S02_Pricing Schedule_Q0385.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77024Q0385
About this file
This document is a pricing schedule spreadsheet for a Request for Quote (RFQ) related to a federal contract opportunity. The RFQ is for 7 line items of CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML to be supplied to multiple CMOP (Consolidated Mail Outpatient Pharmacy) facilities across the United States. The solicitation number is 36C77024Q0385, and the closing date for quotes is August 19, 2024 at 3:00 PM Central Time. Vendors must submit a signed SF1449 form, the completed pricing spreadsheet, and other required documentation such as a state wholesale distributor license, OEM authorization, and Buy American Act certification if proposing a non-domestic product. The products must have an expiration date of at least 1 year from the date of delivery. The contracting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0385_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77024Q0385 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 8/14/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 8/19/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License -and/or- | ||||||||||
| ueiSAM: | 4. OEM authorized dealer or distributor documentation for OTC products | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. Buy American Act (BAA) Certificate, if quoting a non-domestic product | |||||||||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | ||||||||||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | Email quotes to: Kelley.Cunningham@va.gov | |||||||||||
| * 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 | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 7254 | Leavenworth CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1080 | $ - 0 | $0.00 | ||||
| 0002 | 7254 | Chelmsford CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 2400 | $ - 0 | $0.00 | ||||
| 0003 | 7254 | Tucson CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0004 | 7254 | Lancaster (Dallas) CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1000 | $ - 0 | $0.00 | ||||
| 0005 | 7254 | Murfreesboro SJ CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0006 | 7254 | Hines CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 2800 | $ - 0 | $0.00 | ||||
| 0007 | 7254 | Ladson (Charleston) CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 2400 | $ - 0 | $0.00 | ||||
| $0.00 |
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