Solicitation

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ

1. REQUEST NO.

2. DATE ISSUED

HT942627QE003

16 Oct 2026

IS

PAGE

IS NOT A SMALL BUSINESS SET-ASIDE

3. REQUISITION/PURCHASE REQUEST NO.

5a. ISSUED BY DEFENSE HEALTH AGENCY

OF

PAGES

4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

6. DELIVER BY (Date)

RATING

MEDICAL R&D CONTRACTING DIVISION 1, 808 SCHREIDER STREET FORT DETRICK, MD 21702 UNITED STATES

7. DELIVERY

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Eric Zampelli

AREA CODE

NUMBER

619-8807

9. DESTINATION

a. NAME OF CONSIGNEE

8. TO:

a. NAME

OTHER

(See Schedule)

FOB DESTINATION

TELEPHONE NUMBER

ARMY INST OF SURG RSCH - MM

b. COMPANY

b. STREET ADDRESS

BLDG 3611

c. STREET ADDRESS

c. CITY

FORT SAM HOUSTON

d. CITY

e. STATE

f. ZIP CODE

d. STATE

e. ZIP CODE

TX

78234-6315

IMPORTANT: This is a request for information and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR

BEFORE CLOSE OF BUSINESS (Date)

29 Oct 2026

11. SCHEDULE (Include applicable Federal, State and local taxes) ITEM NO.

SUPPLIES/ SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(a)

(b)

(c)

(d)

(e)

(f)

See Schedule

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%)

12. DISCOUNT FOR PROMPT PAYMENT

NOTE: Additional provisions and representations

are

13. NAME AND ADDRESS OF QUOTER

a. NAME OF QUOTER

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

16. SIGNER

a. NAME (Type or print)

b. TELEPHONE

AREA CODE

c. COUNTY

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

PERCENTAGE

are not attached.

b. STREET ADDRESS

d. CITY

d. CALENDAR DAYS

NUMBER

e. STATE f. ZIP CODE

c. TITLE (Type or print)

NUMBER

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA-FAR (48 CFR) 53.215-1(a)

HT942627QE003

Section A - Solicitation/Contract Form
Consumable supplies for Terumo Trima Accel blood collection systems Product Service Code: 6515
North American Industry Classification System (NAICS): 325413 Date: 15 Oct 2026
Employees: 1250
Set Aside Percent: 100
Small Business Type: Service-Disabled Veteran-Owned Small Business

HT942627QE003

Section B - Supplies or Services & Prices or Costs