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FBO DAILY - FEDBIZOPPS ISSUE OF OCTOBER 17, 2018 FBO #6172
DOCUMENT

66 -- Multi-Site Blood Culture CPT - Attachment

Notice Date

10/15/2018
 

Notice Type

Attachment
 

NAICS

325413 — In-Vitro Diagnostic Substance Manufacturing
 

Contracting Office

Department of Veteran Affairs;Network Contracting Office 10;5500 Armstrong Rd.;Battle Creek MI 49037
 

ZIP Code

49037
 

Solicitation Number

36C25019Q0052
 

Response Due

10/22/2018
 

Archive Date

12/21/2018
 

Point of Contact

Brooke Hansen
 

Small Business Set-Aside

N/A
 

Description

This is a REQUEST FOR INFORMATION and SOURCES SOUGHT for a Cost-Per-Reportable Result (CPRR) contract for an automated Blood Culture system that will include all equipment [including uninterruptible power supply (UPS)], installation, bottles, (if the contractor discontinues bottles, the contractor shall provide the requested number of bottles to perform the validation studies at no charge), all preventative maintenance, consumable supplies, bi-directional bar-coded computer interface compatible with the VA laboratory information system (currently Data Innovations to VA VISTA/DHCP system), training of end users, and system maintenance (including parts, labor and travel) and all shipping costs (delivery and removal) during the term of the agreement. for the VA Ann Arbor Healthcare Center, Aleda E.Lutz VA Medical Center, Northern Indiana Healthcare System, Battle Creek VA Medical Center, John D. Dingell VA Medical Center and Richard L. Roudebush VA Medical Center. This is in preparation for a 5-year, single award, BPA or IDIQ. Contractors that deem themselves capable of meeting the requirement shall provide the below information to Brooke Hansen, Contracting Officer, at Brooke.Hansen@va.gov no-later-than Monday, October 22, 2018, 4:00PM EDT, referencing (36C25019Q0052). Responses shall include: (1) Business Name and Address, (2) GSA Contract Number and expiration date, if applicable (3) Point of Contact Name, Phone Number and E-mail Address (4) DUNS and NAICS code (5) Business Size SMALL or LARGE (6) Type of Small Business (if applicable): service disabled veteran owned, veteran owned small business, 8a, HUBZone, woman-owned, etc. (7) A concern that is not a manufacturer of the supply shall provide the manufacturers name and size standard. If the concern is the manufacture and the sole distributor, please provide documentation to that effect. Please see requirements below: C.0.1 The contractor shall provide to the Veterans Affairs Facilities (listed below) a Cost-Per-Reportable Result (CPRR) contract for an automated Blood Culture system that will include all equipment [including uninterruptible power supply (UPS)], installation, bottles, (if the contractor discontinues bottles, the contractor shall provide the requested number of bottles to perform the validation studies at no charge), all preventative maintenance, consumable supplies, bi-directional bar-coded computer interface compatible with the VA laboratory information system (currently Data Innovations to VA VISTA/DHCP system), training of end users, and system maintenance (including parts, labor and travel) and all shipping costs (delivery and removal) during the term of the agreement. This equipment is currently installed at the Veterans Affairs facilities listed below. Veterans Affairs Facilities: VA Ann Arbor Healthcare System 2215 Fuller Rd. Ann Arbor, MI 48105 Battle Creek VA Medical Center 5500 Armstrong Road Battle Creek, MI 49037 Aleda E. Lutz VA Medical Center 1500 Weiss Street Saginaw, MI 48602 John D. Dingell VA Medical Center 4646 John R St. Detroit, MI 48201 Northern Indiana Healthcare System (VANIHCS) Ft. Wayne Campus 2121 Lake Avenue Fort Wayne, IN 46805 Richard L. Roudebush VA Medical Center 1481 W. 10th Street Indianapolis, IN 46202 C.1 DEFINITION OF NEED: C.1.1 The Veterans Affairs Facilities Cost-Per-Reportable Result (CPRR) for Blood Culture supplies and equipment C.2 DUTIES OF CONTRACTOR: C.2.1 The contractor shall provide all equipment necessary to provide Cost-Per-Reportable Result microbiology blood culture system, any start up supplies for validation studies, monitors, keyboards, personal computers, barcode scanners, external hard drives, laser printers and ink cartridges/jets. The contractor shall provide all cables and hardware/software necessary to connect any of the system components. The contractor shall include all parts materials, labor supervision, calibrators, technical manuals, operator training, and necessary transportation to perform preventative maintenance. C.3 OPERATIONAL FEATURES REQUIREMENTS: *All the equipment and ancillary supplies provided will be new (not refurbished, remanufactured, or previously used or demonstrated). *The system shall be capable of reading bar-coded labels of patient identification and bottle identification for loading of new bottles and management of all bottles on board. *The system shall have a bi-directional bar-coded computer interface compatible with the VA laboratory information system (currently Data Innovations to VA VISTA/DHCP system) *The system and accompanying software (and all no charge updates) must be user friendly and not be labor intensive. *The system, software, and bottles must provide self-contained continuous computerized automated monitoring of blood culture bottles for microorganism growth; immediate, preprogrammed criteria; notification of termination of maximum programmed incubation period when no microorganism growth is detected. *The system, software and bottles shall meet the standards of: College of American Pathologists (CAP), Clinical and Laboratory Standards Institute (CLSI), The Joint Commission (TJC), 1988 Clinical Laboratory Improvement Act (CLIA), Federal Drug Administration (FDA), Federal, State, and local policies. *The system shall be capable of supporting the culture of mycobacteria from sources other than blood (i.e. sputum, urine, other body fluids) that may utilize specially formulated media, optimized growth temperature and conditions of culture agitation. *The system shall be able to support varied programmed bottle incubation periods for any selected culture. *The system shall make assignment of blood culture bottle locations within the incubator unit. *The system shall be capable of maintaining a computerized log of time of detection of positive growth in any bottle. *The system shall have the capability of maintaining all data for up to 24 hours in the event of normal electrical power interruptions. *The system shall avoid any exposure to biohazardous material. *A selection of blood culture bottle configurations (for low volume samples; antimicrobial agent removal resins) and formulations capable of maximizing growth potential of various microorganisms (i.e. aerobic and anaerobic bacteria, fungi and mycobacteria) shall be available. *Bottles shall be color-coded to easily distinguish their utility or intended purpose. *Bottles shall be FDA approved for culture of normally sterile body fluids other than blood. *Bottles shall contain tear-off (duplicate) labels to attach to culture worksheets and contain the corresponding unique bar-coded bottle numbers. *Bottles formulated for aerobic incubation shall not require venting prior to incubation. *Patient samples and the results that are in progress and completed assays are displayed on instrument for technologist s review. *Contractor shall supply an adequate uninterruptible power system(s) (UPS) to support the testing equipment for life of the contract. *Contractor shall supply laser printer and ink cartridges/jets for life of the contract. Must have printed hard copy results for computer down time via analyzer remote printer. *Contractor shall supply barcode readers and have capability to read VA laboratory information system barcodes, as well, for life of the contract. *The system will be able to easily generate quality control reports and provide for workflow management capabilities. *Contractor shall supply secured external hard drives/flash drives (or similar technology) for automatic database backups/archiving. If CD/DVD/similar media are required then they will be supplied by contractor for the life of the contract. *Contractor will supply actual testing/analyzing equipment, personal computers, monitors, cables, keyboards, wiring, and etc. for the life of the contract. *Must provide ability to incorporate new methodologies. *Contractor will include regular service maintenance agreements in contract. *The cost-per-reportable result price must include all consumables required to perform testing. *The system will afford flexibility for the end user in the selection of blood culture bottle configurations and formulations being offered. *If any blood culture bottle formulation in use experiences recall or limitation on reporting, then contractor will supply at no cost the supplies/reagents/media/etc. necessary to continue an alternative form of testing until the situation is rectified to everyone s satisfaction or the testing is no longer required by the Veterans Affairs Facilities. *Technical, software, hardware, privacy, security and online help will be available through the contractor 24/7 by telephone, including weekends and recognized (federal) holidays. If on-site service call is necessary the contractor shall be present within 24 hours or less. *Contractor shall provide technical specialist to perform all necessary set up and to prepare all installation, validation, and quality control reports for the institution s evaluation *Contractor shall provide an up to date procedure manual in CLSI format on a portable storage device (i.e. CD-ROM, disk, etc.) and/or an on-line CLSI formatted procedure manual in the instrument software. In addition, there is to be a printed hard copy version. *Contractor shall supply instrument training at no additional cost, for 2 personnel at time of equipment installation. This shall include training on the system operation, data manipulation, trouble shooting, maintenance and repair. This training is to be completed within 180 days of the purchase order completion. Same training will apply for 1 (one) additional personnel for each remaining valid contract year. The contractor shall also make available a technical specialist for on-site, in-house training for all shifts in the laboratory. The contractor, at its discretion may make training available at its facility on terms and conditions mutually agreed upon by the Agency and the contractor consistent with commercial offerings (Preferred method). *Contractor will provide without additional cost all ancillary components that are customarily sold or provided with the model of equipment proposed. *NOTE: Contractor acknowledges the fact that upon termination of the contract by any means that any components of the system which contain any type of demographics, or personal identifying information will be sanitized according to VA regulations. C.3.1 BRIEF SUMMATION OF SUPPORT FEATURES: The contractor shall provide all labor, materials, equipment (including UPS), equipment/software maintenance, bottles, supplies, consumables, disposable items, parts, accessories, shipping and handling costs, and any other item(s) required to establish fully operational automated microbiology blood culture systems. Shipping and handling costs shall be the responsibility of the contractor and shall be included in the offer. The contractor shall provide at no charge software upgrades in order to maintain the integrity of the system and to provide state of the art technology to the Veterans Affairs Facilities. These shall be provided as they become released, installed by the contractor (as appropriate) and supported by in-house technical training (as appropriate). The contractor shall provide all ancillary support equipment to fully operate the instrumentation as defined in these specifications. Remote access for the system troubleshooting shall be considered on a case by case basis. If provided, it shall only be through a VPN interface subject to the Department of Veterans Affairs IMS approval. Modems are no longer considered acceptable by the VA Information Security Office. The contractor shall provide any and all universal interface equipment in order to interface equipment with the VA laboratory information system. In addition, the contractor shall include all ancillary components that are customarily sold or provided with the model of equipment proposed, (e.g., starter kits, tables/stands, etc.). The contractor shall provide an up to date procedure manual in CLSI format on a portable storage device (i.e. CD-ROM, disk, etc.) and/or an on-line CLSI formatted procedure manual in the instrument software. In addition, there is to be a printed hard copy version. C.4 ENVIRONMENT OF CARE/QUALITY CONTROL: Routine and recurrent preventative maintenance inspections shall be the responsibility of the contractor. All significant problems shall be reported verbally to the Contracting Officer Representative (COR) within 24 hours. A written corrective plan of action shall be submitted to the COR within 5 working days. The Veterans Affairs Facilities timeframes and priorities for completion of action plan items will be mutually agreed upon by the contractor and the Contracting Officer. An annual compliance report addressing preventative maintenance inspections, as well as Safety, Environmental, and Infection Control inspections, shall be reported to the COR in October. The contractor shall perform preventative maintenance inspections during the contract period arranged with the COR, in accordance with the published preventative maintenance manuals for the selected system, located at each Veterans Affairs Facilities. This shall occur no less than annually. The contractor shall utilize the original equipment, manufacturer s established procedures and checklists, (or contractor-supplied equivalent satisfactory to the COR). A Field Service Report shall be supplied to the COR at the completion of each preventative maintenance inspection, and repair service call. In addition the Field Service Representative will inform the technologist on duty during the service call regarding problems found and any corrective action taken while performing the maintenance and repair call. C.5 TECHNICAL SUPPORT: The contractor will provide technical support, perform method validation as outlined and submit all data and/or required statistical analysis in a binder(s) for on-site staff approval. This process must be complete within 4-8 weeks of installation of the analyzer. Contractor will provide written procedures in CLSI format on electronic media at the time of installation and whenever an update is made using software compatible with Veterans Affairs Facilities computer system. In addition, there is to be a printed hard copy version. *Availability of a support hotline 24 hours a day, 7 days a week including all holidays. *Provide in-house assistance in validating new test/assays. C.6 CONFORMANCE STANDARDS: C.6.1 The contractor must maintain full compliance with applicable Federal and State regulations. All services provided under this contract must be performed in conformance with the National Fire Protection Agency (NFPA), Occupational Safety and Health Administration and any other applicable national, state and local regulatory agencies. C.6.2 On-site warranty, for the Veterans Affairs Facilities to include preventative maintenance for the entire agreement period to include unlimited, on-demand, on-site service visits 7 days per week, 8:00 am to 5:00 pm and 24/7 hotline technical support for the selected equipment at each Veterans Affairs Facility. C.6.3 The contractor shall report to the Contracting Officer (CO) the existence or development of any defects in, or repair to the equipment covered under this contract which the contractor considers he/she is not responsible for under the terms of the contract (i.e. operator misuse). C.6.4 All exceptions to the preventative maintenance inspection schedule shall be arranged and approved in advance with the CO. The contractor shall notify the CO of the existence of development of any defects in, or repair to the equipment covered under this contract which the contractor considers he/she is not responsible for under the terms of the contract (i.e. operator misuse). C.6.5 The instrumentation shall perform all analyses for the required tests with safety and precision as defined by CLIA, CLSI, TJC, CAP, and the FDA. The system and components and bottles and etc. shall be FDA approved. C.7 HOURS OF WORK: C.7.1 Veterans Affairs Facilities warranty for the entire agreement period to include unlimited, on-demand, onsite service visits for the selected equipment, 7 days per week 8:00 am to 5:00 pm, including Federal holidays or as otherwise arranged with the COR. C.7.2 The contractor will provide a Technical hotline 24 hours per day, 7 days per week including Federal holidays. C.8 PARTS: C.8.1 The contractor shall furnish all parts as necessary to maintain and update the equipment covered by this contract, in accordance with the Conformance Standards. The contractor guarantees that it has ready access to new standard parts (manufactured, supplied by the manufacturer, or equivalent substitute) for needed repairs. All parts supplied shall have full compatibility with existing equipment. Documentation of intended parts source(s) shall be provided to the Contracting Officer upon request. C.9 MEDICAL LIABILITY INSURANCE LIMITS: C.9.1 In accordance with VAAR 852.237-7, Indemnification and Medical Liability Insurance, the contractor shall maintain liability insurance or self-insurance of not less than $1,000,000.00 per specialty per occurrence. C.10 INVOICE/PAYMENT: C.11 TERM OF CONTRACT: C.11.1 The contract will be effective for one year from the date of the contract award, with four additional contract option years. The contract is subject to the availability of appropriated funds. C.12 MISSION, VISION AND VALUES STATEMENT: C.12.1 Mission: Honor America s veterans by providing exceptional health care that improves their health and well-being. C.12.2 Vision: To be patient centered integrated health care organization for veterans providing excellence in health care, research, and education; an organization where people choose to work; and active community partner and back-up for National emergencies. C.13 THE JOINT COMMISSION COMPLIANCE STANDARDS: C.13.1 GENERAL: The contractor shall continuously meet or exceed all The Joint Commission Hospital standards. All applicable VA and VHA policies, procedures and directives shall be followed by the contractor. The patient population treated at the Veterans Affairs Facilities consists of veterans with varying physical, psychiatric, and psychological needs. Their conditions are in many cases, directly related to the individual s service to this country. C.13.2 PATIENT RIGHTS: Protection of all patients rights is of highest priority. Patient privacy and confidentiality shall be maintained at all times. Computer access will be granted on a need-to-know basis, and security of computerized information will be maintained at all times. No patients shall be subject to any research activity without his/her fully informed consent, subject to study approval by the Investigational Research Board (IRB). The contractor shall abide by the VAMC Code of Ethics, which addresses marketing, admission/transfer/referral/discharge processes, and billing issues. C.13.3 PATIENT SAFETY: The VAMC shall inform the contractor of all applicable Sentinel Event or other Patient Safety Alerts received by the VAMC. For every applicable alert, the contractor shall take the necessary steps to redesign processes to prevent occurrence, and provide written feedback to the COR describing preventative actions taken. All events related to patient injury, medication errors, and other breeches of patient safety will be reported to the COR utilizing the VAMC Incident Report. All events related to patient injury, medication errors, and other breeches of patient safety will be documented utilizing the contractor s format, and reported to the COR. The VAMC shall provide the contractor with VAMC Sentinel Event definitions in the start-up phase. The contractor shall verbally notify the VAMC COR immediately when a Sentinel Event has occurred, which is to be followed by written notification within one (1) business day or sooner if requested by the medical center. The VAMC shall determine when a Root Cause Analysis (RCA) is required of the contractor. The contractor shall conduct all Root Cause Analysis according to VAMC policy and within established guidelines. Completed RCAs shall be provided to the VAMC COR. C.13.4 PERFORMANCE IMPROVEMENT: The contractor shall fully participate in the VAMC Performance Improvement (PI) program. This will entail monitoring of clinic processes, data analysis, and collaborative design and operationalization of improvement opportunities. Contractor PI activities may be directed by the VAMC, VISN or VHA, as well as accreditation or licensing bodies. The contractor shall abstract, compile and report PI data as requested by the VAMC. VA Data collection methodology, report format, and reporting deadlines will be defined by the VAMC. In all cases, the contractor shall continually assess for, and act upon, clinical and administrative improvement opportunities. VA monitoring for continuous compliance with The Joint Commission standards shall be directed by VAMC staff, and communicated to the contractor through the COR. VA aggregate and/or practitioner-specific data collected by the VAMC will be provided to the contractor in accordance with established reporting schedules. VA measures related to contract compliance will be identified by the COR. C.13.5 LEADERSHIP: The contractor shall effectively manage daily operations, information and support systems, and conserve physical and financial assets while meeting the mission of the VAMC. The provision of contracted services will be described in writing the nature and scope of services provided through contractual agreement. Leaders monitor contracted services by establishing expectations for the performance of the contracted services. Leaders take steps to improve contracted services that do not meet expectations. C.13.6 INFORMATION MANAGEMENT: The VAMC Information Management plan shall be followed by the contractor. Documentation and record keeping shall be in accordance with VAMC policies and procedures. VAAR-852.273-75 SECURITY REQUIREMENTS FOR UNCLASSIFIED INFORMATION TECHNOLOGY RESOURCES (Interim Oct 2008) must be included in the document. C.13.7 CONFLICT OF INTEREST: Conflict of Interest acknowledgement document(s) must be signed by all procurement officials and copies filed in the OPF in accordance with VHA Handbook 1660.3. Contracting Officials, CORs, selection officials, and others involved in the contracting processes are free from any actual or perceived conflicts of interest. The Contracting Officer will monitor compliance and will review the selection board for conflicts. C.14 DOCUMENTATION/REPORTS: C.14.1 The contractor shall submit a legible field service report which shall include detailed descriptions of the preventive maintenance inspection or emergency repair services performed, including replaced parts and estimated prices required for the service call. NOTE: Any additional charges claimed must have been approved by the CO before service was performed. C.14.2 The contractor shall perform all validation/statistical analyses and report this data in an organized, clearly comprehensible format, a sample of which is to be provided with the proposal to the CO. The contractor shall provide assistance with the establishment of reference parameters to include the handling of data with appropriate software in order to establish references based on current CAP and TJC and CLSI and FDA standards. C.15 REPORTING REQUIREMENTS: C.15.1 Upon arrival, the contractor (agent) is required to sign in at each Veterans Affairs Facilities When the service is completed, the contractor (agent) shall document services rendered on a legible Field Service Report and present to the COR for signature, during normal working hours. After normal business hours, the contractor will e-mail the Field Service Report to the COR or designee. C.16 COMPETENCY OF PERSONNEL SERVICING EQUIPMENT: C.16.1 The contractor s service personnel staff shall include a fully qualified Field Service Representative assigned to each Veterans Affairs Facilities and a fully qualified Field Service Representative (FSR) who shall serve as the Backup to ensure 7 days per week 8:00 am to 5:00 pm including holiday coverage. Fully qualified is defined as training and experience in the field. The Field Service Representative (FSR) has successfully completed a documented formalized training program for the equipment covered under the contract. For field experience, the Field Service Representative (FSR) must have minimum of one (1) year of experience providing preventative maintenance and emergency repair services on the same make and model of equipment covered under this contract. C.16.2 The contractor shall provide written assurance of the competency of their personnel by detailing a list of Field Service Representative along with applicable training and years of service experience on the specific devices covered in this agreement and a written assurance of competency. All related documentation, such as completed competency checklists or educational training records, shall be maintained by the contractor and available for VAMC upon request. The contractor shall maintain a culture that promotes self-development and learning which is designed to maintain or enhance learning competencies. C.17 TEST EQUIPMENT: C.17.1 Upon request of the COR, or the CO, the contractor shall provide copy of the current Calibration Certification of all test equipment which is used by the contractor to perform service under this contract. Calibration of equipment shall be traceable and in conformance with test equipment Original Equipment Manufacturer standards. C.18 SAFETY REQUIREMENTS: C.18.1 In the performance of the contract, the contractor shall take such safety precautions as the CO may determine to be reasonably necessary to protect the lives and health of the occupants of the building. The CO shall notify the contractor of any safety issues and the action required to correct these issues. Such written or verbal notice, when served on the contractor or its representative at the work site shall be deemed sufficient for the corrective actions to be taken. If the contractor fails or refuses to comply within 24 hours on the notification of the safety issue, the CO may issue an order stopping all or part of the work and hold the contractor in default. C.19 HARDWARE/SOFTWARE: C.19.1 Computer Interfacing Requirements The fully operational interface (internal or native to the system) network (Ethernet) interface (Hardware and software) must be immediately available for implementation to the Veterans Affairs Facilities laboratory information system at the time of contract award. Network interface shall be capable of supporting TCP/IP network protocol in both IPV4 and IPV6. If the contractor is not capable of supporting TCP/IP network interface, then it shall be the contractor s responsibility to provide a Lantronix serial to Ethernet conversion unit with all associated cabling and connectors. The Veterans Affairs Facilities laboratory shall determine the model or Lantronix requirement (MSS100 or MSS4) and provide the contractor with the model needed. Computer access will be granted on a need-to-know basis, and security of computerized information will be maintained at all times. The Veterans Affairs Facilities shall be interfaced for instrumentation that is being provided. The contractor shall ensure interfacing for all instrumentation that is offered. C.19.2 The contractor is responsible for providing all hardware required for the connection, implementation, and operation of the interface to the universal interface and any incremental fee that is required each time an instrument is added to an existing universal interface system (see requirements below). Likewise, the contractor will provide any and all necessary software support for ensuring that successful interfacing has been established. Specific requirements for the communication of the data streams will be unique to the instrument system selected. All cables and hardware necessary to connect any of the systems together are included if required, and all parts materials, labor supervision, calibrators, technical manuals, operator training and transportation necessary to perform preventative maintenance on the selected system. C.19.3 If a site already has a universal interface box, the contractor is responsible for contractor provided equipment and hardware that leads to the interface box. This responsibility includes assuming any incremental fee required to add additional equipment (e.g. licenses, ports/cards, cables software, etc.) to the universal interfacing system. If a site does not have a universal interface and one is needed to optimally interface the instrument, then the contractor is responsible for the acquisition of the universal interface box and all other parts, equipment, or other hardware needed to connect the system with the Veterans Affairs Facilities laboratory information system. If there are any software upgrades in the instrument during the life of the contract, the contractor is responsible for assuring that the interface can accommodate any changes in the data stream going to the Veterans Affairs Facilities laboratory information system. C.19.5 The contractor shall provide all ancillary support equipment to fully operate the instrumentation as defined in these specifications. Remote access for system troubleshooting shall be provided only through a VPN interface subject to Department of Veterans Affairs Information Management Systems (IMS) approval. Modems are no longer considered acceptable for use by the VA Information Security Office and are prohibited from use. C.19.6 The contractor shall provide without additional cost all ancillary components that are customarily sold or provided with the model of equipment proposed, (e.g., starter kits, tables/stands, etc.). The contractor shallprovide an up to date procedure manual on a portable storage device (i.e. CD-ROM, disk, etc.) and/or an on-line procedure manual in the instrument software. In addition, there is to be a printed hard copy version. The procedure manual shall be formatted in accordance with current, approved CLSI guidelines. C.19.7 The contractor must provide availability of printed (hard copy) patient results routinely and in the event of interface downtime for the system. C.19.8 The contractor must provide electronic patient data, quality control, and maintenance (when applicable) archiving that complies with College of American Pathologist (CAP), and The Joint Commission (TJC) requirements for the system. C.19.9 Estimated Volumes Total Number of Blood Cultures Bottles for 5 Year Period Volume of Bottles per Year Facility Year 1 Year 2 Year 3 Year 4 Year 5 Total Bottles Ann Arbor 14,450 14,739 15,034 15,334 15,641 75,198 Battle Creek 2,400 2,448 2,497 2,547 2,598 12,490 Detroit 5,600 5,712 5,826 5,943 6,062 29,143 Indianapolis 18,000 18,360 18,727 19,102 19,484 93,673 NIHCS 2,170 2,213 2,258 2,303 2,349 11,293 Saginaw 2,372 2,419 2,468 2,517 2,568 12,344   44,992 45,892 46,810 47,746 48,701 234,140 Notes: 1) increase BC bottles by 2% per year. Total Number of AFB/Sterile AFB Fluid Bottles for 5 Year Period Volume of Bottles per Year Facility Year 1 Year 2 Year 3 Year 4 Year 5 Total Bottles Ann Arbor 0         0 Battle Creek 0         0 Detroit 0         0 Indianapolis 650 650 650 650 650 3,250 NIHCS 0         0 Saginaw 0         0   650 650 650 650 650 3,250
 

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