CSS Coagulation - Attachment 3 Quote Sheet Amendment 0002.xlsx

XLSX spreadsheet 32 KB Posted

Attached to
FY26 Lab Consolidation for Coagulation CPRR Effort
Solicitation number
HT941026Q2004
Issued by

About this file

This is a Quote Sheet template for RFQ HT941026Q2004, a cost per reportable result (CPRR) contract for coagulation analyzer services supporting Defense Health Agency (DHA) military treatment facilities (MTFs) across five geographic networks: Pacific Rim, Indo Pacific, Continental, Central, and West. The quote sheet covers a base period (October 1, 2026 – September 30, 2027) and four one-year option periods through September 30, 2031, with a half-year extension option per FAR 52.217-6. Quoters must provide pricing for twenty coagulation test types including Prothrombin Time, Activated Partial Thromboplastin Time, Fibrinogen, D-Dimer, various factor assays, and monthly reporting services across 12 Clinical Line Items (CLINs) representing specific MTF locations: Naval Hospital Camp Pendleton and Bremerton, Naval Medical Center San Diego, Madigan Army Medical Center, Tripler Army Medical Center, Mike O'Callaghan Military Medical Center, David Grant Medical Center, Joint Base Elmendorf-Richardson, Luke Air Force Base, and Fort Irwin.

The base period projects 58,665 annual reportable tests across all facilities, increasing to 104,432 tests annually in option periods one through four, with all pricing submitted as cost per reportable result in dollars. Quoters must acknowledge receipt of amendments 0001 and 0002, agree to hold prices firm for 60 calendar days from the quotation deadline, and provide company information including Unique Entity ID and CAGE code. The quote sheet currently reflects zero dollar values pending quoter submission. The contracting office is DHA Healthcare Contracting Division - West, and quoters must sign the form and designate payment terms. This procurement is unrestricted with full and open competition under NAICS 334516 and PSC 6550 for in-vitro diagnostic substances and reagents, with no small business set-aside.

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Other files

File Type Posted
Coagulation SOW - Enclosure A Site Specific information Amendment 0008.xlsx XLSX spreadsheet
HT941026Q2004 Amendment 0008 Cover Letter.pdf PDF
Combined Synopsis Solicitation HT941026Q2004 Amendment 0008.pdf PDF
CSS Coagulation - Attachment 3 Quote Sheet Amendment 0008.xlsx XLSX spreadsheet
CSS Coagulation - Attachment 1 SOW Amendment 0008.pdf PDF
CSS Coagulation - Attachment 1 SOW Amendment 0007.docx DOCX document
Combined Synopsis Solicitation HT941026Q2004 Amendment 0007.docx DOCX document
HT941026Q2004 Amendment Cover Letter 0007 V3.pdf PDF
HT941026Q2004 Amendment 0006 Cover Letter.pdf PDF
CSS Coagulation - Attachment 2 Technical Submission Form Amend 0006.xlsx XLSX spreadsheet
HT941026Q2004 Amendment 0005 Cover Letter.pdf PDF
HT9410Q2004 0005 Questions and Answers.pdf PDF
Combined Synopsis Solicitation HT941026Q2004 Amendment 0005.pdf PDF
CSS Coagulation - Attachment 3 Quote Sheet Amendment 0003.xlsx XLSX spreadsheet
HT9410Q2004 0004 Questions and Answers.docx DOCX document
HT941026Q2004 Amendment Amendment 0004 Cover Letter.pdf PDF
HT941026Q2004 Amendment 0002 Cover Letter.pdf PDF
Combined Synopsis Solicitation HT941026Q2004 0001.pdf PDF
HT941026Q2004 Amendment Cover Letter.pdf PDF
Coagulation SOW - Enclosure A Site Specific information.xlsx XLSX spreadsheet
CSS Coagulation - Attachment 4 Pre-Solication Q and A.pdf PDF
CSS Coagulation - Attachment 1 SOW.pdf PDF
CSS Coagulation - Attachment 3 Quote Sheet.xlsx XLSX spreadsheet
Combined Synopsis Solicitation HT941026Q2004.pdf PDF
Coagulation SOW - Enclosure B CyberLOG-ICS.pdf PDF
CSS Coagulation - Attachment 2 Technical Submission Form.xlsx XLSX spreadsheet
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Coag Cover Sheet

HT941026Q2004 Attachment 3 - Quote Sheet Amendment 0002
RFQ #:HT941026Q2004
Reference Number:
Requirement:DHA HCD-W Coagulation CPRR
Contracting Office:DHA Healhtcare Contracting Division - West

Total Evaluated Price (Base + 4 Options): $ - 0

Quoter Name:
Street Address:
City, State, ZIP:
Unique Entity ID:
CAGE Code:
Point of Contact:
Phone Number:
Email Address:
The Offeror acknowledges receipt of the following amendments to the solicitation:
Amendment No.:0001Date:Amendment No.:Date:
Amendment No.:0002Date: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 60 calendar days from the date specified for receipt of quotes.

Person Authorized to Sign Quote:
Signature:
Date:

Payment Terms:

Coag Quote Sheet

HT941026Q2004 Attachment 3 - Quote Sheet Amendment 0002
RFQ #:HT941026Q2004
Reference Number:
Requirement:DHA HCD-W Coagulation CPRR
Contracting Office:DHA Healhtcare Contracting Division - West
Base Period (Deliveries 10/01/2026 - 09/30/2027)
Pacific Rim NetworkIndo Pacific NetworkContinental NetworkCentral NetworkWest Network
CLIN 0001CLIN 0002CLIN 0003CLIN 0004CLIN 0005CLIN 0006CLIN 0007CLIN 0008CLIN 0009CLIN 0010CLIN 0011
SLINTestEstimated Annual Test CountNaval Hospital Camp Pendleton, CANaval Hospital Bremerton, WANaval Hospital Twentynine Palms, WANaval Medical Center San Diego, CA - Core LabMadigan Army Medical Center, Joint Base Lewis-McChord, WATripler Army Medical Center, Fort Shafter, HI99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV60th Medical Group, David Grant Medical Center, Travis AFB, CA673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK56th Medical Group, Luke AFB, AZWeed Army Community Hospital, Fort Irwin, CACost Per Reportable ResultTotals
AAProthrombin Time (PT)27,8612,0003351,000012,0005,89104,7401,4624330$0.00
ABActivated Partial Thromboplastin Time (APTT)18,44580021180008,0004,83502,5209832960$0.00
ACFibrinogen2,63731019530001,00050802408400$0.00
ADD-Dimer6,287600060002,4001,184081668700$0.00
AEHeperin1,03000007000960000$0.00
AFLupus Anticoagulant1500000150000000$0.00
AGDIC Panel1,80000001,800000000$0.00
AHPatient Thrombin Time460000351100000$0.00
AJMixing Studies450000252000000$0.00
AKReptilase Time10000010000000$0.00
ALFactor V Assay660000501600000$0.00
AMFactor VII Assay270000151200000$0.00
ANFactor VIII Assay15100001104100000$0.00
APFactor IX Assay220000101200000$0.00
AQFactor X Assay14000010400000$0.00
ARFactor XI Assay14000010400000$0.00
ASAntithrombin III39000003900000$0.00
ATVon Willebrand Factor Antigen16000001600000$0.00
AUFactor II Assay500000500000$0.00
AVMonthly ReportsNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSP
Totals:58,66537107412700025695125980927632167290$0.00
NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information
Option Period One (Deliveries 10/01/2027 - 09/30/2028)
Pacific Rim NetworkIndo Pacific NetworkContinental NetworkCentral NetworkWest Network
CLIN 1001CLIN 1002CLIN 1003CLIN 1004CLIN 1005CLIN 1006CLIN 1007CLIN 1008CLIN 1009CLIN 1010CLIN 1011
SLINTestEstimated Annual Test CountNaval Hospital Camp Pendleton, CANaval Hospital Bremerton, WANaval Hospital Twentynine Palms, WANaval Medical Center San Diego, CA - Core LabMadigan Army Medical Center, Joint Base Lewis-McChord, WATripler Army Medical Center, Fort Shafter, HI99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV60th Medical Group, David Grant Medical Center, Travis AFB, CA673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK56th Medical Group, Luke AFB, AZWeed Army Community Hospital, Fort Irwin, CACost Per Reportable ResultTotals
AAProthrombin Time (PT)50,4632,0003351,00014,00012,0005,8918,1024,7401,462433500$0.00
ABActivated Partial Thromboplastin Time (APTT)30,3858002118008,0018,0004,8353,5392,520983296400$0.00
ACFibrinogen5,4073101953002,4001,000508270240840100$0.00
ADD-Dimer11,91860006003,8002,4001,1841,6318166870200$0.00
AEHeperin3,5540003727002,152960000$0.00
AFLupus Anticoagulant1500000150000000$0.00
AGDIC Panel1,80000001,800000000$0.00
AHPatient Thrombin Time460000351100000$0.00
AJMixing Studies450000252000000$0.00
AKReptilase Time10000010000000$0.00
ALFactor V Assay660000501600000$0.00
AMFactor VII Assay270000151200000$0.00
ANFactor VIII Assay4510003001104100000$0.00
APFactor IX Assay220000101200000$0.00
AQFactor X Assay14000010400000$0.00
ARFactor XI Assay14000010400000$0.00
ASAntithrombin III39000003900000$0.00
ATVon Willebrand Factor Antigen16000001600000$0.00
AUFactor II Assay500000500000$0.00
AVMonthly ReportsNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSP
Totals:104,4323710741270028873256951259815694927632167291200$0.00
NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information
Option Period Two (Deliveries 10/01/2028 - 09/30/2029)
Pacific Rim NetworkIndo Pacific NetworkContinental NetworkCentral NetworkWest Network
CLIN 2001CLIN 2002CLIN 2003CLIN 2004CLIN 2005CLIN 2006CLIN 2007CLIN 2008CLIN 2009CLIN 2010CLIN 2011
SLINTestEstimated Annual Test CountNaval Hospital Camp Pendleton, CANaval Hospital Bremerton, WANaval Hospital Twentynine Palms, WANaval Medical Center San Diego, CA - Core LabMadigan Army Medical Center, Joint Base Lewis-McChord, WATripler Army Medical Center, Fort Shafter, HI99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV60th Medical Group, David Grant Medical Center, Travis AFB, CA673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK56th Medical Group, Luke AFB, AZWeed Army Community Hospital, Fort Irwin, CACost Per Reportable ResultTotals
AAProthrombin Time (PT)50,4632,0003351,00014,00012,0005,8918,1024,7401,462433500$0.00
ABActivated Partial Thromboplastin Time (APTT)30,3858002118008,0018,0004,8353,5392,520983296400$0.00
ACFibrinogen5,4073101953002,4001,000508270240840100$0.00
ADD-Dimer11,91860006003,8002,4001,1841,6318166870200$0.00
AEHeperin3,5540003727002,152960000$0.00
AFLupus Anticoagulant1500000150000000$0.00
AGDIC Panel1,80000001,800000000$0.00
AHPatient Thrombin Time460000351100000$0.00
AJMixing Studies450000252000000$0.00
AKReptilase Time10000010000000$0.00
ALFactor V Assay660000501600000$0.00
AMFactor VII Assay270000151200000$0.00
ANFactor VIII Assay4510003001104100000$0.00
APFactor IX Assay220000101200000$0.00
AQFactor X Assay14000010400000$0.00
ARFactor XI Assay14000010400000$0.00
ASAntithrombin III39000003900000$0.00
ATVon Willebrand Factor Antigen16000001600000$0.00
AUFactor II Assay500000500000$0.00
AVMonthly ReportsNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSP
Totals:104,4323710741270028873256951259815694927632167291200$0.00
NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information
Option Period Three (Deliveries 10/01/2029 - 09/30/2030)
Pacific Rim NetworkIndo Pacific NetworkContinental NetworkCentral NetworkWest Network
CLIN 3001CLIN 3002CLIN 3003CLIN 3004CLIN 3005CLIN 3006CLIN 3007CLIN 3008CLIN 3009CLIN 3010CLIN 3011
SLINTestEstimated Annual Test CountNaval Hospital Camp Pendleton, CANaval Hospital Bremerton, WANaval Hospital Twentynine Palms, WANaval Medical Center San Diego, CA - Core LabMadigan Army Medical Center, Joint Base Lewis-McChord, WATripler Army Medical Center, Fort Shafter, HI99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV60th Medical Group, David Grant Medical Center, Travis AFB, CA673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK56th Medical Group, Luke AFB, AZWeed Army Community Hospital, Fort Irwin, CACost Per Reportable ResultTotals
AAProthrombin Time (PT)50,4632,0003351,00014,00012,0005,8918,1024,7401,462433500$0.00
ABActivated Partial Thromboplastin Time (APTT)30,3858002118008,0018,0004,8353,5392,520983296400$0.00
ACFibrinogen5,4073101953002,4001,000508270240840100$0.00
ADD-Dimer11,91860006003,8002,4001,1841,6318166870200$0.00
AEHeperin3,5540003727002,152960000$0.00
AFLupus Anticoagulant1500000150000000$0.00
AGDIC Panel1,80000001,800000000$0.00
AHPatient Thrombin Time460000351100000$0.00
AJMixing Studies450000252000000$0.00
AKReptilase Time10000010000000$0.00
ALFactor V Assay660000501600000$0.00
AMFactor VII Assay270000151200000$0.00
ANFactor VIII Assay4510003001104100000$0.00
APFactor IX Assay220000101200000$0.00
AQFactor X Assay14000010400000$0.00
ARFactor XI Assay14000010400000$0.00
ASAntithrombin III39000003900000$0.00
ATVon Willebrand Factor Antigen16000001600000$0.00
AUFactor II Assay500000500000$0.00
AVMonthly ReportsNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSP
Totals:104,4323710741270028873256951259815694927632167291200$0.00
NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information
Option Period Four (Deliveries 10/01/2030 - 09/30/2031)
Pacific Rim NetworkIndo Pacific NetworkContinental NetworkCentral NetworkWest Network
CLIN 4001CLIN 4002CLIN 4003CLIN 4004CLIN 4005CLIN 4006CLIN 4007CLIN 4008CLIN 4009CLIN 4010CLIN 4011
SLINTestEstimated Annual Test CountNaval Hospital Camp Pendleton, CANaval Hospital Bremerton, WANaval Hospital Twentynine Palms, WANaval Medical Center San Diego, CA - Core LabMadigan Army Medical Center, Joint Base Lewis-McChord, WATripler Army Medical Center, Fort Shafter, HI99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV60th Medical Group, David Grant Medical Center, Travis AFB, CA673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK56th Medical Group, Luke AFB, AZWeed Army Community Hospital, Fort Irwin, CACost Per Reportable ResultTotals
AAProthrombin Time (PT)50,4632,0003351,00014,00012,0005,8918,1024,7401,462433500$0.00
ABActivated Partial Thromboplastin Time (APTT)30,3858002118008,0018,0004,8353,5392,520983296400$0.00
ACFibrinogen5,4073101953002,4001,000508270240840100$0.00
ADD-Dimer11,91860006003,8002,4001,1841,6318166870200$0.00
AEHeperin3,5540003727002,152960000$0.00
AFLupus Anticoagulant1500000150000000$0.00
AGDIC Panel1,80000001,800000000$0.00
AHPatient Thrombin Time460000351100000$0.00
AJMixing Studies450000252000000$0.00
AKReptilase Time10000010000000$0.00
ALFactor V Assay660000501600000$0.00
AMFactor VII Assay270000151200000$0.00
ANFactor VIII Assay4510003001104100000$0.00
APFactor IX Assay220000101200000$0.00
AQFactor X Assay14000010400000$0.00
ARFactor XI Assay14000010400000$0.00
ASAntithrombin III39000003900000$0.00
ATVon Willebrand Factor Antigen16000001600000$0.00
AUFactor II Assay500000500000$0.00
AVMonthly ReportsNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSP
Totals:104,4323710741270028873256951259815694927632167291200$0.00
NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information
Option IAW RFO 52.217-6
Pacific Rim NetworkIndo Pacific NetworkContinental NetworkCentral NetworkWest Network
CLIN X001CLIN X002CLIN X003CLIN X004CLIN X005CLIN X006CLIN 4007CLIN X008CLIN X009CLIN X010CLIN X011
SLINTestEstimated Annual Test CountNaval Hospital Camp Pendleton, CANaval Hospital Bremerton, WANaval Hospital Twentynine Palms, WANaval Medical Center San Diego, CA - Core LabMadigan Army Medical Center, Joint Base Lewis-McChord, WATripler Army Medical Center, Fort Shafter, HI99th Medical Group, Mike O'Callaghan Military Medical Center, Nellis AFB, NV60th Medical Group, David Grant Medical Center, Travis AFB, CA673rd Medical Group, Joint Base Elmendorf-Richardson (JBER), AK56th Medical Group, Luke AFB, AZWeed Army Community Hospital, Fort Irwin, CACost Per Reportable ResultTotals
AAProthrombin Time (PT)25,2321,0001685007,0006,0002,9464,0512,370731217250$0.00
ABActivated Partial Thromboplastin Time (APTT)15,1934001064004,0014,0002,4181,7701,260492148200$0.00
ACFibrinogen2,704155981501,20050025413512042050$0.00
ADD-Dimer5,95930003001,9001,2005928164083440100$0.00
AEHeperin1,7770001863501,076480000$0.00
AFLupus Anticoagulant75000075000000$0.00
AGDIC Panel9000000900000000$0.00
AHPatient Thrombin Time23000018600000$0.00
AJMixing Studies230000131000000$0.00
AKReptilase Time500005000000$0.00
ALFactor V Assay33000025800000$0.00
AMFactor VII Assay1400008600000$0.00
ANFactor VIII Assay226000150552100000$0.00
APFactor IX Assay1100005600000$0.00
AQFactor X Assay700005200000$0.00
ARFactor XI Assay700005200000$0.00
ASAntithrombin III20000002000000$0.00
ATVon Willebrand Factor Antigen800000800000$0.00
AUFactor II Assay300000300000$0.00
AVMonthly ReportsNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSPNSP
Totals:52,2161,8553711,35014,43712,8486,2997,8474,6381,608365600$0.00
NOTE: These are annual numbers. Please refer to the anticipated start date listed in the Coagulation SOW - Enclosure A Site Specific Information
Base + OP:$0.00

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