RFQ Pricing Worksheet.xlsx

This is an RFQ Pricing Worksheet for orthotic blanks, cork components, top cover materials, and related insole fabrication items required by the Department of Veterans Affairs, Tomah VA Medical Center. The solicitation (36C25226Q0538) is restricted to small businesses under the Small Business Administration size standard of 800 employees and is classified under NAICS code 339113 (Surgical Appliance and Supplies Manufacturing) with FSC/PSC 6515. The contract will be firm-fixed-price with a 12-month base year running from September 6, 2026 to September 5, 2027, followed by three optional 12-month periods through September 5, 2030.

The pricing worksheet itemizes 28 line items of orthotic products, including Plastizote and Plastazote top cover sheets, X-Static top cover material, men's die-cut cork/EVA insoles in various sizes, Euro insole blanks in soft/medium/firm configurations, and tape insole die cuts. Quantities range from 6 units (Plastazote sheets) to 4,511 units (tape insole die cuts and mill cuts). Offerors must provide unit prices and extended prices for each item across all four contract periods. The worksheet requires identification of manufacturer names, manufacturer size classification (small or large), and country of origin with TAA compliance verification. These materials are intended for use in the facility's in-house AMFIT milling system to fabricate custom orthotic inserts for Veteran patients.