B09_SA_0001_EXHIBIT_D_Price_Schedule__Final_23Sep_0001.xlsx

XLSX spreadsheet 131 KB Posted

Attached to
Office of Wildland Fire Medical Qualification IDIQ
Solicitation number
140D0424R0071
Issued by

About this file

Written by GovTribe AI ·

This document is an Exhibit D - Price Schedule for a federal contract opportunity related to Office of Wildland Fire Medical Qualification Determination Services.

The Price Schedule lists various line items and estimated quantities for medical services such as basic exams, comprehensive exams, vaccinations, laboratory tests, and medical reviews over a 5-year contract period. Pricing is provided on a per-unit basis for each service across Years 1-5. Additionally, there is a separate Price Schedule for Mobile Medical Events listing personnel, per-exam, and travel-related costs. The contract number is 140L0620D0002, and the solicitation number is 140D0424R0071. The contracting agency is the Department of the Interior Departmental Offices Interior Business Center.

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FY25-29

140D0424R0071 - EXHIBIT D PRICE SCHEDULE - AMDT 0001YEAR 1YEAR 2YEAR 3YEAR 4YEAR 5
Service TitleEst. Qty.UnitUnit PriceSUBTOTALEst. Qty.UnitUnit PriceSUBTOTALEst. Qty.UnitUnit PriceSUBTOTALEst. Qty.UnitUnit PriceSUBTOTALEst. Qty.UnitUnit PriceSUBTOTAL
Phase-In1EA$0N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Basic Exam250EA$0250EA$0250EA$0250EA$0250EA$0
Comprehensive Exam2500EA$02500EA$02500EA$02500EA$02500EA$0
Periodic Exam2400EA$02400EA$02400EA$02400EA$02400EA$0
Tetanus Vaccine - Td or Tdap1400EA$01400EA$01400EA$01400EA$01400EA$0
Tuberculosis Skin Test (PPD)490EA$0490EA$0490EA$0490EA$0490EA$0
Missed Appointment300EA$0300EA$0300EA$0300EA$0300EA$0
Medical Review/ Qualification Determination4450EA$04450EA$04450EA$04450EA$04450EA$0
Medical Review/ Qualification Determination - NPS LE, 90 Days700EA$0700EA$0700EA$0700EA$0700EA$0
Diver Qualification Determination90EA$090EA$090EA$090EA$090EA$0
Limited Medical Review / Qualification Determination1000EA$01000EA$01000EA$01000EA$01000EA$0
Self-Certification / Pre-Fitness Medical Review1500EA$01500EA$01500EA$01500EA$01500EA$0
RMO Field Orientation - Daily Rate, Includes Travel60EA$036EA$036EA$036EA$036EA$0
Medical Consultation100HR$0100HR$0100HR$0100HR$0100HR$0
Audiogram26EA$026EA$026EA$026EA$026EA$0
OSHA Respiratory Questionnaire100EA$0100EA$0100EA$0100EA$0100EA$0
Color Vision - (Ishihara or Farnsworth)200EA$0200EA200EA200EA200EA
Laboratory Urinalysis100EA$0100EA$0100EA$0100EA$0100EA$0
Chest X-Ray (PA View)80EA$080EA$080EA$080EA$080EA$0
Lead, industrial whole blood and ZPP - In Conjunction With Periodic Exam50EA$050EA$050EA$050EA$050EA$0
Lead, industrial whole blood and ZPP - Without Exam50EA$050EA$050EA$050EA$050EA$0
Lead, industrial whole blood, ZPP and audiogram - Without Exam50EA$050EA$050EA$050EA$050EA$0
Cholinesterase Baseline80EA$080EA$080EA$080EA$080EA$0
EKG50EA$050EA$050EA$050EA$050EA$0
Fitness for Duty - Adult Specialty Medicine5EA$05EA$05EA$05EA$05EA$0
Fitness for Duty - Mental Health Specialist5EA$05EA$05EA$05EA$05EA$0
Fitness for Duty - Vision/Hearing Specialist5EA$05EA$05EA$05EA$05EA$0
Mobile Medical Events - See Separate Tab
Grand Total - Annual$0$0$0$0$0

Contract No. 140L0620D0002 ATTACHMENT B &A

&G CONTROLLED//SSEL/PROPRIETARY//DISSEM-FED ONLY Page 1 of 2

Mobile Event Price Schedule

EXHIBIT D PRICE SCHEDULE
YEAR 01YEAR 02YEAR 03YEAR 04YEAR 05
PERSONNEL*UnitQTYRateAmountUnitQTYRateAmountUnitQTYRateAmountUnitQTYRateAmountUnitQTYRateAmount
Program ManagerHour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0
Event/Logistics CoordinatorHour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0
On-site LeadHour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0
PA/NPHour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0
RNHour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0
Medical InterpreterHour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0
Medical TechHour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0Hour1$ - 0$ - 0
11111
PER EXAM/EVENT ITEMS***11111
Lab AnalysisExam1$ - 0Exam1$ - 0Exam1$ - 0Exam1$ - 0Exam1$ - 0
TB TestingExam1$ - 0Exam1$ - 0Exam1$ - 0Exam1$ - 0Exam1$ - 0
TetanusExam1$ - 0Exam1$ - 0Exam1$ - 0Exam1$ - 0Exam1$ - 0
Shipping of On-site Materials++Event1$ - 0Event1$ - 0$ - 0Event1$ - 0$ - 0Event1$ - 0$ - 0Event1$ - 0
Supplies++Event1$ - 0Event1$ - 0$ - 0Event1$ - 0$ - 0Event1$ - 0$ - 0Event1$ - 0
11111
TRAVEL**

tc={D3D45690-303A-4359-A51D-59E3BF144DB2}: [Threaded comment]

Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924

Comment:

Possibly delete the line items here since these will be negotiated at TO level.11111
Flight / BaggageEach1$ - 0Each1$ - 0Each1$ - 0Each1$ - 0Each1$ - 0
Per DiemDay1$ - 0Day1$ - 0Day1$ - 0Day1$ - 0Day1$ - 0
LodgingDay1$ - 0Day1$ - 0Day1$ - 0Day1$ - 0Day1$ - 0
Vehicle Rental(s)Day1$ - 0Day1$ - 0Day1$ - 0Day1$ - 0Day1$ - 0
MileageMile1$ - 0Mile1$ - 0Mile1$ - 0Mile1$ - 0Mile1$ - 0
Tolls / Fuel / ParkingEvent1$ - 0Event1$ - 0Event1$ - 0Event1$ - 0Event1$ - 0
*Personnel will be negotiated and awarded as a firm fixed price line item based upon rates established in price schedule and reasonable staffing to meet event needs.
**Travel - will be negotiated and awarded as a firm fixed price line item based upon available commercial pricing and federal per diem rates.
++Supplies and shipping of materials will be negotiated and awarded as a firm fixed price line item. Quotes will be provided based upon location, quantities, and scheduling needs for each event.
***Per exam and event items will be invoiced as incurred at fixed price established in the price schedule.

Contract No. 140L0620D0002 ATTACHMENT B &A

&G CONTROLLED//SSEL/PROPRIETARY//DISSEM-FED ONLY Page 2 of 2 image1.png

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