Attachment 3 Quote Sheet.xlsx
XLSX spreadsheet 17 KB Posted
- Solicitation number
- HT941026Q2004
- Issued by
-
Defense Health Agency
About this file
This is a quote sheet template for RFQ #HT941026Q2004, a Request for Quotation issued by the Defense Health Agency's Healthcare Contracting Division - West for FY26 Lab Consolidation for Coagulation CPRR (Cost Per Reportable Result) Effort. The quote sheet requires offerors to provide pricing on a per-test basis for coagulation analyzer services supporting military treatment facilities. The contract structure includes a base period from October 1, 2026 through September 30, 2027, followed by four one-year option periods (October 2027 through September 2031) and a six-month extension option (October 2031 through March 2032).
The quote sheet lists 21 distinct coagulation tests with estimated annual test counts, including Prothrombin Time (48,463 tests), Activated Partial Thromboplastin Time (27,685 tests), Fibrinogen (5,007 tests), D-Dimer (11,435 tests), and specialized assays such as Factor VIII through Factor XI, Antithrombin III, and Von Willebrand Factor Antigen. The total estimated annual volume across all tests is 99,299 reportable results. Offerors must provide a cost per reportable result for each test type and acknowledge receipt of any solicitation amendments. Quotes must remain firm for 60 calendar days from the specified receipt date, and the offeror must agree to all terms, conditions, and provisions of the solicitation. The total evaluated price (base plus four options) should be calculated and entered on the cover sheet.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Combined Synopsis Solicitation HT941026Q2004.pdf | ||
| Coagulation SOW - Enclosure A Site Specific information.xlsx | XLSX spreadsheet | |
| CSS Coagulation - Attachment 1 SOW.pdf | ||
| Attachment 2 Technical Submission Form.xlsx | XLSX spreadsheet | |
| Coagulation SOW - Enclosure B CyberLOG-ICS.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Coag Cover Sheet
| Attachment 3 - Quote Sheet | |
| RFQ #: | HT941026Q2004 |
| Reference Number: | |
| Requirement: | DHA HCD-W Coagulation CPRR |
| Contracting Office: | DHA Healhtcare Contracting Division - West |
Total Evaluated Price (Base + 4 Options): $ - 0
| Quoter Name: |
| Street Address: |
| City, State, ZIP: |
| Unique Entity ID: |
| CAGE Code: |
| 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 60 calendar days from the date specified for receipt of quotes.
| Person Authorized to Sign Quote: |
| Signature: |
| Date: |
Payment Terms:
Coag Quote Sheet
| HT941026Q2004 Attachment 3 - Quote Sheet | |
| RFQ #: | HT941026Q2004 |
| Reference Number: | |
| Requirement: | DHA HCD-W Coagulation CPRR |
| Contracting Office: | DHA Healhtcare Contracting Division - West |
| Test | Estimated Annual Test Count | Cost Per Reportable Result | 10/01/2026 - 09/30/2027 Price Base Period | 10/01/2027 - 09/30/2028 Price Option Period One | 10/01/2028 - 09/30/2029 Price Option Period Two | 10/01/2029 - 09/30/2030 Price Option Period Three | 10/01/2029 - 09/30/2030 Price Option Period Four | 10/01/2031 - 03/31/2032 | ||
| Price Option 6-Mo Extension | Totals | |||||||||
| Prothrombin Time (PT) | 48463 | $0.00 | ||||||||
| Activated Partial Thromboplastin Time (APTT) | 27685 | $0.00 | ||||||||
| Fibrinogen | 5007 | $0.00 | ||||||||
| D-Dimer | 11435 | $0.00 | ||||||||
| Heperin | 3484 | $0.00 | ||||||||
| INR | 500 | $0.00 | ||||||||
| Lupus Anticoagulant | 150 | $0.00 | ||||||||
| Factor VIII Assay | 451 | $0.00 | ||||||||
| DIC Panel | 1800 | $0.00 | ||||||||
| Heparin (Low Molecular Weight) | 60 | $0.00 | ||||||||
| Patient Thrombin Time | 21 | $0.00 | ||||||||
| Mixing Studies | 30 | $0.00 | ||||||||
| Reptilase Time | 10 | $0.00 | ||||||||
| Factor V Assay | 66 | $0.00 | ||||||||
| Factor VII Assay | 27 | $0.00 | ||||||||
| Factor IX Assay | 22 | $0.00 | ||||||||
| Factor X Assay | 14 | $0.00 | ||||||||
| Factor XI Assay | 14 | $0.00 | ||||||||
| Antithrombin III | 39 | $0.00 | ||||||||
| Von Willebrand Factor Antigen | 16 | $0.00 | ||||||||
| Factor II Assay | 5 | $0.00 | ||||||||
| Totals: | 99299 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
File details come from the government source that posted it. Updated .