About this file
Written by GovTribe AI
· Jun 21, 2024
This document appears to be Attachment B - Schedule of Items and Prices for a federal contract opportunity. It details the contract line items and pricing for a variety of medical services including comprehensive physical exams, functional capacity exams, diagnostic testing, immunizations, and mobile on-site services. The services are broken out by geographic location (CONUS, Hawaii, Guam, Panama Canal, Puerto Rico, Virgin Islands) and across 5 ordering periods. The contract has a total ceiling value of $0. The associated federal contract opportunity is for OMAO/Occupational Health Support Services, solicitation number 1305M224Q0073, issued by the Department of Commerce National Oceanic and Atmospheric Administration.
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Attachment A-SOW_Amend0005.pdf PDF
Jun 21, 2024
Attachment 4-QASP.pdf PDF
Jun 21, 2024
SOW_Attachment 4-Audiology Questionnaire.pdf PDF
Jun 21, 2024
Amendment 0005.pdf PDF
Jun 21, 2024
Questions and Answers_Amend0005.xlsx XLSX spreadsheet
Jun 21, 2024
SOW_Attachment 5 Respirator Questionnaire.pdf PDF
Jun 21, 2024
Amendment 0004.pdf PDF
Jun 20, 2024
Amendment 0003.pdf PDF
Jun 3, 2024
Amendment 0002.pdf PDF
May 30, 2024
Amendment 0001.pdf PDF
May 7, 2024
Attachment C- Past Performance Information Form.pdf PDF
Apr 24, 2024
Attachment A-Statement of Work-Occupational Health Services.pdf PDF
Apr 24, 2024
Attachment D-Past Performance Questionnaire.pdf PDF
Apr 24, 2024
Sol_1305M224Q0073.pdf PDF
Apr 24, 2024
Attachment B-Schedule of Items and Prices.xlsx XLSX spreadsheet
Apr 24, 2024
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Summary-TOTAL
Attachment B-Schedule of Items and Pricing_Amend0005 Summary Pricing Table ORDERING PERIOD 1 ORDERING PERIOD 2 ORDERING PERIOD 3 ORDERING PERIOD 4 ORDERING PERIOD 5 ESTIMATED VALUE CONUS $0 $0 $0 $0 $0 $0 Hawaii $0 $0 $0 $0 $0 $0 Guam $0 $0 $0 $0 $0 $0 Panama Canal $0 $0 $0 $0 $0 $0 Puerto Rico $0 $0 $0 $0 $0 $0 Virgin Islands $0 $0 $0 $0 $0 $0 TOTAL CEILING $0
CONUS
Attachment B-Schedule of Items and Prices_Amendment 0005
ORDERING PERIOD ONE CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 0001 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 1.8 Immunization, Mumps 1 EA $0 1.8 Immunization, Rubella (MMR) 1 EA $0 1.8 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 2 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 0002 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 3 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 0003 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 4 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 0004 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0 ORDERING PERIOD 5 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 0005 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
HAWAII
ORDERING PERIOD ONE CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 1001 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 2 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 1002 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 3 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 1003 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 4 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 1004 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 5 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 1005 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
GUAM
ORDERING PERIOD ONE CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 2001 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 2 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 2002 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 3 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 2003 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 4 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 2004 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 5 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 2005 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
PANAMA CANAL
ORDERING PERIOD ONE CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 3001 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 2 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 3002 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 3 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 3003 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 4 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 3004 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0 ORDERING PERIOD 5 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 3005 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
PUERTO RICO
ORDERING PERIOD ONE CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 4001 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 2 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 4002 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 3 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 4003 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 4 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 4004 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 5 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 4005 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
VIRGIN ISLANDS
ORDERING PERIOD ONE CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 5001 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 2 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 5002 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 3 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 5003 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
ORDERING PERIOD 4 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 5004 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA $0 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0 ORDERING PERIOD 5 CONTRACT LINE ITEM NUMBER TASK NUMBER DESCRIPTION QTY UNIT UNIT RATE AMOUNT 5005 1.0 Comprehensive Physical Exam 1 EA $0 1.1 Functional Capacity Examination 1 EA $0 1.2 Audiometric Testing w/ report 1 EA $0 1.3 Spirometry Testing (Pulmonary Function Test) 1 EA $0 1.4 PPD/Tuberculosis Skin Test/Reading 1 EA $0 1.5 PPD/Tuberculosis Screening (Screening Form Only) 1 EA $0 1.6 Chest X-Ray Services 1 EA $0 1.7 Diagnostics Laboratory Services 1 EA $0 1.8 Immunization, Measles 1 EA $0 Immunization, Mumps 1 EA $0 Immunization, Rubella (MMR) 1 EA $0 Hepatitis A and B 1 EA $0 1.9 COVID-19 Antigen Test 1 EA $0 1.10 Mobile On-Site Services 1 DA 2.0 Optional Items $0 2.1 OSHA Respirator Questionnaire Document 1 EA $0 2.2 Respirator Fit Testing 1 EA $0 2.3 Audiologist Consultation for Problem Audiograms 1 EA $0 TOTAL $0
File details come from the government source that posted it.
Updated Jun 21, 2024 .
