Solicitation Amendment

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ

1. REQUEST NO.

2. DATE ISSUED

HT942627QE0030001

16 Oct 2026

IS

PAGE 1 OF

IS NOT A SMALL BUSINESS SET-ASIDE

3. REQUISTION/PURCHASE REQUEST NO.

4. CERT. FOR NAT. DEF.

UNDER BDSA REG 2

AND/OR DMS REG 1

5a. ISSUED BY

DEFENSE HEALTH AGENCY

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

5b. FOR INFORMATION CALL (NO COLLECT CALLS)

NAME

Eric Zampelli

RATING

6. DELIVER BY (Date)

7. DELIVERY

FOB DESTINATION

OTHER (See Schedule)

9. DESTINATION

a. NAME OF CONSIGNEE

ARMY INST OF SURG RSCH - MM

TELEPHONE NUMBER

301 619-8807

b. STREET ADDRESS

BLDG 3611

8. TO:

a. NAME

b. COMPANY

c. CITY

FORT SAM HOUSTON

c. STREET ADDRESS

d. STATE

TX

d. CITY

e. STATE

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS

(Date)

29 Oct 2026

e. ZIP CODE

78234-6315

f. ZIP CODE

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 11. SCHEDULE (Include applicable Federal, State and local taxes)

Item NO.
(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

See Schedule

12. DISCOUNT FOR PROMPT PAYMENT

NOTE: Additional provisions and representations

a. 10 CALENDAR DAYS (%)

are

13. NAME AND ADDRESS OF QUOTER

b. 20 CALENDAR DAYS (%)

c. 30 CALENDAR DAYS (%)

d. CALENDAR DAYS

NUMBER PERCENTAGE

are not attached.

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION

15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS

16. SIGNER

a. NAME (Type of print)

c. COUNTY

d. CITY

e. STATE

COMPUTER GENERATED

Previous edition is not usable

f. ZIP CODE

b. TELEPHONE

c. TITLE (Type or print)

STANDARD FORM 18 (REV. 6-95)

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

HT942627QE0030001

Section A - Solicitation/Contract Form
Consumable supplies for Terumo Trima Accel blood collection systems

NAICS: 325413

Size Standard: 1250 Employees
Small Business Type: Service-Disabled Veteran-Owned Small Business Set Aside Percent: 100
Product Service Code: 6515

HT942627QE0030001

Section B - Supplies or Services & Prices or Costs
Additional Information/Notes

1. BLANKET PURCHASE AGREEMENT