S02_Pricing_Schedule_Q0323.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0323
About this file
This document is a Pricing Schedule (Solicitation # 36C77024Q0323) for a Request for Quote (RFQ) to supply Omnipod reservoirs to three Department of Veterans Affairs (VA) Consolidated Mail Outpatient Pharmacy (CMOP) locations: Leavenworth, Tucson, and Hines. The solicitation requires vendors to provide quotes for the Omnipod reservoir products, specifying the manufacturer part number, country of origin, packaging details, quantities, unit prices, and total prices. Vendors must submit a completed SF1449 cover page, the pricing schedule spreadsheet, and supporting documentation such as a valid state wholesale distributor license and Buy American Act (BAA) certificate if quoting a non-domestic item. The closing date for quotes is August 1, 2024 at 4pm Central Standard Time. The VA VISN 15 office is the procuring agency, and the Buy American Act applies to this solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_JnA_Q0323_Allsigned_HCA_allsigned.pdf | ||
| S02_RFQ_36C77024Q0323_.pdf |
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Text version
Sheet1
| CMOPs - 760 Leavenworth; 762 Tucson; 765 Hines | |||||||||||
| RFQ: 36C77024Q323 | Delivery: 10 Days ARO | Required Documents: | |||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 7/25/24 | 1. SF1449 - Soliciation cover page (signed) | ||||||||
| Vendor shall complete all areas in orange | Closing Date: | 8/1/24 | 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 if 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 | VA CMOP Leavenworth - 760 | RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201 | 08508-3000-21 | Name Brand Only | 5 | BX | 4800 | $0.00 | ||
| 0002 | 19387 | VA CMOP Tucson - 762 | RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201 | 08508-3000-21 | Name Brand Only | 5 | BX | 2000 | $0.00 | ||
| 0003 | 19387 | VA CMOP Hines -765 | RESERVOIR,OMNIPOD 5 G6 (GEN5) 5CT, XL201 | 08508-3000-21 | Name Brand Only | 5 | BX | 960 | $0.00 | ||
| Buy American Act Applies (BAA) | Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .