S02 Pricing Schedule Q0579 5 line items.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
6515--760-21-4-050-1684 -MED/SURGE- Leavenworth CMOP 6-line items
Solicitation number
36C77021Q0579
Issued by

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This document contains a federal solicitation for medical supplies and equipment to be delivered to the Leavenworth, Kansas VA Medical Center. The Department of Veterans Affairs Network 15 Contracting Office seeks quotes for six line items by September 3, 2021, including breast milk storage bags, glucose sensors, infusion sets, trach baseplate adhesive, lancets, and related products. Quotes should be submitted to the contact listed in the spreadsheet attachment via email or SAM.gov. This is a set-aside for SDVOSB vendors providing the specified new, original equipment per the requirements. Awards will be made for delivery of the listed products to the Leavenworth VA facility.

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Quote Spreadsheet

Leavenworth
36C77021Q0579Delivery Before or On: 09-17-2021
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:8/30/21
Vendor CompleteClosing Date:9/3/21
Vendor Name:Closing Time:10:00AM Central Standard Time (CST)
DUNS #:E-mail quotes to Angel Waalkes; angela.waalkes@va.gov
POC Name:Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required
POC E-Mail:Vendors shall submit no more than (1) one quote per vendor
Phone:Trade Agreement Act (TAA)-Compliant National Drug Codes (NDC) Preferred
If vendors are proposing NDC with count other than CMOP listed NDC,
QTY shall be adjusted for that count and this should be noted in "Vendor Comments"
Vendor Complete
Line ItemItem NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor CommentsTotalVendor Comments
113125LEAVENWORTHBREAT MILK STORAGE BAG; LANITOSH 20470 or NUK 6290 ; 100 per box44677-0204-702,424BX$ - 0$0.00$ - 0
213642LEAVENWORTHGUARDIAN MMT-7020A GLUCOSE SENSOR (3) 5 per EA43169-0704-051,200EA$ - 0$0.00$ - 0
316055LEAVENWORTHSET, INFUSION AUTOSOFT
30 TANDEM #1002825 10 per EA89152-2825-05360EA$ - 0$0.00$ - 0
514543LEAVENWORTHPROVOX TRACH BASEPLATE
ADHESIVE #7253 20 per EA99222-0072-53192BX$ - 0ERROR:#REF!
62989LEAVENWORTHLANCET, MICROLET
100 per EA00193-6586-213,600EA$ - 0$0.00
GRAND TOTAL PRICE:ERROR:#REF!$0.00

(a) Gray market items are Original Equipment Manufacturer’s (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers. No remanufactures or gray market items will be acceptable. SDVOSB

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