Attachment 3 - Quote Sheet.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- HT941025Q2016
- Issued by
-
Defense Health Agency
About this file
This is a quote sheet template for solicitation HT941025Q2016 for Blood Donor Testing services at U.S. Naval Hospital Guam (USNHG). The Defense Health Agency (DHA) Healthcare Contracting Division - West is seeking quotes for various blood testing services for the period of performance from December 15, 2024 to December 14, 2025, with quotes due by 10:00 am PST on December 10, 2024.
The quote sheet includes 11 CLINs covering different types of blood tests including Standard Panel, Anti-Cytomegalovirus, Anti-Trypanosoma cruzi (Chagas), WNV NAT, Babesia NAT, HLA Testing, Anti-A/Anti-B Titer Testing, phenotyping, ABO Discrepancy testing, and Hemoglobin S testing. Quantities range from 50 to 1,400 tests depending on the type. Vendors must provide unit pricing for each CLIN and hold prices firm for 30 calendar days from the quote due date. The template includes spaces for vendor information including Unique Entity ID, CAGE Code, business size, and points of contact.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 - Quote Sheet v2.xlsx | XLSX spreadsheet | |
| PWS Bloodworks v2.pdf | ||
| CSS HT941025Q2016 - Blood Donor Testing v2.docx | DOCX document | |
| CSS HT941025Q2016 - Blood Donor Testing.docx | DOCX document | |
| Attachment 1 - PWS.pdf | ||
| Attachment 2 - Past Performance Questionnaire.docx | DOCX document |
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Text version
Quote Sheet
| Attachment 2 - Quote Sheet | |
| Solicitation Number: | HT941025Q2016 |
| Requirement: | Blood Donor Testing for U.S. Naval Hospital Guam (USNHG) |
| Period of Performance (POP): | 15 December 2024 to 14 December 2025 |
| Contracting Office: | DHA Healthcare Contracting Division – West |
| Quotations must be received by: | no later than 10:00 am PST Tuesday December 10, 2024 |
| CLIN | Description of Services | Quantity | Unit Price | Total Price |
| 0001 | Standard Panel | 1,400 | $ - 0 | $ - 0 |
| 0002 | Anti-Cytomegalovirus | 1,400 | $ - 0 | $ - 0 |
| 0003 | Anti-Trypanosoma cruzi (Chagas) | 1,400 | $ - 0 | $ - 0 |
| 0004 | WNV NAT by IDT | 1,400 | $ - 0 | $ - 0 |
| 0005 | Babesia NAT by IDT* | 1,400 | $ - 0 | $ - 0 |
| 0006 | HLA Testing for TRALI Mitigation | 100 | $ - 0 | $ - 0 |
| 0007 | Anti-A/Anti-B Titer Testing | 250 | $ - 0 | $ - 0 |
| 0008 | Licensed phenotyping (Selective) | 50 | $ - 0 | $ - 0 |
| 0009 | Red Cell Phenotyping (Licensed) | 50 | $ - 0 | $ - 0 |
| 0010 | ABO Discrepancy (Cold Panel or Cold Agglutinin Investigation) | 50 | $ - 0 | $ - 0 |
| 0011 | Hemoglobin S | 300 | $ - 0 | $ - 0 |
| 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 30 calendar days from the date specified for receipt of quotes.
| Person Authorized to Sign Quote: |
| Signature: |
| Date: |
Payment Terms:
GSA Contract Number, if applicable:
File details come from the government source that posted it. Updated .