STATEMENT OF REQUIREMENTS (SOR)
This solicitation uses a Brand Name or Equal Description of the product required. This permits prospective contractors to offer products other than those specifically referenced by brand name. All offers must work with existing equipment that is currently in use at the station.
The Saint Louis, MO. VAMC requires a vendor to furnish and maintain an inventory of Heart Valves/Supplies as stated below. All Offerors of equal products shall include an equipment brochure which clearly defines the equal product or offer will not be considered. Any information submitted by an offer for consideration will not be returned and will remain the property of the VA.
The contractor shall provide at minimum the equal salient characteristics as stated below and as per Price/Cost Schedule:
Schedule of Supplies and Pricing
Base Year - December 1, 2014 - November 30, 2015
ITEM STOCK EST YEARLY EST UNIT EST
LEVEL QUANTITY COST TOTAL COST
1. 3300TFX Perimount Magna Ease Aortic Valve, 19mm ___2___ ___3___ $ _____ $ _____
2. 3300TFX Perimount Magna Ease Aortic Valve, 21mm ___3___ ___8___ $ _____ $ _____
3. 3300TFX Perimount Magna Ease Aortic Valve, 23mm ___3___ ___10___ $ _____ $ _____
4. 3300TFX Perimount Magna Ease Aortic Valve, 25mm ___3___ ___6___ $ _____ $ _____
5. 3300TFX Perimount Magna Ease Aortic Valve, 27mm ___2___ __0___ $ _____ $ _____
6. 3300TFX Perimount Magna Ease Aortic Valve, 29mm ___1___ ___0___ $ _____ $ _____
7. 7300TFX Perimount Magna Ease Mitral Valve, 25mm ___1___ ___0___ $ ______ $ _____
8. 7300TFX Perimount Magna Ease Mitral Valve, 27mm ___1___ ___0___ $ _____ $ _____
9. 7300TFX Perimount Magna Ease Mitral Valve, 29mm __ 2___ __ 1___ $ _____ $ _____
10. 7300TFX Perimount Magna Ease Mitral Valve, 31mm ___2___ ___1___ $ _____ $ _____
11. 7300TFX Perimount Magna Ease Mitral Valve, 33 mm ___1___ ___0___ $ _____ $ _____
12. 5200 Physio II Mitral Annuloplasty ring,24mm ___1___ ___0___ $ _____ $ _____
13. 5200 Physio II Mitral Annuloplasty ring,26mm ___2___ ___2___ $ _____ $ _____
14. 5200 Physio II Mitral Annuloplasty ring,28mm ___2___ ___1___ $ _____ $ _____
15. 5200 Physio II Mitral Annuloplasty ring,30mm ___2___ ___1___ $ _____ $ _____
16. 5200 Physio II Mitral Annuloplasty ring,32mm ___2___ ___0___ $ _____ $ _____
17. 5200 Physio II Mitral Annuloplasty ring,34mm ___2___ ___0___ $ _____ $ _____
18. 5200 Physio II Mitral Annuloplasty ring,36mm ___1___ ___0___ $ _____ $ _____
19. 5200 Physio II Mitral Annuloplasty ring,38mm ___1___ ___0___ $ _____ $ _____
20. 5200 Physio II Mitral Annuloplasty ring,40mm ___1___ ___0___ $ _____ $ _____
21. 4100 IMR Etlogix Annuloplasty Ring, 24mm ___1___ ___0___ $ _____ $ _____
22. 4100 IMR Etlogix Annuloplasty Ring, 26mm ___1___ ___1___ $ _____ $_____
23. 4100 IMR Etlogix Annuloplasty Ring, 28mm ___1___ ___2___ $ _____ $ _____
24. 4100 IMR Etlogix Annuloplasty Ring, 30mm ___1___ ___1___ $ _____ $ _____
25. 4100 IMR Etlogix Annuloplasty Ring,32mm ___1___ ___0___ $ _____ $ _____
26. 4100 IMR Etlogix Annuloplasty Ring, 34mm ___1___ ___0___ $ _____ $ _____
27. 6200 Physio Tricuspid Annulopl asty Ring,24mm ___1___ ___0___ $ _____ $ ______
28. 6200 Physio Tricuspid Annulopl asty Ring,26mm ___1___ ___1___ $ _____ $ ______
29. 6200 Physio Tricuspid Annulopl asty Ring,28mm ___1___ ___1___ $______ $ ______
30. 6200 Physio Tricuspid Annulopl asty Ring,30mm ___1___ ___1___ $ _____ $______
31. 6200 Physio Tricuspid Annulopl asty Ring,32mm ___1___ ___0___ $ ______ $ ______
32. 6200 Physio Tricuspid Annulopl asty Ring,34mm ___1___ ___0___ $ _______ $ ______
33. HEWROOT0028# CARDIOROOT ___1___ ___1___ $ ______ $ ______
34. HEWROOT0030# CARDIOROOT ___1___ ___1___ $ ______ $ ______
35. HEWROOT0032# CARDIOROOT ___1___ ___1___ $ ______ $ ______
36. HEWROOT0034# CARDIOROOT ___1___ ___1___ $ ______ $______
37. M00202175128PO 28MM 15CM HEMASHIELD PLAT WDV ___1___ ___1___ $ ______ $ ______
38. M00202175130PO 30MM SCM HEMASHIELD PLAT WDV ___2___ ___2___ $ ______ $ ______
39. M00202175132PO 32MM SCM HEMASHI ELD PLAT WDV ___2___ ___1___ $ ______ $ ______
40. M00202175134PO 34MM 15CM HEMASHI ELD PLAT WDV ___1___ ___0___ $ ______ $ ______
41. M00202175206PO 6MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
42. M00202175207PO 7MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
43. M00202175208PO8MM 30CM HEMASHlELD PLAT WDV ___2___ ___3___ $ ______ $ ______
44. M00202175210PO lOMM 30CM HEMASHIELD PLAT WDV ___2___ ___3___ $ ______ $ ______
45. M00202175828PO HEMA 1BRANCH 28MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
46. M00202175830PO HEMA 1BRANCH 30MM PLATINUM GRAFT ___1___ __1___ $ ______ $ ______
47. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
48. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
49. 19AGFN-756 REGENT AORTIC FLEX CUFF, 19MM ___2___ ___1___ $ ______ $ ______
50. 21AGFN-756 REGENT AORTIC FLEX CUFF, 21MM ___1___ ___1___ $ ______ $ ______
51. 23AGFN-756 REGENT AORTIC FLEX CUFF, 23MM ___1___ ___0___ $ ______ $ ______
52. 25AGFN-756 REGENT AORTIC FLEX CUFF, 25MM ___1___ ___0___ $ ______ $ ______
53. 27AGFN-756 REGENT AORTIC FLEX CUFF, 27MM ___1___ ___0___ $ ______ $ ______
54. 25AJ-501AORTIC VALVE, MASTER, 25MM ___1___ ___1___ $ ______ $ ______
55. 27AJ-501 AORTI C VALVE, MASTER, 27MM ___1___ ___0___ $ ______ $ ______
56. 29AJ-501AORTIC VALVE, MASTER, 29MM ___1___ ___0___ $ ______ $ ______
57. 25MJ-501 MITRAL VALVE, MASTER, 25MM ___1___ ___0___ $ ______ $ ______
58. 27MJ-501 MITRAL VALVE, MASTER, 27MM ___1___ _ __0___ $ ______ $ ______
59. 29MJ-501 MITRAL VALVE, MASTER, 29MM ___1___ ___1___ $ ______ $ ______
60. 31MJ-501 MlTRAL VALVE, MASTER, 31MM ___1___ ___1___ $ ______ $ ______
61. 33MJ-501 MITRAL VALVE, MASTER, 33MM ___1___ ___0___ $ ______ $ ______
62. 21VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 21MM___1___ ___0___ $ ______ $ ______
63. 23VAVGJ-515 MASTERS HP VALVED GRAFT,ROTATABLE, 23MM ___1___ ___0___ $ ______ $ ______
64. 25VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 25MM ___1___ ___1___ $ ______ $ ______
65. 27VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 27MM ___1___ ___1___ $ ______ $ ______
66. 29VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 29MM ___1___ ___0___ $ ______ $ ______
67. 31CAVGJ-51400 AORTIC VALVE GRAFT, ROTATABLE, 31MM ___1___ ___1___ $ ______ $ ______
68. 33CAVGJ-514 00 AORTIC VALVE GRAFT, ROTATABLE, 33MM ___1___ ___1___ $ ______ $ ______
Estimated Base Year Consignment Value __________________________
Option Year One - December 1, 2015 - November 30, 2016
ITEM STOCK EST YEARLY EST UNIT EST
LEVEL QUANTITY COST TOTAL COST
1. 3300TFX Perimount Magna Ease Aortic Valve, 19mm ___2___ ___3___ $ _____ $ _____
2. 3300TFX Perimount Magna Ease Aortic Valve, 21mm ___3___ ___8___ $ _____ $ _____
3. 3300TFX Perimount Magna Ease Aortic Valve, 23mm ___3___ ___10___ $ _____ $ _____
4. 3300TFX Perimount Magna Ease Aortic Valve, 25mm ___3___ ___6___ $ _____ $ _____
5. 3300TFX Perimount Magna Ease Aortic Valve, 27mm ___2___ __0___ $ _____ $ _____
6. 3300TFX Perimount Magna Ease Aortic Valve, 29mm ___1___ ___0___ $ _____ $ _____
7. 7300TFX Perimount Magna Ease Mitral Valve, 25mm ___1___ ___0___ $ ______ $ _____
8. 7300TFX Perimount Magna Ease Mitral Valve, 27mm ___1___ ___0___ $ _____ $ _____
9. 7300TFX Perimount Magna Ease Mitral Valve, 29mm __ 2___ __ 1___ $ _____ $ _____
10. 7300TFX Perimount Magna Ease Mitral Valve, 31mm ___2___ ___1___ $ _____ $ _____
11. 7300TFX Perimount Magna Ease Mitral Valve, 33 mm ___1___ ___0___ $ _____ $ _____
12. 5200 Physio II Mitral Annuloplasty ring,24mm ___1___ ___0___ $ _____ $ _____
13. 5200 Physio II Mitral Annuloplasty ring,26mm ___2___ ___2___ $ _____ $ _____
14. 5200 Physio II Mitral Annuloplasty ring,28mm ___2___ ___1___ $ _____ $ _____
15. 5200 Physio II Mitral Annuloplasty ring,30mm ___2___ ___1___ $ _____ $ _____
16. 5200 Physio II Mitral Annuloplasty ring,32mm ___2___ ___0___ $ _____ $ _____
17. 5200 Physio II Mitral Annuloplasty ring,34mm ___2___ ___0___ $ _____ $ _____
18. 5200 Physio II Mitral Annuloplasty ring,36mm ___1___ ___0___ $ _____ $ _____
19. 5200 Physio II Mitral Annuloplasty ring,38mm ___1___ ___0___ $ _____ $ _____
20. 5200 Physio II Mitral Annuloplasty ring,40mm ___1___ ___0___ $ _____ $ _____
21. 4100 IMR Etlogix Annuloplasty Ring, 24mm ___1___ ___0___ $ _____ $ _____
22. 4100 IMR Etlogix Annuloplasty Ring, 26mm ___1___ ___1___ $ _____ $_____
23. 4100 IMR Etlogix Annuloplasty Ring, 28mm ___1___ ___2___ $ _____ $ _____
24. 4100 IMR Etlogix Annuloplasty Ring, 30mm ___1___ ___1___ $ _____ $ _____
25. 4100 IMR Etlogix Annuloplasty Ring,32mm ___1___ ___0___ $ _____ $ _____
26. 4100 IMR Etlogix Annuloplasty Ring, 34mm ___1___ ___0___ $ _____ $ _____
27. 6200 Physio Tricuspid Annulopl asty Ring,24mm ___1___ ___0___ $ _____ $ ______
28. 6200 Physio Tricuspid Annulopl asty Ring,26mm ___1___ ___1___ $ _____ $ ______
29. 6200 Physio Tricuspid Annulopl asty Ring,28mm ___1___ ___1___ $______ $ ______
30. 6200 Physio Tricuspid Annulopl asty Ring,30mm ___1___ ___1___ $ _____ $______
31. 6200 Physio Tricuspid Annulopl asty Ring,32mm ___1___ ___0___ $ ______ $ ______
32. 6200 Physio Tricuspid Annulopl asty Ring,34mm ___1___ ___0___ $ _______ $ ______
33. HEWROOT0028# CARDIOROOT ___1___ ___1___ $ ______ $ ______
34. HEWROOT0030# CARDIOROOT ___1___ ___1___ $ ______ $ ______
35. HEWROOT0032# CARDIOROOT ___1___ ___1___ $ ______ $ ______
36. HEWROOT0034# CARDIOROOT ___1___ ___1___ $ ______ $______
37. M00202175128PO 28MM 15CM HEMASHIELD PLAT WDV ___1___ ___1___ $ ______ $ ______
38. M00202175130PO 30MM SCM HEMASHIELD PLAT WDV ___2___ ___2___ $ ______ $ ______
39. M00202175132PO 32MM SCM HEMASHI ELD PLAT WDV ___2___ ___1___ $ ______ $ ______
40. M00202175134PO 34MM 15CM HEMASHI ELD PLAT WDV ___1___ ___0___ $ ______ $ ______
41. M00202175206PO 6MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
42. M00202175207PO 7MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
43. M00202175208PO8MM 30CM HEMASHlELD PLAT WDV ___2___ ___3___ $ ______ $ ______
44. M00202175210PO lOMM 30CM HEMASHIELD PLAT WDV ___2___ ___3___ $ ______ $ ______
45. M00202175828PO HEMA 1BRANCH 28MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
46. M00202175830PO HEMA 1BRANCH 30MM PLATINUM GRAFT ___1___ __1___ $ ______ $ ______
47. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
48. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
49. 19AGFN-756 REGENT AORTIC FLEX CUFF, 19MM ___2___ ___1___ $ ______ $ ______
50. 21AGFN-756 REGENT AORTIC FLEX CUFF, 21MM ___1___ ___1___ $ ______ $ ______
51. 23AGFN-756 REGENT AORTIC FLEX CUFF, 23MM ___1___ ___0___ $ ______ $ ______
52. 25AGFN-756 REGENT AORTIC FLEX CUFF, 25MM ___1___ ___0___ $ ______ $ ______
53. 27AGFN-756 REGENT AORTIC FLEX CUFF, 27MM ___1___ ___0___ $ ______ $ ______
54. 25AJ-501AORTIC VALVE, MASTER, 25MM ___1___ ___1___ $ ______ $ ______
55. 27AJ-501 AORTI C VALVE, MASTER, 27MM ___1___ ___0___ $ ______ $ ______
56. 29AJ-501AORTIC VALVE, MASTER, 29MM ___1___ ___0___ $ ______ $ ______
57. 25MJ-501 MITRAL VALVE, MASTER, 25MM ___1___ ___0___ $ ______ $ ______
58. 27MJ-501 MITRAL VALVE, MASTER, 27MM ___1___ _ __0___ $ ______ $ ______
59. 29MJ-501 MITRAL VALVE, MASTER, 29MM ___1___ ___1___ $ ______ $ ______
60. 31MJ-501 MlTRAL VALVE, MASTER, 31MM ___1___ ___1___ $ ______ $ ______
61. 33MJ-501 MITRAL VALVE, MASTER, 33MM ___1___ ___0___ $ ______ $ ______
62. 21VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 21MM___1___ ___0___ $ ______ $ ______
63. 23VAVGJ-515 MASTERS HP VALVED GRAFT,ROTATABLE, 23MM ___1___ ___0___ $ ______ $ ______
64. 25VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 25MM ___1___ ___1___ $ ______ $ ______
65. 27VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 27MM ___1___ ___1___ $ ______ $ ______
66. 29VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 29MM ___1___ ___0___ $ ______ $ ______
67. 31CAVGJ-51400 AORTIC VALVE GRAFT, ROTATABLE, 31MM ___1___ ___1___ $ ______ $ ______
68. 33CAVGJ-514 00 AORTIC VALVE GRAFT, ROTATABLE, 33MM ___1___ ___1___ $ ______ $ ______
Option Year Two - December 1, 2016 - November 30, 2017
ITEM STOCK EST YEARLY EST UNIT EST
LEVEL QUANTITY COST TOTAL COST
1. 3300TFX Perimount Magna Ease Aortic Valve, 19mm ___2___ ___3___ $ _____ $ _____
2. 3300TFX Perimount Magna Ease Aortic Valve, 21mm ___3___ ___8___ $ _____ $ _____
3. 3300TFX Perimount Magna Ease Aortic Valve, 23mm ___3___ ___10___ $ _____ $ _____
4. 3300TFX Perimount Magna Ease Aortic Valve, 25mm ___3___ ___6___ $ _____ $ _____
5. 3300TFX Perimount Magna Ease Aortic Valve, 27mm ___2___ __0___ $ _____ $ _____
6. 3300TFX Perimount Magna Ease Aortic Valve, 29mm ___1___ ___0___ $ _____ $ _____
7. 7300TFX Perimount Magna Ease Mitral Valve, 25mm ___1___ ___0___ $ ______ $ _____
8. 7300TFX Perimount Magna Ease Mitral Valve, 27mm ___1___ ___0___ $ _____ $ _____
9. 7300TFX Perimount Magna Ease Mitral Valve, 29mm __ 2___ __ 1___ $ _____ $ _____
10. 7300TFX Perimount Magna Ease Mitral Valve, 31mm ___2___ ___1___ $ _____ $ _____
11. 7300TFX Perimount Magna Ease Mitral Valve, 33 mm ___1___ ___0___ $ _____ $ _____
12. 5200 Physio II Mitral Annuloplasty ring,24mm ___1___ ___0___ $ _____ $ _____
13. 5200 Physio II Mitral Annuloplasty ring,26mm ___2___ ___2___ $ _____ $ _____
14. 5200 Physio II Mitral Annuloplasty ring,28mm ___2___ ___1___ $ _____ $ _____
15. 5200 Physio II Mitral Annuloplasty ring,30mm ___2___ ___1___ $ _____ $ _____
16. 5200 Physio II Mitral Annuloplasty ring,32mm ___2___ ___0___ $ _____ $ _____
17. 5200 Physio II Mitral Annuloplasty ring,34mm ___2___ ___0___ $ _____ $ _____
18. 5200 Physio II Mitral Annuloplasty ring,36mm ___1___ ___0___ $ _____ $ _____
19. 5200 Physio II Mitral Annuloplasty ring,38mm ___1___ ___0___ $ _____ $ _____
20. 5200 Physio II Mitral Annuloplasty ring,40mm ___1___ ___0___ $ _____ $ _____
21. 4100 IMR Etlogix Annuloplasty Ring, 24mm ___1___ ___0___ $ _____ $ _____
22. 4100 IMR Etlogix Annuloplasty Ring, 26mm ___1___ ___1___ $ _____ $_____
23. 4100 IMR Etlogix Annuloplasty Ring, 28mm ___1___ ___2___ $ _____ $ _____
24. 4100 IMR Etlogix Annuloplasty Ring, 30mm ___1___ ___1___ $ _____ $ _____
25. 4100 IMR Etlogix Annuloplasty Ring,32mm ___1___ ___0___ $ _____ $ _____
26. 4100 IMR Etlogix Annuloplasty Ring, 34mm ___1___ ___0___ $ _____ $ _____
27. 6200 Physio Tricuspid Annulopl asty Ring,24mm ___1___ ___0___ $ _____ $ ______
28. 6200 Physio Tricuspid Annulopl asty Ring,26mm ___1___ ___1___ $ _____ $ ______
29. 6200 Physio Tricuspid Annulopl asty Ring,28mm ___1___ ___1___ $______ $ ______
30. 6200 Physio Tricuspid Annulopl asty Ring,30mm ___1___ ___1___ $ _____ $______
31. 6200 Physio Tricuspid Annulopl asty Ring,32mm ___1___ ___0___ $ ______ $ ______
32. 6200 Physio Tricuspid Annulopl asty Ring,34mm ___1___ ___0___ $ _______ $ ______
33. HEWROOT0028# CARDIOROOT ___1___ ___1___ $ ______ $ ______
34. HEWROOT0030# CARDIOROOT ___1___ ___1___ $ ______ $ ______
35. HEWROOT0032# CARDIOROOT ___1___ ___1___ $ ______ $ ______
36. HEWROOT0034# CARDIOROOT ___1___ ___1___ $ ______ $______
37. M00202175128PO 28MM 15CM HEMASHIELD PLAT WDV ___1___ ___1___ $ ______ $ ______
38. M00202175130PO 30MM SCM HEMASHIELD PLAT WDV ___2___ ___2___ $ ______ $ ______
39. M00202175132PO 32MM SCM HEMASHI ELD PLAT WDV ___2___ ___1___ $ ______ $ ______
40. M00202175134PO 34MM 15CM HEMASHI ELD PLAT WDV ___1___ ___0___ $ ______ $ ______
41. M00202175206PO 6MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
42. M00202175207PO 7MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
43. M00202175208PO8MM 30CM HEMASHlELD PLAT WDV ___2___ ___3___ $ ______ $ ______
44. M00202175210PO lOMM 30CM HEMASHIELD PLAT WDV ___2___ ___3___ $ ______ $ ______
45. M00202175828PO HEMA 1BRANCH 28MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
46. M00202175830PO HEMA 1BRANCH 30MM PLATINUM GRAFT ___1___ __1___ $ ______ $ ______
47. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
48. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
49. 19AGFN-756 REGENT AORTIC FLEX CUFF, 19MM ___2___ ___1___ $ ______ $ ______
50. 21AGFN-756 REGENT AORTIC FLEX CUFF, 21MM ___1___ ___1___ $ ______ $ ______
51. 23AGFN-756 REGENT AORTIC FLEX CUFF, 23MM ___1___ ___0___ $ ______ $ ______
52. 25AGFN-756 REGENT AORTIC FLEX CUFF, 25MM ___1___ ___0___ $ ______ $ ______
53. 27AGFN-756 REGENT AORTIC FLEX CUFF, 27MM ___1___ ___0___ $ ______ $ ______
54. 25AJ-501AORTIC VALVE, MASTER, 25MM ___1___ ___1___ $ ______ $ ______
55. 27AJ-501 AORTI C VALVE, MASTER, 27MM ___1___ ___0___ $ ______ $ ______
56. 29AJ-501AORTIC VALVE, MASTER, 29MM ___1___ ___0___ $ ______ $ ______
57. 25MJ-501 MITRAL VALVE, MASTER, 25MM ___1___ ___0___ $ ______ $ ______
58. 27MJ-501 MITRAL VALVE, MASTER, 27MM ___1___ _ __0___ $ ______ $ ______
59. 29MJ-501 MITRAL VALVE, MASTER, 29MM ___1___ ___1___ $ ______ $ ______
60. 31MJ-501 MlTRAL VALVE, MASTER, 31MM ___1___ ___1___ $ ______ $ ______
61. 33MJ-501 MITRAL VALVE, MASTER, 33MM ___1___ ___0___ $ ______ $ ______
62. 21VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 21MM___1___ ___0___ $ ______ $ ______
63. 23VAVGJ-515 MASTERS HP VALVED GRAFT,ROTATABLE, 23MM ___1___ ___0___ $ ______ $ ______
64. 25VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 25MM ___1___ ___1___ $ ______ $ ______
65. 27VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 27MM ___1___ ___1___ $ ______ $ ______
66. 29VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 29MM ___1___ ___0___ $ ______ $ ______
67. 31CAVGJ-51400 AORTIC VALVE GRAFT, ROTATABLE, 31MM ___1___ ___1___ $ ______ $ ______
68. 33CAVGJ-514 00 AORTIC VALVE GRAFT, ROTATABLE, 33MM ___1___ ___1___ $ ______ $ ______
Option Year Three - December 1, 2017 - November 30, 2018
ITEM STOCK EST YEARLY EST UNIT EST
LEVEL QUANTITY COST TOTAL COST
1. 3300TFX Perimount Magna Ease Aortic Valve, 19mm ___2___ ___3___ $ _____ $ _____
2. 3300TFX Perimount Magna Ease Aortic Valve, 21mm ___3___ ___8___ $ _____ $ _____
3. 3300TFX Perimount Magna Ease Aortic Valve, 23mm ___3___ ___10___ $ _____ $ _____
4. 3300TFX Perimount Magna Ease Aortic Valve, 25mm ___3___ ___6___ $ _____ $ _____
5. 3300TFX Perimount Magna Ease Aortic Valve, 27mm ___2___ __0___ $ _____ $ _____
6. 3300TFX Perimount Magna Ease Aortic Valve, 29mm ___1___ ___0___ $ _____ $ _____
7. 7300TFX Perimount Magna Ease Mitral Valve, 25mm ___1___ ___0___ $ ______ $ _____
8. 7300TFX Perimount Magna Ease Mitral Valve, 27mm ___1___ ___0___ $ _____ $ _____
9. 7300TFX Perimount Magna Ease Mitral Valve, 29mm __ 2___ __ 1___ $ _____ $ _____
10. 7300TFX Perimount Magna Ease Mitral Valve, 31mm ___2___ ___1___ $ _____ $ _____
11. 7300TFX Perimount Magna Ease Mitral Valve, 33 mm ___1___ ___0___ $ _____ $ _____
12. 5200 Physio II Mitral Annuloplasty ring,24mm ___1___ ___0___ $ _____ $ _____
13. 5200 Physio II Mitral Annuloplasty ring,26mm ___2___ ___2___ $ _____ $ _____
14. 5200 Physio II Mitral Annuloplasty ring,28mm ___2___ ___1___ $ _____ $ _____
15. 5200 Physio II Mitral Annuloplasty ring,30mm ___2___ ___1___ $ _____ $ _____
16. 5200 Physio II Mitral Annuloplasty ring,32mm ___2___ ___0___ $ _____ $ _____
17. 5200 Physio II Mitral Annuloplasty ring,34mm ___2___ ___0___ $ _____ $ _____
18. 5200 Physio II Mitral Annuloplasty ring,36mm ___1___ ___0___ $ _____ $ _____
19. 5200 Physio II Mitral Annuloplasty ring,38mm ___1___ ___0___ $ _____ $ _____
20. 5200 Physio II Mitral Annuloplasty ring,40mm ___1___ ___0___ $ _____ $ _____
21. 4100 IMR Etlogix Annuloplasty Ring, 24mm ___1___ ___0___ $ _____ $ _____
22. 4100 IMR Etlogix Annuloplasty Ring, 26mm ___1___ ___1___ $ _____ $_____
23. 4100 IMR Etlogix Annuloplasty Ring, 28mm ___1___ ___2___ $ _____ $ _____
24. 4100 IMR Etlogix Annuloplasty Ring, 30mm ___1___ ___1___ $ _____ $ _____
25. 4100 IMR Etlogix Annuloplasty Ring,32mm ___1___ ___0___ $ _____ $ _____
26. 4100 IMR Etlogix Annuloplasty Ring, 34mm ___1___ ___0___ $ _____ $ _____
27. 6200 Physio Tricuspid Annulopl asty Ring,24mm ___1___ ___0___ $ _____ $ ______
28. 6200 Physio Tricuspid Annulopl asty Ring,26mm ___1___ ___1___ $ _____ $ ______
29. 6200 Physio Tricuspid Annulopl asty Ring,28mm ___1___ ___1___ $______ $ ______
30. 6200 Physio Tricuspid Annulopl asty Ring,30mm ___1___ ___1___ $ _____ $______
31. 6200 Physio Tricuspid Annulopl asty Ring,32mm ___1___ ___0___ $ ______ $ ______
32. 6200 Physio Tricuspid Annulopl asty Ring,34mm ___1___ ___0___ $ _______ $ ______
33. HEWROOT0028# CARDIOROOT ___1___ ___1___ $ ______ $ ______
34. HEWROOT0030# CARDIOROOT ___1___ ___1___ $ ______ $ ______
35. HEWROOT0032# CARDIOROOT ___1___ ___1___ $ ______ $ ______
36. HEWROOT0034# CARDIOROOT ___1___ ___1___ $ ______ $______
37. M00202175128PO 28MM 15CM HEMASHIELD PLAT WDV ___1___ ___1___ $ ______ $ ______
38. M00202175130PO 30MM SCM HEMASHIELD PLAT WDV ___2___ ___2___ $ ______ $ ______
39. M00202175132PO 32MM SCM HEMASHI ELD PLAT WDV ___2___ ___1___ $ ______ $ ______
40. M00202175134PO 34MM 15CM HEMASHI ELD PLAT WDV ___1___ ___0___ $ ______ $ ______
41. M00202175206PO 6MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
42. M00202175207PO 7MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
43. M00202175208PO8MM 30CM HEMASHlELD PLAT WDV ___2___ ___3___ $ ______ $ ______
44. M00202175210PO lOMM 30CM HEMASHIELD PLAT WDV ___2___ ___3___ $ ______ $ ______
45. M00202175828PO HEMA 1BRANCH 28MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
46. M00202175830PO HEMA 1BRANCH 30MM PLATINUM GRAFT ___1___ __1___ $ ______ $ ______
47. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
48. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
49. 19AGFN-756 REGENT AORTIC FLEX CUFF, 19MM ___2___ ___1___ $ ______ $ ______
50. 21AGFN-756 REGENT AORTIC FLEX CUFF, 21MM ___1___ ___1___ $ ______ $ ______
51. 23AGFN-756 REGENT AORTIC FLEX CUFF, 23MM ___1___ ___0___ $ ______ $ ______
52. 25AGFN-756 REGENT AORTIC FLEX CUFF, 25MM ___1___ ___0___ $ ______ $ ______
53. 27AGFN-756 REGENT AORTIC FLEX CUFF, 27MM ___1___ ___0___ $ ______ $ ______
54. 25AJ-501AORTIC VALVE, MASTER, 25MM ___1___ ___1___ $ ______ $ ______
55. 27AJ-501 AORTI C VALVE, MASTER, 27MM ___1___ ___0___ $ ______ $ ______
56. 29AJ-501AORTIC VALVE, MASTER, 29MM ___1___ ___0___ $ ______ $ ______
57. 25MJ-501 MITRAL VALVE, MASTER, 25MM ___1___ ___0___ $ ______ $ ______
58. 27MJ-501 MITRAL VALVE, MASTER, 27MM ___1___ _ __0___ $ ______ $ ______
59. 29MJ-501 MITRAL VALVE, MASTER, 29MM ___1___ ___1___ $ ______ $ ______
60. 31MJ-501 MlTRAL VALVE, MASTER, 31MM ___1___ ___1___ $ ______ $ ______
61. 33MJ-501 MITRAL VALVE, MASTER, 33MM ___1___ ___0___ $ ______ $ ______
62. 21VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 21MM___1___ ___0___ $ ______ $ ______
63. 23VAVGJ-515 MASTERS HP VALVED GRAFT,ROTATABLE, 23MM ___1___ ___0___ $ ______ $ ______
64. 25VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 25MM ___1___ ___1___ $ ______ $ ______
65. 27VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 27MM ___1___ ___1___ $ ______ $ ______
66. 29VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 29MM ___1___ ___0___ $ ______ $ ______
67. 31CAVGJ-51400 AORTIC VALVE GRAFT, ROTATABLE, 31MM ___1___ ___1___ $ ______ $ ______
68. 33CAVGJ-514 00 AORTIC VALVE GRAFT, ROTATABLE, 33MM ___1___ ___1___ $ ______ $ ______
Option Year Four - December 1, 2018 - November 30, 2019
ITEM STOCK EST YEARLY EST UNIT EST
LEVEL QUANTITY COST TOTAL COST
1. 3300TFX Perimount Magna Ease Aortic Valve, 19mm ___2___ ___3___ $ _____ $ _____
2. 3300TFX Perimount Magna Ease Aortic Valve, 21mm ___3___ ___8___ $ _____ $ _____
3. 3300TFX Perimount Magna Ease Aortic Valve, 23mm ___3___ ___10___ $ _____ $ _____
4. 3300TFX Perimount Magna Ease Aortic Valve, 25mm ___3___ ___6___ $ _____ $ _____
5. 3300TFX Perimount Magna Ease Aortic Valve, 27mm ___2___ __0___ $ _____ $ _____
6. 3300TFX Perimount Magna Ease Aortic Valve, 29mm ___1___ ___0___ $ _____ $ _____
7. 7300TFX Perimount Magna Ease Mitral Valve, 25mm ___1___ ___0___ $ ______ $ _____
8. 7300TFX Perimount Magna Ease Mitral Valve, 27mm ___1___ ___0___ $ _____ $ _____
9. 7300TFX Perimount Magna Ease Mitral Valve, 29mm __ 2___ __ 1___ $ _____ $ _____
10. 7300TFX Perimount Magna Ease Mitral Valve, 31mm ___2___ ___1___ $ _____ $ _____
11. 7300TFX Perimount Magna Ease Mitral Valve, 33 mm ___1___ ___0___ $ _____ $ _____
12. 5200 Physio II Mitral Annuloplasty ring,24mm ___1___ ___0___ $ _____ $ _____
13. 5200 Physio II Mitral Annuloplasty ring,26mm ___2___ ___2___ $ _____ $ _____
14. 5200 Physio II Mitral Annuloplasty ring,28mm ___2___ ___1___ $ _____ $ _____
15. 5200 Physio II Mitral Annuloplasty ring,30mm ___2___ ___1___ $ _____ $ _____
16. 5200 Physio II Mitral Annuloplasty ring,32mm ___2___ ___0___ $ _____ $ _____
17. 5200 Physio II Mitral Annuloplasty ring,34mm ___2___ ___0___ $ _____ $ _____
18. 5200 Physio II Mitral Annuloplasty ring,36mm ___1___ ___0___ $ _____ $ _____
19. 5200 Physio II Mitral Annuloplasty ring,38mm ___1___ ___0___ $ _____ $ _____
20. 5200 Physio II Mitral Annuloplasty ring,40mm ___1___ ___0___ $ _____ $ _____
21. 4100 IMR Etlogix Annuloplasty Ring, 24mm ___1___ ___0___ $ _____ $ _____
22. 4100 IMR Etlogix Annuloplasty Ring, 26mm ___1___ ___1___ $ _____ $_____
23. 4100 IMR Etlogix Annuloplasty Ring, 28mm ___1___ ___2___ $ _____ $ _____
24. 4100 IMR Etlogix Annuloplasty Ring, 30mm ___1___ ___1___ $ _____ $ _____
25. 4100 IMR Etlogix Annuloplasty Ring,32mm ___1___ ___0___ $ _____ $ _____
26. 4100 IMR Etlogix Annuloplasty Ring, 34mm ___1___ ___0___ $ _____ $ _____
27. 6200 Physio Tricuspid Annulopl asty Ring,24mm ___1___ ___0___ $ _____ $ ______
28. 6200 Physio Tricuspid Annulopl asty Ring,26mm ___1___ ___1___ $ _____ $ ______
29. 6200 Physio Tricuspid Annulopl asty Ring,28mm ___1___ ___1___ $______ $ ______
30. 6200 Physio Tricuspid Annulopl asty Ring,30mm ___1___ ___1___ $ _____ $______
31. 6200 Physio Tricuspid Annulopl asty Ring,32mm ___1___ ___0___ $ ______ $ ______
32. 6200 Physio Tricuspid Annulopl asty Ring,34mm ___1___ ___0___ $ _______ $ ______
33. HEWROOT0028# CARDIOROOT ___1___ ___1___ $ ______ $ ______
34. HEWROOT0030# CARDIOROOT ___1___ ___1___ $ ______ $ ______
35. HEWROOT0032# CARDIOROOT ___1___ ___1___ $ ______ $ ______
36. HEWROOT0034# CARDIOROOT ___1___ ___1___ $ ______ $______
37. M00202175128PO 28MM 15CM HEMASHIELD PLAT WDV ___1___ ___1___ $ ______ $ ______
38. M00202175130PO 30MM SCM HEMASHIELD PLAT WDV ___2___ ___2___ $ ______ $ ______
39. M00202175132PO 32MM SCM HEMASHI ELD PLAT WDV ___2___ ___1___ $ ______ $ ______
40. M00202175134PO 34MM 15CM HEMASHI ELD PLAT WDV ___1___ ___0___ $ ______ $ ______
41. M00202175206PO 6MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
42. M00202175207PO 7MM 30CM HEMASHlELD PLAT WDV ___1___ ___2___ $ ______ $ ______
43. M00202175208PO8MM 30CM HEMASHlELD PLAT WDV ___2___ ___3___ $ ______ $ ______
44. M00202175210PO lOMM 30CM HEMASHIELD PLAT WDV ___2___ ___3___ $ ______ $ ______
45. M00202175828PO HEMA 1BRANCH 28MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
46. M00202175830PO HEMA 1BRANCH 30MM PLATINUM GRAFT ___1___ __1___ $ ______ $ ______
47. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
48. M00202175832PO HEMA 1BRANCH 32MM PLATINUM GRAFT ___1___ ___1___ $ ______ $ ______
49. 19AGFN-756 REGENT AORTIC FLEX CUFF, 19MM ___2___ ___1___ $ ______ $ ______
50. 21AGFN-756 REGENT AORTIC FLEX CUFF, 21MM ___1___ ___1___ $ ______ $ ______
51. 23AGFN-756 REGENT AORTIC FLEX CUFF, 23MM ___1___ ___0___ $ ______ $ ______
52. 25AGFN-756 REGENT AORTIC FLEX CUFF, 25MM ___1___ ___0___ $ ______ $ ______
53. 27AGFN-756 REGENT AORTIC FLEX CUFF, 27MM ___1___ ___0___ $ ______ $ ______
54. 25AJ-501AORTIC VALVE, MASTER, 25MM ___1___ ___1___ $ ______ $ ______
55. 27AJ-501 AORTI C VALVE, MASTER, 27MM ___1___ ___0___ $ ______ $ ______
56. 29AJ-501AORTIC VALVE, MASTER, 29MM ___1___ ___0___ $ ______ $ ______
57. 25MJ-501 MITRAL VALVE, MASTER, 25MM ___1___ ___0___ $ ______ $ ______
58. 27MJ-501 MITRAL VALVE, MASTER, 27MM ___1___ _ __0___ $ ______ $ ______
59. 29MJ-501 MITRAL VALVE, MASTER, 29MM ___1___ ___1___ $ ______ $ ______
60. 31MJ-501 MlTRAL VALVE, MASTER, 31MM ___1___ ___1___ $ ______ $ ______
61. 33MJ-501 MITRAL VALVE, MASTER, 33MM ___1___ ___0___ $ ______ $ ______
62. 21VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 21MM___1___ ___0___ $ ______ $ ______
63. 23VAVGJ-515 MASTERS HP VALVED GRAFT,ROTATABLE, 23MM ___1___ ___0___ $ ______ $ ______
64. 25VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 25MM ___1___ ___1___ $ ______ $ ______
65. 27VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 27MM ___1___ ___1___ $ ______ $ ______
66. 29VAVGJ-515 MASTERS HP VALVED GRAFT, ROTATABLE, 29MM ___1___ ___0___ $ ______ $ ______
67. 31CAVGJ-51400 AORTIC VALVE GRAFT, ROTATABLE, 31MM ___1___ ___1___ $ ______ $ ______
68. 33CAVGJ-514 00 AORTIC VALVE GRAFT, ROTATABLE, 33MM ___1___ ___1___ $ ______ $ ______
Estimated Option Year Four Consignment Value ___________________
Estimated Grand Total for this Consignment Contract ___________________?
B. CONSIGNMENT TERMS
B.1. GENERAL: Contractor agrees to furnish and maintain an inventory of Heart Valves/supplies outlined in the attached inventory list at the Saint Louis VAMC. Products will be placed in the facility on a consignment basis in accordance with the terms and conditions of this contract and the consignment terms stated herein.
B.2. INVENTORY LEVEL: An initial level of consignment inventory to be placed at the Saint Louis VAMC shall be agreed to by the Surgery Department and the Contractor. However, this level may be changed upon mutual agreement of the parties if requirements change. The VA Inventory Manager for Prosthetics will verify the contractors proposed consignment level as acceptable. A "no charge" purchase order may be required to initiate shipment of initial stock of inventory. Initial consignment inventory shall be placed, at no expense to the Government, at Saint Louis VAMC within 10 calendar days after receipt of Consignment Level Agreement. The Contractor shall provide a complete listing of model and/or part numbers upon delivery of the initial inventory.
B.3. MAINTENANCE OF INVENTORY: All consignment inventories shall be coordinated with designated station POC. The facility will consume Contractor's product at the catalog number level on a first-in, first-out basis. Contractor shall remove or replace inventory as necessary. The Contractor shall advise the designated station POC prior to removing or replacing inventory. Designated station POC may request that inventory having less than 30 days sterility/expiration date be removed and replaced. The Contractor shall assume responsibility of all expired products. Replacement of expired inventory will fall in accordance with the timeframes outlined in section B.6. of this document. These services shall be completed at no cost to the Government. Contractor is required to furnish the designated station POC an inventory listing with serial and/or lot numbers in order to track patient implants within 15 days.
B.4. SEMI-ANNUAL REVIEW OF INVENTORY: In order to determine appropriate stock levels, VA Surgery and VA Prosthetics inventory management staff and contractor's personnel will periodically (at least twice per year) conduct a physical inventory of the consignment inventory, with copy of inventory furnished to the VA Contracting Office. Contractor shall evaluate the actual usage and purchase volume vs. the expected turns, and review the results with designated VA representative at the facility. Inventory levels may be adjusted accordingly if required.
B.5. OWNERSHIP AND LIABILITY: The ownership of all consigned items shall remain with the Contractor until such time said item(s) are used by the Government. The Government assumes no ownership for any item(s) assigned to the VA on a consignment basis until such time a requirement for the item(s) exists and item is used or implanted. At that time, a purchase order will be issued for a replacement item. Neither party shall be liable for any failure or delay in the performance of its obligations under this Agreement due to causes beyond the control of such party, including but not limited to fire, floods, other act of God, accidents, embargoes, wars, riots and any other acts or order of any government or governmental agency. The VA shall furnish proper storage and security for the consignment inventory and shall be responsible for any loss, theft, or damage to consigned items while in the VA's possession or control.
B.6. PURCHASE ORDERS/ORDERING REPLACEMENT INVENTORY: The use of any item is entirely dependent on patient diagnosis and need as determined by the attending physician. Contractor will be required to provide products on an as-needed basis. Contractor will be paid only after items are implanted or used by the Government. A purchase order will be issued by the Saint Louis VAMC and sent to the vendor within one (1) business days for each implanted or used item in order to obtain a replacement item and shall include model, size, serial/lot number. Products will be replaced at the prices indicated in the Schedule of items in Section B.
B.7. DELIVERY: The Contractor shall deliver replacement products the following business day by 10:30am, after receipt of the purchase order. All transportation charges shall be included in the price of the item and contractor shall ship products to Saint Louis VAMC at no additional charge.
B.8. ACCEPTANCE OF PRODUCTS: Saint Louis VAMC physicians will have the responsibility to determine which item to use. The Physicians at the Saint Louis VAMC will have final approval for acceptance of products.
B.9. DEFECTIVE PRODUCTS: The Contractor shall replace defective products at no cost to the Government.
B.10. TECHNICAL SUPPORT: Contractor shall provide twenty-four (24) hour technical support for consultation on technical issues, patient follow up, and training as needed. Contractor shall return telephone calls for assistance to Saint Louis VAMC within 30 minutes of VAMC's telephone call to Contractor.
Bid Protests Not Available