SOW Attachments (ABCDE).xlsx

46 KB Posted

Attached to
VISN 4 Blood Gas Testing BPA
Solicitation number
36C24425Q0010
Issued by

About this file

Written by GovTribe AI ·

This document is a set of attachments containing a Statement of Work (SOW) and pricing information for a Blanket Purchase Agreement (BPA) solicitation issued by the Department of Veterans Affairs (VA) Veterans Health Administration Veterans Integrated Service Network 4 (VISN 4) for blood gas testing services.

The key details are:

  • The BPA is for blood gas testing services at multiple VISN 4 facilities across Pennsylvania and Delaware, with annual test volumes provided.
  • The solicitation requires offerors to provide pricing on a primary and backup analyzer for each facility, as well as pricing for special coagulation factor testing.
  • The BPA has a base year and four option years, with pricing provided for each year.
  • The document includes detailed facility information such as delivery locations, hours of operation, and points of contact.
  • The estimated annual workload and test menu are provided for the VA to complete, along with a pricing sheet for the contractor to fill out.

View the file

Other files

File Type Posted
36C24425Q0010-1_RFQ VISN4 Blood Gas Testing.pdf PDF
SOW Attachment G-Past Performance.docx DOCX document
Attachment H-Wage Determinations.txt TXT text file
Attachment F Price Schedule.docx DOCX document
SOW Blood Gas Instrumentation Firm Fixed.pdf PDF
36C24425Q0010_RFQ VISN4 Blood Gas Testing.pdf PDF

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A- Att A Tests & Volumes DESCRIPTION Altoona Butler Clarkesburg Coatesville Erie Lebanon Philadelphia Pittsburgh Wilkes-Barre Wilmington Test Volumes by test

Blood Gas Testing
Annual Test Volumes by site600624013408448656088865717371
5 Year Test Volumes by site300031200670042240328004440328586855
*Based on FY18 volumes.

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

Revision: 18 November 2013 Page &P of &N

Att A Instr Require

FacilityThoroughputTest OptionsPrimary AnalyzerBack Up AnalyzerFrequency of QUALITY CONTROLDesired SERVICE OPTIONCurrent INTERFACE MANAGER in UseDesired SERVICE OPTIONRequirement for PRIMARY INSTR. INTERFACINGRequirement for BACK UP INSTR. INTERFACING
Altoona VAMC140 secs per specimenBlood Gas w/ Co-Ox103 levels QC @ 1x/day8x5Data InnovationsRequiredRequiredN/A
Erie VAMC140 secs per specimenBlood Gas w/ Co-Ox103 levels QC @ 1x/day8x5Data InnovationsRequiredRequiredN/A
Philadelphia VAMC140 secs per specimenBlood Gas w/ Co-Ox, Ionized Calc.113 levels QC @ 1x/day8x5Data InnovationsRequiredRequiredRequired
Pittsburgh VAMC140 secs per specimenBlood Gas w/ Co-Ox113 levels QC @ 1x/day8x5Data InnovationsRequiredRequiredRequired
Wilkes-Barre VAMC140 secs per specimenBlood Gas113 levels QC @ 1x/day8x5Data InnovationsRequiredRequiredRequired
Wilmington VAMC140 secs per specimenBlood Gas w/ Co-Ox, Lactic Acid, Ionized Calc.113 levels QC @ 1x/day8x5Data InnovationsRequiredRequiredRequired
Indicate Total Number of Additional Attachment As Included:
Yes, One Additional

&"-,Bold"Instrument Requirements Attachment A

Revision: 5/24/24 Page &P of &N

B- VA to complete

VISN4
FACILITY NAMEDELIVERY LOCATIONHOURS OF OPERATIONPOINT OF CONTACTTEL #
Altoona VAMC2907 Pleasant Valley Blvd, Altoona, PA 16602-437724 hrs per day/7 days per weekWilliam Altimus (William.Altimus@va.gov) Kimberly Hammond (Kimberly.Hammond@va.gov) Jennifer Harkins (Jennifer.Harkins1@va.gov)814-943-8164 ext. 14528
Erie VAMC135 East 38th Street Blvd, Erie, Pa 16504-159624 hrs per day/7 days per weekKelci Yousett (Kelci.Yousett@va.gov) Bernadette Hall (Bernadette.Hall@va.gov)814-860-2178
Philadelphia VAMC3900 Woodland Avenue, Philadelphia, PA 1910424 hrs per day/7 days per weekAlexandra Rivera-Serrano (Alexandra.Rivera-Serrano@va.gov) Sahil Patel (Sahil.Patel2@va.gov)215-823-5272
Pittsburgh VAMCUniversity Drive C, Pittsburgh, PA 1524024 hrs per day/7 days per weekHope Demosky (Hope.Demosky@va.gov) Matthew VanCamp (Matthew.Vancamp@va.gov) Dana Jump (Dana.Jump@va.gov)412-360-6557
Wilkes-Barre VAMC1111 East End Blvd., Wilkes-Barre, PA 1871124 hrs per day/7 days per weekTracy Sherrick (Tracy.Sherrick@va.gov) Shannon Harvey (Shannon.Harvey@va.gov) Sharon Ford (Sharon.Ford@va.gov)570-824-3521 ext. 7535
Wilmington VAMC1601 Kirkwood Highway, Wilmington, DE 1980524 hrs per day/7 days per weekJoanna Bakanas (Joanna.Bakanas2@va.gov)302-994-2511 ext. 4388
Indicate Total Number of Additional Attachment Bs Included:
No Additional Attachments
22
23
PCAC
PCOE
SAOW
SAOC
SAOE

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

Revision: 5/24/24 Page &P of &N

C- Contractor to complete

ESTIMATED ANNUAL WORKLOAD AND TEST MENU
Contractor Name:FSS Number:
FACILITYPRIMARY ANALYZER(S)BACK UP ANALYZERAnnual Workload: Total of Primary + Back UpBPA PRICE including Add-OnsExtended BPA PriceFSS PriceExtended FSS PriceEXTENDED FSS Price: Product of Annual Workload * Modified FSS PriceSavings: EXTENDED Modified FSS Price less Extended BPA Price
VA XYZModelModel2000$ 1.75$ 3,500$ 1.24$ 1.24$ 2,480.00$ (1,020.00)
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0
COLUMN E- PRICE WILL BE THE SAME FOR ALL SITES INCLUDED IN THIS AGREEMENT
Other Reagent Pricing included in agreement priced by the box
Special Coag FactorBPA Box PriceFSS Box PriceSavings
Col C less Col BEstimated Annual QtyEstimated Annual Expense
Identify Coag Factor60067575127200Indicate Total Number of Additional Attachment Cs Included:

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

Revision: 5/24/24 Page &P of &N

D- Contractor to complete Contractor Name: 0 FSS Number: 0

Base yearPricing Option Year 1Pricing Option Year 2
FACILITYAnnual Workload (total for Primary and Back Up)BPA Price Base yearSpecial Coag Rgt Estimated ExpenseTotalFACILITYAnnual Workload (total for Primary and Back Up)BPA Price Option year 1Special Coag Rgt Estimated ExpenseTotalFACILITYAnnual Workload (total for Primary and Back Up)BPA Price Option year 2Special Coag Rgt Estimated ExpenseTotal
VA XYZ2000$ 1.75$ 7,500.00$ 11,000.00VA XYZ2000$ 1.75$ 7,500.00$ 11,000.00VA XYZ2000$ 1.75$ 7,500.00$ 11,000.00
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0
Annual Expense$ - 0Annual Expense$ - 0Annual Expense$ - 0

Indicate Total Number of Additional Attachment Ds Included:

Contractor Name: 0 FSS Number: 0

Pricing Option Year 3Pricing Option Year 4
FACILITYAnnual Workload (total for Primary and Back Up)BPA Price Option year 3Special Coag Rgt Estimated ExpenseTotalFACILITYAnnual Workload (total for Primary and Back Up)BPA Price Option year 4Special Coag Rgt Estimated ExpenseTotal
VA XYZ2000$ 1.75$ 7,500.00$ 11,000.00VA XYZ2000$ 1.75$ 7,500.00$ 11,000.00
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
Annual Expense$ - 0Annual Expense$ - 0

&"-,Bold"Pricing Sheet Attachment D

Revision: 5/24/24 Page &P of &N

Data Inputs

YesData InnovationsRequired8x510No Additional Attachments
NoDawningN/A8x721Yes, One Additional
24x732Yes, Two Additional
4Yes, Three Additional
5
6
7
8
9
10
11
12
15
16
17
18
19
20
21
22
23
PCOE
PCAC
SAOW
SAOE
SAOC

File details come from the government source that posted it. Updated .