65 -- Cost per Test Stago Sta-Compact

Fill in Blanks: TIN (tax ID): ________________ CAGE: ________________ DUNS: __________________ Vendor Point of Contact: ______________________Phone: ____________________ Vendor email: ______________________ Naval Medical Center Portsmouth POC: Laboratory Vendors quoted price shall be inclusive of all cost including lease of equipment, maintenance of equipment, reagents and shipping Payment Monthly, Quarterly, Annually (please circle) in Arrears Note: vendor will be required to provide billing electronically via the WAWF Electronic Invoicing method. For additional information, a review of the following web sites may be required: https://wawf.eb.mil http://wawftraining (email) contact@example.gov Vendor to reference N00183-07-T-0318 on all inquires. Government reserves the right to: (1) award based on an "All or Nothing Evaluation". (2) award a ?Best Value? requirement. Vendors with superior past performance histories may be given 1st consideration. PROMPT PAYMENT For Prompt Payment Act Purposes, this contract is: Subject to the 7-calender day constructive acceptance period. ?AVAILABILITY OF FUNDS. Pursuant to Section I, Availability of Funds (FAR 52.232-18), of the contract, funds are not presently available for this contract. The Government?s obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing to the Contracting Officer. Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 12 Months Request cost per test contract for two FFP Stwo STA-Compact Hemostasis system including on-site maintenance service. Contract based on an estimated 23,064 PT tests per year and 16,044 PTT tests per year. Same lot number is required for all reagents. FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 48 Box CAT# 0667, PROTHROMBIN REAGENT, FFP DELIVER 4/MTH FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003 48 Box CAT# 0595, APTT REAGENT, FFP DELIVER 4/MTH FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004 24 Box CAT# 0367, CALCIUM CHLORIDE, FFP DELIVER 2/MTH FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0005 12 Box CAT# 38669, CUVETTES FFP DELIVER 3/QTR FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0006 36 Box CAT# 0973, WASH SOLUTION FFP DELIVER 3/MTH FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0007 48 Box CAT# 0975, STA DESORB U FFP DELIVER 4/MTH FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0008 12 Box CAT# 0975, STA DESORB U FFP DELIVER 1/MTH (required item in addition to items ordered under CLIN 0007) FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0009 96 Box CAT# 0679, NORMAL & ABNORMAL CONTROLS FFP DELIVER 8/MTH FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0010 12 Box CAT# 00801, STA MAXI-REDUCER FFP DELIVER 3/QTR FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0011 12 Box CAT# 00797,STA REDUCER 5ML FFP DELIVER 3/QTR FOB: Destination MILSTRIP: N0018308RQLC513 PURCHASE REQUEST NUMBER: N0018308RQLC513 NET AMT Section C - Descriptions and Specifications CLAUSES INCORPORATED BY FULL TEXT Statement of Work Vendor to supply items listed in Section B, in a packaged ready to use condition. ? Vendor to supply a Cost per Test agreement for 2 Sta-Compact Hemostasis Systems. The estimated test volume will be 39,108 test total (1 unit estimated @ 23,064 PT test and the other unit is estimated @ 16,044 PTT test) ? Vendor to supply all required reagents and equipment and maintenance of equipment. ? Equipment to be maintained per original equipment manufactures recommendations. Vendor to supply unlimited service calls as required and an annual preventative maintenance inspection. NMCP will be responsible for daily maintenance to include cleaning and batch calibration as required. Vendor shall maintain all service records for supplied equipment. Vendor to provide the Government with maintenance history within 3 business days of request. ? Vendor to warrant that all supplied items are free of manufactures defects. Vendor shall repair / replace any unsatisfactory items at vendor?s expense. ? Vendor price shall be inclusive of all cost including lease of equipment, maintenance of equipment, reagents, shipping and handling ? Reagents shall be ?Dropped Shipped? on a regular basis. Items shall be shipped so that they arrive on the 1st business day of each month /quarter (see Section B for shipping schedule) ? All items are to have a minimum 6-month shelf life from date of receipt and shall have the same lot numbers. ? All supplied items are to be certified for use within Diagnostica Stago equipment. ? All items received are to be certified for use (where applicable) in US based hospitals.