Attachment 3 - Quote Sheet.xlsx
XLSX spreadsheet 32 KB Posted
- Attached to
- Blood Donor Screening Tests approved by FDA for Blood Donations - US Naval Hospital Okinawa, Japan
- Solicitation number
- HT941024Q2024
- Issued by
-
Defense Health Agency
About this file
This document includes a quote sheet attachment for a federal contract solicitation requesting blood donor screening tests approved by the FDA for use at the U.S. Naval Hospital in Okinawa, Japan. The solicitation requests quotes by February 26, 2024 for a combination of base and option year quantities of fourteen different blood screening tests to be performed over a five-year period from February 2024 through February 2029. Testing is to be done using only instrumentation and assays approved by the FDA for blood donations. Pricing is to be provided for the base period and four one-year options on the quote sheet attachment. Evaluation criteria include technical capability, past performance, price, and small business subcontracting plans for large businesses. The contracting agency is the Defense Health Agency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Combined Synopsis Solicitation - Blood Tests (v1).pdf | ||
| Attachment 3 - Quote Sheet.xlsx | XLSX spreadsheet | |
| STATEMENT OF REQUIREMENTS (v2).pdf | ||
| Attachment 2 - Past Performance Questionnaire.pdf | ||
| Combined Synopsis Solicitation - Blood Tests.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
Quote Sheet
| Attachment 3 - Quote Sheet | |
| Solicitation Number: | HT941023Q2024 |
| Requirement: | Blood Donor Tests / U.S. Naval Hospital Okinawa |
| Period of Performance (POP): | 2/28/2024 - 2/27/2029 |
| Contracting Office: | DHA Western Markets Contracting Division |
| Quotations must be received by: | no later than 7:00 am PST on February 26, 2024 |
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 0001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Base Period | 6,000 | $ - 0 | $ - 0 | |||||
| 0002 | HBV/HCV/HIV BY ID NAT (back-up) - Base Period | 500 | $ - 0 | $ - 0 | ||||
| 0003 | WEST NILE VIRUS BY IDT NAT (back-up) - Base Period | 500 | $ - 0 | $ - 0 | ||||
| 0004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Base Period | 1,000 | $ - 0 | $ - 0 | ||||
| 0005 | Babesia by IDT NAT (back-up) - Base Period | 500 | $ - 0 | $ - 0 | ||||
| 0006 | HBsAG Neutralization (confirmatory) - Base Period | 10 | $ - 0 | $ - 0 | ||||
| 0007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Base Period | 6 | $ - 0 | $ - 0 | ||||
| 0008 | Anti-HTLV-I/II Western Blot (confirmatory) - Base Period | 10 | $ - 0 | $ - 0 | ||||
| 0009 | Syphilis Screening (Captia) (back-up) - Base Period | 3,000 | $ - 0 | $ - 0 | ||||
| 0010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | |||||||
| (confirmatory) - Base Period | 10 | $ - 0 | $ - 0 | |||||
| 0011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Base Period | 10 | $ - 0 | $ - 0 | ||||
| 0012 | Anti-CMV (Capture-CMV)(back-up) - Base Period | 100 | $ - 0 | $ - 0 | ||||
| 0013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Base Period | 10 | $ - 0 | $ - 0 | ||||
| TOTAL EVALUATED PRICE (Base) | $0.00 | *Please see tabs for options years* | ||||||
| TOTAL EVALUATED PRICE (Base + Options 1 through 4) | $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 90 calendar days from the date specified for receipt of quotes.
| Person Authorized to Sign Quote: |
| Signature: |
| Date: |
Payment Terms:
GSA Contract Number, if applicable:
Option 1
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 1001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 1 | 6,000 | $ - 0 | $ - 0 | ||||
| 1002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 1 | 500 | $ - 0 | $ - 0 | |||
| 1003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 1 | 500 | $ - 0 | $ - 0 | |||
| 1004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 1 | 1,000 | $ - 0 | $ - 0 | |||
| 1005 | Babesia by IDT NAT (back-up) - Option Period 1 | 500 | $ - 0 | $ - 0 | |||
| 1006 | HBsAG Neutralization (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| 1007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 1 | 6 | $ - 0 | $ - 0 | |||
| 1008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| 1009 | Syphilis Screening (Captia) (back-up) - Option Period 1 | 3,000 | $ - 0 | $ - 0 | |||
| 1010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | ||||
| 1011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| 1012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 1 | 100 | $ - 0 | $ - 0 | |||
| 1013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 1) | $0.00 |
Option 2
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 2001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 2 | 6,000 | $ - 0 | $ - 0 | ||||
| 2002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 2 | 500 | $ - 0 | $ - 0 | |||
| 2003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 2 | 500 | $ - 0 | $ - 0 | |||
| 2004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 2 | 1,000 | $ - 0 | $ - 0 | |||
| 2005 | Babesia by IDT NAT (back-up) - Option Period 2 | 500 | $ - 0 | $ - 0 | |||
| 2006 | HBsAG Neutralization (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| 2007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 2 | 6 | $ - 0 | $ - 0 | |||
| 2008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| 2009 | Syphilis Screening (Captia) (back-up) - Option Period 2 | 3,000 | $ - 0 | $ - 0 | |||
| 2010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | ||||
| 2011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| 2012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 2 | 100 | $ - 0 | $ - 0 | |||
| 2013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 2) | $0.00 |
Option 3
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 3001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 3 | 6,000 | $ - 0 | $ - 0 | ||||
| 3002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 3 | 500 | $ - 0 | $ - 0 | |||
| 3003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 3 | 500 | $ - 0 | $ - 0 | |||
| 3004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 3 | 1,000 | $ - 0 | $ - 0 | |||
| 3005 | Babesia by IDT NAT (back-up) - Option Period 3 | 500 | $ - 0 | $ - 0 | |||
| 3006 | HBsAG Neutralization (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| 3007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 3 | 6 | $ - 0 | $ - 0 | |||
| 3008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| 3009 | Syphilis Screening (Captia) (back-up) - Option Period 3 | 3,000 | $ - 0 | $ - 0 | |||
| 3010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | ||||
| 3011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| 3012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 3 | 100 | $ - 0 | $ - 0 | |||
| 3013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 3) | $0.00 |
Option 4
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 4001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 4 | 6,000 | $ - 0 | $ - 0 | ||||
| 4002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 4 | 500 | $ - 0 | $ - 0 | |||
| 4003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 4 | 500 | $ - 0 | $ - 0 | |||
| 4004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 4 | 1,000 | $ - 0 | $ - 0 | |||
| 4005 | Babesia by IDT NAT (back-up) - Option Period 4 | 500 | $ - 0 | $ - 0 | |||
| 4006 | HBsAG Neutralization (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| 4007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 4 | 6 | $ - 0 | $ - 0 | |||
| 4008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| 4009 | Syphilis Screening (Captia) (back-up) - Option Period 4 | 3,000 | $ - 0 | $ - 0 | |||
| 4010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | ||||
| 4011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| 4012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 4 | 100 | $ - 0 | $ - 0 | |||
| 4013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 4) | $0.00 |
File details come from the government source that posted it. Updated .