36C26219Q0403-0001005.xlsx

XLSX spreadsheet 29 KB Posted

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IFA Imaging System
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36C26219Q0403
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36C26219Q0403 0001 Attachment B - Price List IFA Volumes (691) VAGLAHS .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
ANA Screen$ - 012,000*60012,000*60012,000*60012,000*60012,000*60063,000$ - 0$ - 0
ANCA Ethanol (ANCAE)$ - 02,0005001252,0005001252,0005001252,0005001252,00050012513,125$ - 0
ANCA Formalin (ANCAF)$ - 020020020200200202002002020020020200200202,100$ - 0
* # of controls is based off each slide's sample capacity. Each slide will require one positive and one negative control. The total number of controls should be based on the number of slides required to perform 12,000 samples per year.
There will be 12,000 samples requested for ANA screening per year. A 15% positivity rate and a tiering up to 1:2:560 or contractors best practice should be used to calculate annual volume based on vendors work-flow.

&"-,Bold"ATTACHMENT C

Facility Est Test Volumes

FacilityMinimum Test Thruput per hour (primary analzyer/ microscope)Annual Volume
ANA ScreenAnnual Volume
ANCA EthanolAnnual Volume
ANCA Formalin(additional)Instrument Maximum Special ContraintTech support via telephoneService/
MaintananceCurrent INTERFACE MANAGER in Use
VA Phoenix
VA Tucson
VA Long Beach
VA Loma Linda
VA San Diego
VA Greater
Los Angeles1512,000 tests2,000 tests2005days per week/normal business hours5 days per week /Business HrsData Innovations (DI)
VA Prescott

Consumables

Consumable Product NamePart NoPacking Config. # of Bottles (Btl) /BoxVolume (mLs)/BtlYield in Tests or Uses/per BtlCostCost per useYearly CostVolume per UseFrequency of UseStorage ConditionShelf Life From Date of ManufactureOpen Bottle Stability
Example: ANA Screen

Service

FacilityRequired Service OptionAnnual Service Price
VA Phoenix
VA Tucson
VA Long Beach
VA Loma Linda
VA San Diego
VA Greater Los AngelesTech Phone 5 days per week, Business Hours/ Service Maint. 5 days per week, Business Hours/
VA Prescott

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 special 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 (Provide the 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
Example: Qty. 1 IFA Automated Microscope

Qty. 1 UPS Qty. 1 Printer Qty. 4 End point Titer Software (Licensed Annually (Please Name)

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

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