Attachment II - Pricing Sheet CA660 Maintenance and Reagents (GTMO).xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- HT940626QE053
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet for Siemens CA660 maintenance services and reagent supplies at Naval Hospital Guantanamo Bay. The pricing template is structured across a base period (September 1, 2026 through August 31, 2027) and four one-year option periods, with an additional six-month period under FAR 52.217-8 extending through February 29, 2032. The sheet itemizes three categories of services for each period: preventative maintenance services (priced as a JOB), corrective/emergency maintenance services (priced as a LOT), and reagents/supplies (priced as a LOT). All line items currently display $0.00 unit prices and total prices, indicating this is a blank template awaiting bidder completion. The total proposed price across all periods also shows $0.00.
The pricing template does not include specific quantities, unit pricing guidance, or pricing instructions within the document itself. Vendors responding to solicitation HT940626QE053 are expected to populate the unit prices and calculated totals for each service category across all contract periods. The template accommodates service line item numbers (SLINs) with specific formatting restrictions (no letters I or O), suggesting standard government accounting structure requirements. This is a sole-source acquisition to Siemens Healthcare Diagnostics under RFO FAR 6.103-1, with the Defense Health Agency Contracting Activity Healthcare Contracting Division, Southeast administering the contract as firm fixed price.
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Text version
TOPR
| PRICING SHEET: CA660 Maintenance Services and Reagents/Supplies (NH Guantanamo Bay) |
| CLIN |
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0001 PHYSICIAN SERVICES (Personal) 0002 PHYSICIAN SERVICES (Non-Personal) 0003 DENTAL SERVICES (Personal) 0004 DENTAL SERVICES (Non-Personal) 0005 ANCILLARY SERVICES (Personal) 0006 ANCILLARY SERVICES (Non-Personal) 0007 NURSING SERVICES (Personal) 0008 NURSING SERVICES (Non-Personal)
| ***Do not use letters I or O when listing SLINs | Description | Quantity | Unit | Unit Price | Total Price | |
| BASE PERIOD: 01 SEP 2026 through 31 AUG 2027 | ||||||
| 0001 | Siemens CA660 Preventative Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | JOB | $0.00 | |||
| 0002 | Siemens CA660 Corrective/Emergency Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| 0003 | Siemens CA660 Reagents/Supplies | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| OPTION PERIOD 1: 01 SEP 2027 through 31 AUG 2028 | ||||||
| 1001 | Siemens CA660 Preventative Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | JOB | $0.00 | |||
| 1002 | Siemens CA660 Corrective/Emergency Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| 1003 | Siemens CA660 Reagents/Supplies | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| OPTION PERIOD 2: 01 SEP 2028 through 31 AUG 2029 | ||||||
| 2001 | Siemens CA660 Preventative Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | JOB | $0.00 | |||
| 2002 | Siemens CA660 Corrective/Emergency Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| 2003 | Siemens CA660 Reagents/Supplies | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| OPTION PERIOD 3: 01 SEP 2029 through 31 AUG 2030 | ||||||
| 3001 | Siemens CA660 Preventative Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | JOB | $0.00 | |||
| 3002 | Siemens CA660 Corrective/Emergency Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| 3003 | Siemens CA660 Reagents/Supplies | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| OPTION PERIOD 4: 01 SEP 2030 through 31 AUG 2031 | ||||||
| 4001 | Siemens CA660 Preventative Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | JOB | $0.00 | |||
| 4002 | Siemens CA660 Corrective/Emergency Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| 4003 | Siemens CA660 Reagents/Supplies | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| FAR 52.217-8: 01 September 2031 – 29 February 2032 (6 Months) | ||||||
| 5001 | Siemens CA660 Preventative Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | JOB | $0.00 | |||
| 5002 | Siemens CA660 Corrective/Emergency Maintenance Services | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| 5003 | Siemens CA660 Reagents/Supplies | |||||
| Naval Hospital Guantanamo Bay | 1.0 | LOT | $0.00 | |||
| PRICING SHEET TOTALS | ||||||
| Total Price Per Period of Performance | Base | $0.00 | ||||
| Option Period 1 | $0.00 | |||||
| Option Period 2 | $0.00 | |||||
| Organzition | Option Period 3 | $0.00 | ||||
| Option Period 4 | $0.00 | |||||
| FAR 52.217-8 | $0.00 | |||||
| Total Proposed Price | $0.00 |
0001 PHYSICIAN SERVICES (Personal) 0002 PHYSICIAN SERVICES (Non-Personal) 0003 DENTAL SERVICES (Personal) 0004 DENTAL SERVICES (Non-Personal) 0005 ANCILLARY SERVICES (Personal) 0006 ANCILLARY SERVICES (Non-Personal) 0007 NURSING SERVICES (Personal) 0008 NURSING SERVICES (Non-Personal)
***Do not use letters I or O when listing SLINs
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