03_PricelistProposalPrep_621II_R3_20180606.xlsx
XLSX spreadsheet 511 KB Posted
- Solicitation number
- RFP797FSS040001R3
About this file
This is a price list proposal preparation template for the VA Federal Supply Schedule (FSS) 621II Medical Laboratory Testing & Analysis Services contract. The file serves as a formatting and instruction guide for offerors preparing pricing submissions for the multiple award, fixed-price, indefinite delivery-indefinite quantity (IDIQ) contract under Solicitation RFP-797-FSS-04-0001-R3. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration and covers reference laboratory services including anatomic pathology, clinical chemistry, cytogenetics, cytology, clinical drugs of abuse and toxicology, endocrinology, hematology, hemostasis, immunology, microbiology, organ or disease-oriented panels, pharmacogenetics/pharmacogenomics, serology, and urinalysis.
The contract is a standing solicitation with no closing date, allowing continuous acceptance of new offers. Contract performance spans five years from the award date unless canceled, terminated, or extended. Pricing must cover F.O.B. destination delivery to the 48 contiguous states and the District of Columbia, with offerors able to elect whether to include Alaska, Hawaii, and Puerto Rico. The solicitation includes Economic Price Adjustment (EPA) provisions and is limited to facilities that actively perform testing services, excluding specimen collection-only or mailing service operations. Offerors may be geographically limited based on licensing requirements or may offer nationwide delivery. For questions and assistance, the FSS Helpdesk contact is 708-786-7737 or helpdesk.ammhinFSS@va.gov.
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Price Proposal
| Product Information | MFC Information | Tracking Customer Information | FSS Information | |
| SIN# | ||||
| Lydia McKay: Carefully review the list of SINs provided in Document 02 (the Continuation of SF1449) and choose the category that matches your product’s attributes. If a product does not fit within one of the listed SIN categories, then it potentially does not fall within the scope of the Schedule. | Item # | |||
| Lydia McKay: The item number must be listed for each proposed product and must be a unique identifier (i.e., you cannot list the same item number on more than one line). This item number should correspond to the item number listed in the commercial catalog/pricelist which you provide with your proposal. | Product Name / Description, |
Including Assay Method & All Applicable CPT Codes Lydia McKay: Product Name/Description must fully describe the product. The description you list here will be a stand-alone description (without extra columns for unit of measure, etc.) in our NAC Contract Catalog Search Tool (CCST). For example, you would not just list your product as a “Blue Ink Pens”, but rather as “300-Count Box of Retractable, Blue Ink Pens” or “Case of Six, 300-Count Boxes of Retractable Blue Ink Pens”. The ordering activities must know exactly what the proposed pricing represents. Country of Origin (See Country Codes Tab) Lydia McKay: You must list the country of origin for each product, utilizing the two-letter country codes provided on a Country Code tab. Remember, the country of origin of the product is where the product was “substantially transformed”, not necessarily the country of manufacture or the country of export. All offered products must come from a Trade Agreements Act (TAA) designated country. For more information on this subject, please see Document 01 – Read Me First or our Compliance Requirements webpage. Commercial List Price ($) Lydia McKay: The commercial list price must be listed for each proposed line item. This should match the commercial pricelist/catalog provided with your proposal. The discount off of list price (for your Most Favored Customer, the Tracking Customer, and the Government) will be calculated based upon the information in this column.
MFC Net Price ($) VA Employee: Lowest upfront (guaranteed) discounted price.
| List the lowest price you charge any customer (known as the Most Favored Customer) for each line item. This is specific to each line item; therefore, the Most Favored Customer (MFC) may vary from item to item. In determining your lowest price, you should be looking for the lowest price currently received by any customer for each line item based upon the upfront (guaranteed) discount received. This is not inclusive of “conditional” discounts, such as prompt payment discounts, annual rebates based on reaching a threshold, etc., which must be listed in Fig 515.4-2. | MFC % Off Comm. List Price |
| Christine Szrom: Column auto-calculates the % discount off of list price. | MFC Name |
| VA Employee: Name of Customer or category of customer that receives the lowest upfront (guaranteed) discounted price. | Proposed Tracking Customer (TC) Name |
VA Employee: Please enter the proposed Tracking Customer (TC) even if the proposed TC is the same as the stated MFC.
| List the name of the customer or category of customers you wish to propose as the Tracking Customer (TC). You will need to complete this field for each proposed item. Be prepared to discuss your rationale for the TC you are proposing. The TC ratio (Government price without IFF divided by the TC price) will impact future price increases and decreases under your Government contract pursuant to clauses 552.238-75Price Reductions and 552.216-70 Economic Price Adjustment (located in Document 02 – Solicitation Document). | Proposed TC Net Price ($) |
| Lydia McKay: List the price that the listed Tracking Customer (TC) pays for each line item. If you are proposing different TCs for different line items, then make sure that the price you list corresponds to the TC listed in the previous column. | TC % Off Comm. List Price |
| Christine Szrom: Column auto-calculates the % discount off of list price. | Proposed, |
All Inclusive (see Doc 02) FSS Price ($) without IFF Christine Szrom: List the price you wish to offer the Government for each line item. This represents the price without IFF which will be added in Column P. This price must be F.O.B. destination (see clause F-FSS-202-G Delivery Prices in Document 04 – Vendor Response Document). Proposed, All Inclusive FSS Discount (%) off Comm. List w/out IFF Christine Szrom: Column auto-calculates the % off list price using the proposed FSS price without IFF.
Proposed, All Inclusive (see Doc 02) FSS Price ($) with IFF
| 42-1 |
| 42-2B |
| 42-3 |
| 42-5 |
| 622 |
| INP |
&"Arial,Bold"&12Proposed Government Pricing &P of &N
&"Calibri,Bold"&12Document 06 - 621II R3 - Proposed Government Pricing &"Calibri,Bold"&P of &N
Test Send-Outs Proposal
| Product Information | MFC Information | Tracking Customer Information | FSS Information | |
| SIN# | ||||
| Lydia McKay: Carefully review the list of SINs provided in Document 02 (the Continuation of SF1449) and choose the category that matches your product’s attributes. If a product does not fit within one of the listed SIN categories, then it potentially does not fall within the scope of the Schedule. | Item # | |||
| Lydia McKay: The item number must be listed for each proposed product and must be a unique identifier (i.e., you cannot list the same item number on more than one line). This item number should correspond to the item number listed in the commercial catalog/pricelist which you provide with your proposal. | Product Name / Description, |
Including Assay Method & All Applicable CPT Codes Lydia McKay: Product Name/Description must fully describe the product. The description you list here will be a stand-alone description (without extra columns for unit of measure, etc.) in our NAC Contract Catalog Search Tool (CCST). For example, you would not just list your product as a “Blue Ink Pens”, but rather as “300-Count Box of Retractable, Blue Ink Pens” or “Case of Six, 300-Count Boxes of Retractable Blue Ink Pens”. The ordering activities must know exactly what the proposed pricing represents. Country of Origin (See Country Codes Tab) Lydia McKay: You must list the country of origin for each product, utilizing the two-letter country codes provided on a Country Code tab. Remember, the country of origin of the product is where the product was “substantially transformed”, not necessarily the country of manufacture or the country of export. All offered products must come from a Trade Agreements Act (TAA) designated country. For more information on this subject, please see Document 01 – Read Me First or our Compliance Requirements webpage. Name of Subcontractor Commercial List Price ($) Lydia McKay: The commercial list price must be listed for each proposed line item. This should match the commercial pricelist/catalog provided with your proposal. The discount off of list price (for your Most Favored Customer, the Tracking Customer, and the Government) will be calculated based upon the information in this column.
MFC Net Price ($) VA Employee: Lowest upfront (guaranteed) discounted price.
| List the lowest price you charge any customer (known as the Most Favored Customer) for each line item. This is specific to each line item; therefore, the Most Favored Customer (MFC) may vary from item to item. In determining your lowest price, you should be looking for the lowest price currently received by any customer for each line item based upon the upfront (guaranteed) discount received. This is not inclusive of “conditional” discounts, such as prompt payment discounts, annual rebates based on reaching a threshold, etc., which must be listed in Fig 515.4-2. | MFC % Off Comm. List Price |
| Christine Szrom: Column auto-calculates the % discount off of list price. | MFC Name |
| VA Employee: Name of Customer or category of customer that receives the lowest upfront (guaranteed) discounted price. | Proposed Tracking Customer (TC) Name |
VA Employee: Please enter the proposed Tracking Customer (TC) even if the proposed TC is the same as the stated MFC.
| List the name of the customer or category of customers you wish to propose as the Tracking Customer (TC). You will need to complete this field for each proposed item. Be prepared to discuss your rationale for the TC you are proposing. The TC ratio (Government price without IFF divided by the TC price) will impact future price increases and decreases under your Government contract pursuant to clauses 552.238-75Price Reductions and 552.216-70 Economic Price Adjustment (located in Document 02 – Solicitation Document). | Proposed TC Net Price ($) |
| Lydia McKay: List the price that the listed Tracking Customer (TC) pays for each line item. If you are proposing different TCs for different line items, then make sure that the price you list corresponds to the TC listed in the previous column. | TC % Off Comm. List Price |
| Christine Szrom: Column auto-calculates the % discount off of list price. | Proposed, |
All Inclusive (see Doc 02) FSS Price ($) without IFF Christine Szrom: List the price you wish to offer the Government for each line item. This represents the price without IFF which will be added in Column P. This price must be F.O.B. destination (see clause F-FSS-202-G Delivery Prices in Document 04 – Vendor Response Document). Proposed, All Inclusive FSS Discount (%) off Comm. List w/out IFF Christine Szrom: Column auto-calculates the % off list price using the proposed FSS price without IFF.
Proposed, All Inclusive (see Doc 02) FSS Price ($) with IFF
| 42-1 |
| 42-2B |
| 42-3 |
| 42-5 |
| 622 |
| INP |
&"Calibri,Bold"&12Document 06 - 621II R3 - Proposed Government Pricing &"Calibri,Bold"&P of &N
Figure 515.4-2
| The Government expects you to provide information required by the format in accordance with the solicitation instructions for Figure 515.4-2 that is, to the best of your knowledge and belief, current, accurate, and complete as of 60 calendar days prior to its submission. The data provided in the price proposal tab and Figure 515.4-2 is current, accurate, and complete as of (enter date in cell to the right). | Enter date in this cell based on instructions to the left. |
| Provide the date range which represents the start and end date of the transactional data used to populate the MFC and TC columns on the Price Proposal tab as well as Figure 515.4-2 below (enter date in cell to the right). | Enter date range (start and end date) in this cell based on instructions to the left. |
| Indicate if you have limited your disclosures below to the number of models or product lines which exceed 75% of the actual historical Government sales (commercial sales may be substituted if Government sales are unavailable) value of the special item number (SIN) (enter date in cell to the right). | Enter Yes or No in this cell based on instructions to the left. |
| Column 1 - Customer |
VA Employee:
A "Customer" is any entity, except the Federal Gvmt, which acquires supplies or services from the Offeror.
In this column you should list the MFC as well as each customer or category of customers (e.g. wholesalers, GPOs, hospitals, etc.) who are receiving equal to or better pricing than that offered to the Government for any proposed item. Categories of customers for whom your discounting practices are the same (for all columns to the right, columns 2 – 5) may be grouped together in a single line. Each customer with different discounting practices must be listed on a separate line. Column 2 - Discount VA Employee: This column represents the best discount (as a percentage off of commercial list) at which you sell the offered products to the customer/category of customers listed in column 1. If the total discount is a combination of various discounts (upfront discount, prompt payment, quantity, etc.), then the percentage must be broken out for each type of discount. The “upfront” discount is that afforded to the customer at the time of order. Below are examples of different discounting configurations.
If your discount practices vary by individual line item and you are offering a large number of items and have numerous customers listed in this figure, then you may initially list the percentage discount range for each customer for the offered products. However, be aware that you may be asked by your Contract Specialist or the VA’s Office of Inspector General (OIG) to provide a breakdown by line item as this level of detail may be necessary for a determination of price reasonableness or a determination of the completeness and accuracy of your submission. Column 3 - Quantity/Volume VA Employee:
| This column describes what is required of the customer in column 1 in order for them to be afforded the discount(s) listed in column 2. Be specific when listing the requirement (e.g.” 90% market share commitment contract” rather than “commitment contract”; “Minimum of $500,000 in purchases during calendar year” rather than “$500,000 in purchases”). | Column 4 - FOB Terms |
| VA Employee: In the preformatted spreadsheet provided in Document 06, this column has a drop-down box for you to select FOB Origin or FOB Destination. FOB Origin means that the item is “free on board” at the point of origin; in other words, the customer pays for the shipping. FOB Destination means that the item is “free on board” to the point of destination; in other words, the customer does not pay a separate shipping charge and the price of the item is inclusive of shipping. | Column 5 - Additional Discounts or Concessions |
VA Employee: This column represents any additional concessions afforded to the listed customer, such as freight allowance, extended warranty, extended price guarantees, free installation and bonus goods, as identified in clause 553.212-70 Preparation of Offer (Multiple Award Schedule).
| Please reference the instructions for this Figure in the CSP-1 section of the solicitation and in the "Contractor Guide to CSP" found on our Training |
| web page under the "Prospective Contractors - Solicitation Assistance" section at: https://www.va.gov/oal/business/fss/training.asp. |
https://www.va.gov/oal/business/fss/training.asp NonManufacturers
SIN#
VA Employee: Special Item Number
This should match info provided in the price proposal tab. Mfr Name VA Employee: Manufacturer's Company Name
This should match info provided in price proposal tab Column E. Mfr Part # VA Employee:
Manufacturers Part Number
This should match info provided in price proposal tab Column F. Dealer/Reseller Part # VA Employee: Your firm's Item/Part Number
This should match the item number provided in price proposal tab Column B. Product Description Lydia McKay: Product Description
| This should match the description provided in price proposal tab Column C. | Mfr List Price |
| VA Employee: Manufacturer Commercial List Price | Dealer/Reseller % discount off Mfr. List Price |
VA Employee:
The % discount your firm receives off of the Manufacturer's commercial list price.
This is not the % discount you are offering to the Government.
Country Codes
| Country | Code |
| Afghanistan | AF |
| Albania | AL |
| Alberta | XA |
| Algeria | DZ |
| American Samoa | AS |
| Andorra | AD |
| Angola | AO |
| Anguilla | AI |
| Antigua & Barbuda | AG |
| APO Customs Mail Entry Only | AP |
| Argentina | AR |
| Armenia | AM |
| Aruba | AW |
| Australia | AU |
| Austria | AT |
| Azerbaijan | AZ |
| Bahamas | BS |
| Bahrain | BH |
| Bangladesh | BD |
| Barbados | BB |
| Belarus | BY |
| Belgium | BE |
| Belize | BZ |
| Benin | BJ |
| Bermuda | BM |
| Bhutan | BT |
| Bolivia | BO |
| Bosnia and Herceqovina | BA |
| Botswana | BW |
| Bouvet Island | BV |
| Brazil | BR |
| British Columbia | XC |
| British Columbia Coastal | XD |
| British Columbia Interior | XE |
| British Indian Ocean Territory | IO |
| British Virgin Islands | VG |
| Brunei | BN |
| Bulgaria | BG |
| Burkina Faso | BF |
| Burma | BU |
| Burma (Myanmar) | MM |
| Burundi | BI |
| Cambodia | KH |
| Cameroon | CM |
| Canada | CA |
| Cape Verde | CV |
| Cayman Islands | KY |
| Central African Republic | CF |
| Chad | TD |
| Chile | CL |
| China (Mainland) | CN |
| China (Taiwan) | TW |
| Christmas Islands | CX |
| Cocos (Keeling) Islands | CC |
| Colombia | CO |
| Comoros | KM |
| Congo (Brazzaville) | CG |
| Congo, The Democratic Republic of the (Kinshasa) | CD |
| Cook Islands | CK |
| Costa Rica | CR |
| Croatia | HR |
| Cuba | CU |
| Curacao | CW |
| Cyprus | CY |
| Czech Republic | CZ |
| Czechoslavakia | CS |
| Denmark | DK |
| Djibouti, | DJ |
| Dominica | DM |
| Dominican Republic | DO |
| Ecuador | EC |
| Egypt | EG |
| El Salvador | SV |
| Equatorial Guinea | GQ |
| Eritrea | ER |
| Estonia | EE |
| Estonia | EN |
| Ethiopia | ET |
| Falkland Islands (Malvinas) | FK |
| Faroe Islands | FO |
| Fiji | FJ |
| Finland | FI |
| FPO Customs Mail Entry | FP |
| France | FR |
| French Guiana | GF |
| French Polynesia | PF |
| French Southern and Antarctic Lands | TF |
| Gabon | GA |
| Gambia | GM |
| Gaza Strip | GZ |
| Georgia | GE |
| Georgia | GG |
| Germany | DE |
| Germany, East | DD |
| Ghana | GH |
| Gibraltar | GI |
| Greece | GR |
| Greenland | GL |
| Grenada | GD |
| Guadeloupe | GP |
| Guam | GU |
| Guatemala | GT |
| Guernsey | GG |
| Guinea | GN |
| Guinea Bissau | GW |
| Guyana | GY |
| Haiti | HT |
| Heard Island and McDonald Islands | HM |
| Honduras | HN |
| Hong Kong | HK |
| Hungary | HU |
| Iceland | IS |
| India | IN |
| Indonesia | ID |
| Iran, | IR |
| Iraq | IQ |
| Ireland | IE |
| Israel | IL |
| Italy | IT |
| Jamaica | JM |
| Japan | JP |
| Jordan | JO |
| Kazakhstan | KZ |
| Kazakhstan | KK |
| Kenya | KE |
| Kiribati | KI |
| Korea, Republic Of | KR |
| Kuwait | KW |
| Kyrgyzstan | KG |
| Laos People's Democratic Republic | LA |
| Latvia | LV |
| Lebanon | LB |
| Lesotho | LS |
| Liberia | LR |
| Libya | LY |
| Liechtenstein | LI |
| Lithuania | LT |
| Luxembourg | LU |
| Macao | MO |
| Macedonia, (Skopie) | MK |
| Madagascar | MG |
| Malawi | MW |
| Malaysia | MY |
| Mali | ML |
| Malta and Gozo | MT |
| Manitoba | XM |
| Marshall Islands | MH |
| Martinique | MQ |
| Mauritania | MR |
| Mauritius | MU |
| Mayotte | YT |
| Mexico | MX |
| Micronesia, Federated States | FM |
| Moldova, Republic of | MD |
| Monaco | MC |
| Mongolia | MN |
| Montenegro | ME |
| Montserrat | MS |
| Morocco | MA |
| Mozambique | MZ |
| Namibia | NA |
| Nauru | NR |
| Nepal | NP |
| Netherlands | NL |
| Netherlands Antilles | AN |
| New Brunswick | XB |
| New Foundland and Labrador | XW |
| New Caledonia | NC |
| New Zealand | NZ |
| Nicaragua | NI |
| Niger | NE |
| Nigeria | NG |
| Niue | NU |
| Norfolk Island | NF |
| Northern Mariana Islands | MP |
| Norway | NO |
| Oman | OM |
| Ontario | XO |
| Pakistan | PK |
| Palau | PW |
| Panama | PA |
| Papua New Guinea | PG |
| Paraguay | PY |
| Peru | PE |
| Philippines | PH |
| Pitcairn Island | PN |
| Poland | PL |
| Portugal | PT |
| Prince Edward Island | XP |
| Puerto Rico | PR |
| Qatar | QA |
| Quebec | XA |
| Republic of Maldives | MV |
| Republic of South Africa | ZA |
| Republic of Yemen | YE |
| Reunion | RE |
| Romania | RO |
| Russia Federation | RU |
| Rwanda | RW |
| St. Kitts and Nevis Islands | KN |
| St. Lucia | LC |
| Saint Pierre and Miquelon | PM |
| Saint Vincent and The Grenadines | VC |
| Samoa | WS |
| San Marino | SM |
| Sao Tomes and Principe | ST |
| Saudi Arabia | SA |
| Senegal | SN |
| Serbia | RS |
| Seychelles | SC |
| Sierra Leone | SL |
| Singapore | SG |
| Sint Maarten (Southern) | SX |
| Slovakia | SK |
| Slovakia | SQ |
| Slovenia | SI |
| Solomon Islands | SB |
| Somalia | SO |
| Spain | ES |
| Sri Lanka | LK |
| Sudan | SD |
| Surinam | SR |
| Svalbard and Jan Mayen Islands | SJ |
| Swaziland | SZ |
| Sweden | SE |
| Switzerland | CH |
| Syria | SY |
| Tajikistan | TJ |
| Tanzania, United Republic of | TZ |
| Thailand | TH |
| Timor-Leste | TL |
| Togo | TG |
| Tokelau | TK |
| Tonga | TO |
| Trinidad and Tobago | TT |
| Tunisia | TN |
| Turkey | TR |
| Turkmenistan | TM |
| Turks and Caicos Islands | TC |
| Tuvalu | TV |
| Uganda | UG |
| Ukraine | UA |
| Union of Soviet Socialist Republics | SU |
| United Arab Emirates | AE |
| United Kingdom | GB |
| United States of America | US |
| United States Minor Outlying Islands | UM |
| Uruguay | UY |
| Uzbekistan | UZ |
| Vanuatu | VU |
| Vatican City | VA |
| Venezuela | VE |
| Vietnam | VN |
| Virgin Islands of the United States | VI |
| Wallis and Futuna | WF |
| West Bank | WE |
| Western Sahara | EH |
| Yemen | YE |
| Yugoslavia | YU |
| Yukon | XU |
| Zaire | ZR |
| Zambia | ZM |
| Zimbabwe | ZW |
Non-TSO Price Analysis
| MFC and TC Analysis | ||||||||||
| SIN# | Item # | Commercial List Price ($) | MFC Net Price ($) | MFC Discount off Comm. List Price (%) | Proposed TC Net Price ($) | TC Discount off Comm. List Price (%) | Proposed, All Inclusive FSS Price ($) without IFF | Proposed FSS Discount off Comm. Price w/out IFF (%) | Is Proposed Gov't Price (w/out IFF) <= MFC Price? | Proposed TC Ratio |
&"Calibri,Bold"621II R3 - Price Analysis &"Calibri,Bold"Page &P of &N
TSO Price Analysis
| MFC and TC Analysis | |||||||||||
| SIN# | Item # | Commercial List Price ($) | MFC Net Price ($) | MFC Discount off Comm. List Price (%) | Proposed TC Net Price ($) | TC Discount off Comm. List Price (%) | Proposed, All Inclusive FSS Price ($) without IFF | Proposed FSS Discount off Comm. Price w/out IFF (%) | Is Proposed Gov't Price (w/out IFF) > MFC Price? | Is Proposed Gov't Price (w/out IFF) <= MFC Price? | Proposed TC Ratio |
TSO Price Analysis
Page &P of &N
Non-TSO Award
SIN# Item # Product Name / Description, Including Assay Method & All Applicable CPT Codes Tracking Ratio All Inclusive FSS Price without IFF (Copy FSS w/ IFF from PP Tab) All Inclusive FSS Price with IFF Red "A" = Awarded
&"Calibri,Bold"621II R3 - Awarded Pricing &"Calibri,Bold"&P of &N
TSO Award
SIN# Item # Product Name / Description, Including Assay Method & All Applicable CPT Codes Name of Test Send Out (TSO) Subcontractor TSO Tracking Ratio
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