Attachment 3 - Quote Sheet v2.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- HT941025Q2016
- Issued by
-
Defense Health Agency
About this file
This is a pricing quote sheet template for solicitation HT941025Q2016 for Blood Donor Testing services at U.S. Naval Hospital Guam. The Defense Health Agency's Healthcare Contracting Division - West requires quotes for 11 different Clinical Laboratory Improvement Amendments (CLINs) including Standard Panel testing, Anti-Cytomegalovirus, Anti-Trypanosoma cruzi (Chagas), WNV NAT, Babesia NAT, HLA Testing, Anti-A/Anti-B Titer Testing, Red Cell Phenotyping, Antibody Identification, ABO Discrepancy testing, and Hemoglobin S testing.
The period of performance is December 15, 2024 to December 14, 2025, with quotes due by 10:00 am PST on December 10, 2024. The template requires offerors to provide unit pricing for specified quantities ranging from 50 to 1,400 tests per CLIN. Offerors must include their business information, Unique Entity ID, CAGE code, business size, point of contact details, and acknowledge any amendments. Quotes must remain valid for 30 calendar days from the submission deadline.
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Other files
| File | Type | Posted |
|---|---|---|
| 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 3 - Quote Sheet.xlsx | XLSX spreadsheet | |
| 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 | Red Cell Phenotyping (Licensed) | 50 | $ - 0 | $ - 0 |
| 0009 | Antibody Identification (Red Cell Antibody Panel) | 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 .