S02_Pricing Schedule_q0712(p) (2).pdf

Line Item Item Number CMOP Facility Description NDC# Alternate NDCs Mfr Country of Origin QTY Unit Unit Price Total Price Vendor Comments

0001 204 Leavenworth Reservoir, Minimed #MMT‐326A 76300‐0326‐10 200 $ ‐ $0.00

0002 6820 Leavenworth Paradigm Silhouette, 13mm

Cannula,adhesive dressing, 23 inch tubing,disposable,sterile

76300‐0381‐10 800 $ ‐ $0.00

0003 912 Leavenworth Set, Infusion Minimed #MMT‐377 76300‐0377‐10 300 $ ‐ $0.00

0004 487 Leavenworth Reservoir, Minimed #MMT‐332A 76300‐0332‐10 1800 $ ‐ $0.00

$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). 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 remanufactured or gray market items will be accepted.

(b). Vendor shall be an OEM authorized dealer, authorized distributor, or authorized reseller for the proposed medical supplies, medical equipment, and/or services contracts for maintenance of medical equipment (i.e. replacement parts). Verified by an authorization letter or other documentation from the OEM, such that the OEM's warranty and services are provided and maintained by the OEM. All software licensing, warranty and services associated with the medical supplies, medical equipment, and/or services contract for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.

(c). The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the VA reserves the right to enforce any of its contractual remedies. this includes termination of the contract or, solely at the VA's election, allowing the vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items.

Grand Total Price

CMOP ‐ Leavenworth

Vendor shall complete all areas in orange

POC E‐Mail:

RFQ: 36C77020Q0712

9:00am Central Standard Time (CST)

DUNS #:

Delivery on or before: 11/01/2020 10/28/2020 11/1/2020

Vendor Name:

Phone:

POC Name:

shall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short‐dated

Required documents:

1. SF1449 ‐ Soliciation cover page (signed)

2. Quote ‐ excel spreadsheet

3. State Wholesale Distributor License

Email quotes to: Kelley.Cunningham@va.gov

4. OEM authorized dealer, distributor, or reseller documentation

* Vendors shall submit no more than (1) one quote per vendor

* Per the Statement of Requirements, expiration dates of all pharmacueticals and/or medical surgical supplies

Solicitation ‐ Quote Spreadsheet Posted Date:

Closing Date:

Closing Time: