S02 Attch- Price Sheet 36C77023Q0422.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
6515--760-23-3-050-1132 -Leavenworth CMOP RESERVOIR-OMNI/PODS -(VA-23-00081624)
Solicitation number
36C77023Q0422
Issued by

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This document contains a price sheet for a federal solicitation requesting omnipod reservoirs. The solicitation is requesting quotes for one line item of 5 count reservoirs from Insulet Corporation with at least ten months of expiration date remaining. Quotes are due by September 14th, 2023 at 3:00PM Central Time and should be emailed to the listed point of contact. The solicitation is for the Leavenworth, Kansas CMOP facility and has a solicitation number of 36C77023Q0422. Vendors must include a signed SF1449 form, copy of a state-issued license for any drug items, authorization letter from the source, and point of contact email. The Buy American Act applies with a 20% add-on for foreign end products for evaluation purposes.

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Your Business Name Here

CMOP Nationwide
PR# 760-23-3-050-1132, Solicitation# 36C77023Q0422Delivery Before or On: 15 Days After Receipt of Order (ARO)
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:9/8/23
Vendor CompleteClosing Date:9/14/23
Vendor Name:Closing Time:3:00PM Central Standard Time (CDT)
Unique Entity ID:E-mail quotes to Gerald.Bingham@va.gov
POC Name:Requireed: Signed SF1449 Form, Copy of State-Issued License (for Drug Items), Authorization Letter from Source, and
POC E-Mail:Vendors shall submit no more than (1) one quote per vendor
Phone:Buy America Act (BAA) applies; a 20% add-on on foreign end products is applicable for evaluation purposes.
Type of Small BusinessIf vendors are proposing NDC with Qty or Package Count other than CMOP listed NDC, convert to closest amount in RFQ.
**Mandatory Fill-in: Country of Origin means Country of Manufacture Location (attached photos of product(s) packaging labels welcomed by not mandatory, helps verify location)
QTY shall be adjusted for that count and this should be noted in "Vendor Comments" and/or ARO notes
Vendor Complete
Line ItemVA VISTA Item NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor Comments (i.e., DAYS ARO, Delivery Days)
1XL201LEAVENWORTH CMOP, 5000 S. 13TH ST.,

LEAVENWORTH, KS 66048-5580

RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201 Please Note: All Omnipod product received by Government shall have at least ten (10) months to expire date. 08508-3000-21 Insulet Corp. 3600 PG $ - 0 $0.00

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