P09 Attachment A-B-C-D BPA 2020 - Copy - Copy.xlsx

XLSX spreadsheet 42 KB Posted Jun 17, 2020

Attached to: 6550--VISN 1 -Lab- Automated Blood Culture Testing CPT (Request for Quote)
Solicitation number: 36C24120Q0386
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

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File	Type	Posted
NCL Memorandum 523-008 NEW INSTRUMENT-NEW TEST final 10-17-2016.pdf	PDF	Jun 17, 2020
36C24120Q0386.docx	DOCX document	Jun 17, 2020

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A- VA to complete

Facility

Minimum Volume of Specimens Concurrently Performed on Equipment

Annual Volume Blood Culture Bottles

PRIMARY ANALYZER(S)

MIDDLE

WARE

Standard Aerobic & Anaerobic Bottles

Aerobic & Anaerobic Anti-microbial Resin Bottles

Pediatric Bottles

Myco

bacteria Bottles

Frequency of QUALITY CONTROL

Desired SERVICE OPTION

Current INTERFACE MANAGER in Use

Requirement for PRIMARY INSTR. INTERFACING

VA XYZ

150

30000

Required

24x7

Data Innovations

Required

Boston HCS

14200

N/A

Required

N/A

8x5

Data Innovations

Central West Mass

250

N/A

Required

N/A

8x5

Data Innovations

Maine HCS

4000

N/A

Required

N/A

8x5

Data Innovations

Manchester

650

N/A

Required

N/A

8x5

Data Innovations

Providence

6050

N/A

Required

N/A

8x5

Data Innovations

Connecticut HCS

6850

N/A

Required

N/A

Required

N/A

8x5

Data Innovations

White River Junction

3800

N/A

Required

N/A

8x5

Data Innovations

35800.00

COLUMN C - VOLUMES INCLUDE Blood Cultures and MTB

COLUMN D- INDICATE NUMBER OF ANALYZERS REQUIRED TO MEET WORKLOAD DEMAND

COLUMN F- NOTATE FREQUENCY OF QC AND HOW MANY LEVELS, I.E.2 LEVELS @ 2X/DAY

Indicate Total Number of Attachment As included:

&"-,Bold"Estimated Annual Workload and Test Menu Attachment A

Revision: 18 November 2013 Page &P of &N

B- VA to complete

VISN	1
FACILITY NAME	DELIVERY LOCATION	HOURS OF OPERATION	POINT OF CONTACT	TEL #
Boston HCS	1400 VFW Parkway West Roxbury, MA 02132	24/7	Arthur McGee, Lab Manager Diane Fitzsimmons, Micro Supv

Jacqueline Rosario- LIM Connor Walsh, Biomed 857-203-5993 857-203-6021 857-203-5995 617-232-9500 x 43566 Central West Mass 421 North Main Street Leeds, MA 01053 M-F 6am-8pm S-S 7:45am-3:45pm Robin Lazorik, Lab Manager Joy Lenihan, LIM Lilian Alvarez, Biomed 413-584-4040 ext 2388 413-584-4040 ext 2382 413-584-4040 x2213 Maine HCS 1 VA Center Augusta, ME 04330 24/7 Dennis Arbour, Lab Manager Lori Browne, Micro Supv Tina Moulton, LIM Darren Elwell, Biomed 207-623-8411 ext 5613 207-623-8411 ext 5600 207-623-8411 ext 5603

(207) 623-8411 x5641 Manchester 781 Smyth Road Manchester, NH 03104 M-F 7am-11pm S-S 7:30am- 4pm Kevin Hall, Lab Manager Lorraine Moore, Micro Monica Zukovic, LIM Rachel Wilk, ClinEng 603-624-4366 ext 6638 603-624-4366 ext 6312 603-624-4366 ext 5803 603-624-4366 x2683 Providence 830 Chalkstone Avenue Providence, RI 02908 24/7 Elias Pierson, Lab Manager Amanda Fitzgerald, Micro Supv Christopher Griffin, LIM John Clancy, Biomed 401-273-7100 ext 3012 401-273-7100 ext 3143 401-273-7100 ext 2046 401-273-7100 ext 4550 Connecticut HCS 950 Campbell Avenue West Haven, CT 06516 24/7 Dana Towle, Lab Admin Off Wilson Vientos, Micro Supv Xai Lor, LIM Rebekah Paiser, Biomed 203-932-5711 ext 4759 203-932-5711 ext 2920 203-932-5711 ext 2969 203-932-5711 ext 4018

White River Junction 215 North Main Street White River Junction, VT 05009 24/7 Susan Webber, Lab Manager Stephanie Taylor, Micro Supv Gail Lasko, LIM Rolf Jorgensen, Biomed 802-295-9363 ext 5512 802-295-9363 ext 5516 802-295-9363 ext 5525 802-295-9363 ext 5944

0
Indicate Total Number of Attachment Bs included: 1	22
	23
	PCAC
	PCOE
	SAOW
	SAOC
	SAOE

&"-,Bold"Locations, Hours of Operation, Point of Contact Attachment B

Page &P of &N

C- Contractor to complete

	ESTIMATED ANNUAL WORKLOAD AND TEST MENU
	Contractor Name:							FSS Number:
	FACILITY		VA XYZ	Boston HCS	Central West Mass	Maine HCS	Manchester	Providence	Connecticut HCS	White River Junction	ERROR:#REF!	ERROR:#REF!	ERROR:#REF!
	PRIMARY ANALYZER(S)		Model
	STANDARD (Aerobic and Anerobic) BOTTLES	Bottle Estimate	2000
		Bottle BPA Price	$ 1.75
		BPA Extended Price	$ 3,500.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Bottle FSS Price	$ 2.25
		FSS Extended Price	$ 4,500.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Savings: FSS Extended Price less BPA Extended Price	$ 1,000.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	ANTI-MICROBIAL RESIN BOTTLES	Bottle Estimate	750
		Bottle BPA Price	$ 2.50
		BPA Extended Price	$ 1,875.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Bottle FSS Price	$ 3.50
		FSS
Extended Price	$ 2,625.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Savings: FSS Extended Price less BPA Extended Price	$ 750.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	PEDIATRIC BOTTLES	Bottle Estimate	200
		Bottle BPA Price	$ 4.00
		BPA Extended Price	$ 800.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Bottle FSS Price	$ 5.00
		FSS
Extended Price	$ 1,000.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Savings: FSS Extended Price less BPA Extended Price	$ 200.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	MYCOBACTERIA BOTTLES	Bottle Estimate	1,000
		Bottle BPA Price	$ 5.00
		BPA Extended Price	$ 5,000.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Bottle FSS Price	$ 7.00
		FSS
Extended Price	$ 7,000.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		Savings: FSS Extended Price less BPA Extended Price	$ 2,000.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
	BPA TOTAL		$ 11,175.00	0	0	0	0	0	0	0	0	0	0
	Indicate Total Number of Attachment Cs included:

&"-,Bold"BPA Estimated Savings from FSS Contract Attachment C

Page &P of &N

D-Contractor to complete

Contractor Name:		0				FSS:	0
Base Year
FACILITY	Standard Bottles Volume Estimate	Standard Bottles BPA Price Base Year	BPA Extended Price	Antimicrobial Resin Bottles Volume Estimate	Antimicrobial Resin Bottles BPA Price Base Year	BPA Extended Price	Pediatric Bottles Volume Estimate	Pediatric Bottles BPA Price Base Year	BPA Extended Price	Mycobacteria Bottles Volume Estimate	Mycobacteria Bottles BPA Price Base Year	BPA Extended Price	BPA Total Base Year
VA XYZ	2000	$ 1.75	$ 3,500.00	750	$ 2.50	$ 1,875.00	200	$ 4.00	$ 800.00	1000	$ 5.00	$ 5,000.00	$ 11,175.00
Boston HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Central West Mass			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Maine HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Manchester			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Providence			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Connecticut HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
White River Junction			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Annual Expense			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Pricing Option Year 1						Contractor:	0
FACILITY	Standard Bottles Volume Estimate	Standard Bottles BPA Price Option Year One	BPA Extended Price	Antimicrobial Resin Bottles Volume Estimate	Antimicrobial Resin Bottles BPA Price Option Year One	BPA Extended Price	Pediatric Bottles Volume Estimate	Pediatric Bottles BPA Price Option Year One	BPA Extended Price	Mycobacteria Bottles Volume Estimate	Mycobacteria Bottles BPA Price Option Year One	BPA Extended Price	BPA Total Option Year One
VA XYZ	2000	$ 1.75	$ 3,500.00	750	$ 2.50	$ 1,875.00	200	$ 4.00	$ 800.00	1000	$ 5.00	$ 5,000.00	$ 11,175.00
Boston HCS			$ - 0			$ - 0			$ - 0			0	$ - 0
Central West Mass			$ - 0			$ - 0			$ - 0			0	$ - 0
Maine HCS			$ - 0			$ - 0			$ - 0			0	$ - 0
Manchester			$ - 0			$ - 0			$ - 0			0	$ - 0
Providence			$ - 0			$ - 0			$ - 0			0	$ - 0
Connecticut HCS			$ - 0			$ - 0			$ - 0			0	$ - 0
White River Junction			$ - 0			$ - 0			$ - 0			0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			0	$ - 0
Annual Expense			$ - 0			$ - 0			$ - 0			0	$ - 0
Pricing Option Year 2						Contractor:	0
FACILITY	Standard Bottles Volume Estimate	Standard Bottles BPA Price Option Year Two	BPA Extended Price	Antimicrobial Resin Bottles Volume Estimate	Antimicrobial Resin Bottles BPA Price Option Year Two	BPA Extended Price	Pediatric Bottles Volume Estimate	Pediatric Bottles BPA Price Option Year Two	BPA Extended Price	Mycobacteria Bottles Volume Estimate	Mycobacteria Bottles BPA Price Option Year Two	BPA Extended Price	BPA Total Option Year Two
VA XYZ	2000	$ 1.75	$ 3,500.00	750	$ 2.50	$ 1,875.00	200	$ 4.00	$ 800.00	1000	$ 5.00	$ 5,000.00	$ 11,175.00
Boston HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Central West Mass			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Maine HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Manchester			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Providence			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Connecticut HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
White River Junction			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Annual Expense			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Pricing Option Year 3						Contractor:	0
FACILITY	Standard Bottles Volume Estimate	Standard Bottles BPA Price Option Year Three	BPA Extended Price	Antimicrobial Resin Bottles Volume Estimate	Antimicrobial Resin Bottles BPA Price Option Year Three	BPA Extended Price	Pediatric Bottles Volume Estimate	Pediatric Bottles BPA Price Option Year Three	BPA Extended Price	Mycobacteria Bottles Volume Estimate	Mycobacteria Bottles BPA Price Option Year Three	BPA Extended Price	BPA Total Option Year Three
VA XYZ	2000	$ 1.75	$ 3,500.00	750	$ 2.50	$ 1,875.00	200	$ 4.00	$ 800.00	1000	$ 5.00	$ 5,000.00	$ 11,175.00
Boston HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Central West Mass			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Maine HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Manchester			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Providence			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Connecticut HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
White River Junction			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Annual Expense			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0

Pricing Option Year 4						Contractor:	0
FACILITY	Standard Bottles Volume Estimate	Standard Bottles BPA Price Option Year Four	BPA Extended Price	Antimicrobial Resin Bottles Volume Estimate	Antimicrobial Resin Bottles BPA Price Option Year Four	BPA Extended Price	Pediatric Bottles Volume Estimate	Pediatric Bottles BPA Price Option Year Four	BPA Extended Price	Mycobacteria Bottles Volume Estimate	Mycobacteria Bottles BPA Price Option Year Four	BPA Extended Price	BPA Total Option Year Four
VA XYZ	2000	$ 1.75	$ 3,500.00	750	$ 2.50	$ 1,875.00	200	$ 4.00	$ 800.00	1000	$ 5.00	$ 5,000.00	$ 11,175.00
Boston HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Central West Mass			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Maine HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Manchester			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Providence			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Connecticut HCS			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
White River Junction			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
ERROR:#REF!			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Annual Expense			$ - 0			$ - 0			$ - 0			$ - 0	$ - 0
Indicate Total Number of Attachment Ds included:

&"-,Bold"Pricing Sheet &"-,Bold"Attachment D

&P of &N datainputs

Data Inputs
1	Required	8x5	Data Innovations	Yes, One More
2	N/A	8x7	Dawning	Yes, Two More
3		24x7		Yes, Three More
4				No Additional Attachments Required
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6
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9
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12
14
15
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19
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PCAC
PCAE
SAOC
SAOE
SAOW
Other

File details come from the government source that posted it. Updated Jun 17, 2020.