S02 PRICING SCHEDULE.xlsx

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6515--Copy of 765-21-4-715-0110 -EPS GLOVES ORDER- Hines CMOP
Solicitation number
36C77021Q0569
Issued by

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This solicitation package includes a request for quotation from the Department of Veterans Affairs for medical and surgical gloves to be delivered to the Hines VA Medical Center. The RFQ seeks pricing for five items: non-sterile nitrile gloves in large, medium, and small sizes from Ansell; and sterile nitrile gloves in medium and small sizes from McKesson. Responses are due by August 27, 2021. Offerors must include their state wholesale distributor license and product pricing in Excel format. The solicitation is set aside for small businesses and identifies a 10-day delivery time frame after order receipt.

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Quote Spreadsheet

CMOP - Hines
RFQ: 36C77021Q0569Delivery on or before: 10 Days ARORequired documents:
Solicitation - Quote SpreadsheetPosted Date:8/23/211. SF1449 - Soliciation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:8/27/212. Quote - excel spreadsheet
Vendor Name:Closing Time:5:00PM Central Standard Time (CST)3. State Wholesale Distributor License
DUNS #:4. OEM authorized dealer or distributor documentation
POC Name:* Vendors shall submit no more than (1) one quote per vendor
POC E-Mail:
Phone:Email quotes to: patricia.trusler@va.gov
* Per the Statement of Requirements, expiration dates of all pharmacueticals and/or medical surgical supplies
shall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short-dated
Line ItemItem NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MulitpleUnitQTYUnit PriceTotal PriceVendor Comments
0001ANSELL 60343003TUCSONGLOVES, NON-STERILE, NON-LATEX (LARGE)ANSELL200 PER BOXBX2,450$ - 0$0.00
0001ANSELL 60343002TUCSONGLOVES, NON-STERILE, NON-LATEX (MEDIUM)ANSELL200 PER BOXBX2,450$ - 0$0.00
0001ANSELL 60343001TUCSONGLOVES, NON-STERILE, NON-LATEX (SMALL)ANSELL200 PER BOXBX2,450$ - 0$0.00
0001McKESSON 20-2575NTUCSONGLOVES, STERILE, NON-LATEX PAIR (MEDIUM 7.5)McKESSON50 PAIR PER BOXBX2,224$ - 0$0.00
0001McKESSON 20-2565NTUCSONGLOVES, STERILE, NON-LATEX PAIR (SMALL 6.5)McKESSON50 PAIR PER BOXBX964$ - 0$0.00
Grand Total Price$0.00

Gray Market Prevention: Deviation to policy allows non-manufacturing vendors selling medical surgical supplies to satisfy the Gray Market Prevention language by providing letters of authorization from a manufacturer's authorized wholesaler/reseller via an authorization letter directly from the manufacturer.

(a). Gray market items are Original Equipment Manufacturer's (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment, and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers. No remanufactured or gray market items will be accepted.

(b). Vendor shall be an OEM authorized dealer or authorized distributor for the proposed medical supplies, medical equipment, and/or services contracts for maintenance of medical equipment (i.e. replacement parts). Verified by an authorization letter or other documentation from the OEM, such that the OEM's warranty and services are provided and maintained by the OEM. All software licensing, warranty and services associated with the medical supplies, medical equipment, and/or services contract for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.

(c). The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the VA reserves the right to enforce any of its contractual remedies. this includes termination of the contract or, solely at the VA's election, allowing the vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items.

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