S02_Pricing_Schedule_Q0327.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77023Q0327
About this file
This document contains a pricing schedule spreadsheet for a request for quote from the Department of Veterans Affairs for medical supplies. The RFQ is for Omnipod Dash insulin pump reservoirs for the Leavenworth Community Based Outpatient Clinic, with a quote due date of June 29, 2023. Vendors are required to complete the pricing schedule with unit prices and total prices, and provide documentation showing they are an authorized dealer or distributor of the products quoted. The solicitation number is 36C77023Q0327 and is set aside for small businesses. Only new, non-gray market, non-counterfeit products from the original manufacturer or authorized sources will be considered.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77023Q0327_1.docx | DOCX document | |
| S02_JnA_Q0327_Allsigned_.pdf |
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Text version
Sheet1
| CMOP - 760 Leavenworth | |||||||||||||
| RFQ: 36C77023Q0327 | Delivery on or before: 7/10/2023 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 6/23/23 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 6/29/23 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. OEM authorized dealer or distributor documentation | ||||||||||
| DUNS #: | 4. Buy American Act Certificate if quoting a non-domestic item | ||||||||||||
| UEI #: | Email quotes to: Jennifer.Knight@va.gov | ||||||||||||
| POC Name: | |||||||||||||
| POC E-Mail: | |||||||||||||
| Phone: | * 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 | File Number | CMOP Facility | Description | Local Stock Number | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 16366 | Leavenworth | RESERVOIR, OMNIPOD DASH 5CT, XJ410 | 08508-2000-05 | Name Brand Only | Insulet | 5 | PG | 900 | $ - 0 | $0.00 | ||
| Grand Total Price | $0.00 | ||||||||||||
| Gray Market Prevention: Deviation to policy allows non-manufacturing vendors selling medical surgical supplies to satisfy the Gray Market Prevention language by providing letters of authorization from a manufacturer's authorized wholesaler/reseller via an authorization letter directly from the manufacturer. |
a) No used, refurbished, or remanufactured supplies or equipment/parts shall be provided. This procurement is for new Original Equipment Manufacturer (OEM) items only. No gray market items shall be provided. Gray market items are OEM goods intentionally or unintentionally sold outside an authorized sales territory or sold by non-authorized dealers in an authorized sales territory.
(b) No counterfeit supplies or equipment/parts shall be provided. Counterfeit items include unlawful or unauthorized reproductions, substitutions, or alterations that have been mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified item from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitutions include used items represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics.
(c) Vendor shall be an OEM, authorized dealer, authorized distributor, or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions.
Total Small Business Set-Aside
File details come from the government source that posted it. Updated .