18-242-SOL-00028_-_Combined.pdf

18-242-SOL-00028

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

03/26/2018

1 2

4101 Indian School Rd NE, Suite 225 Albuquerque NM 87110

Albuquerque Indian Health Service Multiple

505 256-6756CEDRIC WOOD

04/11/2018 1700 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

The Albuquerque Area Laboratory Programs would like to contract for Erythrocyte Sedimentation Rate (ESR) testing equipment, supplies, and services.

A firm-fixed priced contract will result from this solicitation to provide lab services as described in the attached SOW to the following locations:

Acoma-Canoncito-Laguna Service Unit Albuquerque Indian Health Center Jicarilla Service Unit Mescalero Service Unit Santa Fe Service Unit Taos-Picuris Service Unit Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a) cewood Typewritten Text cewood Typewritten Text

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

18-242-SOL-00028

Zuni Service Unit

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Albuquerque Area Indian Health Service | Laboratory Programs

STATEMENT OF WORK

Erythrocyte Sedimentation Rate (ESR) Testing Equipment and Services Area-wide contract

Introduction: The Albuquerque Area Laboratory Programs would like to contract for Erythrocyte Sedimentation Rate (ESR) testing equipment, supplies, and services.

Background: The Albuquerque Area Healthcare facilities are typically located in rural, remote areas where clinical services can be hard to come by if not performed locally (in-house). Laboratory testing is one service that would be more beneficially if testing is brought in-house, as other means of testing routes would entail sending specimen to reference laboratories which can cause immediate delay of at least 24-48 hours – or longer if results require further confirmatory testing. ESR equipment, supplies, and services are necessary for proper diagnosis and treatment in our rural healthcare facilities requiring such tests. Full automation of our analyzers is required to help compensate for the limited qualified testing personnel available across our area.

Objectives: To contract for fully automated ESR analyzer for equipment, supplies, and services; to minimize the laboratory testing time while maximizing our testing capacity; to be in compliance with all Federal, State, and Local regulations and requirements for Clinical Laboratory testing and those of Public Law 100-578, Section 353(c)(2).

Scope: Contractor will install analyzers and perform necessary validation testing required to conduct clinical laboratory testing in healthcare facilities in accordance to Federal law and requirements.

Contractor will provide all necessary supplies to begin testing and provide written documentation of instrument acceptability and validation testing. Contractor will provide initial training and if needed additional user training. Contractor will provide reagents and supplies on a monthly basis and will ship items within a week of ordering reagents. Contractor must ensure testing platform and reagents are FDA approved. Contractor will install any new updates requiring updating.

Place of Performance/Hours of Operation:

Acoma-Canoncito-Laguna Indian Hospital Laboratory Department 80B Veterans Blvd.

San Fidel, NM 87049

Albuquerque Indian Health Center Laboratory Department 801 Vassar Drive NE Albuquerque, NM 87106

Jicarilla Indian Health Center Laboratory Department 500 North Mundo Drive Dulce, NM 87528

Mescalero Indian Hospital Laboratory Department 318 Abalone Loop Mescalero, NM 88340

Santa Fe Indian Hospital Laboratory Department 1700 Cerrillos Road Santa Fe, NM 87501

Taos-Picuris Indian Health Center Laboratory Department 1090 Goat Springs Road Taos, NM 87571

Zuni Indian Hospital Laboratory Department Route 301 North B Avenue Zuni, NM 87327

Hours of operation for installation will be M-F from 8:00 AM to 4:00 PM

Period of Performance: Duration of this contract will be a base plus four one-year options.

Quality Control: Contractor should provide means of documentation to ensure proper installation of equipment and training of testing personnel in accordance with Federal requirements. Contractor in accordance with Public Law 100-578, Section 353(c) (2), should perform studies and/or services on all equipment to be used in clinical settings. This includes but not limited to validation studies, correlation studies, preventative maintenance services, etc.

Records/Data: All testing and service records will be considered government property and will be retained in accordance with Federal, State, and Local regulations.

Packaging/Packing/Shipping Instructions: Shipment and installation of equipment, services provided, and supplies received will be sent to individual locations listed below.

Acoma-Canoncito-Laguna Indian Hospital Laboratory Department 80B Veterans Blvd.

San Fidel, NM 87049

Albuquerque Indian Health Center Laboratory Department 801 Vassar Drive NE Albuquerque, NM 87106

Jicarilla Indian Health Center Laboratory Department 500 North Mundo Drive Dulce, NM 87528

Mescalero Indian Hospital Laboratory Department 318 Abalone Loop

Mescalero, NM 88340 Santa Fe Indian Hospital Laboratory Department 1700 Cerrillos Road Santa Fe, NM 87501

Taos-Picuris Indian Health Center Laboratory Department 1090 Goat Springs Road Taos, NM 87571

Zuni Indian Hospital Laboratory Department Route 301 North B Avenue Zuni, NM 87327

Applicable Documents:

• Public Law 100-578, Section 353(c)(2), October 31, 1988

• 42 CFR Part 493 – Laboratory Requirements (also known as CLIA 1988)

Points of Contact:

The following are the individuals that will be listed as the Point of Contact (POC) for their service unit:

Acoma Canoncito Laguna Hospital Laboratory Supervisor Phone: (505) 552-5419

Albuquerque Indian Health Center Laboratory Supervisor Phone: (505) 248-4029

Jicarilla Service Health Center Laboratory Supervisor Phone: (575) 759-7218

Mescalero Indian Hospital Laboratory Supervisor Phone: (575) 464-3840

Santa Fe Indian Hospital Laboratory Supervisor Phone: (505) 946-9329

Taos Picuris Health Center Laboratory Supervisor Phone: 575-758-6966

Zuni Indian Hospital Laboratory Supervisor Phone: (505) 782-5823

Government Furnished Items. The contractor shall specifically identify in their proposal the type, amount, and time frames required for any government resources, excluding those listed below. The Government will provide the following: Lab space as required and POC listing.

Contractor Furnished Items. The contractor shall provide equipment, supplies and services for the testing services requested. The contractor shall furnish Standard Operational Procedures, applicable regulations, manuals, texts, briefs and other materials associated with the project and the hardware/software noted throughout this SOW. The contractor shall provide initial familiarization/orientation to laboratory personnel in addition to annual operators training. The contractor shall provide supplies necessary to perform testing using the contractor’s equipment. The contractor shall provide a warranty on the instruments which should include replacement parts at no addition charge to the government. The contractor shall provide technical support and be available for on-site support within 24 hours of service request.

Specific Requirements:

Analyzer Operational Requirements

• Must be fully automated, walk-away operation

• Must have random access

• Must be interface-able with our LIS RPMS system

• Direct measurement of red-cell aggregate

• Closed-container sampling technology

• Internal Barcode reader with discrete sampling

• Barcoded Quality Control with availability of a peer review and comparison of data

• Maximum throughput of at least 150 tests per hour

• No disposables

Size and Space Requirements Albuquerque Area Indian Health Laboratories are limited on workspace and thus require automated clinical analyzers fall within the following dimensions:

Dimensions

(H x W x D): 14.3 x 10.5 x13.4 (in) Weight: < 50 lbs.

Power Requirements: 120 Volt or 240 Volts or 50/60 Hz

Sample Requirements Sample type must be whole blood, collected in EDTA anti-coagulated tubes capable of being pierced.

Data Management Requirements Must be capable of interfacing with the Data Innovations middleware and utilize HL7 format (ASTM protocol) and be bi-directional interfaced with the VA Laboratory Package 5.1 RPMS.

Deliverables and Reports: In addition to the applicable requirements, the contractor shall provide the following deliverables and reports:

• Service and Maintenance

• Training (initial, yearly thereafter)

• Quarterly Business Reports

Delivery Instructions: All deliverables shall be delivered to the client no later than the date specified in the SOW unless otherwise agreed upon.

Estimated Lease Cost for ESR Analyzer Brand name or equivalent to ALCOR iSED, price includes service and consumables.

Service should include:

• Technical support available 24/7

• Performance maintenance (annually)

• Quality Assurance Program with real-time data analysis reports available 24/7

• Installation setup with implementation assistance (as needed)

• Decontamination and removal (as needed)

Consumables include:

Test Cards (minimum 5,000 iTests) Seditrol Quality Control Kit iWash Thermal Print paper

A B C D F G

Item No. Service Units ESR Analyzer

Lease Cost Supplies Service Total

1 BASE YEAR TBD/2018 - TBD/2019

Acoma-Canoncito-Laguna Service Unit 0 0 Included 0 Albuquerque Indian Health Center 0 0 Included 0 Jicarilla Service Unit 0 0 Included 0 Mescalero Service Unit 0 0 Included 0 Santa Fe Service Unit 0 0 Included 0 Taos-Picuris Service Unit 0 0 Included 0 Zuni Service Unit 0 0 Included 0 Total Base Year $Enter Total Price

2 FIRST OPTION YEAR TBD/2019 – TBD/2020

Acoma-Canoncito-Laguna Service Unit 0 0 Included 0 Albuquerque Indian Health Center 0 0 Included 0 Jicarilla Service Unit 0 0 Included 0 Mescalero Service Unit 0 0 Included 0 Santa Fe Service Unit 0 0 Included 0 Taos-Picuris Service Unit 0 0 Included 0

Total First Option Year $Enter Total Price

3 SECOND OPTION YEAR TBD/2020 - TBD/2021

Albuquerque Indian Health Center 0 0 Included 0 Jicarilla Service Unit 0 0 Included 0 Mescalero Service Unit 0 0 Included 0 Santa Fe Service Unit 0 0 Included 0 Taos-Picuris Service Unit 0 0 Included 0

Total Second Option Year $Enter Total Price

4 THIRD OPTION YEAR TBD/2021 - TBD/2022

Albuquerque Indian Health Center 0 0 Included 0 Jicarilla Service Unit 0 0 Included 0 Mescalero Service Unit 0 0 Included 0 Santa Fe Service Unit 0 0 Included 0 Taos-Picuris Service Unit 0 0 Included 0

Total Third Option Year $Enter Total Price

5 FOURTH OPTION YEAR TBD/2022 - TBD/2023

Albuquerque Indian Health Center 0 0 Included 0 Jicarilla Service Unit 0 0 Included 0

Mescalero Service Unit 0 0 Included 0 Santa Fe Service Unit 0 0 Included 0 Taos-Picuris Service Unit 0 0 Included 0

Total Fourth Option Year $Enter Total Price

TOTAL SUMMARY

Base Year TBD/2018 – TBD/2019 0 First Option Year TBD/2019 – TBD/2020 0 Second Option Year TBD/2020 – TBD/2021 0 Third Option Year TBD/2021 – TBD/2022 0 Fourth Option Year TBD/2022 – TBD/2023 0 Total Contract Amount $Enter Total Price