S02 Attch- Price Sheet 36C77024Q0041.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C77024Q0041
About this file
This document contains a price sheet for a federal solicitation requesting quotes for two medical/surgical line items. Vendors are asked to provide pricing for reservoir tubing kits and breast milk storage bags by October 30th. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for the Leavenworth Community Based Outpatient Clinic. Vendors must include their signed SF1449 form, copies of necessary licenses, authorization letters, and point of contact information when submitting quotes. The Buy American Act applies and foreign end products will be evaluated with a 20% add-on. Quotes should specify country of origin and adjusted quantities if alternate national drug codes are proposed.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0041_1.docx | DOCX document |
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Text version
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: | 10/24/23 | |||||||||||
| Vendor Complete | Closing Date: | 10/30/23 | |||||||||||
| 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 | 19927 / | ||||||||||||
| XL551 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
RESERVOIR,T:SLIM
X2 W/T:LOCK,3ML 10CT
| 10 PER BOX (BX | 3180 | BX | $ - 0 | $0.00 | ||
| 2 | 13125 / | |||||
| XI538 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BREAST MILK STORAGE
BAG 100 CT
100 PER BOX (BX) 3024 BX $ - 0 $0.00
File details come from the government source that posted it. Updated .