Attachment 3 - Quote Sheet - HT941025Q2084- Amendment 1.xlsx

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Preventative Maintenance for Sterilizers, Sterilizer Washers and Chemical Dispenser located at 21st Company Dental Activity Marine Corps Base Hawaii
Solicitation number
HT941025Q2084
Issued by

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The document is a Quote Sheet for a Request for Quote (RFQ) solicitation number HT941025Q2084 for preventative maintenance services for sterilizers, sterilization washers, and chemical dispensers at the 21st Company Dental Activity, Marine Corps Base Hawaii. The contract is for a base year with four option years, spanning from 30 September 2025 to 29 September 2030, issued by the Defense Health Agency (DHA) Healthcare Contracting Division - West.

The Quote Sheet details 40 contract line items (CLINs) for preventative maintenance and chamber cleaning of specific medical equipment, including AMSCO 7053 L Washers, AMSCO 400 Sterilizers, and chemical dispensers. Each equipment type has pricing lines for the base year and four subsequent option years. Quotes must be submitted electronically by 8:00 am PDT on 12 August 2025, with all submissions evaluated on technical capability, past performance, and price. The procurement is unrestricted, using simplified acquisition procedures, with a NAICS code of 811210 and a size standard of $34.0 million.

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Other files

File Type Posted
HT941025Q2084- Questions and Answers v.2.pdf PDF
Attachment 1- Performance Work Statement (PWS) - Amendment 1.pdf PDF
HT941025Q2084- Questions and Answers.pdf PDF
FAR Provision 52.204-24 - COMPLETE & SUBMIT WITH QUOTE.docx DOCX document
Attachment 3 - Quote Sheet - HT941025Q2084.xlsx XLSX spreadsheet
Attachment 2 - Past Performance Questionnaire - HT941025Q2084.docx DOCX document
Attachment 1 - Performance Work Statement (PWS) - HT941025Q2084.pdf PDF
Combined Synopsis Solicitation - HT941025Q2084.pdf PDF

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Quote Sheet

Attachment 2 - Quote Sheet
Solicitation Number:HT941025Q2084
Requirement:Sterilizer Preventative Maintenance Services located at 21st Company Dental Activity- Marine Corps Base Hawaii
Period of Deliveries:30 September 2025 - 29 September 2030
Contracting Office:DHA Healthcare Contracting Division - West
Quotations must be received by:no later than 8:00 am PDT on August 12, 2025
CLINDescription of ServicesUnit of IssueQuantityUnit PriceTotal Price
0001Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3619718023 - Base PeriodYear (Job)1$ - 0$ - 0
0002Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3622518021 - Base PeriodYear (Job)1$ - 0$ - 0
0003Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171929 - Base PeriodYear (Job)1$ - 0$ - 0
0004Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171929 - Base PeriodYear (Job)1$ - 0$ - 0
0005Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171930 - Base PeriodYear (Job)1$ - 0$ - 0
0006Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171930 - Base PeriodYear (Job)1$ - 0$ - 0
0007Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030241920 - Base PeriodYear (Job)1$ - 0$ - 0
0008Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030241920 - Base PeriodYear (Job)1$ - 0$ - 0
0009Preventative Maintenance for Chemical Dispenser SN#: 8321852 - Base PeriodYear (Job)1$ - 0$ - 0
0010Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer Chemical Dispenser SN#: 8287067 - Base PeriodYear (Job)1$ - 0$ - 0
1001Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3619718023 - Option Period 1Year (Job)1$ - 0$ - 0
1002Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3622518021 - Option Period 1Year (Job)1$ - 0$ - 0
1003Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171929 - Option Period 1Year (Job)1$ - 0$ - 0
1004Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171929 - Option Period 1Year (Job)1$ - 0$ - 0
1005Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171930 - Option Period 1Year (Job)1$ - 0$ - 0
1006Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171930 - Option Period 1Year (Job)1$ - 0$ - 0
1007Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030241920 - Option Period 1Year (Job)1$ - 0$ - 0
1008Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030241920 - Option Period 1Year (Job)1$ - 0$ - 0
1009Preventative Maintenance for Chemical Dispenser SN#: 8321852 - Option Period 1Year (Job)1$ - 0$ - 0
1010Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer Chemical Dispenser SN#: 8287067 - Option Period 1Year (Job)1$ - 0$ - 0
2001Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3619718023 - Option Period 2Year (Job)1$ - 0$ - 0
2002Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3622518021 - Option Period 2Year (Job)1$ - 0$ - 0
2003Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171929 - Option Period 2Year (Job)1$ - 0$ - 0
2004Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171929 - Option Period 2Year (Job)1$ - 0$ - 0
2005Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171930 - Option Period 2Year (Job)1$ - 0$ - 0
2006Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171930 - Option Period 2Year (Job)1$ - 0$ - 0
2007Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030241920 - Option Period 2Year (Job)1$ - 0$ - 0
2008Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030241920 - Option Period 2Year (Job)1$ - 0$ - 0
2009Preventative Maintenance for Chemical Dispenser SN#: 8321852 - Option Period 2Year (Job)1$ - 0$ - 0
2010Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer Chemical Dispenser SN#: 8287067 - Option Period 2Year (Job)1$ - 0$ - 0
3001Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3619718023 - Option Period 3Year (Job)1$ - 0$ - 0
3002Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3622518021 - Option Period 3Year (Job)1$ - 0$ - 0
3003Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171929 - Option Period 3Year (Job)1$ - 0$ - 0
3004Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171929 - Option Period 3Year (Job)1$ - 0$ - 0
3005Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171930 - Option Period 3Year (Job)1$ - 0$ - 0
3006Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171930 - Option Period 3Year (Job)1$ - 0$ - 0
3007Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030241920 - Option Period 3Year (Job)1$ - 0$ - 0
3008Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030241920 - Option Period 3Year (Job)1$ - 0$ - 0
3009Preventative Maintenance for Chemical Dispenser SN#: 8321852 - Option Period 3Year (Job)1$ - 0$ - 0
3010Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer Chemical Dispenser SN#: 8287067 - Option Period 3Year (Job)1$ - 0$ - 0
4001Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3619718023 - Option Period 4Year (Job)1$ - 0$ - 0
4002Preventative Maintenance for Washer Sterilization, AMSCO 7053 L Washer SN#: 3622518021 - Option Period 4Year (Job)1$ - 0$ - 0
4003Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171929 - Option Period 4Year (Job)1$ - 0$ - 0
4004Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171929 - Option Period 4Year (Job)1$ - 0$ - 0
4005Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030171930 - Option Period 4Year (Job)1$ - 0$ - 0
4006Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030171930 - Option Period 4Year (Job)1$ - 0$ - 0
4007Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer SN#: 030241920 - Option Period 4Year (Job)1$ - 0$ - 0
4008Chamber Cleaning for Sterilizer, AMSCO 400 Sterilizer
SN#: 030241920 - Option Period 4Year (Job)1$ - 0$ - 0
4009Preventative Maintenance for Chemical Dispenser SN#: 8321852 - Option Period 4Year (Job)1$ - 0$ - 0
4010Preventative Maintenance for Sterilizer, AMSCO 400 Sterilizer Chemical Dispenser SN#: 8287067 - Option Period 4Year (Job)1$ - 0$ - 0
TOTAL EVALUATED PRICE (Base + Options 1 through 4)$ - 0
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:

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