Attachment A. Schedule.xlsx

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Attached to
6550--Hematology Reagents, Test kits, Sets, and services. Federal contract opportunity
Solicitation number
36C26223Q0178
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

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RFI 36C26223Q0178.docx DOCX document
Attachment B. SOW.docx DOCX document

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1. VISN CPT

Test DescriptionVISN 22 ESTIMATED ANNUAL TEST VOLUMEVISN 22 Estimated 5-Year Test Total
(SUM of Column K-O)VISN 22 Estimated 5-Year Test Extended Price

(Column J x Column U)

Reagent CPTOTHER HW SW/
5 year volumeService CostTOTAL CPT (Years 1 -5)BASE YEAROption Year 1Option Year 2Option Year 3Option Year 4
estimated 3% increaseestimated 3% increaseestimated 3% increaseestimated 3% increase
CBC & Differential$1.5000$0.0492$0.3025$1.8517953,910982,5281,012,0031,042,3631,073,6345,064,439$ 9,378,067.05
Reticulocyte Count$2.0000$0.0492$0.3025$2.35179,79810,09110,39410,70611,02752,017$ 122,329.78
Body Fluid Count and Differential$5.0000$0.0492$0.3025$5.35174,4424,5754,7124,8534,99923,581$ 126,197.05

968,149 997,194 1,027,110 1,057,923 1,089,661 5,140,036 $ 9,626,593.88

&"-,Bold"ATTACHMENT C

2. EST ANNUAL SITE VOL

Loma LindaLong BeachLos Angeles ACCPhoenixPrescottSan DiegoSanta MariaSepulvedaTucsonWest Los AngelesNew MexicoVISN 22 TOTAL ANNAUL VOLUME
Est. Test Volume# of ControlsEst. 5% Repeat Rate (B+C)*.05Est. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat Rate
CBC & Differential137,8733,0007,044147,917111,9503,0005,748120,6988,8777509,627134,0393,000137,039408253000219146016113,6633,0005,833122,4967,7937504278,97029,4367501,50931,695114,7623,0005,888123,65094,3733,0004,869102,24295,6293,0004,931103,560953,910
Reticulocyte Count2,8171412,95856828596- 0150815818591942,6531332,786- 0- 0620316511,902951,997436224589,798
Body Fluid Count and Differential9024594778239821--718367547247668034714----4762450060030630- 0- 04,442
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141,5923,0007,230151,822113,3003,0005,815122,1158,877750- 09,627134,9073,00043137,95041,0823,0002,20446,286116,9963,0006,000125,9967,7937504278,97029,4367501,50931,695115,8583,0005,943124,80196,8753,0004,994104,86996,0653,0004,953104,018968,149

3. VA Owned Equipment

Site NameTucsonPrescottPhoenixAlbuquerqueSan DiegoLong BeachLoma LindaWest Los AngelesSepulvedaLos Angeles ACC
ItemItemItemItemItemItemItemItemItemItem
InstrumentsSysmex XN9100-301 with (3) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN3100 with (2) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN9100-301 with (3) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN9100-201 with (2) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN9100-201 with (2) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN9100-201 with (2) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN9100-201 with (2) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN9100-201 with (2) XN10s, (1) SP50 SMS, (1) RU20, including Wagons and BCQM.Sysmex XN-2000Sysmex XN-550
CellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review LicenseCellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review LicenseCellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review LicenseCellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review LicenseCellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review LicenseCellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review LicenseCellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review LicenseCellaVision DI-60 connected to XN9100/XN3100 Automation Line + (1) Remote Review License
SoftwareCellaVision Advanced RBC SoftwareCellaVision Advanced RBC SoftwareCellaVision Advanced RBC SoftwareCellaVision Advanced RBC SoftwareCellaVision Advanced RBC SoftwareCellaVision Advanced RBC SoftwareCellaVision Advanced RBC SoftwareCellaVision Advanced RBC Software
SoftwareCellaVision Body Fluid SoftwareCellaVision Body Fluid SoftwareCellaVision Body Fluid SoftwareCellaVision Body Fluid SoftwareCellaVision Body Fluid SoftwareCellaVision Body Fluid SoftwareCellaVision Body Fluid SoftwareCellaVision Body Fluid Software
SoftwareCellaVision Remote Review SoftwareCellaVision Remote Review SoftwareCellaVision Remote Review SoftwareCellaVision Remote Review SoftwareCellaVision Remote Review SoftwareCellaVision Remote Review SoftwareCellaVision Remote Review SoftwareCellaVision Remote Review Software
AutomationXN9100 TLA Connector KitXN9100 TLA Connector KitXN9100 TLA Connector KitXN9100 TLA Connector KitXN9100 TLA Connector KitXN9100 TLA Connector KitXN9100 TLA Connector KitXN9100 TLA Connector Kit

4. REAGENT CPT

PARTIAL COST PER TEST
(Cost of single test including all Reagents and Consumables Only)VISN22

ANNUAL VOLUME PER TEST

(VOLUME PROVIDED FOR INFORMATIONAL PURPOSES ONLY ---DO NOT PROVIDE AN EXTENDED OR PACKAGE COST)Please identify what Reagents and Consumables are required to run a single test
CBC & Differential$1.5000953,910(Example)
Reticulocyte Count$2.00009,798(Example)
Body Fluid Count and Differential$5.00004,442(Example)
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968,149

5. SERVICE

Annual Service Cost (as outlined in SOW)Loma LindaLong BeachLos Angeles ACCPhoenixPrescottSan DiegoSanta MariaSepulvedaTucsonWest Los AngelesNew MexicoTOTAL COST per TEST
Total Number of years =
5
Annual Service Cost (Example)$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ 1,000.00$201,000.0000
Software License A (example)$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$ 10,000.00$110,000.0000
$0.0000
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Total Service Cost$1,555,000.0000
CPT Addition to Service$ 0.302527

6. OTHER

OTHER HARDWARE / SOFTWARE / SERVICES
(Do not include software licenses, include licenses in Service)Part/Product #CostLoma LindaLong BeachLos Angeles
ACCPhoenixPrescottSan DiegoSanta MariaSepulvedaTucsonWest
Los AngelesNew MexicoVISN 22
TOTAL QTYVISN 22

EXTENDED

COSTS

DESCRIPTIONIndicate quantity per site
middleware initial cost (Example)$ 20,000.001111111111111$220,000.0000
Training Slot (Example)TR1$ 3,000.001111111111111$33,000.0000
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0$0.0000
Total Cost$253,000.0000
5 Year CPT Cost$0.0492

7. IND ITEM COST

Item / ReagentItem number
OEMUnit of MeasureCOSTComments
Individual site move for LLLL1JB$15,000.0000(Example)
Individual site move for LBLB2JB$23,000.0000(Example)
Reagent Xx59604BX$300.0000(Example)

File details come from the government source that posted it. Updated .