ATTACHMENT A - PRICE COST SCHEDULE - NX EQ AUTOTRANSFUSION UNITS.xlsx

XLSX spreadsheet 24 KB Posted Nov 4, 2026

Attached to: 6515--NX EQ Autotransfusion Units (VA-27-00010063)
Solicitation number: 36C10X27Q0014
Issued by: Department of Veterans Affairs Strategic Acquisition Center Frederick

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Written by GovTribe AI · Nov 4, 2026

This is a Price Cost Schedule template for autotransfusion units (NX EQ equipment) that vendors must complete as part of their response to solicitation 36C10X27Q0014. The schedule requires vendors to provide pricing for seventeen contract line items (CLINs) covering Haemonetics brand autotransfusion system components, consumables, and services across a base year plus four option years. Specific items include hard-shell reservoirs, assembly kits, processing kits, cell saver equipment, waste bags, fastpacks, sequestration kits, vacuum and aspiration lines, the Cell Saver Elite Plus unit, annual online recertification, one-year platinum service agreements, and operator training. All quantities are estimated at 20 units per CLIN for the base year through option year four, except training tuition which is estimated at 10 units annually.

Vendors must complete all yellow-highlighted cells in the template, providing unit prices, 3% Service Level Agreement (SLA) additions, total prices for each year, and cumulative evaluated pricing for the entire contract period. The template accommodates offerors proposing equivalent products by allowing alternative manufacturer information to be entered starting in Column L; vendors must indicate "N/A," "None," or "0" for any CLINs not included in their proposed solution. Delivery is specified in days after receipt of order (ARO), and the pricing submitted must align with the technical specifications proposed in the vendor's technical volume. This schedule is part of the VA's requirements contract for autotransfusion units to supply VA Medical Centers nationwide.

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Other files

File	Type	Posted
ATTACHMENT G - PAST PERFORMANCE QUESTIONNAIRE - NX EQ AUTOTRANSFUSION UNITS.docx	DOCX document	Nov 4, 2026
ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ AUTOTRANSFUSION UNITS.docx	DOCX document	Nov 4, 2026
ATTACHMENT C - CONTRACT CLAUSES - NX EQ AUTOTRANSFUSION UNITS.docx	DOCX document	Nov 4, 2026
ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ AUTOTRANSFUSION UNITS.docx	DOCX document	Nov 4, 2026
ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ AUTOTRANSFUSION UNITS.docx	DOCX document	Nov 4, 2026
36C10X27Q0014.docx	DOCX document	Nov 4, 2026
ATTACHMENT E - REPORTING TOOL - NX EQ AUTOTRANSFUSION UNITS.xlsx	XLSX spreadsheet	Nov 4, 2026

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Sheet1

	CLIN	Part Number	Brand Name	Item Description	Unit of Measure (UOM)	Quantity Per UOM	Estimated Quantity (Base Year)	Estimated Quantity (Year 1)	Estimated Quantity (Year 2)	Estimated Quantity (Year 3)	Estimated Quantity (Year 4)	Manufacturer Name	Manufacturer Part Number	Item Description	Contractor Part Number (if different from OEM)	Unit of Measure	Quantity per UOM	Delivery Days ARO	Commercial Price	Proposed Unit
Price (Base Year)	SLA (3%)	Total Price (Unit Price plus SLA)
Base Year	Proposed Unit
Price (Option Year 1)	SLA (3%)	Total Price (Unit Price plus SLA)
Option Year 1	Proposed Unit
Price (Option Year 2)	SLA (3%)	Total Price (Unit Price plus SLA)
Option Year 2	Proposed Unit
Price (Option Year 3)	SLA (3%)	Total Price (Unit Price plus SLA)
Option Year 3	Proposed Unit
Price (Option Year 4)	SLA (3%)	Total Price (Unit Price plus SLA)
Option Year 4	Total Evaluated Price (with 3% SLA and estimated quantities) - Base Year	Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 1	Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 2	Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 3	Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 4	Total Evaluated Price
	0001	00205-00	Haemonetics	RESERVOIR, HARD-SHELL, 150u	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0002	00208-00	Haemonetics	BASIC A & A ASSEMBLY, LN 208	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0003	00220-00	Haemonetics	RESERVOIR, HARD-SHELL, 20U	BX	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0004	00245-00	Haemonetics	RBC BAG W/TWIST-LOCK CONNECTOR	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0005	CSE-B-1000	Haemonetics	BAG ASSY, WASTE, 10L	BX	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0006	CSE-FP-125V	Haemonetics	CE ELITE FASTPACK,125mL,150u	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0007	CSE-FP-225V	Haemonetics	CS ELITE FASTPACK,225ML,150U	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0008	CSE-P-125	Haemonetics	CS ELITE PROCESSING KIT, 125ML	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0009	CSE-P-225	Haemonetics	CS ELITE PROCESSING KIT, 225ML	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0010	CSE-P-70	Haemonetics	CS ELITE PROCESSING KIT, 70ML	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0011	CSE-SQ-1000	Haemonetics	SEQUESTRATION KIT, CSE-SQ-1000	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0012	HAR-A-1000	Haemonetics	VACUUM LINE, FILTERED	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0013	HAR-A-0013	Haemonetics	ASPIRATION & ANTICOAG LINE	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0014	CSE-EX-US	Haemonetics	CELL SAVER ELITE PLUS, US	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0015	RECERTIFICATION	Haemonetics	ANNUAL ONLINE RECERTIFICATION	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0016	Cell saver Service	Haemonetics	1 Year Platinum Service Agreement	EA	1	20	20	20	20	20										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	0017	TRAINING TUITION	Haemonetics	Training (Operation of the System)	EA	1	10	10	10	10	10										$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
																																				$ - 0	Total Price
		*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES																			*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES
		**ARO = Delivery Days After Receipt of Order																			**ARO = Delivery Days After Receipt of Order
		Offerors proposing equivalent product must enter Name of Manufacturer for its proposed solution, Description of Part Number(s), etc. starting at Column L. If offeror’s proposed solution does not require a particular CLIN, vendor shall indicate such by writing N/A, None, or Zero (0). Also, the items priced in Pricing volume must correspond with the items proposed in offeror’s Technical volume as the brand name or equivalent solution.

File details come from the government source that posted it. Updated Nov 4, 2026.