Attachment-1-Pricing-Sheet.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- EnSite X Electrophysiology Mapping System Maintenance Service for Naval Medical Center-Portsmouth
- Solicitation number
- HT940626QE119
- Issued by
-
Defense Health Agency
About this file
This is a Pricing Sheet for a federal maintenance service contract (Solicitation HT940626QE119) issued by the Defense Health Agency (DHACA) Healthcare Division for Naval Medical Center Portsmouth. The contract covers a 12-month base period with two optional one-year periods for maintenance and service of the EnSite X Electrophysiology Mapping System and associated medical equipment used in the cardiac catheterization laboratory.
The pricing sheet specifies four Contract Line Item Numbers (CLINs) for the base period and corresponding CLINs for each option period. The required services include maintenance, repair, software support, and technical support for: (1) EnSite X System Assurance Elite Plus Service Plan (Serial Number TBD, Order No. EX912); (2) Ampere Generator (Serial Number 15145969, Universal Coverage Plan); (3) Cool Point Irrigation Pump (Serial Number 3499, Universal Coverage Plan); and (4) TactiSys Quartz System (Serial Number 33385, Universal Coverage Plan). All CLINs are priced on a Fixed Price (FFP) basis with a quantity of 12 months per line item. The pricing sheet shows all unit prices and total prices as $0.00, indicating this is a template requiring offeror completion. The grand total across all periods is $0.00, and the document notes that items not separately priced should be marked as "NSP" (Not Separately Priced).
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Combined Synopsis Solicitation-HT940626QE1190002-Amendment 2.pdf | ||
| Combined Synopsis Solicitation-HT940626QE119-Amendment 1.pdf | ||
| Exhibit 1-PWS-R1-20260916.pdf | ||
| Exhibit 3-Addendum to 52.212-2-Amendment 1.pdf | ||
| B08-Combined Synopsis-Solicitation-RFQ-HT940626QE119.pdf | ||
| Exhibit 2-Addendum to 52.212-1.docx | DOCX document | |
| Attachment-2-QASP.docx | DOCX document | |
| Exhibit 1-PWS.docx | DOCX document | |
| Exhibit 3-Addendum to 52.212-2.docx | DOCX document |
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Text version
Attachment 1-Pricing Sheet
| Attachment 2: Pricing Sheet-HT940626QE119 | |
| Defense Health Agency Contracting Activity (DHACA) Healthcare Division (HCD) Southeast (SE) EnSite X Electrophysiology Mapping System Service Contract | |
| ***NOTE: For Items Not Separately Priced (Enter "NSP") under the "Unit Price" and " Total Price" columns for that line item.*** |
| Base Period | ||||||
| CLINs | Description | CLIN Type | Quantity | Unit of Issue | Unit Price | Total Price |
| 0001 | Ensite X System |
Assurance Elite Plus Service Plan (Electrophysiology) EnSite X EP Mapping System & Peripherals Serial Number: TBD Order No: EX912 Service Plan Order Name: Assurance Elite Plus - without Medinbox
| In accordance with the Performance Work Statement (PWS) | FFP | 12 | Months | $0.00 | $0.00 |
| 0002 | Ampere Generator |
Serial Number: 15145969 Order No. Ampere (UPGC) Service Plan: Ampere-Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 |
| 0003 | Cool Point Irrigation Pump |
Serial Number: 3499 Order Number: CPP (UC) Service Plan Order Name: Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 |
| 0004 | TactiSys Quartz System |
Serial Number: 33385 Order Number: TQ (UC) Service Plan Number: Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 | |
| Subtotal | $0.00 |
| Option Period 1 | ||||||
| CLINs | Description | CLIN Type | Quantity | Unit of Issue | Unit Price | Total Price |
| 1001 | Ensite X System |
Assurance Elite Plus Service Plan (Electrophysiology) EnSite X EP Mapping System & Peripherals Serial Number: TBD Order No: EX912 Service Plan Order Name: Assurance Elite Plus - without Medinbox
| In accordance with the Performance Work Statement (PWS) | FFP | 12 | Months | $0.00 | $0.00 |
| 1002 | Ampere Generator |
Serial Number: 15145969 Order No. Ampere (UPGC) Service Plan: Ampere-Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 |
| 1003 | Cool Point Irrigation Pump |
Serial Number: 3499 Order Number: CPP (UC) Service Plan Order Name: Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 |
| 1004 | TactiSys Quartz System |
Serial Number: 33385 Order Number: TQ (UC) Service Plan Number: Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 | |
| Subtotal | $0.00 |
| Option Period 2 | ||||||
| CLINs | Description | CLIN Type | Quantity | Unit of Issue | Unit Price | Total Price |
| 2001 | Ensite X System |
Assurance Elite Plus Service Plan (Electrophysiology) EnSite X EP Mapping System & Peripherals Serial Number: TBD Order No: EX912 Service Plan Order Name: Assurance Elite Plus - without Medinbox
| In accordance with the Performance Work Statement (PWS) | FFP | 12 | Months | $0.00 | $0.00 |
| 2002 | Ampere Generator |
Serial Number: 15145969 Order No. Ampere (UPGC) Service Plan: Ampere-Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 |
| 2003 | Cool Point Irrigation Pump |
Serial Number: 3499 Order Number: CPP (UC) Service Plan Order Name: Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 |
| 2004 | TactiSys Quartz System |
Serial Number: 33385 Order Number: TQ (UC) Service Plan Number: Universal Coverage
| In accordance with the PWS. | FFP | 12 | Months | $0.00 | $0.00 | |
| Subtotal | $0.00 |
GRAND TOTAL $0.00
File details come from the government source that posted it. Updated .