S02_PricingSchedule_Q0111.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77024Q0111
About this file
This document contains a pricing schedule spreadsheet for a Request for Quote (RFQ) from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. Vendors are requested to provide pricing for CONTOUR glucose test strips for the Leavenworth CMOP facility by January 11, 2024 at 5:00PM Central Standard Time. Required response documents include a signed SF1449 cover page, completed pricing spreadsheet, OEM authorization documentation, and BAA certificate if quoting a non-domestic product. No Medicare only or remanufactured items will be accepted. Vendors must be authorized dealers or distributors that can provide the OEM warranty and services. Delivery of gray market items constitutes a breach of contract.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77024Q0111.pdf | ||
| S02_NMR waiver.pdf | ||
| S02_JA_Q0111_CO.pdf |
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Text version
Sheet1
| CMOP - Leavenworth | ||||||||||||||
| RFQ: 36C77024Q0111 | Delivery on or before: 01/31/2024 | Required documents: | ||||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 1/4/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 1/11/24 | 2. Quote - excel spreadsheet | |||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. OEM authorized dealer or distributor documentation | |||||||||||
| ueiSAM: | 4. Certificate of Compliance | |||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. BAA Certificate if quoting a non-domestic product | ||||||||||||
| POC E-Mail: | **DO NOT provide any Medicare only items when submitting quote. | |||||||||||||
| Phone: | Email quotes to: Jennifer.Knight@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 | Item Number | CMOP Facility | Description | Local Stock Number | MPN# | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |
| 0001 | 15124 | Leavenworth | CONTOUR (GLUCOSE) TEST STRIP 100CT, XU443 | |||||||||||
| BRAND NAME ONLY | 00193-7090-21 | 7090G | 100 | BX | 864 | $ - 0 | $0.00 | |||||||
| Total SDVOSB Set-Aside | 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). 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 or authorized distributor 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.
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