S-0917_DCTS-21_Attachment_A_-_Price_Sheet revised 091420.xlsx
XLSX spreadsheet 64 KB Posted
- Attached to
- Leased Immunoassay Chemistry Analyzer for MMHI
- Contract number
- 435251-O21-917IMMUOAN-00
- Issued by
- Wisconsin
About this file
This document is a price sheet attachment for RFB S-0917 DCTS-21, a competitive bid for the Wisconsin Department of Health Services, Division of Care and Treatment Services at Mendota Mental Health Institute. The bid is submitted by Siemens Healthineers for the lease of an automated integrated chemistry immunoassay analyzer system, specifically the Centaur CP Model #10309710.
The contract covers a five-year lease arrangement for laboratory equipment and services with a grand weighted total of $189,465.49. Part A (weighted at 35%) includes the analyzer lease cost of $185,820.00 over five years, which encompasses monthly lease payments of $1,933.00 and annual service agreements of $13,968.00, with additional equipment provided at no charge including UPS, computers/printers, LIS interface, and staff training. Part B (weighted at 65%) totals $191,428.45 and covers consumables including reagents ($95,153.95 over five years), calibrators ($96,274.50 over five years), and linearity verification materials ($7,583.70 over five years) for various laboratory tests including syphilis, troponin, TSH, Free T4, Vitamin B12, and folate. All pricing is FOB destination with freight included, and the discounted prices are locked for the entire five-year contract term. The system requires integration with the existing Polytech LIS system, and Siemens provides up to $10,000 in interface credits.
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|---|---|---|
| 435251-O21-IMMUOANALYZER-01.docx.pdf |
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Cover
DEPARTMENT OF HEALTH SERVICES
| Division of Care and Treatment Services | |
| Mendota Mental Health Institute | |
| Lease of Automated Integrated Chemistry Immunoassay Analyzer System |
| RFB S-0917 DCTS-21 |
| Attachment A - Price Sheet |
Confidential
Confidential
Instructions
Instructions:
1. Complete Detailed Price Sheet tab first. Fill in the Green cells. Everything in the Gold cells will auto-fill.
2. Bidders shall submit a price for reagents, calibrators and linearity verification by rounding up to whole numbers for package sizes and shall account for shipping/waste/repeat tests and Quality Control. If reagents will expire prior to the entire kit utilization, any costs associated with the waste of unused reagents shall be included. MMHI laboratory does not batch tests. If any item is supplied at no charge, bidder shall enter $0.00 as the price. If bidder does not supply an item, indicate that by filling in N/A (not available).
ALL lines on the Summary Price Sheet must be filled in with either an amount, $0.00 or N/A for both Parts A and B. List items or services that will be credited to MMHI, enter amounts as negative values.
3. Some of the cost fields will automatically populate from Detailed Price Sheet Tab to the Summary Price Sheet Tab.
4. Go to the Summary Price Sheet tab and complete the costs for Part A.
5. Part A: Bidder shall submit a price for the cost of the UPS, waste pumps, water filtration systems, computers/printers, interfaces to LIS, racks/platforms (if available), training for two individuals, and any additional costs not listed, subtotaled for five (5) years. The LIS is Polytech, provided by Comp Pro Med: 800-276-5422, 3418 Mendocino Ave, Santa Rosa, CA 95403 If there is no extra charge and return of instrument.
for these items, indicate so by filling in $0.00. If you do not provide these items, indicate that by filling in N/A. ALL lines in Part A must be filled in with either an amount, $0.00 or N/A.
6. Part A will be weighted 35%.
7. Part B will be auto-filled from the Detailed Spreadsheet and weighted 65%.
8. Grand Weighted Total for five (5) years will be auto-calculated by taking the sum of 35% weighted total + 65% weighted total. This is your Bid amount. Bids will be compared using this five (5) year overall grand weighted total as comparison between bidders.
9. Pricing shall include all costs associated with the performance of this RFB. Bid pricing shall remain firm for five (5) years unless price adjustments are made per RFB Section 4.5. Prices shall be in U.S. dollars.
10. Failure to bid Part A FOB DESTINATION INSTALLED, FREIGHT INCLUDED, delivery and installation charges and risk of loss borne by the Contractor in price WILL DISQUALIFY your bid.
11. Failure to bid Part B FOB DESTINATION, FREIGHT PREPAID AND INSTALLED will disqualify your bid.
12. Failure to provide any requested price in the prescribed format may result in disqualification of the bid.
13. Bids with blank lines may be considered incomplete and may be rejected. If any item is supplied at no charge, bidder shall enter $0.00 as the price. If bidder does not supply an item, indicated that by filling in N/A (not available). ALL lines must be filled in with either an amount, $0.00 or N/A for both Parts A and B. To list items or services that will be credited to MMHI, enter amounts as negative values.
Attachment A - Price Sheet Instructions
S-0917 DCTS-21
Automated Integrated Chemistry/Immunoassay Analyzer
Detailed Price Sheet
| Attachment A - Detailed Price Sheet |
| S-0917 DCTS-21 |
| Automated Integrated Immunoassay Analyzer |
| Company Name: | Siemens Healthineers | |
| Manufacturer: | Siemens Healthineers | |
| Instrument Name: | Centaur CP | |
| Model #: | 10309710 | Siemens Material Number (SMN) |
| Lease of Analyzer including ALL necessary maintenance and repairs. The maintenance agreement cost MUST be part of this bid! Failure to include maintenance may result in rejection of your bid. | Per Month | Total Per Year | 5 year Total | ||
| Instrument Name: | Centaur CP | $ 1,933.00 | $ 23,196.00 | $ 115,980.00 | |
| Annual Service Agreement (as required in RFB Section 3.5.) | $ 1,164.00 | $ 13,968.00 | $ 69,840.00 | ||
| Grand Total for 5 years for Lease of analyzer and Annual Service Agreement | $ 185,820.00 |
Manufacturer Warranty Terms In Number of Years / Days: 1 year, 365 days
| FOR THE REAGENT COST SHEET BELOW: *The Discounted Price will be locked for the entire contract term. |
| The discounted price must reflect FOB Destination freight charges for reagents and consumables. |
| ***Failure to bid FOB DESTINATION INSTALLED, FREIGHT INCLUDED will disqualify your bid. |
| Reagent Cost Sheet for One Year | |||||||
| Type of Test | Tests for CY 2019 | Product Name | Product # | Kits Needed | List Price per Kit | Discounted Price In ($) per Kit* | Total Price for this Kit |
| Syphilis | 533 | Syphilis | 10492493 | 7 | $1,117.40 | $822.47 | $5,757.29 |
| Troponin | 70 | Troponin I - Ultra | 10317708 | 14 | $1,963.55 | $399.00 | $5,586.00 |
| TSH | 1211 | TSH - 3rd Generation | 10282378 | 20 | $1,099.30 | $125.00 | $2,500.00 |
| Free T4 | 1002 | Free T4 | 10282218 | 37 | $444.20 | $62.50 | $2,312.50 |
| Vitamin D 25 OH | 226 | Not Available | N/A | 0 | $0.00 | $0.00 | $0.00 |
| Vitamin B12 | 269 | Vitamin B12 | 10309970 | 9 | $971.45 | $125.00 | $1,125.00 |
| Folate | 268 | Folate | 10310308 | 14 | $968.00 | $125.00 | $1,750.00 |
| Total Cost Using Discount Prices for One Year for Reagents | $ 19,030.79 |
| FOR THE CONSUMABLES AND CALIBRATORS COST SHEET BELOW: *The Discounted Price will be locked for the entire contract term. |
| The discounted price must reflect FOB Destination freight charges for reagents and consumables. |
| Failure to bid FOB DESTINATION INSTALLED, FREIGHT INCLUDED will disqualify your bid. |
| Based on information provided in the RFB, please complete this Price Sheet for Consumables and Calibrators. For all types of tests, price | |||||||
| all necessary consumables and calibrators. Add lines between tests as necessary so like tests stay together. If the same product is used | |||||||
| for multiple tests list it for each. Add lines as necessary if more than one consumable or calibrator is needed per test. | |||||||
| Calibrators Cost for One Year | |||||||
| Type of Test | Tests Per Year 2019 | Calibrator Product Name | Product # | Number of Kits Needed Per Year | List Price per Kit | Discounted Price in ($) per Kit* | Total Price for this Kit |
| Syphilis | 533 | Included with Reagent | N/A | 0 | $0.00 | $0.00 | $0.00 |
| Syphilis | Syphilis Control | 10492616 | 10 | $128.00 | $92.00 | $920.00 | |
| Troponin | 70 | Included with Reagent | N/A | 0 | $0.00 | $0.00 | $0.00 |
| TSH | 1211 | Thyroid Calibrator | 10285903 | 7 | $196.85 | $196.85 | $1,377.95 |
| Free T4 | 1002 | Thyroid Calibrator | 10285903 | 0 | $0.00 | $0.00 | $0.00 |
| Vitamin D 25 OH | 226 | Not Available | N/A | 0 | $0.00 | $0.00 | $0.00 |
| Vitamin B12 | 269 | Ferritin/B12 Calibrator | 10311568 | 7 | $196.85 | $187.47 | $1,312.29 |
| Vitamin B12 | T3/T4/B12 Ancillary Rgt | 10319315 | 1 | $0.00 | $0.00 | $0.00 | |
| Vitamin B12 | Vitamin B12 RA Kit | 10310330 | 23 | $0.00 | $0.00 | $0.00 | |
| Vitamin B12 | Vitamin B12 Dil RP | 10309949 | 7 | $51.13 | $48.69 | $340.83 | |
| Folate | 268 | Included with Reagent | N/A | 0 | $0.00 | $0.00 | $0.00 |
| Folate | Folate BA Dil. RP | 10310389 | 7 | $77.34 | $77.34 | $541.38 | |
| Folate | Folate DTT/REL AGT | 10310382 | 31 | $260.60 | $248.20 | $7,694.20 | |
| Consumable | Ancillary Probe Wash | 10309060 | 14 | $0.00 | $0.00 | $0.00 | |
| Consumable | Centaur Multi-Dil 15 | 11200097 | 27 | $63.91 | $60.87 | $1,643.49 | |
| Consumable | Centaur Cleaning Solution | 10310041 | 10 | $95.87 | $91.30 | $913.00 | |
| Consumable | Centaur Cuvettes | 10309546 | 8 | $309.45 | $294.72 | $2,357.76 | |
| Consumable | Centaur Multi-Dil 11, 2 x 5 ml | 10310281 | 7 | $42.18 | $40.17 | $281.19 | |
| Consumable | Multi-Dil 11, 1 x 10 ml | 10309999 | 2 | $42.18 | $40.17 | $80.34 | |
| Consumable | Centaur Reagent 1 and 2 Set | 10313526 | 8 | $101.02 | $58.69 | $469.52 | |
| Consumable | Centaur Sample Cups | 10309545 | 1 | $224.97 | $214.25 | $214.25 | |
| Consumable | Centaur Sample Tips | 10309547 | 2 | $291.43 | $291.43 | $582.86 | |
| Consumable | Centaur Wash 1 Reagent | 10310032 | 12 | $46.02 | $43.82 | $525.84 | |
| Total Cost Using Discount Prices for One Year for Calibrators | $ 19,254.90 |
| Linearity Verification Cost for One Year if a cost is applied | |||||||
| Type of Test | Tests Per Year 2019 | Linearity Verification Product Name | Product # | Number of Kits Needed Per Year | List Price per Kit | Discounted Price in ($) per Kit* | Total Price for this Kit |
| Syphilis | 533 | N/A - Qualitative Assay | N/A | 0 | $0.00 | $0.00 | $0.00 |
| Troponin | 70 | TNI-Ultra Master Curve Material | 10317626 | 2 | $122.86 | $122.86 | $245.72 |
| TSH | 1211 | TSH MCM | 10311620 | 2 | $122.86 | $122.86 | $245.72 |
| Free T4 | 1002 | FT4 MCM | 10283434 | 2 | $122.86 | $122.86 | $245.72 |
| Vitamin D 25 OH | 226 | Not Available | 0 | $0.00 | $0.00 | $0.00 | |
| Vitamin B12 | 269 | B12 MCM | 10309760 | 2 | $204.76 | $204.76 | $409.52 |
| Folate | 268 | Folate MCM | 10317626 | 2 | $185.03 | $185.03 | $370.06 |
| Total Cost Using Discount Prices for One Year for Verifier | $ 1,516.74 |
***Failure to bid FOB DESTINATION INSTALLED, FREIGHT INCLUDED, delivery and installation charges and risk of loss borne by the Contractor in price WILL disqualify your bid.
Summary Price Sheet
| Attachment A - Summary Price Sheet |
| S-0917 DCTS-21 |
| Automated Integrated Chemistry/Immunoassay Analyzer |
| Company Name: Siemens Healthineers |
| Manufacturer: Siemens Healthineers |
| Instrument Name: Centaur CP |
| Model #: Siemens Material Number 10309710 |
| Part A Description | Cost | Weighted Total Cost |
| Lease Cost of Analyzer (Lease total over five (5) years). THIS COST MUST | ||
| INCLUDE ANNUAL MAINTENANCE AGREEMENT PER OEM FOR FIVE (5) YEARS. | $ 185,820.00 | |
| ADDITIONAL EQUIPMENT: If there is no extra charge |
for these items, indicate so by filling in $0.00. If you do not provide these items, indicate that by filling in N/A.
ALL lines for Additional Equipment must be filled in with either an amount, $0.00 or N/A.
| Uninterruptible Power Supply (UPS) | $0.00 | ||
| Water Filtration System if it is not water type 1 reagent grade DiH2O | N/A | ||
| Computers/Printers/Manuals | $0.00 | ||
| Connection/Interface to LIS by Polytech | $0.00 | Up to $10,000 interface credit with vendor invoice | |
| Carts, platforms, racks | N/A | ||
| Training of two (2) MMHI lab staff include all travel and expenses | $0.00 | ||
| Describe any additional costs not listed: | N/A | ||
| Return of instrument including uninstall cost, packaging and shipment | $0.00 | ||
| All consumables cost (water, cups, tubing etc) | $0.00 | ||
| Total for Additional Equipment | $0.00 | ||
| Subtotal for Part A | $ 185,820.00 | ||
| Part A Weighted Total (35%) for 5 Years | $ 65,037.00 |
| Part B Description | ||
| Reagents (all) for 1 year | $ 19,030.79 | |
| 5 years (auto fill) | $ 95,153.95 | |
| Linearity Verification for 1 year | $ 1,516.74 | |
| 5 years (auto fill) | $ 7,583.70 | |
| Calibrators for 1 year | $ 19,254.90 | |
| 5 years (auto fill) | $ 96,274.50 | |
| Subtotal for Part B | $ 191,428.45 | |
| Part B Weighted Total (65%) for 5 Years | $ 124,428.49 |
| Grand Weighted Total for 5 Years | $ 189,465.49 |
| (Part A weighted total + Part B weighted total) |
| Failure to bid Part A FOB DESTINATION INSTALLED, FREIGHT INCLUDED, delivery and installation |
| charges and risk of loss borne by the Contractor in price will disqualify your bid. |
| Print Name: Janet M. Loritz, Siemens Healthineers Account Executive |
Signature of Authorized Preparer: Janet M. Loritz Date: 7/24/20 image1.png
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