Attachments A - C - Template for Vendors UPDATED.xlsx

XLSX spreadsheet 32 KB Posted Dec 17, 2020

Attached to: 6550--5 year single award Indefinite Quantity-Indefinite Delivery contract for CPRR Clinical Laboratory Coagulation Instrumentation
Solicitation number: 36C26321Q0102
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

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Other files

File	Type	Posted
36C26321Q0102 A0001.pdf	PDF	Dec 17, 2020
QA.pdf	PDF	Dec 17, 2020
36C26321Q0102 A0001_1.docx	DOCX document	Dec 17, 2020
Attachment E MFG_Waste_Evaluation_Form.docx	DOCX document	Dec 2, 2020
36C26321Q0102.pdf	PDF	Dec 2, 2020
Attachments A - C - Template for Vendors.xlsx	XLSX spreadsheet	Dec 2, 2020
36C26321Q0102_1.docx	DOCX document	Dec 2, 2020

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A- Est. Annual Workload-Test

Facility	Annual Volume PT	Annual Volume APTT	Annual Volume D-Dimer	Annual Volume Fibrinogen	Annual Volume Special Coag (Lupus Inhibitor)	Annual Volume Special Coag (Protein C)	Annual Volume Special Coag (Protein S)	Annual Volume Special Coag (Anti-thrombin III)	Annual Volume Special Coag (Factor II)	Annual Volume Special Coag (Factor V)	Annual Volume Special Coag (Factor VII)	Annual Volume Special Coag (Factor VIII)	Annual Volume Special Coag (Factor IX)	Annual Volume Special Coag (Factor X)	Annual Volume Special Coag (Factor XI)	Annual Volume Special Coag (Factor XII)	Annual Volume Special Coag (LMWH)	Annual Volume Special Coag (UFH)	PRIMARY ANALYZER(S)	Frequency of QUALITY CONTROL	Desired SERVICE OPTION	Current INTERFACE MANAGER in Use	Requirement for PRIMARY INSTR. INTERFACING
Black Hills Health Care System - Hot Springs	1400	500	300															10	1	2 levels @ 3x/day	8x5	Data Innovations	Required
Sioux Falls VA Health Care System	15500	2300	1000	100															2	2 levels @ 3x/day	8x5	Data Innovations	Required
Nebraska Western Iowa - Omaha	15000	4000	2000	1000															2	2 levels @ 3x/day	8x5	Data Innovations	Required
Nebraska Western Iowa - Grand Island	3500	1200	200																1	2 levels @ 2x/day	8x5	Data Innovations	Required
Nebraska Western Iowa - Lincoln	3200	1200	200																1	2 levels @ 2x/day	8x5	Data Innovations	Required
St. Cloud VA Health Care System	2500	260	400																2	2 levels @ 3x/day	8x5	Data Innovations	Required
Fargo VA Health Care System	6600	1100	650	20														100	2	2 levels @ 3x/day	8x5	Data Innovations	Required
Black Hills Health Care System - Ft. Meade	5000	800	1000														20	80	1	2 levels @ 3x/day	8x5	Data Innovations	Required
Minneapolis VA Heath Care System	40000	11500	2400	1400	250	70	70	70	15	20	20	40	15	15	15	15	225	225	2	2 levels @ 3x/day	8x5	Data Innovations	Required
Iowa City VA Health Care System	21000	3000	300	120														1800	2	2 levels @ 3x/day	8x5	Data Innovations	Required
VA Central Iowa Health Care System	12500	2100	1000	20															2	2 levels @ 3x/day	8x5	Data Innovations	Required

Indicate Total Number of Additional Attachment As Included:

No Additional Attachments

&"-,Bold"Estimated Annual Workload and Test Menu -&U &16&KFF0000VA&U TO COMPLETE THIS SHEET Attachment A

Revision: 18 November 2013 Page &P of &N

B- Pricing Sheet

CLIN	Test Name	Annual Estimated Testing Volume	Annual Number of Boxes (NA for CPRR tests)	Unit Price	CPRR/Price Per Box (CPRR required for PT and PTT; use drop down for others)	Extended Price
1	PT	114,800			CPRR	$0.00
2	PTT	26,060			CPRR	$0.00
3	D-Dimer	8,350				$0.00
4	Fibrinogen	2,660				$0.00
5	Lupus Inhibitor	250				$0.00
6	Protein C	70				$0.00
7	Protein S	70				$0.00
8	Antithrombin III	70				$0.00
9	Factor II	15				$0.00
10	Factor V	20				$0.00
11	Factor VII	20				$0.00
12	Factor VIII	40				$0.00
13	Factor IX	15				$0.00
14	Factor X	15				$0.00
15	Factor XI	15				$0.00
16	Factor XII	15				$0.00
17	LMWH	245				$0.00
18	UFH	2,215				$0.00

&"-,Bold"Pricing Sheet - &16&U&KFF0000VENDOR&U TO COMPLETE THIS SHEET Attachment D

Revision: 18 November 2013 Page &P of &N

C - Instructions

1	PT and PTT are to be bid as CPRR; estimated volume provided
2	All other items may be bid CPRR or by-the-box per vendor discretion
3	When bidding by-the-box, vendor to use the estimated annual workload by site to determine anticipated quantity of boxes needed.
4	Items may be added or deleted based on vendor-specific reagent differences, but ALL reagents, controls, calibrators must be accounted for
5	Any consumable not included in the CPRR or by the box must be listed

Data Inputs

Yes	Data Innovations	Required	8x5	1	0	No Additional Attachments
No	Dawning	N/A	8x7	2	1	Yes, One Additional
			24x7	3	2	Yes, Two Additional
				4		Yes, Three Additional
				5
				6
				7
				8
				9
				10
				11
				12
				15
				16
				17
				18
				19
				20
				21
				22
				23
				PCOE
				PCAC
				SAOW
				SAOE
				SAOC

File details come from the government source that posted it. Updated Dec 17, 2020.