Attachment__4_-_Both_VA_and_DLA_-_Vendor_Offer_Submission_Form_(for_individual_customer_requirements).xlsx
XLSX spreadsheet 35 KB Posted
- Attached to
- JOINT DEFENSE LOGISTICS AGENCY AND VETERANS ADMINISTRATION RADIOLOGY AND IMAGING SYSTEMS PROGRAM
- Solicitation number
- SPE2D1-15-R-0001
About this file
This opportunity notice seeks proposals for indefinite delivery/indefinite quantity multiple award contracts to supply radiology and imaging systems, subsystems, components, maintenance services, training, and incidental services for the Defense Logistics Agency Troop Support Medical Supply Chain and Department of Veterans Affairs National Acquisition Center. Requirements include computed tomography scanners, magnetic resonance imaging systems, radiographic systems, nuclear medicine equipment, ultrasounds, and related accessories. The total program estimate for the 10-year contracts is $6.5 billion. Proposals are due by July 27, 2015. Awards will have a five-year base period and a single five-year option. Vendors must support all domestic military and VA locations and may support overseas locations. The government intends to award contracts to all responsible offerors with acceptable non-price proposals and fair and reasonable pricing.
Attachment 4 - Both VA and DLA - Vendor Offer Submission Form (for individual customer requirements)
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Text version
DLA-VA Quote Format
| RFQ LINE # | ||
| CUSTOMER: | QUOTE # | DATE |
| CONTRACTOR: | ||
| CUST REQ. NO.: |
| ITEM NO. | Contract Status | CATALOG/PART # | SHORT DESCRIPTION | QTY | UoM | CONTRACT LIST PRICE | CONTRACT DISC | CONTRACT NET PRICE | CONTACT EXT. PRICE | QUOTE LIST PRICE | QUOTE DISC | QUOTE NET PRICE | QUOTE EXT. PRICE |
| 1 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 2 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 3 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 4 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 5 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 6 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 7 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 8 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 9 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 10 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 11 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 12 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 13 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 14 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 15 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 16 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 17 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 18 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 19 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 20 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 21 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 22 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 23 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 24 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 25 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 26 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 27 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 28 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 29 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
| 30 | 1 | EA | $0.00 | 0.00% | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||
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| Trade-In Information | |||||
| MFGR: | TOTAL CONTRACT AMOUNT | $0.00 | NET QUOTE AMOUNT | $0.00 | |
| MODEL: | |||||
| S/N: | |||||
| TRADE IN $ AMOUNT |
| OPTIONS - NOT INCLUDED IN PRICING ABOVE | |||||||||||
| ITEM | CATALOG/ | OPN | LIST | %* | NET | EXT. | % | NET | EXT. | ||
| NO. | PART # | SHORT DESCRIPTION | QTY | MKT | PRICE | DISC | PRICE | PRICE | DISC. | PRICE | PRICE |
| 1 | $0 | $0 | 0% | $0 | $0 | ||||||
| 2 | $0 | $0 | 0% | $0 | $0 | ||||||
| 3 | $0 | $0 | 0% | $0 | $0 | ||||||
| 4 | $0 | $0 | 0% | $0 | $0 | ||||||
| 5 | $0 | $0 | 0% | $0 | $0 | ||||||
| 6 | $0 | $0 | 0% | $0 | $0 | ||||||
| 7 | $0 | $0 | 0% | $0 | $0 | ||||||
| 8 | $0 | $0 | 0% | $0 | $0 | ||||||
| 9 | $0 | $0 | 0% | $0 | $0 |
| Prepared by |
| DATE: |
PHILIPS HEALTHCARE &D
&D
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