S02-Pricing-Sche.0353.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 6515--GLUCOSE SENSOR Federal contract opportunity
- Solicitation number
- 36C77020Q0651
About this file
This document contains a request for quotation from the Department of Veterans Affairs for glucose sensors. The RFQ seeks pricing for 1000 boxes of Dexcom G6 glucose sensors for delivery to the VA Leavenworth CMOP facility by August 13, 2020. Respondents must submit an SF1449 form, pricing sheet in Excel format, and a copy of their state wholesale drug distributor license to verify compliance with DSCSA requirements. Late responses will not be considered. The opportunity is unrestricted and set aside for all responsible sources. Responses are to be emailed to the point of contact by 5:00PM CST on the closing date.
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| File | Type | Posted |
|---|---|---|
| 36C77020Q0651.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP Nationwide | LEAVENWORTH | |||||||||||||
| 36C77020Q0651 | Delivery Before or On: 08-13-2020 | |||||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 8/11/20 | ||||||||||||
| Vendor Complete | Closing Date: | 8/13/20 | ||||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | ||||||||||||
| DUNS #: | E-mail quotes to James.Hogue@va.gov | |||||||||||||
| POC Name: | Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required | |||||||||||||
| POC E-Mail: | Vendors shall submit no more than (1) one quote per vendor | |||||||||||||
| Phone: | Trade Agreement Act (TAA)-Compliant National Drug Codes (NDC) Preferred | |||||||||||||
| If vendors are proposing NDC with count other than CMOP listed NDC, | ||||||||||||||
| QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | ||||||||||||||
| Vendor Complete | ||||||||||||||
| Line Item | Item Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments | Total | Vendor Comments |
| 1 | 16590 | LEAVENWORTH | SENSOR, GLUCOSE, DEXCOM G6 PKG: 3 per BX | STS-OR-003 | 1000 | BX | $ - 0 | $0.00 | ||||||
| 2 | $ - 0 | $0.00 | ||||||||||||
| GRAND TOTAL PRICE: | ERROR:#REF! | ERROR:#REF! | ||||||||||||
| Offeror shall supply their state wholesale distributor licensure with offer verifying compliance with the Drug Supply Chain Security Act (DSCSA) with their quote. Vendors that fail to submit a copy of their state license shall be deemed technically unacceptable. | SMALL BUSINESS |
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