S02_Pricing_Schedule_Q0061.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0061
About this file
This is a pricing schedule spreadsheet for RFQ 36C77025Q0061, requesting quotes for medical and surgical supplies across three VA CMOP (Consolidated Mail Outpatient Pharmacy) facilities: Chelmsford, Lancaster, and Hines. The solicitation contains 9 line items including heat & moisture exchangers, insulin pump reservoirs, leg bags, lancets, catheter sets, and infusion sets from specific manufacturers (brand name only) including Provox, Tandem Diabetes Care, Urocare, Roche, and Hollister.
Quotes are due by December 30, 2024, at 4:00 PM CST. Vendors must submit signed SF1449 forms, completed pricing spreadsheets with country of origin information, OEM authorization documentation, BAA certificates for non-domestic items, and subcontracting plans for large businesses. All pharmaceuticals and medical supplies must have expiration dates no less than one year from delivery. Delivery terms are generally 10 days ARO, except for item 6 (catheter sets for Lancaster CMOP) which requires monthly deliveries of 150 cases over 6 months. The Buy American Act applies to this procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_36C77025Q0061_RFQ_.pdf | ||
| S02_JnA_Q0061_allsigned.pdf |
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Text version
Sheet1
| CMOP'S: 761 Chelmsford |763 Lancaster | 765 Hines | ||||||||
| RFQ: 36C770250061 | Delivery: See item Description for location specific, delivery information. | Required Documents: | ||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/19/24 | 1. SF1449 - Solicitation cover page (signed) | |||||
| Vendor shall complete all areas in orange | Closing Date: | 12/30/24 | 2. Quote - excel spreadsheet (Country of Origin) | |||||
| Vendor Name: | Closing Time: | 4pm Central Standard Time (CST) | 3. OEM authorized dealer, authorized distributor, or authorized | |||||
| UEI #: | reseller - Letter or other documentation - Direct from the OEM. | |||||||
| P0C Name: | 4. BAA Certificate if quoting a non-domestic item | |||||||
| POC E-Mail: | 5. If a large business - Subcontracting plan required. | |||||||
| Phone: | ||||||||
| * Per the Statement of Requirements, expiration dates of all pharmaceuticals and/or medical surgical supplies | Email quotes to: Jennifer.Knight@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 | CMOP | |||||||
| Facility | Description | Manufacturer | ||||||
| Stock Number | Local | |||||||
| StockNumber | Manufacturer/ OEM | |||||||
| Brand Name Only | Country | |||||||
| of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | ||
| 0001 | 18828 | VA CMOP Chelmsford - 761 | HEAT & MOISTURE EXCHANGER, |
PROVOX #8262
| Delivery: 10 Days ARO | PROVOX #8262 | 99222-0082-63 | Provox Life/ | ||
| ATOS Medical | 30 | EA | 400 | $0.00 | |
| 0002 | 19927 | VA CMOP Chelmsford - 761 | RESERVOIR,T:SLIM X2 W/T:LOCK, |
3ML 10CT
| Delivery: 10 Days ARO | 8915-22541-05 | 8915-22541-05 | TANDEM | ||
| DIABETES CARE | 10 | BX | 2,000 | $0.00 | |
| 0003 | 761 | VA CMOP Chelmsford - 761 | BAG,LEG LATEX REUSABLE |
UROCARE #9532
| Delivery: 10 Days ARO | IDNUC 9532 | 99999-9532-00 | UROCARE | 1 | EA | 2,400 | $0.00 | |
| 0004 | 12866 | VA CMOP Chelmsford - 761 | LANCET,ACCU-CHEK FASTCLIX DRUM | |||||
| Delivery: 10 Days ARO | 6570-20288-10 | 6570-20288-10 | Roche | 102 | EA | 1,800 | $0.00 | |
| 0005 | 6056 | VA CMOP Chelmsford - 761 | CATH SET, INTERMIT 14FR H#96144 | |||||
| Delivery: 10 Days ARO | Hollister 96144 | 01234-0961-44 | HOLLISTER | 4 | CS | 400 | $0.00 | |
| 0006 | 18784 | VA CMOP Lancaster - 763 | CATH SET,INTERMIT 14FR APOGEE |
H#B14FB HOLLISTER 100/CASE
Delivery: Will be Monthly.
150 cases each month, over a 6 months period. Specific Dates
| will be laid out in the contract. | Hollister | ||||||
| H#B14FB | 08380-0013-05 | HOLLISTER | 0 | CS | 900 | $0.00 | |
| 0007 | 15988 | VA CMOP Hines -765 | SET,INFUSION AUTOSOFT XC |
TANDEM #1001680
| Delivery: 10 Days ARO | Tandem | ||||
| #1001680 | 89152-1680-05 | TANDEM | |||
| DIABETES CARE | 10 | BX | 4,200 | $0.00 | |
| 0008 | 15987 | VA CMOP Hines -765 | SET,INFUSION AUTOSOFT XC |
TANDEM #1001681
| Delivery: 10 Days ARO | TANDEM | ||||
| #1001681 | 89152-1681-05 | TANDEM | |||
| DIABETES CARE | 10 | BX | 3,200 | $0.00 | |
| 0009 | 19927 | VA CMOP Hines -765 | RESERVOIR,T:SLIM X2 W/T:LOCK, |
3ML 10CT
| Delivery: 10 Days ARO | 8915-22541-05 | 8915-22541-05 | TANDEM | ||||
| DIABETES CARE | 10 | BX | 3200 | $0.00 | |||
| Buy American Act Applies (BAA) | Grand Total Price | $0.00 |
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