Estimated Annual Workload and Test Menu Attachment A Revision: 27 February 2015 Page 1 of 5 Minimum Test Thruput per hour Annual Volume Annual Volume Other Annual Volume Other Annual Desired Current Requirement for PRIMARY Requirement for BACK UP (primary Hemoglobin Testing PRIMARY BACK UP Testing Volume Frequency of SERVICE INTERFACE INSTR. INSTR. Facility analzyer) A1C (Identify) ANALYZER(S) ANALYZER (CAP) Controls QUALITY CONTROL OPTION MANAGER in Use INTERFACING INTERFACING Columbia, MO 30 31,757 0 1 0 15 720 2 3 levels@ 1X/DAY 8x5 Data Innovations Required N/A Kansas City, MO 30 34,366 0 1 0 15 720 2 3 levels@ 1X/DAY 8X5 Data Innovations Required N/A Leavenworth, KS 30 16,926 0 1 0 15 720 2 3 levels@ 1X/DAY 8x5 Data Innovations Required N/A Marion, IL 30 36,496 0 1 0 15 720 2 3 levels@ 1X/DAY 8x5 Data Innovations Required N/A Poplar Bluff, MO 30 21,037 0 1 0 15 720 2 3 levels@ 1X/DAY 8x5 Data Innovations Required N/A St. Louis, MO 30 39,692 0 1 0 15 720 2 3 levels@ 1X/DAY 8x5 Data Innovations Required N/A Topeka, KS 30 21,825 0 1 0 15 720 2 3 levels@ 1X/DAY 8x5 Data Innovations Required N/A Wichita, KS 30 22,058 0 1 0 15 720 2 3 levels@ 1X/DAY 8x5 Data Innovations Required N/A Evansville, IL 30 7,900 0 1 0 15 720 2 3 levels@ 1X/DAY 8x6 Data Innovations Required N/A COLUMN E INDICATE NUMBER OF ANALYZERS REQUIRED TO MEET WORKLOAD DEMAND COLUMN F INDICATE NUMBER OF ANALYZERS IF ANALYZER WILL BE USED AS A BACKUP AS DEFINED IN SOW COLUMN G NOTATE FREQUENCY OF QC AND HOW MANY LEVELS, I.E. 3 LEVELS @ 3X/DAY Locations, Hours of Operation, Point of Contact Attachment B Revision: 27 February 2015 Page 2 of 5 VISN 15 FACILITY NAME DELIVERY LOCATION HOURS OF OPERATION POINT OF CONTACT TEL # Columbia 800 Hospital Drive, Columbia, Missouri 65201 5275 0700 2300 Mon Fri [email protected] [email protected] 573 814 6000 x53019 [email protected] 816 861 4700 X56164 [email protected] 816 861 4700 X56131 0730 1600 Mon Fri 4801 E Linwood Blvd, Kansas City Missouri 64128 2226 Kansas City Leavenworth 4101 S. 4th Street, Leavenworth, Kansas 66048 5014 0700 2000 Mon Fri 0700 1400 Sat [email protected] [email protected] 913 682 2000 X52542 913 682 2000 x52530 Marion 2401 West Main St., Marion, Illinois 62959 1128 Poplar Bluff 1500 N. Westwood Blvd, Poplar Bluff, MO 63901 3318 24 hrs/ Mon Fri [email protected] [email protected] 0630 1600/ Mon Fri [email protected] [email protected] 618 997 5311 x55752 618 997 5311 X54113 573 778 4642 573 778 4643 St. Louis #1 Jefferson Barracks Dr., St. Louis, 24 hrs 7 days a week [email protected] 314 652 4100, x56351 Missouri 63125 4199 [email protected] 314 652 4100 x53778 Topeka 2200 Gage Blvd., Topeka, Kansas 66622 0001 0700 2000 Mon Fri 0700 1400 Sat [email protected] [email protected] 913 682 2000 X52542 913 682 2000 x52530 Wichita 5500 East Kellogg, Wichita, Kansas 67218 1607 0700 2359 Mon Fri [email protected] [email protected] 316 651 3656 316 685 2221 X53816 BPA Estimated Savings from FSS Contract Attachment C Revision: 18 November 2013 Page 3 of 5 ESTIMATED ANNUAL WORKLOAD Contractor Name: AND TEST MENU FACILITY PRIMARY ANALYZER(S) BACK UP ANALYZER Annual Workload CPRR: Total of Primary + Back Up BPA PRICE Extended BPA Price FSS Price Columbia, MO 1 0 31,757 Kansas City, MO 1 0 34,366 Leavenworth, KS 1 0 16,926 Marion, IL 1 0 36,496 Poplar Bluff, MO 1 0 21,037 St. Louis, MO 1 0 39,692 Topeka, KS 1 0 21,825 Wichita, KS 1 0 22,058 Evansville, IL 1 0 7,900 COLUMN E PRICE WILL BE THE SAME FOR ALL SITES INCLUDED IN THIS AGREEMENT Pricing Sheet Attachment D Revision: 18 November 2013 Page 4 of 5 FSS Number: Contractor Name: 0 #REF! Base year FACILITY Annual Workload (total for Primary and Back Up) BPA Price Base year Total Columbia, MO 31757 $ Kansas City, MO 34366 $ Leavenworth, KS 16926 $ Marion, IL 36496 $ Poplar Bluff, MO 21037 $ St. Louis, MO 39692 $ Topeka, KS 21825 $ Wichita, KS 22058 $ Evansville, IL 7,900 Annual Expense $ Pricing Option Year 1 FACILITY Annual Workload (total for Primary and Back Up) BPA Price Option year 1 Total Columbia, MO 31757 $ Kansas City, MO 34366 $ Leavenworth, KS 16926 $ Marion, IL 36496 $ Poplar Bluff, MO 21037 $ St. Louis, MO 39692 $ Topeka, KS 21825 $ Wichita, KS 22058 $ Evansville, IL 7,900 Annual Expense $ Pricing Option Year 2 FACILITY Annual Workload (total for Primary and Back Up) BPA Price Option year 2 Total Columbia, MO 31757 $ Kansas City, MO 34366 $ Leavenworth, KS 16926 $ Marion, IL 36496 $ Poplar Bluff, MO 21037 $ St. Louis, MO 39692 $ Topeka, KS 21825 $ Wichita, KS 22058 $ Evansville, IL 7900 Annual Expense $ FSS Number: Contractor Name: 0 #REF! Pricing Option Year 3 FACILITY Annual Workload (total for Primary and Back Up) BPA Price Option year 3 Total Columbia, MO 31757 $ Kansas City, MO 34366 $ Leavenworth, KS 16926 $ Marion, IL 36496 $ Poplar Bluff, MO 21037 $ St. Louis, MO 39692 $ Topeka, KS 21825 $ Wichita, KS 22058 $ Evansville, IL 7,900 Annual Expense $ Pricing Option Year 4 FACILITY Annual Workload (total for Primary and Back Up) BPA Price Option year 4 Total Columbia, MO 31757 $ Kansas City, MO 34366 $ Leavenworth, KS 16926 $ Marion, IL 36496 $ Poplar Bluff, MO 21037 $ St. Louis, MO 39692 $ Topeka, KS 21825 $ Wichita, KS 22058 $ Evansville, IL 7,900 Annual Expense $

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