catalog or manufacturer list prices as well as the discounted prices offered to Quinsigamond Community College. No information is given on any set-asides, incumbents, or funding sources. Bidders must submit the completed form with an authorized signature, company information, and contact details.

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File	Type	Posted
IFB Dental Clinic Supplies QCC16-G001.pdf	PDF	Jul 29, 2015
Questions and Answers QCC16-G001.pdf	PDF	Jul 29, 2015

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Sheet1

Quinsigamond Community College

Pricing Proposal Form for Bid # QCC16-G001 Dental Clinic Supplies

Please provide quote on ESTIMATED quantities for Academic Year 2015-2016

Product	Quantity ordered annually	Manufacturer (if applicable)	Product #	Catalog Price	Discounted Price Offered to QCC	Total Extended Price (Quantity x Discounted Price)
Xylocaine 100 2% 1:100,000 w epi	12 boxes
Mepivicaine 3 %	8 boxes
Needle 100/box 30ga Xshort	6 boxes
Needle 100/Box 27ga Short	10 boxes
Needle 100/Box 25ga Long	10 boxes
Protector Needle Sheath 100	9 boxes
Sharps Container 5 qt. Red	4
Top Anes Gel Pina 1 Oz	16 jars
Topex Top Anes Gel 1 oz. Mint	14 jars
Oraqix 20 cart.	9 boxes
Goodie bags	26 boxes
Omni Varnish 50 pk mint	12 boxes
cherry	12 boxes
melon	12 boxes
Omni Varnish 100 pk	10 boxes
Fluoride Tray Double Pedo	2 pkgs
Fluoride Tray Double Medium	2 pkgs
Fluoride Tray Double Large	2 pkgs
Allsolutions NSF Gel 12oz. Ap.Cin.	1
Fluoride Gel 1-Min. 16oz. B. Gum	1
Fluoride Gel 1-Min. 16oz.mint.	1
Oral B tip & handle Interdental Brush 24/box	3 boxes
Oral B tips Interdental Brush Refills 36/box	1 box
Etchant 1.2 ml 12 syr.	10 boxes
Block Out Resin 1 lb.	9
Tray Material Whitening clear 25/box	12 boxes
Mouth Guard clear 12/box	12 boxes
Mouth guard asst. colors 12/pk	12 boxes
Mouth guard hard/soft	1 box
Mouth Guard Cases	6
Micro brushes 500 pk	4 pkgs
Flowthru Micro Tips 100/pk	10 pkgs
Applicator Brushes Std. 144 black regular bristle	4 boxes
Alginate Triphasix 1 lb.	16 canisters
Alginate Jeltrate 1 lb.	10 canisters
Oraqix dispensers	6
Denstone 25# Golden	4
LabPlaster 25# Reg.set	4
Plaster Trap liner	2
Clean & Lube wipes 25/canister	6 canisters
Butane refill 150 gm can	3 cans
Tray Imp. 1/4 UL&LR, UR&LL	12 pkgs
Tray Imp. #1 Large Upper	20 pkgs
Tray Imp. #2 Large Lower	20 pkgs
Tray Imp. #3 Medium Upper	30 pkgs
Tray Imp. #4 Medium Lower	20 pkgs
Tray Imp. #5 Small Upper	30 pkgs
Tray Imp. #6 Small Lower	20 pkgs
Wax Boxing 1# Regular 11x1.5	6 boxes
Wax Utility Strips Large Red 3/16" 75/box	6 boxes
Wax Utility Strips Small Red 1/16" 114/box	6 boxes
Wax Wafer Bite Yellow 50/Pk.	10 boxes
Status Blue refill	4
Blue Mousse refill	4
Reprosil refill	4
ImpergumF	2
Luxatemp refill pk	2
COE Flex lead free	2
IP-22C Film W/Clinase sz 2 adult	12
IP-12 Film dbl pks sz 1	12
FV-58 sz 2 Econo pk (600 pk)	6
FV-54 sz 0 Econo pk	12
Rinn 1 piece 2 pk	2
X-Ray Cover Film 250/Pk.	3 boxes
Sensor cover Sz. 1 sm 500/box	8 boxes
Sensor cover Sz. 2 Lg 200/box	8 boxes
Intra Oral Camera sleeves 500pk	1 box
Pan bite block cover 500pk	1 box
Edge-Ease cush. 300/Pk. Blue Long	6 boxes
Env. X-Ray 3-1/2x2-1/4 500/Pk.	1 box
Cleaning Film Sheet 12	3 boxes
Developer & Fixer gal.	7 cases
Spray 2000 Plus	1 bottle
Formula 2000 Plus cleaner	2 twin packs
Safety glasses clear	12 pcs
AllPro Protect-A-Lens 100/pkg	3 pkgs
KC lavender Nitrile purple XSm	10 boxes
KC lavender Nitrile purple SM	100 boxes
KC lavender Nitrile purple MED	210 boxes
KC lavender Nitrile purple LRG	20 boxes
KC lavender Nitrile purple X- LRG	4 boxes
Mask Earloop Teal 12 per case	50 cases
Class II Earloop Medium Filtration Masks	40 cases
Class III Earloop High Filtration Masks with Antiglare Faceshield 25/box	30 cases
Face shields 24 pk	32 boxes
Towel 3+1 Poly 13-1/2x18 Teal	19 cases
Towel Large Bib 29x21 100 Blue	11 cases
Cup Plastic 5oz. 1000/Pk. Beige	10 cases
Cup Medic/Mix 10oz. 100/Tb.	4 cases
Tray Cover 1000/box	36 cases
Tray Cover Sleeve size B 500/case	12 cases
Tray/Head Rest Cover	16 boxes
Light Handle Cover	30 boxes
Cover All film 4"x6" 1200/box	18 boxes
Xray Head Cover 250/pkg	5 boxes
Bite Block Cover 1”x 2”	2 boxes
Disposachain Silver 300/Pk.	7 boxes
Dapaway Dish Ref. 1000/Pk.	6 pkgs
Pen sleeves	2 boxes
Mirror Flecta Disposable 200	8 pkgs
Fastips Disp. Air/Water 250	22 pkgs
Mirro-Vac 50/pk	4 pkgs
Saliva Ejectors 100 pk	36 pkgs
Suction HVE 100 pk	18 pkgs
Cotton Rolls	5 boxes
Cotton Pellets #3 2500/box	9 boxes
Cotton Tip applicators 6”	10 boxes
Gauze 2 X 2	3 cases
Dri-Aid Small 250/Pk.	10 boxes
Holder Cotton RL Isolator 50	20
Articulating. Paper blue thin	20 pkgs
Disclosing Liq. 2 Tone 2oz.	20 bottles
Disposable jackets Small 10 pks.	60 pkgs
Med. 10 pks.	84 pkgs
Large 10 pks.	60 pkgs
X-Large 10 pks.	10 pkgs
Cassette Wrap Blue 15x15 1000/case	6 cases
Steri Pouch 2 ¼ X 4	2 boxes
Ultra Plus 3 ½ X 5 ¼	2 boxes
2 ¾ X 9	2 boxes
3 ½ X 9	2 boxes
5 ¼ X 10	2 boxes
7 ½ X 13	1 box
Auto Clave Tape 3/4"	15
Indicator strips	15 boxes
Stain & Tarter Remover gallon	4 cases
IMS Enxymax powder	10
Stat-Dri 8 oz spray	2 bottles
NeutraVac 96 oz.	4 bottles
Sterliex Ultra Powder 20/box	2 boxes
Blue Tabs	20
Aquasafe Water Test Kit	2
Scrub Stat Soap 18oz. w/Pump 2%	6 bottles
Aloe gel 18 oz. pump	24 bottles
Aloe gel 4 oz.	20 bottles
Alcohol wipes	10 boxes
CaviWipes 160/Can	150 canisters
CaviWipes flat pks	6 pkgs
CaviSpray 24 oz. spray	6 bottles
Confirm Biological Monitor Indicator Refills 25/box	3 boxes
Cure sleeve barrier	2 boxes
HVE/Saliva ejector	22 pkgs
Prophy Angle Pivot NL 144 pk short	12 boxes
Prophy Brushes 100pk sm	2 boxes
Prophy Paste Enamelpro FINE Mint	3 boxes
Cinamon	3 boxes
Grape	3 boxes
Strawberry	3 boxes
CPR paste 100 jar	2 jars
Floss Waxed Mint 12 yd 144 pk.	20 boxes
Woven “	20 boxes
Floss Spool refill waxed mint	20 boxes
Floss Aid Holder 18/Pk.	10 boxes
Super Floss Mint 100BG/10	3 boxes
Glide Floss Threader 150pk/box	6 boxes
Flossmate Handle 1 Doz/Box	2 boxes
Floss Picks 72 pk	6 boxes
Stim U Dent 144/Pk.	2 boxes
Stimulator Tip and Handle	12 boxes
Tongue Cleaner 24/Pk.	8 boxes
Proxabrush tight	12 boxes
Proxabrush moderate	12 boxes
Perio-aide	2 boxes
Listermint Gal. 2pk	8 boxes
Listerine Zero	12 bottles
Perioguard 16 oz oral rinse	7 bottles
Denture brushes	12 bottles
Fixodent Dumpkin 35-Sample Pk.	1 box
Kleenex Tissue White 100’s 36	2 cases
Amalgam dbl spill 50pk	2 boxes
Amalgam Safe	1
Activation Salt B1640	2 boxes
Neodisher Mielclear Rinse 1 liter	1
Neutralizer 5 liter	1
Assistina Cleaner Liquid	1
Assistina Service Oil	1
Handpiece Cleaner refill midwest	1
Handpiece Lubricant midwest	1
IMS powder Enxymax	4
Indicator strips	12 boxes
Hand Essentials skin repair 32oz	6 bottles
Hand Essentials 4oz	20 tubes
White petroleum 1 oz .tubes	40 tubes
Total Extended Price for One Year on all items listed						$_________________

Separately from the Total above, please quote a percent discount from your catalog or manufacturer

list price for all supplies and equipment not identified in the above pricing proposal.

The yearly value of dental supplies not identified above estimated at $100,000.00.

Discount for Miscellaneous Dental Supplies from catalog or manufacturer list price $_________________

Authorized Signature: _______________________________________________

Name Printed: _____________________________________ Date: __________

Company: _______________________________________________________

Address: _________________________________________________________

Phone: _________________________ Fax: ___________________________

Email: ___________________________________________________________

QCC16-G001 Pricing Proposal Form

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File details come from the government source that posted it. Updated Aug 6, 2024.