S02_Pricing_Schedule_Q0267.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77022Q0267
About this file
This document is a pricing schedule spreadsheet for a request for quote issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The RFQ seeks pricing for various medical and surgical supplies to be delivered to the CMOP facility in Leavenworth, Kansas by June 3, 2022. Responses are due by May 23rd at 5:00PM Central Time and shall include a signed SF1449 cover page, completed pricing spreadsheet, proof of state wholesaler license, OEM authorization, and expiration dates for any products with less than one year of shelf life. Pricing is requested for six line items of name brand only products including laryngectomy tubes, urostomy pouches, barrier rings, breast milk storage bags, omnipod dash reservoirs, and micro mist nebulizers.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77022Q0267_1.docx | DOCX document | |
| P03_Review_for_JnA_Q0267_ALL_Signed_.pdf |
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Text version
Sheet1
| CMOP - 760 Leavenworth | ||||||||||||||
| RFQ: 36C77022Q0267 | Delivery on or before: 6/03/2022 | Required documents: | ||||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 5/16/22 | 1. SF1449 - Soliciation cover page (signed) | |||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 5/23/22 | 2. 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 | |||||||||||||
| UEI #: | * Vendors shall submit no more than (1) one quote per vendor | Email quotes to: Jennifer.Knight@va.gov | ||||||||||||
| POC Name: | * If vendor is proposing NDC with count other than CMOP listed NDC, | |||||||||||||
| POC E-Mail: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | |||||||||||||
| 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# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |
| 0001 | 16762 | Leavenworth | LARYNGECTOMY TUBE HOLDER PROVOX 7668 (XH727) | 7668 | Name Brand Only | 1 | EA | 360 | $ - 0 | $0.00 | ||||
| 0002 | 14247 | Leavenworth | POUCH,UROSTOMY,NEW IMAGE H#18902 10CT, XI203 | 18902 | Name Brand Only | 10 | BX | 240 | $ - 0 | $0.00 | ||||
| 0003 | 15045 | Leavenworth | BARRIER, ADAPT RING H-7815 (XI280) | 7815 | Name Brand Only | 10 | BX | 360 | $ - 0 | $0.00 | ||||
| 0004 | 13125 | Leavenworth | BREAST MILK STORAGE BAG 100CT, XI538 | |||||||||||
| (Lansinoh) | 20470 | Name Brand Only | 100 | BX | 2208 | $ - 0 | $0.00 | |||||||
| 0005 | 16366 | Leavenworth | RESERVOIR, OMNIPOD DASH 5CT, XJ410 | 08508-2000-05 | Name Brand Only | 5 | PG | 2700 | $ - 0 | $0.00 | ||||
| 0006 | 956 | Leavenworth | NEBULIZER, MICRO MIST HUDSON 1883 (XZ083) | 1883 | Name Brand Only | 1 | EA | 4000 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .