Attachment A - Schedule of Pricing.xlsx

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6640--Urinalysis testing
Solicitation number
36C26223Q0875
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Attachment B - Statement of Work.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 CPTINSTRUMENTS / 5 year volume onlyOTHER HW SW/
5 year volumeService CostInstall / 5 Year VolumeTOTAL CPT (Years 1 -5)BASE YEAROption Year 1Option Year 2Option Year 3Option Year 4
estimated 3% increaseestimated 3% increaseestimated 3% increaseestimated 3% increase
Urinalysis$0.0000$0.3088$0.0822$0.4567$0.0488$0.8965310,657319,977329,576339,464349,6471,649,321$ 1,478,628.40
Urinalysis w/ microscopic$0.0000$0.3088$0.0822$0.4567$0.0488$0.8965268,794276,858285,163293,718302,5301,427,062$ 1,279,371.60
579,451596,834614,739633,182652,1773,076,384$ 2,758,000.00

&"-,Bold"ATTACHMENT C

2. EST ANNUAL SITE VOL

Loma LindaLong BeachLos Angeles ACCPhoenixPrescottSan DiegoSepulvedaTucsonWest 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 Rate- 0Est. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat RateEst. Test Volume# of ControlsEst. 5% Repeat Rate
Urinalysis11,1432,44167914,26326,5331,7821,41629,7311,5257501142,38957,9052,4093,01663,3303012414161,57733,11743,2614322,18545,878188211,2571,00421,08241,7481,6922,17245,61210,5442,44164913,63438,3331,3071,98241,622310,657
Urinalysis w/ microscopic33,4474,5431,90039,89013,75499473715,4851,5657501162,43131,7478,6282,01942,39414472118878316,44323,9734321,22025,62528,5262,0851,53132,14229,0321,5121,52732,07125,2034,5431,48731,23327,1802,4201,48031,080268,794
44,5906,9842,57954,15340,2872,7762,15345,2163,0901,5002304,82089,65211,0375,034105,72344,5962,6042,36049,56067,2348643,40571,50347,3473,3422,53453,22370,7803,2043,69977,68335,7476,9842,13744,86865,5133,7273,46272,702579,451

3. 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
Urinalysis310,657(Example)
Urinalysis w/ microscopic268,794(Example)
579,451

4. INSTRUMENTS

InstrumentsPart/Product #CostLoma LindaLong BeachLos Angeles
ACCPhoenixPrescottSan DiegoSanta MariaSepulvedaTucsonWest
Los AngelesNew MexicoVISN 22
TOTAL QTYVISN 22

EXTENDED

COSTS

DescriptionIndicate quantity per site
Hematology- 0$0.0000
Instrument A1000 (example)$100,000.0000112$200,000.0000
Instrument B2000 (example)$150,000.00001135$750,000.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Hematology Stainer- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Cellavision Or Equivalent- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Contract Misc.- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
- 0$0.0000
Total Cost$950,000.0000
5 Year CPT Cost$0.3088

5. 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
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
0$0.0000
Total Cost$253,000.0000
5 Year CPT Cost$0.0822

6. SERVICE

Annual Service Cost (as outlined in SOW)Loma LindaLong BeachLos Angeles ACCPhoenixPrescottSan DiegoSepulvedaTucsonWest 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$ 1,000.00$181,000.0000
Software License A (example)$ 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$100,000.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
$0.0000
Total Service Cost$1,405,000.0000
CPT Addition to Service$ 0.456705

7. INSTALL

Base Equipment Installation RequirementsDescriptionCost
Loma Linda(Example)$100,000.00
Long Beach(Example)$50,000.00
LosAngeles ACC
Phoenix
Prescott
San Diego
Supulveda
Tucson
West Los Angeles
New Mexico
Total$150,000.00
5 Year CPT Cost$0.0488

8. 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)

9. OPT TESTS

Optional TestsPARTIAL 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

- 0

10. OPT AUTOMATION INSTALL

Opt Automation InstallDescriptionCost
Loma Linda(Example)$180,000.00
Long Beach
LosAngeles ACC
Phoenix
Prescott
San Diego
Supulveda
Tucson
West Los Angeles
New Mexico
Total$180,000.00

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