Supply eCMS Line Item Template.xlsx

XLSX spreadsheet 471 KB Posted

Attached to
6515--Photocoagulation Laser with Pattern Scanning Federal contract opportunity
Solicitation number
36C24625Q0403
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

About this file

This is a line item template spreadsheet for RFQ VA69D-14-Q-0161 listing eight required items for a photocoagulation laser system. The items include: (1) Iridex Pascal GENM-523 NM Laser, (2) associated software, (3) LIO, (4) wireless footswitch, (5) CSO observer tube, (6) CSO beam splitter, (7) three laser safety glasses, and (8) shipping and installation. All items have a performance period from February 24, 2025 to March 17, 2025.

The procurement is being conducted by the Department of Veterans Affairs Veterans Health Administration VISN 6 under solicitation number 36C24625Q0403. All line items fall under NAICS code 339113 and PSC 6515. Each item is listed as priced and requires quantities of one unit each, except for the laser safety glasses which require three units.

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36C24625Q0403.docx DOCX document

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Text version

Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
RFQVA69D-14-Q-0161Percent0

KB Version: FY22.12A

Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentInclude Data Values in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODE
0001IRIDEX PASCAL GENM-523 NM LASERBase02/24/2503/17/251EA1Priced3391136515
0002SOFTWARE FOR IRIDEX PASCALBase02/24/2503/17/251EA1Priced3391136515
0003LIOBase02/24/2503/17/251EA1Priced3391136515
0004WIRELESS FOOTSWITCHBase02/24/2503/17/251EA1Priced3391136515
0005CSO OBSERVER TUBEBase02/24/2503/17/251EA1Priced3391136515
0006CSO BEAM SPLITTERBase02/24/2503/17/251EA1Priced3391136515
0007LASER SAFETY GLASSESBase02/24/2503/17/253EA1Priced3391136515
0008SHIPPING AND INSTALLATIONBase02/24/2503/17/251EA1Priced3391136515

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