Attachment III Pricing Sheet _NH Jacksonville_GTMO Bay_20 March 2026.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- HT940626QB001
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet for Request for Quote (RFQ) HT940626QB001 for newborn screening services to be provided at Naval Hospital Jacksonville, Florida and United States Naval Hospital Guantanamo Bay, Cuba. The pricing sheet covers a base period from May 1, 2026 through April 30, 2027, followed by four one-year option periods (May 2027–April 2028, May 2028–April 2029, May 2029–April 2030, and May 2030–April 2031) and a final partial option period from May 1, 2031 through October 31, 2031. All line items currently display $0.00 unit prices and period totals, indicating this is a blank template awaiting vendor pricing submissions.
The pricing sheet requests quotations for six service line items per period: comprehensive newborn screening services covering all Department of Health and Human Services Recommended Uniform Screening Panel conditions (600 units annually for Jacksonville, 15 for GTMO); cystic fibrosis component screening (53 units annually for Jacksonville, 5 for GTMO); services excluded for infants transferred to other facilities (36 units annually for Jacksonville, 18 for the partial period); and Tier 3 testing services (10 units annually across both locations). Vendors must also provide a general breakdown of the base price per panel and remaining pricing components to support government price reasonableness analysis, though this information is not to be treated as certified cost and pricing data.
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HT940626QB001 (RFQ)
Pricing Sheet for Newborn Screening Services Naval Hospital Jacksonville, FL Naval Hospital Guantanamo Bay, Cuba RFQ: HT940626QB001
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| SLIN | Description | Quantity | ||
| Unit of Issue | Unit Price | Period Total Price | ||
| Base Period | ||||
| 0001 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for Naval Hospital Jacksonville, Florida, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 600 | Each | $0.00 |
| 0002 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for Naval Hospital Jacksonville, Florida in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2026 through 30 April 2027. | 53 | Each | $0.00 |
| 0003 | Birth Only. (NBS) services are not applicable for infants born at Naval Hospital Jacksonville, Florida and immediately transferred to another facility for care. The receiving facility is responsible for performing NBS. | 36 | Each | $0.00 |
| 0004 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for United States Naval Hospital Guantanamo Bay, Cuba, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 15 | Each | $0.00 |
| 0005 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for Naval Hospital Guantanamo Bay, Cuba in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2026 through 30 April 2027. | 5 | Each | $0.00 |
| 0006 | Tier 3 Testing Services: The contractor shall provide NBS services (Tier 3 Testing) for Naval Hospital Jacksonville, FL and United States Naval Hospital Guantanamo Bay, Cuba in accordance with the terms and conditions of the basic contract. Period of Performance: 01 May 2026 through 30 April 2027. | 10 | Each | $0.00 |
| Base Period Total | $0.00 | |||
| Option Period 1 | ||||
| 1001 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for Naval Hospital Jacksonville, Florida, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 600 | Each | $0.00 |
| 1002 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for Naval Hospital Jacksonville, Florida in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2027 through 30 April 2028. | 53 | Each | $0.00 |
| 1003 | Birth Only. (NBS) services are not applicable for infants born at Naval Hospital Jacksonville, Florida and immediately transferred to another facility for care. The receiving facility is responsible for performing NBS. | 36 | Each | $0.00 |
| 1004 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for United States Naval Hospital Guantanamo Bay, Cuba including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 15 | Each | $0.00 |
| 1005 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for United States Naval Hospital Guantanamo Bay, Cuba in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2027 through 30 April 2028. | 5 | Each | $0.00 |
| 1006 | Tier 3 Testing Services: The contractor shall provide NBS services (Tier 3 Testing) for Naval Hospital Jacksonville, FL and United States Naval Hospital Guantanamo Bay, Cuba in accordance with the terms and conditions of the basic contract. Period of Performance: 01 May 2027 through 30 April 2028. | 10 | Each | $0.00 |
| Option Period 1 Total | $0.00 | |||
| Option Period 2 | ||||
| 2001 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for Naval Hospital Jacksonville, Florida, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 600 | Each | $0.00 |
| 2002 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for Naval Hospital Jacksonville, Florida in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2028 through 30 April 2029. | 53 | Each | $0.00 |
| 2003 | Birth Only. (NBS) services are not applicable for infants born at Naval Hospital Jacksonville, Florida and immediately transferred to another facility for care. The receiving facility is responsible for performing NBS. | 36 | Each | $0.00 |
| 2004 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for United States Naval Hospital Guantanamo Bay, Cuba, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 15 | Each | $0.00 |
| 2005 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for United States Naval Hospital Guantanamo Bay, Cuba in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2028 through 30 April 2029. | 5 | Each | $0.00 |
| 2006 | Tier 3 Testing Services: The contractor shall provide NBS services (Tier 3 Testing) for Naval Hospital Jacksonville, FL and United States Naval Hospital Guantanamo Bay, Cuba in accordance with the terms and conditions of the basic contract. Period of Performance: 01 May 2028 through 30 April 2029. | 10 | Each | $0.00 |
| Option Period 2 Total | $0.00 | |||
| Option Period 3 | ||||
| 3001 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for Naval Hospital Jacksonville, Florida, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 600 | Each | $0.00 |
| 3002 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for Naval Hospital Jacksonville, Florida in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2029 through 30 April 2030. | 53 | Each | $0.00 |
| 3003 | Birth Only. (NBS) services are not applicable for infants born at Naval Hospital Jacksonville, Florida and immediately transferred to another facility for care. The receiving facility is responsible for performing NBS. | 36 | Each | $0.00 |
| 3004 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for United States Naval Hospital Guantanamo Bay, Cuba including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 15 | Each | $0.00 |
| 3005 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for United States Naval Hospital Guantanamo Bay, Cuba in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2029 through 30 April 2030. | 5 | Each | $0.00 |
| 3006 | Tier 3 Testing Services: The contractor shall provide NBS services (Tier 3 Testing) for Naval Hospital Jacksonville, FL and United States Naval Hospital Guantanamo Bay, Cuba in accordance with the terms and conditions of the basic contract. Period of Performance: 01 May 2029 through 30 April 2030. | 10 | Each | $0.00 |
| Option Period 3 Total | $0.00 | |||
| Option Period 4 | ||||
| 4001 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for Naval Hospital Jacksonville, Florida, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 600 | Each | $0.00 |
| 4002 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for Naval Hospital Jacksonville, Florida in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2030 through 30 April 2031. | 53 | Each | $0.00 |
| 4003 | Birth Only. (NBS) services are not applicable for infants born at Naval Hospital Jacksonville, Florida and immediately transferred to another facility for care. The receiving facility is responsible for performing NBS. | 36 | Each | $0.00 |
| 4004 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for United States Naval Hospital Guantanamo Bay, Cuba, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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. | 15 | Each | $0.00 |
| 4005 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for United States Naval Hospital Guantanamo Bay, Cuba in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2030 through 30 April 2031. | 5 | Each | $0.00 |
| 4006 | Tier 3 Testing Services: The contractor shall provide NBS services (Tier 3 Testing) for Naval Hospital Jacksonville, FL and United States Naval Hospital Guantanamo Bay, Cuba in accordance with the terms and conditions of the basic contract. Period of Performance: 01 May 2030 through 30 April 2031. | 10 | Each | $0.00 |
| Option Period 4 Total | $0.00 | |||
| FAR 52.217-8 Option Period 5 | ||||
| 5001 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for Naval Hospital Jacksonville, Florida, including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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 2031 through 31 October 2031. | 350 | Each | $0.00 |
| 5002 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for Naval Hospital Jacksonville, Florida in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2031 through 31 October 2031. | 25 | Each | $0.00 |
| 5003 | Birth Only. (NBS) services are not applicable for infants born at Naval Hospital Jacksonville, Florida and immediately transferred to another facility for care. The receiving facility is responsible for performing NBS. | 18 | Each | $0.00 |
| 5004 | Newborn Screening Services: The contractor shall provide comprehensive newborn screening services for United States Naval Hospital Guantanamo Bay, Cuba including the supply of blood specimen collection kits, laboratory analysis of dried blood spot samples, and timely electronic 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 2031 through 31 October 2031. | 8 | Each | $0.00 |
| 5005 | Newborn Screening Services: The contractor shall provide Newborn Screening Services (Cystic Fibrosis component) for United States Naval Hospital Guantanamo Bay, Cuba in accordance with terms and conditions in the Performance Work Statement. Period of Performance: 01 May 2031 through 31 October 2031. | 3 | Each | $0.00 |
| 5006 | Tier 3 Testing Services: The contractor shall provide NBS services (Tier 3 Testing) for Naval Hospital Jacksonville, FL and United States Naval Hospital Guantanamo Bay, Cuba in accordance with the terms and conditions of the basic contract. Period of Performance: 01 May 2031 through 31 October 2031. | 5 | Each | $0.00 |
| $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: |
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