Attachment 2 - Price Schedule.docx

DOCX document 18 KB Posted

Attached to
6505--Radiopharmaceuticals for Positron Emitting Tomography (PET) Imaging
Solicitation number
36C25926Q0316
Issued by

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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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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