Attachment 3 - Quote Sheet.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- Calibration/Maintenance of Biomedical Test, Measurement and Diagnostic Equipment Services
- Solicitation number
- HT941026Q2043
- Issued by
-
Defense Health Agency
About this file
This is a Quote Sheet template in Excel format for a Request for Quote (RFQ) solicitation numbered HT941026Q2043 issued by the Defense Health Agency's Healthcare Contracting Division - West for calibration and maintenance services of biomedical test, measurement, and diagnostic equipment. The solicitation is a 100% small business set-aside with a firm-fixed-price (FFP) contract structure supporting U.S. Naval Hospital Yokosuka and associated Branch Health Clinics in Iwakuni, Japan, and Diego Garcia. The contractor will be responsible for providing trained technicians to perform calibration and preventive maintenance services on equipment listed in the enclosed equipment lists, furnishing all labor, supplies, and transportation necessary to maintain equipment within original equipment manufacturer specifications.
The template serves as the pricing response document for vendors to submit their quotes for the required services. As an Excel-based quote sheet template, it establishes the standardized format for cost proposals without specifying individual line items, pricing terms, or evaluation criteria within the document itself. The NAICS code for this procurement is 811210 with a $34 million size standard threshold. Additional details regarding response deadlines, evaluation methodology, specific equipment to be serviced, and other requirements would be contained in the complete solicitation package.
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Text version
Quote Sheet
| Attachment 3 - Quote Sheet | |
| Solicitation Number: | HT941026Q2043 |
| Requirement: | Test, Measurement, and Diagnostics Equipment (TMDE) Calibration/Maintenance Services |
| Period of Performance (POP): | 17 Sep 2026 to 16 Mar 2032 |
| Contracting Office: | DHA Healthcare Contracting Division – West (HCD-W) |
| Quotations must be received by: | No later than 08:00 am PDT on 16 July 2026 |
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 0001 | Yokosuka TMDE Calibration/Maint. Services, POP: 17 Sep 26 - 16 Sep 27 | 1 | $ - 0 | $ - 0 |
| 0002 | Iwakuni TMDE Calibration/Maint. Services, POP: 17 Sep 26 - 16 Sep 27 | 1 | $ - 0 | $ - 0 |
| 0003 | Diego Garcia TMDE Calibration/Maint. Services, POP: 17 Sep 26 - 16 Sep 27 | 1 | $ - 0 | $ - 0 |
| 1001 | Yokosuka TMDE Calibration/Maint. Services, POP: 17 Sep 27 - 16 Sep 28 | 1 | $ - 0 | $ - 0 |
| 1002 | Iwakuni TMDE Calibration/Maint. Services, POP: 17 Sep 27 - 16 Sep 28 | 1 | $ - 0 | $ - 0 |
| 1003 | Diego Garcia TMDE Calibration/Maint. Services, POP: 17 Sep 27 - 16 Sep 28 | 1 | $ - 0 | $ - 0 |
| 2001 | Yokosuka TMDE Calibration/Maint. Services, POP: 17 Sep 28 - 16 Sep 29 | 1 | $ - 0 | $ - 0 |
| 2002 | Iwakuni TMDE Calibration/Maint. Services, POP: 17 Sep 28 - 16 Sep 29 | 1 | $ - 0 | $ - 0 |
| 2003 | Diego Garcia TMDE Calibration/Maint. Services, POP: 17 Sep 28 - 16 Sep 29 | 1 | $ - 0 | $ - 0 |
| 3001 | Yokosuka TMDE Calibration/Maint. Services, POP: 17 Sep 29 - 16 Sep 30 | 1 | $ - 0 | $ - 0 |
| 3002 | Iwakuni TMDE Calibration/Maint. Services, POP: 17 Sep 29 - 16 Sep 30 | 1 | $ - 0 | $ - 0 |
| 3003 | Diego Garcia TMDE Calibration/Maint. Services, POP: 17 Sep 29 - 16 Sep 30 | 1 | $ - 0 | $ - 0 |
| 4001 | Yokosuka TMDE Calibration/Maint. Services, POP: 17 Sep 30 - 16 Sep 31 | 1 | $ - 0 | $ - 0 |
| 4002 | Iwakuni TMDE Calibration/Maint. Services, POP: 17 Sep 30 - 16 Sep 31 | 1 | $ - 0 | $ - 0 |
| 4003 | Diego Garcia TMDE Calibration/Maint. Services, POP: 17 Sep 30 - 16 Sep 31 | 1 | $ - 0 | $ - 0 |
| 5001 | Yokosuka TMDE Calibration/Maint. Services, POP: 17 Sep 31 - 16 Mar 32 | 1 | $ - 0 | $ - 0 |
| 5002 | Iwakuni TMDE Calibration/Maint. Services, POP: 17 Sep 31 - 16 Mar 32 | 1 | $ - 0 | $ - 0 |
| 5003 | Diego Garcia TMDE Calibration/Maint. Services, POP: 17 Sep 31 - 16 Mar 32 | 1 | $ - 0 | |
| TOTAL EVALUATED PRICE (5.5 years) | $0.00 |
| 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:
File details come from the government source that posted it. Updated .