B.08 Attachment 3 - Cost Per Reportable Pricing Worksheet.pdf
PDF 620 KB Posted
- Attached to
- Urine Analysis Testing
- Solicitation number
- W81K0425QA020
- Issued by
-
Department of the Army Medical Command
About this file
This document is a Cost Per Reportable Result (CPRR) Pricing Worksheet for a Urine Analysis Testing contract at Fort Bragg, NC. The pricing worksheet covers a multi-year period from the validation phase through September 2030, with a flat rate of $125.00 for the initial validation and implementation phase. The contract includes 25 training slots and 4 Urinalysis Automation Systems across three locations: Womack Army Medical Center (WAMC), Clark Clinic, and Robinson Clinic. The worksheet provides a template for pricing urinalysis chemistry and microscopy tests at each location, with blank spaces for vendors to input specific cost per reportable result rates for each test type and location across multiple contract years. The document concludes with a vendor certification section requiring the offeror's signature to verify the accuracy of the pricing information submitted.
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Text version
Location Test Description Flat Rate
Fort Bragg, NC Validation and Implementation Phase and
Post-Award Conference
***MUST BE PRICED***
Training Slots (25) Urinalysis Automation Systems (4) $ -
Location Test Description Cost Per Reportable Result WAMC UA Chemistry WAMC UA Microscopy
Clark Clinic UA Chemistry Clark Clinic UA Microscopy
Robinson Clinic UA Chemistry Robinson Clinic UA Microscopy
Training Slots (2) $ - Urinalysis Automation Systems (4) $ -
Location Test Description Cost Per Reportable Result WAMC UA Chemistry WAMC UA Microscopy
Clark Clinic UA Chemistry Clark Clinic UA Microscopy
Robinson Clinic UA Chemistry Robinson Clinic UA Microscopy
Training Slots (2) $ - Urinalysis Automation Systems (4) $ -
Cost Per Reportable Result Pricing Worksheet Validation Period
Cost Per Reportable Result Pricing Worksheet 10/01/2025 - 09/30/2026
Cost Per Reportable Result Pricing Worksheet 10/01/2026 - 09/30/2027
$125.00
Location Test Description Cost Per Reportable Result WAMC UA Chemistry WAMC UA Microscopy
Clark Clinic UA Chemistry Clark Clinic UA Microscopy
Robinson Clinic UA Chemistry Robinson Clinic UA Microscopy
Training Slots (2) $ - Urinalysis Automation Systems (4) $ -
Location Test Description Cost Per Reportable Result WAMC UA Chemistry WAMC UA Microscopy
Clark Clinic UA Chemistry Clark Clinic UA Microscopy
Robinson Clinic UA Chemistry Robinson Clinic UA Microscopy
Training Slots (2) $ - Urinalysis Automation Systems (4) $ -
Location Test Description Cost Per Reportable Result WAMC UA Chemistry WAMC UA Microscopy
Clark Clinic UA Chemistry Clark Clinic UA Microscopy
Robinson Clinic UA Chemistry Robinson Clinic UA Microscopy
Training Slots (2) $ - Urinalysis Automation Systems (4) $ -
Cost Per Reportable Result Pricing Worksheet 10/01/2028 - 09/30/2029
Cost Per Reportable Result Pricing Worksheet 10/01/2029 - 8/30/2030
Cost Per Reportable Result Pricing Worksheet 10/01/2027 - 09/30/2028
Vendor Certification:
By signing below, the vendor certifies that the information provided in this pricing worksheet is accurate and complete to the best of their knowledge.
O eror Signature: _______________________________ Date: ____________________________
O eror Printed Name: ____________________________
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