T1057 NJ State Supplied Price Sheet.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- T1057- WIC Infant Formula Rebate: DOH
- Solicitation number
- 22DPP00737
- Issued by
- New Jersey
About this file
The document provided is an Infant Formula Bid Sheet template for a WIC State agency single-supplier competitive bid solicitation. The purpose of this template is for WIC State agencies to collect bids for primary contract infant formula to meet the federal requirements outlined in 7 C.F.R. 246.10(e)(9) and 246.16a(c)(2, 4-7). The template covers various infant formula products, including powdered, liquid concentrate, and ready-to-feed, for different age categories of infants. The State agency is the State of New Jersey, Department of Health, and the participating jurisdictions are Mercer County and Trenton City.
The bid sheet template requires bidders to provide information such as the lowest wholesale full truckload price per unit, the rebate bid per unit, the estimated average number of infants by physical form, the total monthly reconstituted ounces to bid, the standardized number of units of infant formula, and the total cost. Bidders must also certify that their products comply with federal regulations and that they can supply 100% of the WIC program's needs in the geographic areas outlined in the bid solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 5 - Retailer List.xlsx | XLSX spreadsheet | |
| T1057 Pre-Quote Conference Presentation~1.pptx | PPTX presentation | |
| Attachment 9- NJ WIC Minimum Stock Requirements Effective January 2023.pdf | ||
| Attachment 8- Data File for Issuance of Formula from June 2022 to November 2022.xlsx | XLSX spreadsheet | |
| T1057 REVISED Bid Solicitation.docx | DOCX document | |
| New Jersey State Standard Terms and Conditions.docx | DOCX document | |
| Attachment 6- WIC Service Policies.pdf | ||
| Attachment 2 - State Forms Packet.pdf | ||
| Bid Amendment 1 11223.docx | DOCX document | |
| Bid Amendment 2 12423.docx | DOCX document | |
| Bidder Data Sheet~11.pdf | ||
| Attachment 4 - Sample Rebate Invoice.pdf | ||
| REVISED Attachment 3 - WIC Program Overview.docx | DOCX document | |
| Bidder Overview Form.docx | DOCX document | |
| Attachment 7- Invoices for September 2022 through December 2022.pdf |
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Text version
Infant Formula Bid Sheet
| WIC Infant Formula Rebate Bid Sheet Template for a Single Bid Solicitation |
| Purpose: Template for WIC State agencies to use in order to collect bids for primary contract infant formula as part of its single-supplier competitive bid solicitation to meet the federal requirements outlined in 7 C.F.R. 246.10(e)(9)(Table 1) and §246.16a(c)(2, 4-7). |
| Instructions for the WIC State agency: Please complete all fillable cells in this template highlighted in pink (i.e., cells K8:L16; B25:E25). |
| Instructions for the Bidder: Please complete all fillable cells in this template highlighted in gray (i.e., cells B8:G16; B26:E26; K25:Q26) and read through the certification statements below. Please provide data to at least 3 decimal places when possible. Once complete, please sign and reference procurement instructions provided in the State agency's bid solicitation. |
| Physical Form | Product Name | UPC Code | Unit Size (in ounces) | Reconstituted Ounce Per Unit | Lowest Wholesale Full Truckload Price Per Unit | Rebate Bid Per Unit | Infant Age Categories | Number of Reconstituted Ounces Issued per Month Based on Max* | Estimated Average Number of Infants by Physical Form Based on 6 Months Average** | Net Price Per Unit | Percent Rebate | Total Monthly Reconstituted Ounces to Bid | Standardized Number of Units of Infant Formula | Total Cost | ||
| Fully Formula Fed Infants | Partially Breastfed Infants | Fully Formula Fed Infants | Partially Breastfed Infants | |||||||||||||
| Powdered | 0-3 months | 870 | 435 | 4,330 | 5,145 | $0.000 | ERROR:#DIV/0! | 16,393,747 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||||||
| 4-5 months | 960 | 522 | 2,647 | 1,729 | ||||||||||||
| 6-11 months | 696 | 384 | 8,358 | 2,939 | ||||||||||||
| Liquid Concentrate | 0-3 months | 823 | 388 | 27 | 19 | $0.000 | ERROR:#DIV/0! | 92,839 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||||||
| 4-5 months | 896 | 460 | 18 | 10 | ||||||||||||
| 6-11 months | 630 | 315 | 59 | 20 | ||||||||||||
| Ready-to-Feed | 0-3 months | 832 | 384 | 21 | 13 | $0.000 | ERROR:#DIV/0! | 66,396 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||||||
| 4-5 months | 913 | 474 | 14 | 4 | ||||||||||||
| 6-11 months | 643 | 338 | 41 | 10 | ||||||||||||
| *Based on WIC Program Regulations (§246.10(e)(9)(Table 1) and §246.16a(c)(5)(i)) | Total Monthly Price | ERROR:#DIV/0! | ||||||||||||||
| **Estimated average based on six months of the most recent data available. Excludes infants that are exclusively breastfed or issued exempt infant formula and includes infants that are issued milk- or soy- based infant formula. |
Please Note: No assurances are provided on the quantity, type, or physical forms that will be issued under the agreement that will become a result of this bid solicitation. Additionally, the estimated average number of infants provided on this bid sheet is an approximation and excludes infants that are exclusively breastfed or issued exempt infant formula.
| Certification: |
| The bidder hereby certifies that: |
1. The bidder is registered under the Food, Drug and Cosmetic Act with the U.S. Department of Health & Human Services and its products are in compliance with Federal regulations issued pursuant to P.L. 100-237.
2. Bids for all physical forms of formula meet the requirements of 246.10 (e) (l)(iii) and 246.10(e)(2)(iii) and are suitable for the routine issuance to the majority of generally healthy, full term infants.
3. Each infant formula product to be supplied under the terms of this contract complies with the Federal Food, Drug, and Cosmetic Act.
4. The bidder can and will supply the quantities of infant formula offered to meet one hundred percent (100%) of the WIC Program’s needs in all geographic areas as outlined in the bid solicitation.
| State Agency Name: | State of New Jersey, Department of Health | Manufacturer's Signature: |
| Manufacturer Name: |
File details come from the government source that posted it. Updated .