VA Procurement Slip and Lable Forms.pdf

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7510--Amendment 0002 Time Extension MIRECC Together with Veterans Promotional Items
Solicitation number
36C25924Q0786
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This document is a Request for Quote (RFQ) for the procurement of various promotional items for the Veterans Crisis Line program of the Veterans Affairs (VA) Mental Illness Research, Education and Clinical Center (MIRECC) Together with Veterans Office Rural Health (ORH) Program.

The RFQ seeks quotes for a firm-fixed price contract with a base period from 09/30/2024 to 09/29/2025 and one subsequent option year. The required items include 7-day pillboxes, grocery totes, magnetic plastic clips, stylus grip pens, LED pocket flashlights, hand sanitizers, and gun locks. The total estimated quantity for each item is 26,000 per year. This RFQ is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs). Quotes are due by 9:00 AM MT on 09/17/2024 and should be submitted via email to Ernest.Appiah@va.gov. The Government will evaluate quotes based on technical capability, compliance with subcontracting limitations, and price.

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36C25924Q0786 0002.docx DOCX document
36C25924Q0786 0001.docx DOCX document
7596 Instructions For Filling Out.docx DOCX document
36C25924Q0786.docx DOCX document
52-225-2-Buy-American-Certificate-.docx DOCX document
SOW-Final.docx DOCX document
852.219-76 VA Notice of Limitations on Subcontracting_Certificate of Compliance for Supplies and Products.docx DOCX document

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VA PROCUREMENT SLIP AND LABEL FORMS

NOTE: Both the Packing Slip and Carton label are to be utilized in accordance with GPO 310.2. The below Packing Slip and Carton Label may be used as camera copy and may be reproduced in a larger or smaller size as needed.

VA PACKING SLIP

FORM NO.

REVISION DATE

UNIT OF ISSUE (sheet, pad, set, book, etc.)

STOCK NO.

TITLE

STANDARD PACKAGE QUANTITY

BAR CODE

VA FORM 7596, DEC 1997 (R) PACKING SLIP

VA CARTON LABEL

CARTON LABEL

FROM

FOR USPS DELIVERY

APPLY POSTAGE

DEPARTMENT

Department of Veterans Affairs

DEPARTMENT REQUISITION NO.

GPO JACKET NO.

GPO ORDER NO.

PROGRAM/PRINT ORDER NO.

FORM OR PUBLICATION NO./DATE

QUANTITY PER CONTAINER

PACKAGES PER CONTAINER

PKGS. OF

STOCK NO.

CONTROL NO.

BAR CODE

TITLE

TO

VA FORM 7596, DEC 1997 (R)

VA FORM

DEC 1997 7596

Department of Veterans Affairs logo

VA PROCUREMENT SLIP AND LABEL FORMS

V A PROCUREMENT SLIP AND LABEL FORMS

NOTE: Both the Packing Slip and Carton label are to be utilized in accordance with GPO 310.2. The below Packing Slip and Carton Label may be used as camera copy and may be reproduced in a larger or smaller size as needed.

VA PACKING SLIP

Department of Veterans Affairs logo

FORM NO.

REVISION DATE

UNIT OF ISSUE (sheet, pad, set, book, etc.)

STOCK NO.

TITLE

STANDARD PACKAGE QUANTITY

BAR CODE

VA FORM 7596, DEC 1997 (R)

V A FORM 75 96, DECEMBER 19 97 (R)

PACKING SLIP

VA CARTON LABEL

V A CARTON LABEL

Department of Veterans Affairs logo

CARTON LABEL

FROM

FOR USPS DELIVERY

APPLY POSTAGE

DEPARTMENT

Department of Veterans Affairs

DEPARTMENT REQUISITION NO.

GPO JACKET NO.

GPO ORDER NO.

PROGRAM/PRINT ORDER NO.

FORM OR PUBLICATION NO./DATE

QUANTITY PER CONTAINER

PACKAGES PER CONTAINER

PKGS. OF

PACKAGES OF

STOCK NO.

CONTROL NO.

BAR CODE

TITLE

TO

VA FORM 7596, DEC 1997 (R)

V A FORM 75 96, DECEMBER 19 97 (R)

VA FORM

DEC 1997

V A FORM 75 96, DECEMBER 19 97 (R)

VA Form 7596, VA PROCUREMENT SLIP AND LABEL FORMS 7596, Procurement, Slip, Label, Packing, Carton Missie Vaccaro-Palomaki Missie Vaccaro-Palomaki

DEC 1997

DECEMBER 1997

OALC

NOTE: Both the Packing Slip and Carton Label are to be utilized in accordance with G P O 310 point 2. The below Packing Slip and Carton Label may be used as camera copy and may be reproduced in a larger or smaller size as needed.

V A PACKING SLIP

FORM NO.:

REVISION DATE. Enter 2-digit month, 2-digit day and 4-digit year.:
UNIT OF ISSUE (sheet, pad, set, book, etcetera):
STOCK NUMBER:
TITLE:
STANDARD PACKAGE QUANTITY:
BAR CODE

PACKING SLIP:

CARTON LABEL:

FROM

FOR U S P S DELIVERY APPLY POSTAGE:

Department

Department of Veterans Affairs

DEPARTMENT REQUISITION NUMBER:

G P O JACKET NUMBER :
G P O ORDER NUMBER:
PROGRAM/PRINT ORDER NUMBER :
FORM OR PUBLICATION NUMBER DATE. Enter 2-digit month, 2-digit day and 4-digit year.:
QUANTITY PER CONTAINER:
PACKAGES PER CONTAINER:
ENTER PACKAGES OF:
STOCK NUMBER :
CONTROL NUMBER:
BAR CODE:
TITLE:
TO:

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