Attachment A - Quarterly Sales Report QSR.xlsx
XLSX spreadsheet 42 KB Posted
- Attached to
- Q301--Tumor Normal Matched Genomic Testing Services Federal contract opportunity
- Solicitation number
- 36C10G21R0015
About this file
This document contains a quarterly sales report template for a federal contractor and information on a related federal contract opportunity for tumor normal matched genomic testing services. The quarterly sales report template requires a contractor to provide details including contract number, reporting quarter, line items, CLIN description and number, quantities sold and prices to various Veterans Affairs facilities nationwide. The related federal contract opportunity is a solicitation from the VA Headquarters for tumor normal matched genomic testing services, with a closing date of September 1, 2021 and questions due by August 13, 2021.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment F rev 1 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment C rev 1- Schedule of Services.xlsx | XLSX spreadsheet | |
| 36C10G21R0015 0001.docx | DOCX document | |
| 36C10G21R0015 0001_1.docx | DOCX document | |
| Attachment D - Pay.gov Vendor Submittal Instructions.docx | DOCX document | |
| 36C10G21R0015_1.docx | DOCX document | |
| Attachment E- Technical Evalulation Matrix.xls | XLS spreadsheet | |
| Attachment C - Schedule of Services.xlsx | XLSX spreadsheet | |
| Attachment F - Past Performance Questionnaire.docx | DOCX document | |
| Attachment B - Sample Business Associate Agreement.pdf | ||
| RFP Tumor Normal Testing 36C10G21R0015.docx | DOCX document |
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| 11 | 7 | 9 | 32 | 6 | 6 | 9 | 20 | 30 | 10 | 10 | 25 | 25 | 14 | 26 | 13 | 21 | 11 | 15 | 7 | 5 | 5 | 7 | 10 | 5 | 10 | 18 | 26 | 7 | 31 | 15 | 21 | 33 | 5 | 16 | 7 | 12 | 11 | 21 | 14 | 14 | 18 | 16 | 14 | ||||||
| 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 5 | 5 | 5 | 5 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 7 | 7 | 7 | ||||||
| 402 | 405 | 518 | 523 | 608 | 631 | 650 | 689 | 528 | 528A5 | 528 A6 | 528A7 | 528 A8 | 526 | 561 | 620 | 630 | 630A4 | 632 | 460 | 503 | 529 | 540 | 542 | 562 | 595 | 642 | 646 | 693 | 512 | 512A5 | 613 | 688 | 517 | 558 | 565 | 590 | 637 | 652 | 658 | 659 | 508 | 509 | 521 | ||||||
| Togus | White River Jct | Bedford | Boston (Roxbury and Brockton) | Manchester | Northhampton | Providence | VA Connecticut (Newington) | 1 | Buffalo (Batavia) | Canadaigua | Bath | Syracuse | Albany | 2 | Bronx | VA New Jersey (Lyons and East Orange) | VA Hudson Valley (CastlePoint and Montrose) | New York | Brooklyn | Northport | 3 | Wilmington | Altoona | Butler | Clarksburg | Coatesville | Erie | Lebanon | Philadelphia | VA Pittsburgh (Pittsburgh HD) | VAMC Wilkes-Barre | 4 | VA Maryland | Perry Point | Martinsburg | Washington | 5 | Beckley | Durham | Fayetteville | Hampton | Asheville | Richmond | Salem | Salisbury | 6 | Atlanta | Augusta | Birmingham (posted stock purchased and reported by Tuscaloosa) |
Sheet3
| Contractor [Name of Contractor] |
| Contract Number: [Insert Contract Number] |
| Reporting Quarter: X nd Qtr FY20XX | Line Item(s) | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | |
| CLIN Number: | ||||||||||||||||||||||||
| Description/Salient Characteristics | ||||||||||||||||||||||||
| Contract/Part Number: | ||||||||||||||||||||||||
| Price Inclusive of SLA Fee: | ||||||||||||||||||||||||
| VISN | FACILITY | VA New England Healthcare System | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item | Quantity Sold of Item |
| 1 | 402 | Togus | ||||||||||||||||||||||
| 1 | 405 | White River Jct | ||||||||||||||||||||||
| 1 | 518 | Bedford | ||||||||||||||||||||||
| 1 | 523 | Boston (Roxbury and Brockton) | ||||||||||||||||||||||
| 1 | 608 | Manchester | ||||||||||||||||||||||
| 1 | 631 | Northhampton | ||||||||||||||||||||||
| 1 | 650 | Providence | ||||||||||||||||||||||
| 1 | 523 | Jamaica Plain | ||||||||||||||||||||||
| 1 | 689 | VA Connecticut (Newington & West Haven) | ||||||||||||||||||||||
| New York/New Jersey VA Health Care Network | ||||||||||||||||||||||||
| 2 | 528 | Buffalo (Batavia) | ||||||||||||||||||||||
| 2 | 528A5 | Canadaigua | ||||||||||||||||||||||
| 2 | 528 A6 | Bath | ||||||||||||||||||||||
| 2 | 528A7 | Syracuse | ||||||||||||||||||||||
| 2 | 528 A8 | Albany | ||||||||||||||||||||||
| 2 | 526 | Bronx | ||||||||||||||||||||||
| 2 | 561 | VA New Jersey (Lyons and East Orange) | ||||||||||||||||||||||
| 2 | 620 | VA Hudson Valley (CastlePoint and Montrose) | ||||||||||||||||||||||
| 2 | 630 | New York | ||||||||||||||||||||||
| 2 | 630A4 | Brooklyn | ||||||||||||||||||||||
| 2 | 632 | Northport | ||||||||||||||||||||||
| VA Pittsburgh Healthcare System | ||||||||||||||||||||||||
| 4 | 460 | Wilmington | ||||||||||||||||||||||
| 4 | 503 | Altoona | ||||||||||||||||||||||
| 4 | 529 | Butler | ||||||||||||||||||||||
| 4 | 542 | Coatesville | ||||||||||||||||||||||
| 4 | 562 | Erie | ||||||||||||||||||||||
| 4 | 595 | Lebanon | ||||||||||||||||||||||
| 4 | 642 | Philadelphia | ||||||||||||||||||||||
| 4 | 646 | VA Pittsburgh (Pittsburgh HD) | ||||||||||||||||||||||
| 4 | 693 | VAMC Wilkes-Barre | ||||||||||||||||||||||
| VA Capitol Health Care Network | ||||||||||||||||||||||||
| 5 | 512 | VA Maryland | ||||||||||||||||||||||
| 6 | 517 | Beckley | ||||||||||||||||||||||
| 5 | 512A5 | Perry Point | ||||||||||||||||||||||
| 5 | 512GB | Loch Raven | ||||||||||||||||||||||
| 5 | 540 | Clarksburg | ||||||||||||||||||||||
| 5 | 581 | Hershel | ||||||||||||||||||||||
| 5 | 581 | Huntington | ||||||||||||||||||||||
| 5 | 613 | Martinsburg | ||||||||||||||||||||||
| 5 | 688 | Washington | ||||||||||||||||||||||
| VA Mid-Atlantic Health Care Network | ||||||||||||||||||||||||
| 6 | 558 | Durham | ||||||||||||||||||||||
| 6 | 565 | Fayetteville | ||||||||||||||||||||||
| 6 | 590 | Hampton | ||||||||||||||||||||||
| 6 | 637 | Asheville | ||||||||||||||||||||||
| 6 | 652 | Richmond | ||||||||||||||||||||||
| 6 | 658 | Salem | ||||||||||||||||||||||
| 6 | 659 | Salisbury | ||||||||||||||||||||||
| VA Southeast Network | ||||||||||||||||||||||||
| 7 | 508 | Atlanta | ||||||||||||||||||||||
| 7 | 509 | Augusta | ||||||||||||||||||||||
| 7 | 521 | Birmingham (posted stock purchased and reported by Tuscaloosa) | ||||||||||||||||||||||
| 7 | 534 | Charleston | ||||||||||||||||||||||
| 7 | 544 | Columbia | ||||||||||||||||||||||
| 7 | 557 | Dublin | ||||||||||||||||||||||
| 7 | 619 | CAVHCS ( Tuskegee and Montgomery) | ||||||||||||||||||||||
| 7 | 679 | Tuscaloosa | ||||||||||||||||||||||
| VA Sunshine Healthcare Network | ||||||||||||||||||||||||
| 8 | 516 | Bay Pines | ||||||||||||||||||||||
| 8 | 546 | Miami | ||||||||||||||||||||||
| 8 | 548 | West Palm Beach | ||||||||||||||||||||||
| 8 | 573 | NF/SGVHS | ||||||||||||||||||||||
| 8 | 672 | San Juan | ||||||||||||||||||||||
| 8 | 675 | Orlando | ||||||||||||||||||||||
| 8 | 673 | Tampa and Annex | ||||||||||||||||||||||
| VA MidSouth Healthcare Network |
| 9 | 596 | Lexington |
| 9 | 603 | Lousiville |
| 9 | 614 | Memphis |
| 9 | 621 | Mountain Home |
| 9 | 626 | VA Tennessee |
| VA Health Care System | ||
| 10 | 538 | Chillicothe |
| 10 | 539 | Cincinnati |
| 10 | 541 | Cleveland |
| 10 | 552 | Dayton |
| 10 | 757 | Columbus |
| 10 | 506 | Ann Arbor |
| 10 | 515 | Battle Creek |
| 10 | 553 | Detroit |
| 10 | 583 | Indianapolis |
| 10 | 610 | VA Northern Indiana |
| 10 | 655 | Saginaw |
| VA Great Lakes Health Care System | ||
| 12 | 537 | VA Chicago Healthcare |
| 12 | 556 | North Chicago |
| 12 | 578 | Hines |
| 12 | 550 | Danville |
| 12 | 585 | Iron Mountain |
| 12 | 607 | Madison |
| 12 | 676 | Tomah |
| 12 | 695 | Milwaukee |
| VA Heartland Network | ||
| 15 | 452 | Wichita |
| 15 | 543 | Columbia |
| 15 | 589 | Kansas City |
| 15 | 609 | Marion |
| 15 | 647 | Poplar Bluff |
| 15 | 657 | St. Louis |
| 15 | 677 | VA Eastern Kansas ( Leavenworth) |
| South Central VA Health Care Network | ||
| 16 | 502 | Alexandria |
| 16 | 520 | VA Gulf Coast |
| 16 | 564 | Fayetteville |
| 16 | 580 | Houston |
| 16 | 586 | Jackson |
| 16 | 598 | Central Arkansas |
| 16 | 629 | New Orleans |
| 16 | 635 | Oklahoma City |
| 16 | 667 | Shreveport |
| VA Heart of Texas Health Care Network | ||
| 17 | 549 | North Texas (Dallas and Bonham) |
| 17 | 504 | Amarillo |
| 17 | 671 | South Texas ( San Antonio and Kerrville) |
| 17 | 756 | El Paso |
| 17 | 519 | Big Spring |
| 17 | 740 | Harlingen |
| 17 | 674 | Central Texas ( Temple, Waco and Marlin) |
| Rocky Mountain Network | ||
| 19 | 442 | Cheyenne |
| 19 | 554 | Denver |
| 19 | 567 | Southern Colorado |
| 19 | 575 | Grand Junction |
| 19 | 623 | Muskogee |
| 19 | 660 | Salt Lake City |
| 19 | 666 | Sheridan |
| Northwest Network | ||
| 20 | 463 | Alaska |
| 20 | 531 | Boise |
| 20 | 648 | Portland |
| 20 | 653 | Roseburg |
| 20 | 663 | VA Puget Sound ( Seattle and American Lake) |
| 20 | 668 | Spokane |
| 20 | 687 | Walla Walla |
| 20 | 692 | White City |
| Sierra Pacific Network | ||
| 21 | 358 | Manila |
| 21 | 459 | Honolulu |
| 21 | 570 | C. California |
| 21 | 612 | N. California |
| 21 | 640 | Palo Alto (Livermore) |
| 21 | 654 | Sierra Nevada |
| 21 | 662 | San Francisco |
| Desert Pacific Healthcare Network | ||
| 22 | 593 | Southern Nevada |
| 22 | 501 | Albuquerque |
| 22 | 600 | Long Beach |
| 22 | 605 | Loma Linda |
| 22 | 664 | San Diego |
| 22 | 519 | West Texas |
| 22 | 644 | Phoenix |
| 22 | 649 | Northern Arizona (Prescott) |
| 22 | 678 | Southern Arizona (Tucson) |
| 22 | 691 | Greater Los Angeles ( Sepulveda and Los Angeles) |
| VA Midwest Health Care Network | ||
| 23 | 437 | Fargo |
| 23 | 438 | Sioux Falls |
| 23 | 568 | BHHCS (Black Hills and Hot Springs) |
| 23 | 618 | Minneapolis |
| 23 | 656 | St Cloud |
| 23 | 636 | NWIHCS (Omaha, Grand Island and Lincoln) |
| 23 | 636A4 | Grand Island |
| 23 | 636 A6 | CIHCS ( DM & Knx) |
| 23 | 636 A8 | Iowa City |
| Total Quarterly Quantity Sold | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total Quantity Sold of All Items | 0 | |||||||||||||||||||||
| Total Quarterly Quantity Sold x Price | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Quarterly Sales inclusive of theSLA | $0.00 | |||||||||||||||||||||
| Anticipated SLA | $0.00 | |||||||||||||||||||||
| Total Sales amount without the SLA(Figure uploaded in Pay.gov) | $0.00 | |||||||||||||||||||||
| SLA Received (For HINES FISCAL ONLY) |
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