RFQ Attachment - PPE Source Questionnaire Nitrile Gloves.pdf
PDF 233 KB Posted
- Solicitation number
- 36C26321Q0199
About this file
This document contains a questionnaire for potential suppliers of nitrile gloves for chemotherapy use by the Department of Veterans Affairs VISN 23. The questionnaire requests information on the company name and credentials, prior federal government contracts, registration in the System for Award Management, proposed payment terms, product literature, certifications if applicable, manufacturing location, current product location and quantity, estimated shipping and delivery details including terms and pricing, discounts for bulk orders, and logistics chain details. Suppliers are asked to confirm their products are not gray market and to provide recent federal government contract experience including the contract number and government point of contact.
The related federal contract opportunity notices an upcoming unrestricted competitive solicitation for nitrile gloves rated for chemotherapy drug use to be issued on or about December 11, 2020 under solicitation number 36C26321Q0199. Interested parties must register in the System for Award Management and VetBiz.gov if seeking credit as a SDVOSB or VOSB. The opportunity does not obligate the government to award a contract or pay proposal costs.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26321Q0199 0001.docx | DOCX document | |
| RFQ - 36C26321Q0199.pdf | ||
| RFQ - PPE Source Questionnaire Nitrile Gloves.pdf | ||
| 36C26321Q0199.docx | DOCX document |
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Text version
PPE Source Questionnaire
The purpose of this document is to ascertain information necessary to execute an award with your company, if you are not able to adequately respond to each item herein, the process will stop and no further consideration will be given to your company regarding a potential contract. Please complete all fields below and provide attachments with the response to support your responses below.
Question Contractor Response
1. Company legal name, address, point of contact information
2. Has your company done business with the Federal government previously? If yes, please provide contract number for reference
3. Company DUNS
4. Cage Code
5. Are you registered in System for Award Management
(SAM)? If so, are there any exclusions? Link below:
https://www.sam.gov/SAM/pages/public/samStatusTracker.jsf
6. Any proposed payment terms (Is any money needed up front? Standard Federal payment terms are NET30)
7. Any unique terms and conditions being proposed
8. Product being proposed, with product literature attached to response
9. Confirmation the product being proposed is not gray market or counterfeit in accordance with Veterans Affairs Acquisition Regulation Clause 852.212-72 below.
852.212-72 Gray Market and Counterfeit Items (MAR
2020) (DEVIATION)
GRAY MARKET AND COUNTERFEIT ITEMS (MAR 2020)
(a) No used, refurbished, or remanufactured supplies or equipment/parts shall be provided. This procurement is for new Original Equipment Manufacturer (OEM) items only. No gray market items shall be provided. Gray market items are OEM goods intentionally or unintentionally sold outside an authorized sales territory or sold by non-authorized dealers in an authorized sales territory.
https://www.sam.gov/SAM/pages/public/samStatusTracker.jsf
(b) No counterfeit supplies or equipment/parts shall be provided. Counterfeit items include unlawful or unauthorized reproductions, substitutions, or alterations that have been mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified item from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitutions include used items represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics.
(c) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions.
10. FDA, ASTIM, AMMI NIOSH Certifications, if applicable
11. Where are products being manufactured?
12. If already produced, where is product located now?
13. Quantity on hand
14. Estimated shipping and delivery information.
- Shipping terms (FOB Origin or Destination)
15. Price per unit
16. Any discounts for bulk purchase?
17. Provide summary of logistics chain (i.e. they are buying from the manufacture or are they buying from another wholesaler/importer and reselling again (how many hand exchanges before delivery)
18. Recent (during COVID19) experience providing this specific product to the Federal government and/or US hospital. If so, provide contract number and Government POC name and contact information.
(See Price/Cost schedule)
(in-stock and available for immediate delivery)
File details come from the government source that posted it. Updated .