CSS Coagulation - Attachment 3 Quote Sheet.xlsx

XLSX spreadsheet 31 KB Posted

Attached to
FY26 Lab Consolidation for Coagulation CPRR Effort
Solicitation number
HT941026Q2004
Issued by

About this file

This is a Quote Sheet (Attachment 3) for a Request for Quotation (RFQ) solicitation numbered HT941026Q2004 issued by the Defense Health Agency's Healthcare Contracting Division - West. The requirement is for cost per reportable result (CPRR) coagulation analyzer services and testing across military treatment facilities (MTFs) organized by geographic networks (Pacific Rim, Indo Pacific, Continental, Central, and West). The contract consists of a base period from October 1, 2026 through September 30, 2027, followed by four one-year options and a final partial period from October 1, 2031 through March 31, 2032. Quoters must provide pricing for coagulation testing services including standard tests (Prothrombin Time, Activated Partial Thromboplastin Time, Fibrinogen, D-Dimer) and specialized assays (Factor V through Factor XIII, Von Willebrand Factor, Platelet Aggregation, etc.) across 13 MTF locations with varying annual test volumes ranging from 365 to 28,873 tests depending on facility and test type.

Quote submissions must include quoter information (name, address, CAGE code, point of contact), acknowledgment of any amendments to the solicitation, total evaluated price for the base period plus all four options, and confirmation of agreement with all terms and conditions. Quoters must hold prices firm for 60 calendar days from the date specified for receipt of quotes and provide payment terms. The quote sheet requires specification of current analyzers at each facility and itemized pricing by clinical line item number (CLIN) and sub-line item number (SLIN) for each MTF location across all contract periods. Monthly reporting is required as an additional service element listed as a non-specified price (NSP) item.

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Coagulation SOW - Enclosure A Site Specific information Amendment 0008.xlsx XLSX spreadsheet
HT941026Q2004 Amendment 0008 Cover Letter.pdf PDF
Combined Synopsis Solicitation HT941026Q2004 Amendment 0008.pdf PDF
CSS Coagulation - Attachment 3 Quote Sheet Amendment 0008.xlsx XLSX spreadsheet
CSS Coagulation - Attachment 1 SOW Amendment 0008.pdf PDF
CSS Coagulation - Attachment 1 SOW Amendment 0007.docx DOCX document
Combined Synopsis Solicitation HT941026Q2004 Amendment 0007.docx DOCX document
HT941026Q2004 Amendment Cover Letter 0007 V3.pdf PDF
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HT941026Q2004 Amendment 0005 Cover Letter.pdf PDF
HT9410Q2004 0005 Questions and Answers.pdf PDF
Combined Synopsis Solicitation HT941026Q2004 Amendment 0005.pdf PDF
CSS Coagulation - Attachment 3 Quote Sheet Amendment 0003.xlsx XLSX spreadsheet
HT9410Q2004 0004 Questions and Answers.docx DOCX document
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CSS Coagulation - Attachment 3 Quote Sheet Amendment 0002.xlsx XLSX spreadsheet
HT941026Q2004 Amendment 0002 Cover Letter.pdf PDF
Combined Synopsis Solicitation HT941026Q2004 0001.pdf PDF
HT941026Q2004 Amendment Cover Letter.pdf PDF
Coagulation SOW - Enclosure A Site Specific information.xlsx XLSX spreadsheet
CSS Coagulation - Attachment 4 Pre-Solication Q and A.pdf PDF
CSS Coagulation - Attachment 1 SOW.pdf PDF
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Coagulation SOW - Enclosure B CyberLOG-ICS.pdf PDF
CSS Coagulation - Attachment 2 Technical Submission Form.xlsx XLSX spreadsheet
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Coag Cover Sheet

Attachment 3 - Quote Sheet
RFQ #:HT941026Q2004
Reference Number:
Requirement:DHA HCD-W Coagulation CPRR
Contracting Office:DHA Healhtcare Contracting Division - West

Total Evaluated Price (Base + 4 Options): $ - 0

Quoter Name:
Street Address:
City, State, ZIP:
Unique Entity ID:
CAGE Code:
Point of Contact:
Phone Number:
Email Address:
The Offeror acknowledges receipt of the following amendments to the solicitation:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:
Amendment No.:Date:Amendment No.:Date:

The Offeror agrees with all terms, conditions, and provisions included in the solicitation and agrees to furnish any or all items set forth or otherwise identified above subject to the terms and conditions specified in the solicitation.

The Offeror agrees to hold the prices in its quote firm for 60 calendar days from the date specified for receipt of quotes.

Person Authorized to Sign Quote:
Signature:
Date:

Payment Terms:

Coag Quote Sheet

Base (for deliveries 10/01/2026 - 09/30/2027)
NetworkCLINSLINMilitary Treatment FacilityCurrent Analyzer
QuantityProthrombin Time (PT)Activated Partial Thromboplastin Time (APTT)FibrinogenD-DimerHeperinLupus AnticoagulantDIC PanelPatient Thrombin TimeMixing StudiesReptilase TimeFactor V AssayFactor VII AssayFactor VIII AssayFactor IX AssayFactor X AssayFactor XI AssayAntithrombin IIIFactor XIII AssayVon Willebrand Factor AntigenPlatelet Aggregation TestFactor XII AssayFactor II AssayAnnual Test VolumeCPRRTotal
Pacific Rim0001
Pacific Rim00010001AANaval Hospital Camp Pendleton, CA220008003106000000000000000000003710
Pacific Rim00010001ABNaval Hospital Bremerton, WA13352111950000000000000000000741
Pacific Rim00010001ACRobert E. Bush Naval Hospital Twentynine Palms, CA200000000000000000000000$0.00
Pacific Rim00010001ADNaval Medical Center San Diego, CA - Core Lab200000000000000000000000$0.00
Indo Pacific0002
Indo Pacific00020002AAMadigan Army Medical Center, Joint Base Lewis-McChord, WA212000800010002400701501800352510501511010101000000025695
Indo Pacific00020002ABTripler Army Medical Center, Fort Shafter, HI25891483550811840001120016124112443921621512603
Continental0003
Continental00030003AA99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV200000000000000000000000$0.00
Central0004
Central00040004AA60th Medical Group, David Grant Medical Center, Travis AFB, CA200000000000000000000000$0.00
Central00040004AB673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK11462983846870000000000000000003216
Central00040004AC56th Medical Group, Luke AFB, AZ143329600000000000000000000729
West0005
West00050005AAWeed Army Community Hospital, Fort Irwin, CA15004001002000000000000000000001200
0006Monthly ReportsNSPNSP
Totals:18
Option 1 (for deliveries 10/01/2027 - 09/30/2028)
NetworkCLINSLINMilitary Treatment FacilityCurrent Analyzer
QuantityProthrombin Time (PT)Activated Partial Thromboplastin Time (APTT)FibrinogenD-DimerHeperinLupus AnticoagulantDIC PanelPatient Thrombin TimeMixing StudiesReptilase TimeFactor V AssayFactor VII AssayFactor VIII AssayFactor IX AssayFactor X AssayFactor XI AssayAntithrombin IIIFactor XIII AssayVon Willebrand Factor AntigenPlatelet Aggregation TestFactor XII AssayFactor II AssayAnnual Test VolumeCPRRTotal
Pacific Rim1001
Pacific Rim10011001AANaval Hospital Camp Pendleton, CA220008003106000000000000000000003710
Pacific Rim10011001ABNaval Hospital Bremerton, WA13352111950000000000000000000741
Pacific Rim10011001ACRobert E. Bush Naval Hospital Twentynine Palms, CA210008003006000000000000000000002700
Pacific Rim10011001ADNaval Medical Center San Diego, CA - Core Lab214000800124003800372000000030000000000028873
Indo Pacific1002
Indo Pacific10021002AAMadigan Army Medical Center, Joint Base Lewis-McChord, WA212000800010002400701501800352510501511010101000000025695
Indo Pacific10021002ABTripler Army Medical Center, Fort Shafter, HI25891483550811840001120016124112443921621512603
Continental1003
Continental10031003AA99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV281023539270163121520000000000000000015694
Central1004
Central10041004AA60th Medical Group, David Grant Medical Center, Travis AFB, CA247402520240816960000000000000000009276
Central10041004AB673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK11462983846870000000000000000003216
Central10041004AC56th Medical Group, Luke AFB, AZ143329600000000000000000000729
West1005
West10051005AAWeed Army Community Hospital, Fort Irwin, CA15004001002000000000000000000001200
1006Monthly ReportsNSPNSP
Option 2 (for deliveries 10/01/2028 - 09/30/2029)
NetworkCLINSLINMilitary Treatment FacilityCurrent Analyzer
QuantityProthrombin Time (PT)Activated Partial Thromboplastin Time (APTT)FibrinogenD-DimerHeperinLupus AnticoagulantDIC PanelPatient Thrombin TimeMixing StudiesReptilase TimeFactor V AssayFactor VII AssayFactor VIII AssayFactor IX AssayFactor X AssayFactor XI AssayAntithrombin IIIFactor XIII AssayVon Willebrand Factor AntigenPlatelet Aggregation TestFactor XII AssayFactor II AssayAnnual Test VolumeCPRRTotal
Pacific Rim2001
Pacific Rim20012001AANaval Hospital Camp Pendleton, CA220008003106000000000000000000003710
Pacific Rim20012001ABNaval Hospital Bremerton, WA13352111950000000000000000000741
Pacific Rim20012001ACRobert E. Bush Naval Hospital Twentynine Palms, CA210008003006000000000000000000002700
Pacific Rim20012001ADNaval Medical Center San Diego, CA - Core Lab214000800124003800372000000030000000000028873
Indo Pacific2002
Indo Pacific20022002AAMadigan Army Medical Center, Joint Base Lewis-McChord, WA212000800010002400701501800352510501511010101000000025695
Indo Pacific20022002ABTripler Army Medical Center, Fort Shafter, HI25891483550811840001120016124112443921621512603
Continental2003
Continental20032003AA99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV281023539270163121520000000000000000015694
Central2004
Central20042004AA60th Medical Group, David Grant Medical Center, Travis AFB, CA247402520240816960000000000000000009276
Central20042004AB673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK11462983846870000000000000000003216
Central20042004AC56th Medical Group, Luke AFB, AZ143329600000000000000000000729
West2005
West20052005AAWeed Army Community Hospital, Fort Irwin, CA15004001002000000000000000000001200
2006Monthly ReportsNSPNSP
Option 3 (for deliveries 10/01/2029 - 09/30/2030)
NetworkCLINSLINMilitary Treatment FacilityCurrent Analyzer
QuantityProthrombin Time (PT)Activated Partial Thromboplastin Time (APTT)FibrinogenD-DimerHeperinLupus AnticoagulantDIC PanelPatient Thrombin TimeMixing StudiesReptilase TimeFactor V AssayFactor VII AssayFactor VIII AssayFactor IX AssayFactor X AssayFactor XI AssayAntithrombin IIIFactor XIII AssayVon Willebrand Factor AntigenPlatelet Aggregation TestFactor XII AssayFactor II AssayAnnual Test VolumeCPRRTotal
Pacific Rim3001
Pacific Rim30013001AANaval Hospital Camp Pendleton, CA220008003106000000000000000000003710
Pacific Rim30013001ABNaval Hospital Bremerton, WA13352111950000000000000000000741
Pacific Rim30013001ACRobert E. Bush Naval Hospital Twentynine Palms, CA210008003006000000000000000000002700
Pacific Rim30013001ADNaval Medical Center San Diego, CA - Core Lab214000800124003800372000000030000000000028873
Indo Pacific3002
Indo Pacific30023002AAMadigan Army Medical Center, Joint Base Lewis-McChord, WA212000800010002400701501800352510501511010101000000025695
Indo Pacific30023002ABTripler Army Medical Center, Fort Shafter, HI25891483550811840001120016124112443921621512603
Continental3003
Continental30033003AA99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV281023539270163121520000000000000000015694
Central3004
Central30043004AA60th Medical Group, David Grant Medical Center, Travis AFB, CA247402520240816960000000000000000009276
Central30043004AB673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK11462983846870000000000000000003216
Central30043004AC56th Medical Group, Luke AFB, AZ143329600000000000000000000729
West3005
West30053005AAWeed Army Community Hospital, Fort Irwin, CA15004001002000000000000000000001200
3006Monthly ReportsNSPNSP
Option 4 (for deliveries 10/01/2030 - 09/30/2031)
NetworkCLINSLINMilitary Treatment FacilityCurrent Analyzer
QuantityProthrombin Time (PT)Activated Partial Thromboplastin Time (APTT)FibrinogenD-DimerHeperinLupus AnticoagulantDIC PanelPatient Thrombin TimeMixing StudiesReptilase TimeFactor V AssayFactor VII AssayFactor VIII AssayFactor IX AssayFactor X AssayFactor XI AssayAntithrombin IIIFactor XIII AssayVon Willebrand Factor AntigenPlatelet Aggregation TestFactor XII AssayFactor II AssayAnnual Test VolumeCPRRTotal
Pacific Rim4001
Pacific Rim40014001AANaval Hospital Camp Pendleton, CA220008003106000000000000000000003710
Pacific Rim40014001ABNaval Hospital Bremerton, WA13352111950000000000000000000741
Pacific Rim40014001ACRobert E. Bush Naval Hospital Twentynine Palms, CA210008003006000000000000000000002700
Pacific Rim40014001ADNaval Medical Center San Diego, CA - Core Lab214000800124003800372000000030000000000028873
Indo Pacific4002
Indo Pacific40024002AAMadigan Army Medical Center, Joint Base Lewis-McChord, WA212000800010002400701501800352510501511010101000000025695
Indo Pacific40024002ABTripler Army Medical Center, Fort Shafter, HI25891483550811840001120016124112443921621512603
Continental4003
Continental40034003AA99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV281023539270163121520000000000000000015694
Central4003
Central40044004AA60th Medical Group, David Grant Medical Center, Travis AFB, CA247402520240816960000000000000000009276
Central40044004AB673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK11462983846870000000000000000003216
Central40044004AC56th Medical Group, Luke AFB, AZ143329600000000000000000000729
West4005
West40054005AAWeed Army Community Hospital, Fort Irwin, CA15004001002000000000000000000001200
4006Monthly ReportsNSPNSP
52.217-6 (for deliveries 10/01/2031 - 03/31/2032)
NetworkCLINSLINMilitary Treatment FacilityCurrent Analyzer
QuantityProthrombin Time (PT)Activated Partial Thromboplastin Time (APTT)FibrinogenD-DimerHeperinLupus AnticoagulantDIC PanelPatient Thrombin TimeMixing StudiesReptilase TimeFactor V AssayFactor VII AssayFactor VIII AssayFactor IX AssayFactor X AssayFactor XI AssayAntithrombin IIIFactor XIII AssayVon Willebrand Factor AntigenPlatelet Aggregation TestFactor XII AssayFactor II AssayAnnual Test VolumeCPRRTotal
Pacific Rim5001
Pacific Rim50015001AANaval Hospital Camp Pendleton, CA210004001553000000000000000000001855
Pacific Rim50015001ABNaval Hospital Bremerton, WA1168106980000000000000000000371
Pacific Rim50015001ACRobert E. Bush Naval Hospital Twentynine Palms, CA25004001503000000000000000000001350
Pacific Rim50015001ADNaval Medical Center San Diego, CA - Core Lab27000400112001900186000000015000000000014437
Indo Pacific5002
Indo Pacific50025002AAMadigan Army Medical Center, Joint Base Lewis-McChord, WA26000400050012003575900181352585555500000012848
Indo Pacific50025002ABTripler Army Medical Center, Fort Shafter, HI2294624182545920006100862162220181136302
Continental5003
Continental50035003AA99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV2405117701358161076000000000000000007847
Central5003
Central50045004AA60th Medical Group, David Grant Medical Center, Travis AFB, CA223701260120408480000000000000000004638
Central50045004AB673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK1731492423440000000000000000001608
Central50045004AC56th Medical Group, Luke AFB, AZ121714800000000000000000000365
West5005
West50055005AAWeed Army Community Hospital, Fort Irwin, CA125020050100000000000000000000600
5006Monthly ReportsNSPNSP

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