19-5464 Excel Cost Proposal Form 11-20-18.xlsx
XLSX spreadsheet 31 KB Posted
- Attached to
- BLOOD GAS ANALYZERS (3) (UW-MAD) [19-5464]
- Solicitation number
- 19-5464
- Issued by
- Dane County, Wisconsin
About this file
This is a cost proposal form for the University of Wisconsin-Madison's procurement of three blood gas analyzers intended for use in veterinary care. The University is soliciting proposals through Request for Proposal 19-5464 and has structured the bidding process to accommodate three distinct pricing models, allowing vendors to submit proposals for one or multiple lots. The contract is anticipated to have a five-year term, with the option for vendors to propose the purchase of an additional fourth instrument in Year 3 of the agreement. Bidders are also invited to provide optional pricing for co-oximeter consumables based on 250 patient samples per year.
The cost proposal form requests detailed pricing across three bidding lots: Lot 1 presents an outright purchase model requiring line-item pricing for three analyzers, installation, training, four years of post-warranty service, and five years of consumables projected at 3,000 samples annually; Lot 2 offers a cost-per-sample arrangement where the contractor retains equipment ownership at contract conclusion and must include all service, consumables, installation, and training with tiered pricing for samples exceeding the 3,000 annual baseline; and Lot 3 provides a cost-per-sample model where the University assumes equipment ownership upon contract termination. All bidders must specify equipment manufacturer and model number and declare a capped annual increase rate for consumables costs over the five-year term, with any increases applied to calculate total five-year pricing. No additional charges may be imposed during the contract term unless mutually agreed upon in writing.
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| File | Type | Posted |
|---|---|---|
| 19-5464 RFP.docx | DOCX document | |
| 19-5464 RFP AMD 1.docx | DOCX document |
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Text version
Sheet1 Attachment B - Cost Proposal Form
Costs which are not specifically identified below will not be compensated under any Contract awarded pursuant to this RFP.
| Note: The University is requesting three different pricing options, as described below in Lots 1 - 3. Please quote for as many lots as you can. University will evaluate and score all cost options. | ||||
| Lot 1 – Outright Purchase | ||||
| ITEM | QTY. | DESCRIPTION | UNIT PRICE LIST | NET PRICE EXTENDED |
| 1.1 | 3 ea | BLOOD GAS ANALYZERS |
Manufacturer:
| Model #: | $______________ | $______________ | |||
| 1.2 | 1 lot | Installation (if not included above) | $______________ | $______________ | |
| 1.3 | 1 lot | Training (if not included above). | $______________ | $______________ | |
| 1.4 | 1 yr | Service: 1st year after expiration of warranty | $______________ | $______________ | |
| 1.5 | 1 yr | Service: 2nd year after expiration of warranty | $______________ | $______________ | |
| 1.6 | 1 yr | Service: 3rd year after expiration of warranty | $______________ | $______________ | |
| 1.7 | 1 yr | Service: 4th year after expiration of warranty | $______________ | $______________ |
| 1.8 | Consumables: Provide a description of consumables, including but not limited to controls, reagents, calibrators and supplies, and the quantity needed to perform 3,000 samples per annum. Refer to specifications for more information on the tests to be performed. While you will be providing the quantities and cost for one year, the award will be based on the five year cost. Add rows as necessary. | ||
| 1.8.a | $______________ | $______________ | |
| 1.8.b | $______________ | $______________ | |
| 1.8.c | $______________ | $______________ | |
| 1.8.d | $______________ | $______________ | |
| 1.8.e | $______________ | $______________ | |
| 1.8.f | $______________ | $______________ | |
| 1.8.g | $______________ | $______________ | |
| Total Cost | $______________ |
Note: Items 4-7 assume equipment comes with a one year warranty.
Increases to the cost of consumables will need to be capped for the five year term of this agreement.
| What is the “not to exceed” annual increase for consumables? _________________% |
| This "not to exceed" increase will be added to the cost to determine the total cost over 5 years. See 3.6 for firm pricing and notice of price increases. |
| 1.9 - Cost to Purchase a Fourth Instrument in Year 3 - (Optional) | ||||
| ITEM | QTY. | DESCRIPTION | UNIT PRICE LIST | NET PRICE EXTENDED |
| 1.9 | 1 each | BLOOD GAS ANALYZERS |
Manufacturer:
Model #: $______________ $______________
1.10 - Cost for Co-oximeter Consumables including controls, calibrators, reagents, supplies. - (Optional) Provide pricing for 250 patient samples per year. Add rows as necessary.
| ITEM | QTY. | DESCRIPTION | UNIT PRICE LIST | NET PRICE EXTENDED |
| 1.1 | 250 Samples | Consumables | $______________ | $______________ |
Lot 2 Cost per Sample – Contractor retains ownership of equipment at the end of the five year term.
For the Cost per Sample bid, include the cost of all controls, reagents, supplies, instrument service, calibrators, PM Supplies, installation and training. Bid should assume 3,000 sampless per year. No additional charges may be added during the term, unless mutually agreed to in writing.
| ITEM | QTY. | DESCRIPTION | UNIT PRICE | EXTENDED PRICE | |
| 2.1 | 3,000 | ||||
| Samples | 3 EACH BLOOD GAS ANALYZERS TO INCLUDE: CONTROLS; REAGENTS, SUPPLIES, INSTRUMENT SERVICE; CALIBRATORS; PM SUPPLIES; INSTALLATION AND TRAINING. | $_____________ | $_____________ | ||
| Manufacturer: | |||||
| Model No.: |
| Lot 2: Cost per sample in excess of 3,000 annually: | |||
| ITEM | QTY. | DESCRIPTION | UNIT PRICE PER SAMPLE |
| 2.2 | 1 sample | 3,001 to 3,500 | $________________ |
| 2.3 | 1 sample | 3,5001 to 4,000 | $________________ |
| 2.4 | 1 sample | 4,001 to 4,500 | $________________ |
| 2.5 | 1 sample | 4,501 to 5,000 | $________________ |
2.6 - Cost to Purchase a Fourth Instrument in Year 3 - (Optional) Additional cost per sample if an additional istrument is added in year 3 - use 30 months into the term for cost purposes.
| ITEM | QTY. | DESCRIPTION | UNIT PRICE PER SAMPLE |
| 2.6 | 1sample | BLOOD GAS ANALYZERS |
Manufacturer:
| Model #: | $________________ |
| Note: The University and the Contractor agree to negotiate the addition of an instrument if and when it is needed. | |
| 2.7 - Cost for Co-oximeter Consumables including controls, calibrators, reagents, supplies. - (Optional) |
Provide pricing for 250 patient samples per year. Add rows as necessary.
| ITEM | QTY. | DESCRIPTION | UNIT PRICE LIST | NET PRICE EXTENDED |
| 2.7 | 250 Samples | Consumables | $______________ | $______________ |
Lot 3 Cost per Sample – University takes ownership of the equipment at the end of the five year term.
For the Cost per Sample bid, include the cost of all controls, reagents, supplies, instrument service, calibrators, PM Supplies, installation and training. Bid should assume 3,000 samples per year. No additional charges may be added during the term, unless mutually agreed to in writing.
| ITEM | QTY. | DESCRIPTION | UNIT PRICE | EXTENDED PRICE | |
| 3.1 | 3,000 | ||||
| Samples | 3 EACH BLOOD GAS ANALYZERS TO INCLUDE: CONTROLS;REAGENTS, SUPPLIES, INSTRUMENT SERVICES; CALIBRATORS; PM SUPPLIES; INSTALLATION AND TRAINING. | $_____________ | $_____________ | ||
| Manufacturer: | |||||
| Model No.: |
| Lot 3: Cost per sample in excess of 3,000 annually: | |||
| ITEM | QTY. | DESCRIPTION | UNIT PRICE PER SAMPLE |
| 3.2 | 1 sample | 3,001 to 3,500 | $________________ |
| 3.3 | 1 sample | 3,5001 to 4,000 | $________________ |
| 3.4 | 1 sample | 4,001 to 4,500 | $________________ |
| 3.5 | 1 sample | 4,501 to 5,000 | $________________ |
3.6 - Cost to Purchase a Fourth Instrument in Year 3 - (Optional) Additional cost per sample if an additional istrument is added in year 3 - use 30 months into the term for cost purposes.
| ITEM | QTY. | DESCRIPTION | UNIT PRICE PER SAMPLE |
| 3.6 | 1sample | BLOOD GAS ANALYZERS |
Manufacturer:
| Model #: | $________________ |
| Note: The University and the Contractor agree to negotiate the addition of an instrument if and when it is needed. |
3.7 - Cost for Co-oximeter Consumables including controls, calibrators, reagents, supplies. - (Optional) Provide pricing for 250 patient samples per year. Add rows as necessary.
| ITEM | QTY. | DESCRIPTION | UNIT PRICE LIST | NET PRICE EXTENDED |
| 3.7 | 250 Samples | Consumables | $______________ | $______________ |
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