S02 Attch- Price Sheet 36C77024Q0073.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
6515--761-24-1-014-0030 -Chelmsford CMOP MED SURGE -(VA-24-00018854) One Med/Surge Line Item Reservoir T. Slim W/T Lock
Solicitation number
36C77024Q0073
Issued by

About this file

This document is a price sheet attachment for a Department of Veterans Affairs solicitation requesting quotes for medical supply line items. It includes details such as a November 28, 2023 posting date and December 5, 2023 closing time of 3:00PM Central Standard Time for quotes to be emailed to the listed point of contact. Vendors are instructed to submit no more than one quote and provide documentation including a signed SF1449 form and license as applicable. The single line item is for reservoirs for a slim X2 insulin pump with lock for the Chelmsford VA CMOP facility. Pricing terms require unit pricing to be provided for the listed 10-count box national drug code quantity or an alternate equivalent quantity, noting any different delivery days after receipt of order.

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Your Business Name Here

CMOP Nationwide
PR#/Solicitation#: 761-24-1-014-0030 / 36C77023Q0073Delivery Before or On: 15 Days After Receipt of Order (ARO)
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:11/28/23
Vendor CompleteClosing Date:12/5/23
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)
119927 /

XL551

VA CMOP Chelmsford 10 Industrial Ave. Chelmsfordc, MA 01824-3610 RESERVOIR,T:SLIM

X2 W/T:LOCK,3ML 10CT

10 PER BOX (BX 2000 BX $ - 0 $0.00

File details come from the government source that posted it. Updated .