Attachment 2 - Price Schedule.docx
DOCX document 18 KB Posted
- Solicitation number
- 36C25926Q0316
About this file
This is a Price Schedule template for a firm-fixed price contract to supply Piflufolastat F18 (or equivalent) radiopharmaceuticals for positron emission tomography (PET) imaging to the George E. Wahlen VA Medical Center. The contract is structured with a base year (April 1, 2026 – March 31, 2027) and three option years, each spanning twelve months. The base year and each option year require 150 units of Piflufolastat F18 at a unit price to be filled by the contractor, with an additional 20 units designated as cancellation fees per period. Offerors must complete all four yearly cost sections and provide both unit prices and total amounts for each line item, with a grand total reflecting the combined value of the base year plus all three option years.
The associated RFQ (Solicitation Number 36C25926Q0316) is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19 and is a 100% small business set-aside under NAICS code 325412 (Pharmaceutical Preparation Manufacturing) with a business size standard of 1,300 employees. The quote submission deadline is 5:00 p.m. MT on March 20, 2026, with quotes to be submitted via email only to heather.chase2@va.gov, with a 4MB file size limit. The question cutoff date is 12:00 p.m. MT on March 16, 2026, with responses provided through solicitation amendments.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25926Q0316 0001.docx | DOCX document | |
| 36C25926Q0316.docx | DOCX document | |
| Attachment 3 - RFO 52.225-2 Buy American Certificate.docx | DOCX document | |
| Attachment 1 - SOW.docx | DOCX document |
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Text version
PRICE SCHEDULE
POP: Base Year April 1, 2026 – March 31, 2027
| CLIN |
| DESCRIPTION OF SERVICES |
| QTY |
| U/I |
| UNIT PRICE |
| TOTAL AMOUNT |
| 0001 |
| Piflufolastat F18 (or equivalent) |
Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027
| 150 |
| EA |
| $_______ |
| $_____________ |
| 0002 |
| Piflufolastat F18 (or equivalent) Cancellation Fee |
Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027
| 20 |
| EA |
| $_______ |
| $_____________ |
POP: Option Year 1 - April 1, 2027 – March 31, 2028
| CLIN |
| DESCRIPTION OF SERVICES |
| QTY |
| U/I |
| UNIT PRICE |
| TOTAL AMOUNT |
| 1001 |
| Piflufolastat F18 (or equivalent) |
Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028
| 150 |
| EA |
| $_______ |
| $_____________ |
| 1002 |
| Piflufolastat F18 (or equivalent) Cancellation Fee |
Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028
| 20 |
| EA |
| $_______ |
| $_____________ |
POP: Option Year 2 - April 1, 2028 – March 31, 2029
| CLIN |
| DESCRIPTION OF SERVICES |
| QTY |
| U/I |
| UNIT PRICE |
| TOTAL AMOUNT |
| 2001 |
| Piflufolastat F18 (or equivalent) |
Contract Period: Option 2 POP Begin: 04-01-2028 POP End: 03-31-2029
| 150 |
| EA |
| $_______ |
| $_____________ |
| 2002 |
| Piflufolastat F18 (or equivalent) Cancellation Fee |
Contract Period: Option 2 POP Begin: 04-01-2028 POP End: 03-31-2029
| 20 |
| EA |
| $_______ |
| $_____________ |
POP: Option Year 3 - April 1, 2029 – March 31, 2030
| CLIN |
| DESCRIPTION OF SERVICES |
| QTY |
| U/I |
| UNIT PRICE |
| TOTAL AMOUNT |
| 3001 |
| Piflufolastat F18 (or equivalent) |
Contract Period: Option 3 POP Begin: 04-01-2029 POP End: 03-31-2030
| 150 |
| EA |
| $_______ |
| $_____________ |
| 3002 |
| Piflufolastat F18 (or equivalent) Cancellation Fee |
Contract Period: Option 3 POP Begin: 04-01-2029 POP End: 03-31-2030
| 20 |
| EA |
| $_______ |
| $_____________ |
| BASE YEAR TOTAL |
| $ |
| OPTION YEAR 1 TOTAL |
| $ |
| OPTION YEAR 2 TOTAL |
| $ |
| OPTION YEAR 3 TOTAL |
| $ |
| GRAND TOTAL BASE PLUS 3 OPTION YEARS |
| $ |
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