Attachment III Pricing Sheet for NMC Portsmouth.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- HT940626QB001
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet template for Newborn Screening Services to support Naval Medical Center Portsmouth, Virginia under RFQ HT940626QB001. The pricing sheet establishes the structure for a one base period plus four option periods contract, with each period covering 12 months from May through April. The contractor must supply collection cards, perform laboratory analysis of dried blood spot samples, and provide timely reporting of results covering all conditions required by the Department of Health and Human Services Recommended Uniform Screening Panel (RUSP). The quantity for newborn screening services is 1,200 units (per test panels) for each contract period, with pricing to be provided on a per-unit basis.
The template requires vendors to submit a unit price per panel and provide a general price breakdown to facilitate government price reasonablness analysis. This breakdown should identify component costs such as base price per panel, overhead, service facility fees, and maintenance fees, though the government clarifies this breakdown is not intended to be burdensome and will not be treated as certified cost and pricing data. The pricing sheet includes fields for vendor information (UEI, CAGE code, POC) and signature authorization, with all price fields currently blank pending vendor submission. The contract structure spans five years from May 1, 2026 through April 30, 2031, with a base period (May 2026–April 2027) and four one-year option periods.
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Text version
HT940626QB001 (RFQ)
Pricing Sheet for Newborn Screening Services Naval Medical Center Portsmouth, Virginia RFQ: HT940626QB001
| Vendor: | ||||
| UEI: | ||||
| CAGE CODE: | ||||
| POC: | ||||
| SLIN | Description | Quantity | ||
| Unit of Issue | Unit Price | Period Total Price | ||
| Base Period | ||||
| 0001 | Newborn Screening Services: The contractor shall provide Newborn Screening Services in support of Naval Medical Center Portsmouth, Virginia. Services includethe supply of collection cards, laboratory analysis of dried blood spot samples, and timely reporting of results. Services must cover all conditions required by the Department of Health and Human Services Recommended Uniform Screening Panel (RUSP). Period of Performance: 01 May 2026 through 30 April 2027. | 1,200 | Each | |
| Base Period Total | $0.00 | |||
| Option Period 1 | ||||
| 1001 | Newborn Screening Services: The contractor shall provide Newborn Screening Services in support of Naval Medical Center Portsmouth, Virginia. Services includethe supply of collection cards, laboratory analysis of dried blood spot samples, and timely reporting of results. Services must cover all conditions required by the Department of Health and Human Services Recommended Uniform Screening Panel (RUSP). Period of Performance: 01 May 2027 through 30 April 2028. | 1,200 | Each | |
| Option Period 1 Total | $0.00 | |||
| Option Period 2 | ||||
| 2001 | Newborn Screening Services: The contractor shall provide Newborn Screening Services in support of Naval Medical Center Portsmouth, Virginia. Services includethe supply of collection cards, laboratory analysis of dried blood spot samples, and timely reporting of results. Services must cover all conditions required by the Department of Health and Human Services Recommended Uniform Screening Panel (RUSP). Period of Performance: 01 May 2028 through 30 April 2029. | 1,200 | Each | |
| Option Period 2 Total | $0.00 | |||
| Option Period 3 | ||||
| 3001 | Newborn Screening Services: The contractor shall provide Newborn Screening Services in support of Naval Medical Center Portsmouth, Virginia. Services includethe supply of collection cards, laboratory analysis of dried blood spot samples, and timely reporting of results. Services must cover all conditions required by the Department of Health and Human Services Recommended Uniform Screening Panel (RUSP). Period of Performance: 01 May 2029 through 30 April 2030. | 1,200 | Each | |
| Option Period 3 Total | $0.00 | |||
| Option Period 4 | ||||
| 4001 | Newborn Screening Services: The contractor shall provide Newborn Screening Services in support of Naval Medical Center Portsmouth, Virginia. Services includethe supply of collection cards, laboratory analysis of dried blood spot samples, and timely reporting of results. Services must cover all conditions required by the Department of Health and Human Services Recommended Uniform Screening Panel (RUSP). Period of Performance: 01 May 2030 through 30 April 2031. | 1,200 | Each | |
| Option Period 4 Total | $0.00 | |||
| Total Proposed Price | $0.00 |
How many conditions are tested per test panel?
| Provide a general breakdown of the price per panel to aid in the government's ability to conduct a price analysis to support the determination of price reasonablness (i.e. overhead, service facility and/or maintenance fees). This request is not intented to be burdensome on the contractor and will not be treated as certifified cost and pricing data. | |
| Base price per panel: | $ - 0 |
| Remaining price: | $ - 0 |
| General breakdown of remaining price: |
Signature / Date
Title:
Organization:
File details come from the government source that posted it. Updated .