Attachment 2 - Quote Sheet1.xlsx
XLSX spreadsheet 29 KB Posted
- Solicitation number
- HT941025Q2004
- Issued by
-
Defense Health Agency
About this file
This document is a Solicitation for a Request for Quote (RFQ) for coagulation reagents, consumables, maintenance, and the lease of STA Compact Max 3 analyzers for the Naval Hospital Guam. The RFQ is for a base period of 01/01/2025 - 09/30/2025 with 4 option periods through 09/30/2029. The contracting office is the DHA Healthcare Contracting Division- West. Quotes must be received by 9:00 am PDT on 11/12/2024. The RFQ includes a detailed pricing sheet with line items for various coagulation testing supplies, equipment lease, and service contract pricing. Offerors must provide unit prices and total evaluated price for the base and option periods. The solicitation number is HT941025Q2004.
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Other files
| File | Type | Posted |
|---|---|---|
| Combined Synopsis Solicitation - HT941025Q2004.docx | DOCX document | |
| FY25 STAGO USNH DELIVERY SCHEDULE.xlsx | XLSX spreadsheet | |
| Coagulation Statement Of Work.odt | ODT document | |
| JA Brand Name FAR 13.5 Stago-AR - Redacted.pdf |
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Text version
Quote Sheet
| Attachment 2 - Quote Sheet | |
| Solicitation Number: | HT941025Q2004 |
| Requirement: | Coagulation reagents, consumables, maintenance, and the lease of analyzers for Naval Hospital Guam |
| Period of Deliveries: | 01 January 2025 - 30 September 2025 (Base) + 01 October 2025 - 30 September 2029 (4 Options) |
| Contracting Office: | DHA Healthcare Contracting Division- West |
| Quotations must be received by: | no later than 9:00 am PDT on November 12, 2024 |
| Item ID | Packaging | Description of Supplies | UOM | Quantity | Unit Price | Total Price |
| 00606 | 6 x 5mL | STA Neoplastine CI Plus 5 | BX | 42 | $ - 0 | |
| 00595 | 12 x 5mL | STA PTT Automate 5 | BX | 42 | $ - 0 | |
| 00367 | 24 x 15mL | STA CaCl2 0.025 M | BX | 6 | $ - 0 | |
| 00515 | 6 x 6mL, 6 x 5ml | STA LIATEST D-Di | BX | 9 | $ - 0 | |
| 00674 | 12 x 5mL | STA Fibrinogen 5 | BX | 10 | $ - 0 | |
| 38669 | 1000's | STA Cuvettes | BX | 18 | $ - 0 | |
| 00677 | 12 x 2 x 2mL | STA Coag Control N + Abn Plus | BX | 40 | $ - 0 | |
| 00526 | 12 x 2 x 1mL | STA Liatest Contol N+P | BX | 34 | $ - 0 | |
| 00360 | 24 x 15mL | STA Owren Koller | BX | 8 | $ - 0 | |
| 00975 | 24 x 15mL | STA Desorb U | BX | 26 | $ - 0 | |
| 00973 | 2.5mL | STA Cleaner Solution | BTL | 35 | $ - 0 | |
| 00797 | 100's | STA Mini-Reducer | BX | 0 | $ - 0 | |
| 00741 | 500's | STA Microcontainer | BX | 0 | $ - 0 | |
| Equipment Lease STA Compact Max® 3 (2 Units) with STAGO COAG EXPERT | Annual | $ - 0 | ||||
| Service Contract STA Compact Max® 3 (2 Units) | Annual | $ - 0 | ||||
| $ - 0 |
| Option Period 1 | |||||
| 00606 | 6 x 5mL | STA Neoplastine CI Plus 5 | BX | 54 | $ - 0 |
| 00595 | 12 x 5mL | STA PTT Automate 5 | BX | 54 | $ - 0 |
| 00367 | 24 x 15mL | STA CaCl2 0.025 M | BX | 9 | $ - 0 |
| 00515 | 6 x 6mL, 6 x 5ml | STA LIATEST D-Di | BX | 12 | $ - 0 |
| 00674 | 12 x 5mL | STA Fibrinogen 5 | BX | 15 | $ - 0 |
| 38669 | 1000's | STA Cuvettes | BX | 24 | $ - 0 |
| 00677 | 12 x 2 x 2mL | STA Coag Control N + Abn Plus | BX | 54 | $ - 0 |
| 00526 | 12 x 2 x 1mL | STA Liatest Contol N+P | BX | 43 | $ - 0 |
| 00360 | 24 x 15mL | STA Owren Koller | BX | 10 | $ - 0 |
| 00975 | 24 x 15mL | STA Desorb U | BX | 37 | $ - 0 |
| 00973 | 2.5mL | STA Cleaner Solution | BTL | 48 | $ - 0 |
| 00797 | 100's | STA Mini-Reducer | BX | 8 | $ - 0 |
| 00741 | 500's | STA Microcontainer | BX | 4 | $ - 0 |
| Equipment Lease STA Compact Max® 3 (2 Units) with STAGO COAG EXPERT | Annual | $ - 0 | |||
| Service Contract STA Compact Max® 3 (2 Units) | Annual | $ - 0 |
| Option Period 2 | |||||
| 00606 | 6 x 5mL | STA Neoplastine CI Plus 5 | BX | 54 | $ - 0 |
| 00595 | 12 x 5mL | STA PTT Automate 5 | BX | 54 | $ - 0 |
| 00367 | 24 x 15mL | STA CaCl2 0.025 M | BX | 9 | $ - 0 |
| 00515 | 6 x 6mL, 6 x 5ml | STA LIATEST D-Di | BX | 12 | $ - 0 |
| 00674 | 12 x 5mL | STA Fibrinogen 5 | BX | 15 | $ - 0 |
| 38669 | 1000's | STA Cuvettes | BX | 24 | $ - 0 |
| 00677 | 12 x 2 x 2mL | STA Coag Control N + Abn Plus | BX | 54 | $ - 0 |
| 00526 | 12 x 2 x 1mL | STA Liatest Contol N+P | BX | 43 | $ - 0 |
| 00360 | 24 x 15mL | STA Owren Koller | BX | 10 | $ - 0 |
| 00975 | 24 x 15mL | STA Desorb U | BX | 37 | $ - 0 |
| 00973 | 2.5mL | STA Cleaner Solution | BTL | 48 | $ - 0 |
| 00797 | 100's | STA Mini-Reducer | BX | 8 | $ - 0 |
| 00741 | 500's | STA Microcontainer | BX | 4 | $ - 0 |
| Equipment Lease STA Compact Max® 3 (2 Units) with STAGO COAG EXPERT | Annual | $ - 0 | |||
| Service Contract STA Compact Max® 3 (2 Units) | Annual | $ - 0 |
| Option Period 3 | |||||
| 00606 | 6 x 5mL | STA Neoplastine CI Plus 5 | BX | 54 | $ - 0 |
| 00595 | 12 x 5mL | STA PTT Automate 5 | BX | 54 | $ - 0 |
| 00367 | 24 x 15mL | STA CaCl2 0.025 M | BX | 9 | $ - 0 |
| 00515 | 6 x 6mL, 6 x 5ml | STA LIATEST D-Di | BX | 12 | $ - 0 |
| 00674 | 12 x 5mL | STA Fibrinogen 5 | BX | 15 | $ - 0 |
| 38669 | 1000's | STA Cuvettes | BX | 24 | $ - 0 |
| 00677 | 12 x 2 x 2mL | STA Coag Control N + Abn Plus | BX | 54 | $ - 0 |
| 00526 | 12 x 2 x 1mL | STA Liatest Contol N+P | BX | 43 | $ - 0 |
| 00360 | 24 x 15mL | STA Owren Koller | BX | 10 | $ - 0 |
| 00975 | 24 x 15mL | STA Desorb U | BX | 37 | $ - 0 |
| 00973 | 2.5mL | STA Cleaner Solution | BTL | 48 | $ - 0 |
| 00797 | 100's | STA Mini-Reducer | BX | 8 | $ - 0 |
| 00741 | 500's | STA Microcontainer | BX | 4 | $ - 0 |
| Equipment Lease STA Compact Max® 3 (2 Units) with STAGO COAG EXPERT | Annual | $ - 0 | |||
| Service Contract STA Compact Max® 3 (2 Units) | Annual | $ - 0 |
| $ - 0 | |||||
| Option Period 4 | |||||
| 00606 | 6 x 5mL | STA Neoplastine CI Plus 5 | BX | 54 | $ - 0 |
| 00595 | 12 x 5mL | STA PTT Automate 5 | BX | 54 | $ - 0 |
| 00367 | 24 x 15mL | STA CaCl2 0.025 M | BX | 9 | $ - 0 |
| 00515 | 6 x 6mL, 6 x 5ml | STA LIATEST D-Di | BX | 12 | $ - 0 |
| 00674 | 12 x 5mL | STA Fibrinogen 5 | BX | 15 | $ - 0 |
| 38669 | 1000's | STA Cuvettes | BX | 24 | $ - 0 |
| 00677 | 12 x 2 x 2mL | STA Coag Control N + Abn Plus | BX | 54 | $ - 0 |
| 00526 | 12 x 2 x 1mL | STA Liatest Contol N+P | BX | 43 | $ - 0 |
| 00360 | 24 x 15mL | STA Owren Koller | BX | 10 | $ - 0 |
| 00975 | 24 x 15mL | STA Desorb U | BX | 37 | $ - 0 |
| 00973 | 2.5mL | STA Cleaner Solution | BTL | 48 | $ - 0 |
| 00797 | 100's | STA Mini-Reducer | BX | 8 | $ - 0 |
| 00741 | 500's | STA Microcontainer | BX | 4 | $ - 0 |
| Equipment Lease STA Compact Max® 3 (2 Units) with STAGO COAG EXPERT | Annual | $ - 0 | |||
| Service Contract STA Compact Max® 3 (2 Units) | Annual | $ - 0 |
TOTAL EVALUATED PRICE (Base + Options 1 through 4)
| Offeror Name: |
| Street Address: |
| City, State, ZIP: |
| Unique Entity ID: |
| CAGE Code: |
| Business Size: |
| Point of Contact: |
| Phone Number: |
| Email Address: |
| The Offeror acknowledges receipt of the following amendments to the solicitation: | |||
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
The Offeror agrees with all terms, conditions, and provisions included in the solicitation and agrees to furnish any or all items set forth or otherwise identified above subject to the terms and conditions specified in the solicitation.
The Offeror agrees to hold the prices in its quote firm for 30 calendar days from the date specified for receipt of quotes.
| Person Authorized to Sign Quote: |
| Signature: |
| Date: |
Payment Terms:
GSA Contract Number, if applicable:
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