S02_Pricing_Schedule_Q0233.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0233
About this file
This document is a Pricing Schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration for the procurement of Omnipod reservoir devices for the Leavenworth Community-Based Outpatient Pharmacy (CMOP) facility.
The RFQ solicitation number is 36C77024Q0233, with a required delivery date of April 29, 2024. Vendors must submit the following documents: a signed SF1449 Solicitation cover page, a quote spreadsheet indicating country of origin, a valid state wholesale distributor license, and a Buy American Act (BAA) certificate if quoting a non-domestic item. Quotes are due by April 16, 2024 at 4pm Central Standard Time. The pricing schedule lists one line item for 4,800 units of Omnipod 5 G6 reservoirs, with a requirement that all products have an expiration date of at least one year from the delivery date. Vendors should provide expiration details in the comments section.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_JnA_36C77024Q0233.pdf | ||
| S02_RFQ_36C77024Q0233_.pdf |
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Text version
Sheet1
| CMOP - 760 Leavenworth | |||||||||||
| RFQ: 36C77024Q0233 | Delivery on or before: 4/29/2024 | Required Documents: | |||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/9/24 | 1. SF1449 - Soliciation cover page (signed) | ||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/16/24 | 2. Quote - excel spreadsheet (Country of Origin) | ||||||||
| Vendor Name: | Closing Time: | 4pm Central Standard Time (CST) | 3. State Wholesale Distributor License, must be | ||||||||
| DUNS #: | unexpired and valid at the time quotes are due. | ||||||||||
| UEI #: | 4. BAA Certificate is quoting a non-domestic item | ||||||||||
| POC Name: | |||||||||||
| POC E-Mail: | Email quotes to: Jennifer.Knight@va.gov | ||||||||||
| Phone: | * 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 | |||||||||||
| Item | File | ||||||||||
| Number | CMOP | ||||||||||
| Facility | Description | MPN | Mfr | Country | |||||||
| of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |||||
| 0001 | 19387 | Leavenwworth | RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201 | 08508-3000-21 | Name Brand Only | 5 | BX | 4800 | $0.00 | ||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .