S02 Attch- Price Sheet 36C77024Q0035.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- 6505--760-24-1-050-0002 -Leavenworth CMOP OTC MEDS (VA-24-00011437) Five Med lines and One Med/Surge line
- Solicitation number
- 36C77024Q0035
About this file
This document is a price sheet attachment for a federal solicitation requesting quotes for various over-the-counter medical supply line items to be delivered to the Leavenworth, Kansas CMOP facility. Vendors are to provide unit pricing for six product categories including mouthwash, multivitamins, coal tar shampoo, dextrose squeeze tubes, glucose test strips, and zinc oxide paste. Quotes are due by October 25th, 2023. The solicitation number is 36C77024Q0035 and is being issued by the Department of Veterans Affairs Veterans Health Administration VISN 15 for Leavenworth CMOP. Vendors must include their signed SF1449 form, copies of required licenses, authorization letters, and point of contact information with their submissions. The Buy American Act applies and foreign end products will be subject to a 20% evaluation add-on.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0035_1.docx | DOCX document |
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Your Business Name Here
| CMOP Nationwide | ||||||||||||
| PR# 760-24-1-050-0002, Solicitation# 36C77024Q0035 | Delivery Before or On: 15 Days After Receipt of Order (ARO) | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 10/19/23 | ||||||||||
| Vendor Complete | Closing Date: | 10/25/23 | ||||||||||
| 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 Business | If 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 Item | VA VISTA Item Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments (i.e., DAYS ARO, Delivery Days) |
| 1 | 7052 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME: MOUTHWASH, ORAL
MOISTURIZER,16 OUNCE, MINT,BIOTENE,DRY
MOUTH, PLASTIC BOTTLE
| PKG: 480 PER BT | 48582-0003-30 | 2880 | BT | $ - 0 | $0.00 | ||
| 2 | B0936 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BARIATRIC MULTIVITAMIN WITH 18MG IRON 90CT
(B0936)
| PKG: 90 PER BT | 432 | BT | $ - 0 | $0.00 | |||
| 3 | C0731 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
COAL TAR 2% SHAMPOO 240ML
(NSN: 240)
| PKG: 240 PER BT | 432 | BT | $ - 0 | $0.00 | |||
| 4 | D1094 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
DEXTROSE 24GM/31GM
SQUEEZE TUBE,
| PACK OF 3 TUBES (D1094) | 384 | PG | $ - 0 | $0.00 | |||
| 5 | XU443 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME:
CONTOUR (GLUCOSE)
TEST STRIP 50CT, XU443
| PKG: 50 per BX | 00193-7080-50 | 48 | BX | $ - 0 | $0.00 | ||
| 6 | Z0054 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
ZINC OXIDE 16% TOP
PASTE 60GM (Z0054)
PKG: 60 per TU 216 TU $ - 0 $0.00
File details come from the government source that posted it. Updated .