Attachments A - C - Template for Vendors.xlsx
XLSX spreadsheet 28 KB Posted
- Solicitation number
- 36C26321Q0102
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C26321Q0102 A0001.pdf | ||
| Attachments A - C - Template for Vendors UPDATED.xlsx | XLSX spreadsheet | |
| QA.pdf | ||
| 36C26321Q0102 A0001_1.docx | DOCX document | |
| Attachment E MFG_Waste_Evaluation_Form.docx | DOCX document | |
| 36C26321Q0102.pdf | ||
| 36C26321Q0102_1.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
A- Est. Annual Workload-Test
| Facility | Annual Volume PT | Annual Volume APTT | Annual Volume D-Dimer | Annual Volume Fibrinogen | Annual Volume Special Coag (Lupus Inhibitor) | Annual Volume Special Coag (Protein C) | Annual Volume Special Coag (Protein S) | Annual Volume Special Coag (Anti-thrombin III) | Annual Volume Special Coag (Factor II) | Annual Volume Special Coag (Factor V) | Annual Volume Special Coag (Factor VII) | Annual Volume Special Coag (Factor VIII) | Annual Volume Special Coag (Factor IX) | Annual Volume Special Coag (Factor X) | Annual Volume Special Coag (Factor XI) | Annual Volume Special Coag (Factor XII) | Annual Volume Special Coag (LMWH) | Annual Volume Special Coag (UFH) | PRIMARY ANALYZER(S) | Frequency of QUALITY CONTROL | Desired SERVICE OPTION | Current INTERFACE MANAGER in Use | Requirement for PRIMARY INSTR. INTERFACING |
| Black Hills Health Care System - Hot Springs | 1400 | 500 | 300 | 10 | 1 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required | ||||||||||||||
| Sioux Falls VA Health Care System | 15500 | 2300 | 1000 | 100 | 2 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required | ||||||||||||||
| Nebraska Western Iowa - Omaha | 15000 | 4000 | 2000 | 1000 | 2 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required | ||||||||||||||
| Nebraska Western Iowa - Grand Island | 3500 | 1200 | 1 | 2 levels @ 2x/day | 8x5 | Data Innovations | Required | ||||||||||||||||
| Nebraska Western Iowa - Lincoln | 3200 | 1200 | 200 | 1 | 2 levels @ 2x/day | 8x5 | Data Innovations | Required | |||||||||||||||
| St. Cloud VA Health Care System | 2500 | 260 | 400 | 2 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required | |||||||||||||||
| Fargo VA Health Care System | 6600 | 1100 | 650 | 20 | 100 | 2 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required | |||||||||||||
| Black Hills Health Care System - Ft. Meade | 5000 | 800 | 1000 | 20 | 80 | 1 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required | |||||||||||||
| Minneapolis VA Heath Care System | 40000 | 11500 | 2400 | 1400 | 250 | 70 | 70 | 70 | 15 | 20 | 20 | 40 | 15 | 15 | 15 | 15 | 225 | 225 | 2 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required |
| Iowa City VA Health Care System | 21000 | 3000 | 300 | 120 | 1800 | 2 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required | |||||||||||||
| VA Central Iowa Health Care System | 1100 | 200 | 100 | 20 | 2 | 2 levels @ 3x/day | 8x5 | Data Innovations | Required |
| Indicate Total Number of Additional Attachment As Included: |
| No Additional Attachments |
&"-,Bold"Estimated Annual Workload and Test Menu -&U &16&KFF0000VA&U TO COMPLETE THIS SHEET Attachment A
Revision: 18 November 2013 Page &P of &N
B- Pricing Sheet
| CLIN | Test Name | Annual Estimated Testing Volume | Annual Number of Boxes (NA for CPRR tests) | Unit Price | CPRR/Price Per Box (CPRR required for PT and PTT; use drop down for others) | Extended Price |
| 1 | PT | 114,800 | CPRR | $0.00 | ||
| 2 | PTT | 26,060 | CPRR | $0.00 | ||
| 3 | D-Dimer | 8,350 | $0.00 | |||
| 4 | Fibrinogen | 2,660 | $0.00 | |||
| 5 | Lupus Inhibitor | 250 | $0.00 | |||
| 6 | Protein C | 70 | $0.00 | |||
| 7 | Protein S | 70 | $0.00 | |||
| 8 | Antithrombin III | 70 | $0.00 | |||
| 9 | Factor II | 15 | $0.00 | |||
| 10 | Factor V | 20 | $0.00 | |||
| 11 | Factor VII | 20 | $0.00 | |||
| 12 | Factor VIII | 40 | $0.00 | |||
| 13 | Factor IX | 15 | $0.00 | |||
| 14 | Factor X | 15 | $0.00 | |||
| 15 | Factor XI | 15 | $0.00 | |||
| 16 | Factor XII | 15 | $0.00 | |||
| 17 | LMWH | 245 | $0.00 | |||
| 18 | UFH | 2,215 | $0.00 |
&"-,Bold"Pricing Sheet - &16&U&KFF0000VENDOR&U TO COMPLETE THIS SHEET Attachment D
Revision: 18 November 2013 Page &P of &N
C - Instructions
| 1 | PT and PTT are to be bid as CPRR; estimated volume provided |
| 2 | All other items may be bid CPRR or by-the-box per vendor discretion |
| 3 | When bidding by-the-box, vendor to use the estimated annual workload by site to determine anticipated quantity of boxes needed. |
| 4 | Items may be added or deleted based on vendor-specific reagent differences, but ALL reagents, controls, calibrators must be accounted for |
| 5 | Any consumable not included in the CPRR or by the box must be listed |
Data Inputs
| Yes | Data Innovations | Required | 8x5 | 1 | 0 | No Additional Attachments |
| No | Dawning | N/A | 8x7 | 2 | 1 | Yes, One Additional |
| 24x7 | 3 | 2 | Yes, Two Additional | |||
| 4 | Yes, Three Additional | |||||
| 5 | ||||||
| 6 | ||||||
| 7 | ||||||
| 8 | ||||||
| 9 | ||||||
| 10 | ||||||
| 11 | ||||||
| 12 | ||||||
| 15 | ||||||
| 16 | ||||||
| 17 | ||||||
| 18 | ||||||
| 19 | ||||||
| 20 | ||||||
| 21 | ||||||
| 22 | ||||||
| 23 | ||||||
| PCOE | ||||||
| PCAC | ||||||
| SAOW | ||||||
| SAOE | ||||||
| SAOC |
File details come from the government source that posted it. Updated .