S02 Attch- Price Sheet 36C77024Q0168.xlsx
XLSX spreadsheet 17 KB Posted
- Solicitation number
- 36C77024Q0168
About this file
This spreadsheet attachment to a federal solicitation requests pricing for five medical supply line items to be delivered to the Leavenworth, Kansas CMOP facility. Vendors are to provide unit pricing for mouthwash, chlorhexidine liquid, Cetaphyl lotion, nasal strips, and glucose test strips. The solicitation number is 36C77024Q0168 and relates to the Department of Veterans Affairs VISN 15. Responses are due by March 14th, 2024 with required forms and documentation. Pricing should note any alternate packaging and delivery timeframes. The Buy American Act applies with a 20% evaluation add-on for foreign manufactured end products.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0168_1.docx | DOCX document |
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Your Business Name Here
| CMOP Nationwide | ||||||||||||
| PR# 760-24-2-050-0581, Solicitation# 36C77024Q0168 | Delivery Before or On: 15 Days After Receipt of Order (ARO) | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 3/8/24 | ||||||||||
| Vendor Complete | Closing Date: | 3/14/24 | ||||||||||
| 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 / 41172182 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
MOUTHWASH,ORAL MOISTURIZER,16 OUNCE,MINT,BIOTENE,DRY
MOUTH, PLASTIC BOTTLE
| PKG: 480 per BOTTLE (BT) | 48582-0003-300 | 2880 | BT | $ - 0 | $0.00 | ||
| 2 | 7257 / C0207 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
| CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML PKG: 120 per BOTTLE (BT) | 67618-0200- 044 | 1152 | BT | $ - 0 | $0.00 | |
| 3 | 5132 / C9736 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
CETAPHIL LOTION, 480ML
PKG: 480 per BOTTLE (BT)
| PKG: 240 PER BT | 00299-0241-33 | 432 | BT | $ - 0 | $0.00 | ||
| 4 | 9061 / XU158 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BREATHE RIGHT NASAL
STRIPS SM/MED 30CT
| 30CT PER BOX (BX) | 10071-0800-044 | 432 | BT | $ - 0 | $0.00 | ||
| 5 | 15124 / XU443 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME:
CONTOUR (GLUCOSE)
TEST STRIP 50CT, XU443
PKG: 100 PER BOX (BX) 00193-7090-211 720 BX $ - 0 $0.00
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