S02 - Pricing Schedule_Q0043.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77025Q0043
About this file
This document appears to be a pricing schedule for a Request for Quote (RFQ) related to the procurement of an eyelid cleanser product for the Murfreesboro, Tennessee Community-Based Outpatient Pharmacy (CMOP) facility. The RFQ, with Solicitation Number 36C77025Q0043, is being issued by the Department of Veterans Affairs (VA) Veterans Health Administration, Veterans Integrated Service Network 15.
The pricing schedule includes details on the required product, including the National Drug Code (NDC) number, manufacturer, country of origin, packaging, and quantity. Vendors are required to submit a signed SF1449 solicitation cover page, a completed pricing spreadsheet, copies of relevant licenses and certifications, and any applicable Buy American Act documentation. Quotes are due by November 5, 2024 at 3:00 PM Central Time. The required delivery time is 10 days After Receipt of Order (ARO), and products must have at least 1 year of expiration from the date of delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77025Q0043.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Murfreesboro EF | ||||||||||||
| RFQ: 36C77025Q0043 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/29/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 11/5/24 | 2. Quote - excel spreadsheet | |||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | |||||||||
| ueiSAM: | 4. OEM Authorized Dealer or Distributor Documentation for OTC Products | |||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. BAA Buy American Act Certificate if quoting a non domestic product. | ||||||||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | Email quotes to: Jennifer.Coleman4@va.gov | ||||||||||
| 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 pharmaceuticals 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 Item | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | Murfreesboro EF | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0103-30 | 30 | BT | 5100 | $0.00 | |||||
| Grand Total Price | $0.00 |
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