ATTACHMENT_C_-_MODIFICATION_PRICE_BOOK.xls
XLS spreadsheet 77 KB Posted
- Attached to
- DINPACS IV Federal contract opportunity
- Solicitation number
- SPE2D1-15-R-0004
About this file
This document contains a price modification request template for a federal contractor seeking to adjust pricing under contract.
The template requires the contractor to provide information justifying proposed price increases or decreases for catalog items under the contract. For price increases, the contractor must disclose current and previous commercial list prices, any applicable most favored customer discounts, and proposed pricing to the Defense Logistics Agency Troop Support including the percentage increase. For price decreases, the template similarly requires disclosure of previous and new commercial list prices and applicable discounts. Additional sections address requests to add new items to existing product categories or propose new categories with associated pricing information. The contractor must also provide discounting details and sample invoices for top non-federal customers to validate commercial pricing practices. Procedures for deleting items from the catalog are also included.
The related federal contract opportunity notice involves the DINPACS IV contract supporting the Digital Imaging Network - Picture Archiving and Communications System for the Military Health System and Department of Veterans Affairs. The long-term indefinite-delivery, indefinite-quantity contract provides for digital radiology imaging systems, components, upgrades and maintenance from awardees to defense and federal healthcare organizations worldwide.
Attachment C- Modification Price Book
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EPA INCREASE PRICES
| PRICE INCREASE REQUEST | ||||||||||||||||
| Commercial Price List Effective Date: | VENDOR FILL-IN | |||||||||||||||
| Most Favored Customer (MFC): | VENDOR FILL-IN | |||||||||||||||
| Previous Commercial List Price Name & Effective Date: | VENDOR FILL-IN | |||||||||||||||
| Reason for EPA Adjustment: | VENDOR FILL-IN | |||||||||||||||
| NEW SUPPLIER CATALOG (NAME AND EFFECTIVE DATE) | VENDOR CATALOG NUMBER | ITEM DESCRIPTION | PREVIOUS COMMERCIAL LIST PRICE | CURRENT COMMERCIAL LIST PRICE | COMMERCIAL % INCREASE | MOST FAVORED CUSTOMER (MFC) DISCOUNT % | PREVIOUS MFC PRICE | NEW MFC PRICE | MFC % INCREASE | DLA Troop Support DISCOUNT % | DLA Troop Support CURRENT PRICE | DLA Troop Support PROPOSED PRICE | DLA Troop Support % INCREASE | Current FSS Price (if applicable) | Current FSS Discount (if applicable) | |
| 1 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 2 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 3 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 4 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 5 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 6 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 7 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 8 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 9 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 10 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 11 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 12 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 13 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 14 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 15 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 16 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 17 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 18 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 19 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 20 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 21 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 22 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 23 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 24 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 25 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 26 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 27 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 28 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 29 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 30 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 31 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 32 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 33 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 34 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 35 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 36 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 37 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 38 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 39 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 40 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 41 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 42 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 43 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% | |||||||||
| 44 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | 0.00% |
REDUCE PRICES
| PRICE REDUCTION REQUEST | |||||||||||||||
| Commercial Price List Effective Date: | VENDOR FILL-IN | ||||||||||||||
| Most Favored Customer (MFC): | VENDOR FILL-IN | ||||||||||||||
| Previous Commercial List Price Name & Effective Date: | VENDOR FILL-IN | ||||||||||||||
| NEW SUPPLIER CATALOG (NAME AND EFFECTIVE DATE) | VENDOR CATALOG NUMBER | ITEM DESCRIPTION | PREVIOUS COMMERICAL LIST PRICE | NEW COMMERCIAL LIST PRICE | % CHANGE IN LIST PRICE | MOST FAVORED CUSTOMER (MFC) DISCOUNT % | PREVIOUS MFC PRICE | NEW MFC PRICE | MFC % DECREASE | DLA TROOP SUPPORT DISCOUNT (%) | DLA TROOP SUPPORT CURRENT PRICE | DLA TROOP SUPPORT PROPOSED PRICE | Current FSS Discount (if applicable) | Current FSS Price (if applicable) | |
| 1 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 2 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 3 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 4 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 5 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 6 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 7 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 8 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 9 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 10 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 11 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 12 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 13 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 14 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 15 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 16 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 17 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 18 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 19 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 20 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 21 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 22 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 23 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 24 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 25 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 26 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 27 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 28 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 29 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 30 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 31 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 32 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 33 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 34 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 35 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 36 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 37 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 38 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 39 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 40 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 41 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 42 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 43 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 44 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 | |||||||||
| 45 | 0.00% | $0.00 | $0.00 | 0.00% | $0.00 | $0.00 |
ADD TO EXISITING ITEM CATEGORY
| PRODUCT ADDITION REQUEST TO EXISITING PRODUCT CATEOGRY FOR WHICH DISCOUNTS ARE ALREADY ESTABLISHED UNDER CONTRACT | |||||||||
| Commercial Price List Effective Date: | VENDOR FILL IN | ||||||||
| ITEM CATEGORY(IF APPLICABLE) | VENDOR CATALOG NUMBER | ITEM DESCRIPTION | LIST PRICE ($) | DISC (%) | NET PRICE ($) | CATALOG DATE | COUNTRY OF ORGIN | COMMENTS | |
| 1 | $0.00 | ||||||||
| 2 | $0.00 | ||||||||
| 3 | $0.00 | ||||||||
| 4 | $0.00 | ||||||||
| 5 | $0.00 | ||||||||
| 6 | $0.00 | ||||||||
| 7 | $0.00 | ||||||||
| 8 | $0.00 | ||||||||
| 9 | $0.00 | ||||||||
| 10 | $0.00 | ||||||||
| 11 | $0.00 | ||||||||
| 12 | $0.00 | ||||||||
| 13 | $0.00 | ||||||||
| 14 | $0.00 | ||||||||
| 15 | $0.00 | ||||||||
| 16 | $0.00 | ||||||||
| 17 | $0.00 | ||||||||
| 18 | $0.00 | ||||||||
| 19 | $0.00 | ||||||||
| 20 | $0.00 | ||||||||
| 21 | $0.00 | ||||||||
| 22 | $0.00 | ||||||||
| 23 | $0.00 | ||||||||
| 24 | $0.00 | ||||||||
| 25 | $0.00 | ||||||||
| 26 | $0.00 | ||||||||
| 27 | $0.00 | ||||||||
| 28 | $0.00 | ||||||||
| 29 | $0.00 | ||||||||
| 30 | $0.00 | ||||||||
| 31 | $0.00 | ||||||||
| 32 | $0.00 | ||||||||
| 33 | $0.00 | ||||||||
| 34 | $0.00 | ||||||||
| 35 | $0.00 | ||||||||
| 36 | $0.00 | ||||||||
| 37 | $0.00 | ||||||||
| 38 | $0.00 | ||||||||
| 39 | $0.00 | ||||||||
| 40 | $0.00 | ||||||||
| 41 | $0.00 | ||||||||
| 42 | $0.00 |
ADD NEW PRODUCT CATEGORY
| PRODUCT ADDITION REQUEST TO EXISITING PRODUCT CATEOGRY FOR WHICH DISCOUNTS ARE ALREADY ESTABLISHED UNDER CONTRACT | |||||||||
| Commercial Price List Effective Date: | VENDOR FILL IN | ||||||||
| ITEM CATEGORY(IF APPLICABLE) | VENDOR CATALOG NUMBER | ITEM DESCRIPTION | LIST PRICE ($) | DISC (%) | NET PRICE ($) | CATALOG DATE | COUNTRY OF ORGIN | COMMENTS | |
| 1 | $0.00 | ||||||||
| 2 | $0.00 | ||||||||
| 3 | $0.00 | ||||||||
| 4 | $0.00 | ||||||||
| 5 | $0.00 | ||||||||
| 6 | $0.00 | ||||||||
| 7 | $0.00 | ||||||||
| 8 | $0.00 | ||||||||
| 9 | $0.00 | ||||||||
| 10 | $0.00 | ||||||||
| 11 | $0.00 | ||||||||
| 12 | $0.00 | ||||||||
| 13 | $0.00 | ||||||||
| 14 | $0.00 | ||||||||
| 15 | $0.00 | ||||||||
| DISCOUNTING INFO | |||||||||
| Do you have in effect, for any customer or any class, discounts and/or concessions including but not limited to the following, regardless of price list, which results in lower net prices than those offered the Government in this offer (Yes/No)? | |||||||||
| Rebates of any kind, including year-end or end of contract | |||||||||
| Multiple quantity unit pricing plan | |||||||||
| Cumulative discounts of any type which cover items offered | |||||||||
| Products that may be combined for maximum discounts | |||||||||
| Other (specify) | |||||||||
| List below the best discount, using percentages, and/or concessions (regardless of quantity and terms and conditions) to other than DLA Troop Support from the price list in above. | |||||||||
| Category Description | DISCOUNTS OFFERED (%) | ||||||||
| PROPOSED DLA TROOP SUPPORT | Non-DLA Cust. #1 | Non-DLA Cust. #2 | Non-DLA Cust. #3 | Non-DLA Cust. #4 | Non-DLA Cust. #5 | ||||
| Identify the Customers (referenced in the table above) other than DLA Troop Support and the type of business plus any comments regarding the contracts. | |||||||||
| Customers Other than DLA TROOP SUPPORT | Name | Type of Business (Private, Educational, State, Federal, etc) | Comments (Type of Agreement, reasons for discount structure (regular, quantity, aggregate, prompt payment, FOB Point, Other), etc.) | Total Sales for Customer for Fiscal Year 2013 ($) | Total Sales for Customer for Fiscal Year 2014 ($) | ||||
| 1 | Customer XYZ | State | Guaranteed $5 million in annual sales | ||||||
| 2 | |||||||||
| 3 | |||||||||
| 4 | |||||||||
| 5 | |||||||||
| Include a sample of invoices for the above identified 5 customers. If invoices are issued without component level pricing (meaning just system totals) vendors should also include the system quotation or equivent document that reflects line item pricing for the system being invoiced. The invoices will be used to validate the vendors commerical list price and disclosed discounting practices. |
DELETE PRODUCTS
| PRODUCT DELETION REQUEST | |||
| VENDOR CATALOG NUMBER | ITEM DESCRIPTION | DELETION DATE | WILL MAINTENANCE FOR THIS ITEM STILL BE OFFERED (Y/N) |
ACRONYMS
| MFC | MOST FAVORED CUSTOMER |
| UOI | UNIT of ISSUE |
File details come from the government source that posted it. Updated .