Attachment 4 - Quote Sheet.xlsx
XLSX spreadsheet 31 KB Posted
- Attached to
- Chemical Water Analysis for 18 OMRS Theater Preventative Medicine Flight (TPMF) Kadena AB, Okinawa Japan
- Solicitation number
- HT941024Q2025
- Issued by
-
Defense Health Agency
About this file
This document is an Attachment 4 - Quote Sheet for a federal contract opportunity solicitation number HT941023Q2025. The solicitation is for a Blanket Purchase Agreement (BPA) for Chemical/Water analysis service for 18 OMRS Theater Preventative Medicine Flight (TPMF) locations, with a 5-year period of performance from 3/29/2024 to 3/28/2029.
The Quote Sheet contains pricing for various testing services across 4 option periods, including Abbott Alinity panels, backup and confirmatory tests for HIV, Hepatitis, Syphilis, and Chagas. Quoters must provide firm-fixed pricing and acknowledge all amendments. The solicitation will be awarded on a best-value basis, evaluating technical capability, past performance, and price. Quotes are due by 10:00 am PST on March 28, 2024. The contracting activity is the Defense Health Agency (DHA) Western Markets Contracting Division.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment 3 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment 4 - Quote Sheet.xlsx | XLSX spreadsheet | |
| Attachment 1- Performance Work Statement.pdf | ||
| Attachment 2 - Item List.xlsx | XLSX spreadsheet | |
| Combined Synopsis Solicitation - Chemical Water Analysis BPA.pdf |
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Text version
Quote Sheet
| Attachment 4 - Quote Sheet | |
| Solicitation Number: | HT941023Q2025 |
| Requirement: | BPA Chemical Water Analysis Service |
| Period of Performance (POP): | 3/29/2024 - 3/28/2029 |
| Contracting Office: | DHA Western Markets Contracting Division |
| Quotations must be received by: | no later than 10:00 am PST on March 28, 2024 |
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 0001 | BPA for Chemical/Water analysis service for 18 OMRS Theater Preventative Medicine Flight (TPMF) IAW Attachment 1: Preformance Based Work Statement (PWS) and Attachment 2: Item List. | 1 | $ - 0 | $ - 0 |
| TOTAL EVALUATED PRICE (Base) | $0.00 | |||
| TOTAL EVALUATED PRICE | $0.00 |
| Offeror Name: |
| Street Address: |
| City, State, ZIP: |
| Unique Entity ID: |
| CAGE Code: |
| Business Size: |
| 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 90 calendar days from the date specified for receipt of quotes.
| Person Authorized to Sign Quote: |
| Signature: |
| Date: |
Payment Terms:
GSA Contract Number, if applicable:
Option 1
| Period of Performance (POP): | 10/1/2024 - 9/30/2025 | ||||
| CLIN | Description of Services | Quantity | Unit Price | Total Price | |
| 1001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 1 | 6,000 | $ - 0 | $ - 0 | ||||
| 1002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 1 | 500 | $ - 0 | $ - 0 | |||
| 1003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 1 | 500 | $ - 0 | $ - 0 | |||
| 1004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 1 | 1,000 | $ - 0 | $ - 0 | |||
| 1005 | Babesia by IDT NAT (back-up) - Option Period 1 | 500 | $ - 0 | $ - 0 | |||
| 1006 | HBsAG Neutralization (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| 1007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 1 | 6 | $ - 0 | $ - 0 | |||
| 1008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| 1009 | Syphilis Screening (Captia) (back-up) - Option Period 1 | 3,000 | $ - 0 | $ - 0 | |||
| 1010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | ||||
| 1011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| 1012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 1 | 100 | $ - 0 | $ - 0 | |||
| 1013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 1 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 1) | $0.00 |
Option 2
| Period of Performance (POP): | 10/1/2025 - 9/30/2026 | ||||
| CLIN | Description of Services | Quantity | Unit Price | Total Price | |
| 2001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 2 | 6,000 | $ - 0 | $ - 0 | ||||
| 2002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 2 | 500 | $ - 0 | $ - 0 | |||
| 2003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 2 | 500 | $ - 0 | $ - 0 | |||
| 2004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 2 | 1,000 | $ - 0 | $ - 0 | |||
| 2005 | Babesia by IDT NAT (back-up) - Option Period 2 | 500 | $ - 0 | $ - 0 | |||
| 2006 | HBsAG Neutralization (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| 2007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 2 | 6 | $ - 0 | $ - 0 | |||
| 2008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| 2009 | Syphilis Screening (Captia) (back-up) - Option Period 2 | 3,000 | $ - 0 | $ - 0 | |||
| 2010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | ||||
| 2011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| 2012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 2 | 100 | $ - 0 | $ - 0 | |||
| 2013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 2 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 2) | $0.00 |
Option 3
| Period of Performance (POP): | 10/1/2026 - 9/30/2027 | ||||
| CLIN | Description of Services | Quantity | Unit Price | Total Price | |
| 3001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 3 | 6,000 | $ - 0 | $ - 0 | ||||
| 3002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 3 | 500 | $ - 0 | $ - 0 | |||
| 3003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 3 | 500 | $ - 0 | $ - 0 | |||
| 3004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 3 | 1,000 | $ - 0 | $ - 0 | |||
| 3005 | Babesia by IDT NAT (back-up) - Option Period 3 | 500 | $ - 0 | $ - 0 | |||
| 3006 | HBsAG Neutralization (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| 3007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 3 | 6 | $ - 0 | $ - 0 | |||
| 3008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| 3009 | Syphilis Screening (Captia) (back-up) - Option Period 3 | 3,000 | $ - 0 | $ - 0 | |||
| 3010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | ||||
| 3011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| 3012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 3 | 100 | $ - 0 | $ - 0 | |||
| 3013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 3 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 3) | $0.00 |
Option 4
| Period of Performance (POP): | 10/1/2027 - 9/30/2028 | ||||
| CLIN | Description of Services | Quantity | Unit Price | Total Price | |
| 4001 | Abbott Alinity Panel (6 tests) |
Antibody to HIV-1/HIV-2 Ag/Ab Combo, *Hepatitis B surface Ag, *Antibody to Hepatitis B Core, *Antibody to HTLV-1/HTLV-2, *Antibody to Hepatitis C Virus 2.0, *Antibody to T.Cruzi (Chagas)
| (*if positive requires confirmatory testing as requested by USPACOM ASBBC) - Option Period 4 | 6,000 | $ - 0 | $ - 0 | ||||
| 4002 | HBV/HCV/HIV BY ID NAT (back-up) - Option Period 4 | 500 | $ - 0 | $ - 0 | |||
| 4003 | WEST NILE VIRUS BY IDT NAT (back-up) - Option Period 4 | 500 | $ - 0 | $ - 0 | |||
| 4004 | Anti-A/Anti-B Titer Testing (≥1:256 Dilution) (back-up) - Option Period 4 | 1,000 | $ - 0 | $ - 0 | |||
| 4005 | Babesia by IDT NAT (back-up) - Option Period 4 | 500 | $ - 0 | $ - 0 | |||
| 4006 | HBsAG Neutralization (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| 4007 | Anti-HIV-1/2 Geenius Western Blot + (confirmatory) - Option Period 4 | 6 | $ - 0 | $ - 0 | |||
| 4008 | Anti-HTLV-I/II Western Blot (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| 4009 | Syphilis Screening (Captia) (back-up) - Option Period 4 | 3,000 | $ - 0 | $ - 0 | |||
| 4010 | Syphilis Confirmatory (PK-TP or RPR if sample is unacceptable for PK-TP) | ||||||
| (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | ||||
| 4011 | Anti-HCV 3.0 ELISA (Alternate, Confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| 4012 | Anti-CMV (Capture-CMV)(back-up) - Option Period 4 | 100 | $ - 0 | $ - 0 | |||
| 4013 | Abbott ESA chagas Confirmatory Blod ++ (confirmatory) - Option Period 4 | 10 | $ - 0 | $ - 0 | |||
| TOTAL EVALUATED PRICE (Option Period 4) | $0.00 |
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