S02.Pricing Schedule_Q0406.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0406
About this file
This document is a pricing schedule spreadsheet for a Request for Quote (RFQ) associated with a federal contract opportunity. The RFQ, number 36C77024Q0406, is for the procurement of medical supplies, specifically COAL TAR 2% SHAMPOO, for the Department of Veterans Affairs (VA) Tucson Consolidated Mail Outpatient Pharmacy (CMOP).
The solicitation requires vendors to submit a completed SF1449 cover page, pricing spreadsheet, valid state wholesale distributor license, and Buy American Act certificate (if quoting non-domestic products). Quotes are due by 5:00 PM Central Standard Time on 9/15/24. The required delivery time is 10 days After Receipt of Order (ARO). The pricing spreadsheet includes line items for a lubricating ophthalmic ointment and the coal tar shampoo, with instructions for vendors to adjust quantities if proposing alternate NDCs. Vendors are limited to submitting one quote per solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77024Q0406_2.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Tucson | ||||||
| RFQ: 36C77024Q0406 | Delivery on or before: 10 Days ARO | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 9/9/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 9/15/24 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License (valid and unexpired) | |||
| ueiSAM: | 4. Buy American Act (BAA ) Certificate, if quoting non-domestic product | |||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | |||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | |||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | |||||
| * Per the Statement of Requirements, expiration dates of all pharmacueticals and/or medical surgical supplies | Email quotes to kayla.powers@va.gov | |||||
| shall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short-dated | ||||||
| Line | ||||||
| Item | File | |||||
| Number | Description | NDC | Alternate | |||
| NDCs | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 8410 | L0117: LUBRICATING (PF) OPH OINT | 10119-0022-39 | 3.5 | TU | 11568 | $ - 0 | $0.00 |
| 0002 | 21003 | C0731: COAL TAR 2% SHAMPOO 120 | 11086-0011-01 | 120 | EA | 2292 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .