36C26218Q0203-00001003.xlsx

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VISN22 Automated Blood Bank CPT BPA Extend RFQ Close Date from 1/5/18 to 1/12/18
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36C26218Q0203
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36C26218Q0203 00001 36C26218Q0203 00001 - Attachment B - Test Schedule and Volumes.xlsx

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VISN Total Est Test Volumes

Test Description:Contractor's Part Number
(if applicable)CPT Price
(based on estimated quantities listed in Columns H - W)VISN 22 Estimated Annual Test Volume and CPT PricingVISN 22 Estimated 5-Year Test Total
(SUM of Column H - V)VISN 22 Estimated 5-Year Test Extended Price
(Column G x Column W)VISN 22 Estimated 5-Year Test Total Price
Reagent PriceInstrumentation PriceService/ Maintenance PriceTotal CPT Price
(Columns D + E + F)BASE YEAROption Year 1Option Year 2Option Year 3Option Year 4
Est. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat Rate
ABO / Rh23,6015,1501,43823,6015,1501,43823,6015,1501,43823,6015,1501,43823,6015,1501,438150,943$ - 0$ - 0
Antibody Screen18,8674,0341,14518,8674,0341,14518,8674,0341,14518,8674,0341,14518,8674,0341,145120,230$ - 0
Antibody ID
Panel with auto control)736- 037736- 037736- 037736- 037736- 0373,864$ - 0
Antigen Typing1,5661,0841331,5661,0841331,5661,0841331,5661,0841331,5661,08413313,913$ - 0
Direct Antiglobin Test1,2302,0631651,2302,0631651,2302,0631651,2302,0631651,2302,06316517,288$ - 0
Crossmatching Blood Units with Patient Samples2,233- 01122,233- 01122,233- 01122,233- 01122,233- 011211,723$ - 0
ABO for Rh negative Units (Rh confirmation typing of donor units)10,744- 053710,744- 053710,744- 053710,744- 053710,744- 053756,406$ - 0
NOTE:

ALL green cells shall be completed by vendors in order to get an accurate quote comparison. Failure to complete all green cells maybe considered an unresponsive quote.

Please see the minimum hourly test output requirements for each facility lsited in Column C of the "Facility Est Test Volumes" tab and quote the appropriate instrument needed to meet this requirement.

***AMENDMENT 00001 - Revise Volumes to include VA Prescott's test volumes.

&"-,Bold"ATTACHMENT C

Facility Est Test Volumes

FacilityMinimum Test Thruput per hour (primary analzyer)Annual Volume
Abo/RhAnnual Volume
ABO/Rh ControlsAnnual Volume
Antibody ScreenAnnual Volume
Antibody Screen ControlsAnnual Volume
Antibody IDAnnual Volume
Antibody ID ControlsAnnual Volume Antigen TypingAnnual Volume
Antigen Typing ControlsAnnual Volume
Direct Antiglobulin TestAnnual Volume
Direct Antiglobulin Test ControlsAnnual Volume
Crossmatching Blood UnitsAnnual Volume
Crossmatching Blood Units ControlsAnnual Volume ABO for Rh Negative UnitsAnnual Volume ABO for Rh Negative Units ControlsInstrument Maximum Special ContraintTech support via telephoneService/
MaintananceCurrent INTERFACE MANAGER in Use
VA Phoenix10447957217502088402615014210431201782024/7Business HrsDI
VA Tucson1033251095322573013005005007573042502200024/7Business HrsDI
VA Long Beach1030817332634733670425862037424802139024/7Business HrsDI
VA Loma Linda10350010953150109513000000000024/7Business HrsDI
VA San Diego1038201095307073012501804828573026501875024/7Business HrsDI
VA Greater
Los Angeles1051004004900400200020040050040080002600024/7Business HrsDI
VA Prescott10296160138138000025251830148024/7Business HrsDI

Consumables

Consumable Product NamePart NoPacking ConfigVolume (mLs)Yield in Tests or UsesCostCost per useYearly CostVolume per UseFrequency of UseStorage ConditionShelf Life From Date of ManufactureOpen Bottle Stability
Example: Consumable 11234564 bottles / case5000 mL/btl500 Tests/btl$200.00$0.10$200,000.0010 mLEach test2-8°C24 months6 months

Service

FacilityRequired Service OptionAnnual Service Price
VA Phoenix24x7
VA Tucson24x7
VA Long Beach24x7
VA Loma Linda24x7
VA San Diego24x7
VA Greater Los Angeles24x7
VA Prescott24x7

List of Equipment Per Facility

Make and Model of Instrumentation and Equipment Per Facility
See Column I and Column L in "Facility Est Test Volumes" tab and provide instrumentation that meets or exceeds the required minimum hourly output and the stated spacial constraints. Instrumentation shall also meet all the minimum requirements listed in the Statement of Work (SOW). Include quantities if more than one (1) instrument is being provided at each facility.Discounted Instrument Price

(See B.2.6 - provide purchase price to be used if the VA elects to buyout the instrument) VA Long Beach Healthcare System

VA Loma Linda Healthcare System

VA San Diego Healthcare System

VA Greater Los Angeles Healthcare System

VA Southern Arizona (Tucson) Healthcare System Facility

VA Phoenix Healthcare System Facility

VA Northern Arizona (Prescott) Healthcare System Facility

Additional Pricing Sheet

Description: Part Number: CPT Price (based on an estimated 1000 tests)

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