L124454 Illumina.pdf

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Attached to
Gene Sequencing Equipment
Solicitation number
L124454
Issued by
Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington

About this file

This document is a purchase order from the Washington State Department of Health to procure gene sequencing equipment from Illumina, Inc. to standardize testing processes at the state public health laboratory. The order includes one MiniSeq System, two years of equipment support, and freight, totaling $63,159.11. The purchase order was issued on March 11, 2024 with a requested delivery date of March 19, 2024. The contract is a sole source procurement, and the provisions of Chapter 39.26 RCW require the agency to file this contract with the Department of Enterprise Services (DES) for approval before it can take effect. The contract does not specify any renewal options.

The purchase order provides detailed pricing and accounting information, including the application of 10.3% Washington state sales tax. The funding sources are split between two agency accounting code indexes. No information is provided about any set-aside requirements, incumbent contractors, or the current contract environment.

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Text version

Supplier:

330804655

39.26.140.4 NET 30

Bill-to:Ship-to:

*1 1 47,025.00* 47,025.00SY-420-1001 MINISEQ SYSTEM ILLUMINA MINISEQ SEQUENCING EA

SYSTEM IS

PER QUOTE NUMBER 4588983

20019982 MINISEQ SILVER SUPPORT PLAN INCLUDES FULL

COVERAGE FOR PARTS, LABOR

2 1 7,180.20* 7,180.20EA

20019982 MINISEQ SILVER SUPPORT PLAN INCLUDES FULL

COVERAGE FOR PARTS, LABOR

3 1 0.00* 0.00EA

FREIGHT

The provisions of Chapter 39.26 RCW require the agency to file this sole source contract with the Department of Enterprise Services (DES) for approval. No contract so filed is effective nor shall work commence under it until the tenth (10th) working day following the date of filing subject to DES approval

*4 1 3,056.00* 3,056.00EA

PURCHASE ORDER

L124454

Page Number

Purchase Order Date

MAR/11/2024

SWV016114800

ILLUMINA, INC

5200 ILLUMINA WAY

SAN DIEGO, CA 92122

Phone: 858-202-4500 Fax: 858-736-8414

GX4B

WA STATE DEPT OF HEALTH

PURCHASING INVOICES

DOHFSPURCHASING@DOH.WA.GOV

GS1

DEPT OF HEALTH

1610 NE 150TH ST.

SHORELINE, WA 98155

DESTINATION JEFF LAHTI (206) 418-5456, (206) 418-5456

MATT HANSON MAR/19/2024

Vendor Copy Accounting Copy Program Copy - Receiving Report

Continued on next page...

AUTHORITY F.O.B. PAYMENT TERMS REQUESTED BY REQUISITION #

LINE

NO.

ITEM NUMBER DESCRIPTION QUANTITY UNIT

PRICE

TOTAL COST

PREPARED BY DATE T.I.N. RECEIVED BY DATE

AGENCY APPROVAL DATE

MAR/19/2024

DETAILS PROVIDED ON SEPARATE PAGE

REF

DOC

SUF

TRANS

CODE

M O D

FUND APPN

INDEX

PROGRAM

INDEX

SUB

OBJ

SUB

SUB

OBJECT

ORG

INDEX

ALLOC BUDGET

UNIT

MOS PROJECT SUB

PROJ

AMOUNT INVOICE NUMBER

DOC. DATE PMT DUE DATE CURRENT DOC. NO. REF. DOC. NO. VENDOR MESSAGE

ACCOUNTING APPROVAL FOR PAYMENT DATE WARRANT TOTAL WARRANT NUMBER

1. Show PO# on all invoices and shipping documents.

2. Unless otherwise noted, Washington State sales tax applies to this order.

Supplier:

330804655

39.26.140.4 NET 30

Bill-to:Ship-to:

PURCHASE ORDER

L124454

Page Number

Purchase Order Date

MAR/11/2024

SWV016114800

ILLUMINA, INC

5200 ILLUMINA WAY

SAN DIEGO, CA 92122

Phone: 858-202-4500 Fax: 858-736-8414

GX4B

WA STATE DEPT OF HEALTH

PURCHASING INVOICES

DOHFSPURCHASING@DOH.WA.GOV

GS1

DEPT OF HEALTH

1610 NE 150TH ST.

SHORELINE, WA 98155

DESTINATION JEFF LAHTI (206) 418-5456, (206) 418-5456

MATT HANSON MAR/19/2024

Vendor Copy Accounting Copy Program Copy - Receiving Report

Tax: 5,897.91

Total: 63,159.11

AUTHORITY F.O.B. PAYMENT TERMS REQUESTED BY REQUISITION #

LINE

NO.

ITEM NUMBER DESCRIPTION QUANTITY UNIT

PRICE

TOTAL COST

PREPARED BY DATE T.I.N. RECEIVED BY DATE

AGENCY APPROVAL DATE

MAR/19/2024

DETAILS PROVIDED ON SEPARATE PAGE

REF

DOC

SUF

TRANS

CODE

M O D

FUND APPN

INDEX

PROGRAM

INDEX

SUB

OBJ

SUB

SUB

OBJECT

ORG

INDEX

ALLOC BUDGET

UNIT

MOS PROJECT SUB

PROJ

AMOUNT INVOICE NUMBER

DOC. DATE PMT DUE DATE CURRENT DOC. NO. REF. DOC. NO. VENDOR MESSAGE

ACCOUNTING APPROVAL FOR PAYMENT DATE WARRANT TOTAL WARRANT NUMBER

1. Show PO# on all invoices and shipping documents.

2. Unless otherwise noted, Washington State sales tax applies to this order.

Supplier: Bill-to:Ship-to:

PURCHASE ORDER

L124454

Purchase Order Date

MAR/11/2024

SWV016114800

ILLUMINA, INC

5200 ILLUMINA WAY

SAN DIEGO, CA 92122

Phone: 858-202-4500 Fax: 858-736-8414

GX4B

WA STATE DEPT OF HEALTH

PURCHASING INVOICES

DOHFSPURCHASING@DOH.WA.GOV

GS1

DEPT OF HEALTH

1610 NE 150TH ST.

SHORELINE, WA 98155

Vendor Copy Accounting Copy Program Copy - Receiving Report

REF

DOC

SUF

TRANS

CODE

M O D

FUND APPN

INDEX

PROGRAM

INDEX

SUB

OBJ

SUB

SUB

OBJECT

ORG

INDEX

ALLOC BUDGET

UNIT

MOS PROJECT SUB

PROJ

AMOUNT INVOICE NUMBER

* * 7919.76

* * 0.00

DOC. DATE PMT DUE DATE CURRENT DOC. NO. REF. DOC. NO. VENDOR MESSAGE

ACCOUNTING APPROVAL FOR PAYMENT DATE WARRANT TOTAL WARRANT NUMBER

WA Department of Health ACCOUNT CODE SUMMARY 19 Mar 2024 - 11:03______________________________________________________________________________________________________________________________________________________

PO number: L124454PO number: L124454PO number: L124454

Supplier: 330804655 - ILLUMINA, INC

Currency:

Copy: COPY 1

LINE ITEM CODE QUANTITY UNIT SUB OBJECT MI/SHIP TO CHARGED SUBTOTAL FEDERAL STATE TOTAL______________________________________________________________________________________________________________________________________________________

1 [ONE-OFF] 1.00 EA JCC100 1523040E 30.00% 14107.50 0.00 (0.00%) 1453.07 (10.30%) 15560.57

JCC100 25220440 70.00% 32917.50 0.00 (0.00%) 3390.50 (10.30%) 36308.00_____________________________________________________________

LINE TOTAL: 47025.00 0.00 4843.58 51868.58

2 [ONE-OFF] 1.00 EA JCC100 1523040E 27.00% 1938.65 0.00 (0.00%) 199.68 (10.30%) 2138.34

JCC100 25220440 73.00% 5241.55 0.00 (0.00%) 539.88 (10.30%) 5781.43_____________________________________________________________

LINE TOTAL: 7180.20 0.00 739.56 7919.76

3 [ONE-OFF] 1.00 EA JCC100 1523040E 27.00% 0.00 0.00 (0.00%) 0.00 (0.00%) 0.00

JCC100 25220440 73.00% 0.00 0.00 (0.00%) 0.00 (0.00%) 0.00_____________________________________________________________

LINE TOTAL: 0.00 0.00 0.00 0.00

4 [ONE-OFF] 1.00 EA JCC100 1523040E 27.00% 825.12 0.00 (0.00%) 84.99 (10.30%) 910.11

JCC100 25220440 73.00% 2230.88 0.00 (0.00%) 229.78 (10.30%) 2460.66_____________________________________________________________

LINE TOTAL: 3056.00 0.00 314.77 3370.77

PO TOTAL:PO TOTAL:PO TOTAL: 57261.20 57261.20 57261.20 0.00 0.00 0.00 5897.91 5897.91 5897.91 63159.11 63159.11 63159.11

*** End of report ***

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