Attachment 6 - Pricing Model V2.xlsx

XLSX spreadsheet 436 KB Posted

Attached to
PASV_Medical Exam Services_HRD Federal contract opportunity
Solicitation number
15F06720R0000205
Issued by
Department of Justice Federal Bureau of Investigation Redstone Arsenal Field Office

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Other files for this federal contract opportunity

Other files attached to PASV_Medical Exam Services_HRD, newest first.
File Type Posted
HRD MORU Cover Letter RFP AMENDMENT 7.9.20.pdf PDF
Attachment 1 - SF-30 - P00002.pdf PDF
PASV_Medical Exam Services_HRD Questions and Answers Final AMENDED 7.9.20 .xlsx XLSX spreadsheet
Attachment 4 - Statement of Work V2.pdf PDF
Attachment 5 - QASP V2.pdf PDF
Attachment 10 - Forms V2.pdf PDF
Attachment 3 - Model Task Order V2.pdf PDF
HRD MORU Cover Letter RFP FINAL - 7.7.20.pdf PDF
Attachment 1 - SF - 30.pdf PDF
PASV_Medical Exam Services_HRD Questions and Answers Final 7.7.20.xlsx XLSX spreadsheet
Attachment 2 - Instructions to Offerors V3.pdf PDF
Summary of Changes .pdf PDF
Attachment 9 - Locations V2.xlsx XLSX spreadsheet
Attachment 1 - SF - 1449 V2.pdf PDF
HRD MORU Cover Letter RFP FINAL .pdf PDF
Attachment 2 - Instructions to Offerors V2.pdf PDF
Attachment 2 - Instructions to Offerors .pdf PDF
Attachment 12 - Past Performance Questionnaire (PPQ).pdf PDF
Attachment 7_KMPL.docx DOCX document
Attachment 10 - Forms.pdf PDF
Attachment 9 - Locations .xlsx XLSX spreadsheet
Cover Letter RFP Draft.pdf PDF
Attachment 4 - Statement of Work.pdf PDF
Attachment 3 - Model Task Order .pdf PDF
Attachment 11 - Relevant Experience Template .pdf PDF
Attachment 6 - Pricing Model .xlsx XLSX spreadsheet
Attachment 5 - QASP.pdf PDF
Attachment 8_FBI ARQ Form.docx DOCX document
Attachment 1 - SF-1449.pdf PDF
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Pricing Model

****PLEASE INPUT PROPOSED PRICES IN THIS SHEET*** IF "UNKNOWN" Volume, please still propose propose price.
EXAM TYPE TOTALS (not including A La Carte services)Volume Estimate/YearBase Year TotalOption Year 1 TotalOption Year 2 TotalOption Year 3 TotalOption Year 4 TotalTotal (Base + OYs)
Pre-Employment (Applicant) Physical Examinations1,397$0.00$0.00$0.00$0.00$0.00$0.00
Fitness for Duty (FFD) Periodic Examinations12,984$0.00$0.00$0.00$0.00$0.00$0.00
Department of State/Embassy Personnel Examinations542$0.00$0.00$0.00$0.00$0.00$0.00
Hazardous Materials Response Examinations674$0.00$0.00$0.00$0.00$0.00$0.00
Department of Transportation Physical Exams (Commercial Drivers)189$0.00$0.00$0.00$0.00$0.00$0.00
Federal Aviation Administration Physical Exams (FAA)255$0.00$0.00$0.00$0.00$0.00$0.00
Respiratory Protection Examinations1,236$0.00$0.00$0.00$0.00$0.00$0.00
Diver Examinations – Navy Dive (NOAA)99$0.00$0.00$0.00$0.00$0.00$0.00
Language Specialists683$0.00$0.00$0.00$0.00$0.00$0.00
Travel Medicine Review Exams and/or Immunizations5,871$0.00$0.00$0.00$0.00$0.00$0.00
EXAM TYPE
Pre-Employment (Applicant) ExamsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR1397$0.00$0.00$0.00$0.00$0.00$0.00
OSHA Audiogram (Includes review of Hearing History)1397
Tuberculosis Test (PPD) (Includes injection & post reading)1397
Vision - Peripheral1397
Vision - Depth1397
Vision - Color- Ishihara1397
Resting EKG1397
Spirometry1397
Completion of FD-967 and written summary of findings1397
EXAM TYPE
Fitness for Duty (Periodic) ExamsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR12984$0.00$0.00$0.00$0.00$0.00$0.00
OSHA Audiogram (Includes review of Hearing History)12984
Tuberculosis Test (PPD) (Includes injection & post reading)12984
Vision - Peripheral12984
Vision - Depth12984
Resting EKG12984
Written summary of findings12984
EXAM TYPE
Department of State ExamsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR542$0.00$0.00$0.00$0.00$0.00$0.00
HIV 1 and 2542
Hemaglobin A1C for known Diabetics39
DOS forms542
Audiometry542
Vision542
Hepatitis B Surface Antigen542
Hepatitis B Antibody542
Hepatitis C Antibody542
EXAM TYPE
Hazmat ComponetsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
FD-900 review and FD-899 completion674$0.00$0.00$0.00$0.00$0.00$0.00
RBC and Plasma Cholinesterase Level (1 draw)674
EXAM TYPE
Department of Transportation ExamsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Department of Transportation Physical Exams (Commercial Drivers)* Per State Requirement189$0.00$0.00$0.00$0.00$0.00$0.00
EXAM TYPE
Federal Aviation Administration ExamsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Federal Aviation Administration (FAA) Physical Exams - Per Federal Requirement255$0.00$0.00$0.00$0.00$0.00$0.00
EXAM TYPE
Respiratory Protection Componets ExamVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Respiratory Protection Examinations1236$0.00$0.00$0.00$0.00$0.00$0.00
FD 900 and FD 899 forms1236
EXAM TYPE
Diver Componets ExamVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Diver Examinations – Navy Dive (NOAA)99$0.00$0.00$0.00$0.00$0.00$0.00
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR99
FD-1095a99
PFT99
EXAM TYPE
Language Specialists ExamsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Language Specialists Audiogram Only683$0.00$0.00$0.00$0.00$0.00$0.00
EXAM TYPE
Travel Medicine Review Exams and/or ImmunizationsVolume Estimate/YearPrice Per Exam- BaseBase Year TotalPrice Per Exam- OY1Option Year 1 TotalPrice Per Exam- OY2Option Year 2 TotalPrice Per Exam- OY3Option Year 3 TotalPrice Per Exam- OY4Option Year 4 TotalTotal (Base + OYs)
Travel Medicine Review Exams and/or Immunizations5,871$0.00$0.00$0.00$0.00$0.00$0.00
A LA CARTE SERVICESVolume Estimate/YearPrice Per Service- BaseBase Year TotalPrice Per Service- OY1Option Year 1 TotalPrice Per Service- OY2Option Year 2 TotalPrice Per Service- OY3Option Year 3 TotalPrice Per-Service-OY4Option Year 4 TotalTotal (Base + OYs)
Chest X-ray99$0.00$0.00$0.00$0.00$0.00$0.00
Complete Blood Count (CBC)14381$0.00$0.00$0.00$0.00$0.00$0.00
Blood Chemistry w/Lipids14381$0.00$0.00$0.00$0.00$0.00$0.00
Routine Urinalysis14381$0.00$0.00$0.00$0.00$0.00$0.00
Blood Lead (Includes Zinc Protoporphyrin)672$0.00$0.00$0.00$0.00$0.00$0.00
RBC and Plasma Cholinesterase Level (1 draw)672$0.00$0.00$0.00$0.00$0.00$0.00
PFT (Spirometry)99$0.00$0.00$0.00$0.00$0.00$0.00
Hepatitis A vaccineUnknown
Hepatitis B vaccineUnknown
HIV I and HIV IIUnknown
Glycosylated Hemoglobin (A1C)Unknown
Hepatitis B Antigen / AntibodyUnknown
Hepatitis C AntibodyUnknown
G6PDUnknown
TwinrixUnknown
MeningitisUnknown
MMRUnknown
Inactivated PolioUnknown
Tetanus/Diptheria OR Tetanus/Diptheria/PertussisUnknown
VaricellaUnknown
ThyphoidUnknown
Yellow FeverUnknown
RabiesUnknown
Quantiferon GoldUnknown
Whisper TestUnknown
Blood Group and TypeUnknown
Expedited Services FeeUnknown
Seasonal Influenza (ADMINISTRATION OF VACCINE ONLY)Unknown
Seasonal InfluenzaUnknown
Anti-Malaria MedicationUnknown
Antibiotics for Travelers DiarrheaUnknown
Medication for Altitude SicknessUnknown
AnthraxUnknown
SmallpoxUnknown
COVID-19 (ADMINISTRTION OF VACCINE ONLY)Unknown
COVID-19 vaccineUnknown
Japanese EncephalitisUnknown

Estimated Volumes

Blue - Field Office Location / Yellow- Corresponding Resident Agency to each Field Office/ Green - Other Locations not associated with one Field Office This sheet is for information purposes only. Do not enter in values.WFO HQWFO ManasasFBIHQRedstone Arsenal, Huntsville, ALNew York- HQNew York -JFK AirportNew York - Woodhaven/ Brooklyn-Queens RANew York - Goshen/Hudson Valley, NYNew York - Melville/Long IslandNew York - RyeBoston HQBoston - Portland, MEBoston - AugustaBoston - Bangor, MEBoston - BedfordBoston - Lakeville, MABoston - Lowell, MABoston - Portsmoth, RIBoston - Providence, RIBoston - Springfield, MABoston - Worcester, MALos Angeles - HQLos Angeles - RiversideLos Angeles - LancasterLos Angeles - Long BeachLos Angeles - OrangeLos Angeles - Palm SpringLos Angeles - Santa MariaLos Angeles - VenturaLos Angeles - VictorvilleLos Angeles - West CovinaHouston HQHouston - Corpus ChristiHouston - Texas CityHouston - BeaumontHouston - BryanNewark HQNewark - TrentonNewark - Atlantic City/NorthfieldNewark - Red BankNewark - SummersetNewark - West PattersonPhiladelphia HQPhiladelphia -HarrisburgPhiladelphia - AllentownPhiladelphia -Fort WashingtonPhiladelphia - Newtown SquarePhiladelphia - State CollegePhiladelphia - Scranton
Estimated Volumes by Exam Type all FFD Employees Per Year - Volumes are for One Year Only
Exam Type TotalsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Pre-Employment (Applicant) Physical Examinations1080001250000039000000000080000000000320000260000029000000
Fitness for Duty (FFD) Periodic Examinations571212120969854106035483822011231511731815844556114793614194462457761618727161214162172112131169
Department of State/Embassy Personnel Examinations260344017000009000000000022000000000700005000003000000
Hazardous Materials Response Examinations17728152211040550010000011500000100013010071100010100000
Department of Transportation Physical Exams (Commercial Drivers)1091200000100000000006000000000100001000003000000
Federal Aviation Administration Physical Exams (FAA)
Respiratory Protection Examinations48000430000031000000000043000000000370000250000020000000
Diver Examinations – Navy Dive (NOAA)60131801111000000000005003100000100001000000000000
Language Specialists3556305801431800000000003500000000040100111000006100000
Travel Medicine and/or Immunizations00069011634056400112316117318159056115094615194460886170281712141602312131169
EXAM TYPE
Pre-Employment (Applicant) ExamsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR1080001250000039000000000080000000000320000260000029000000
OSHA Audiogram (Includes review of Hearing History)1080001250000039000000000080000000000320000260000029000000
Tuberculosis Test (PPD) (Includes injection & post reading)1080001250000039000000000080000000000320000260000029000000
Vision - Peripheral1080001250000039000000000080000000000320000260000029000000
Vision - Depth1080001250000039000000000080000000000320000260000029000000
Vision - Color- Ishihara1080001250000039000000000080000000000320000260000029000000
Resting EKG1080001250000039000000000080000000000320000260000029000000
Spirometry1080001250000039000000000080000000000320000260000029000000
Completion of FD-967 and written summary of findings1080001250000039000000000080000000000320000260000029000000
EXAM TYPE
Fitness for Duty (Periodic) ExamsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR571212120969854106035483822011231511731815844556114793614194462457761618727161214162172112131169

IRBY, DIANNE E. (HRD) (FBI): IRBY, DIANNE E. (HRD) (FBI):

Check volumes for Columbia5284117325374186215232832083241121641322311312321264114285579991934
OSHA Audiogram (Includes review of Hearing History)57121212096985410603548382201123151173181584455611479361419446245776161872716121416217211213116
Tuberculosis Test (PPD) (Includes injection & post reading)57121212096985410603548382201123151173181584455611479361419446245776161872716121416217211213116
Vision - Peripheral57121212096985410603548382201123151173181584455611479361419446245776161872716121416217211213116
Vision - Depth57121212096985410603548382201123151173181584455611479361419446245776161872716121416217211213116
Resting EKG57121212096985410603548382201123151173181584455611479361419446245776161872716121416217211213116
Written summary of findings57121212096985410603548382201123151173181584455611479361419446245776161872716121416217211213116
EXAM TYPE
Department of State ExamsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR260344017000009000000000022000000000700005000003000000
HIV 1 and 2260344017000009000000000022000000000700005000003000000
Hemaglobin A1C for known Diabetics30300100000100000000002000000000100001000000000000
DOS forms260344017000009000000000022000000000700005000003000000
Audiometry260344017000009000000000022000000000700005000003000000
Vision260344017000009000000000022000000000700005000003000000
Hepatitis B Surface Antigen260344017000009000000000022000000000700005000003000000
Hepatitis B Antibody260344017000009000000000022000000000700005000003000000
Hepatitis C Antibody260344017000009000000000022000000000700005000003000000
EXAM TYPE
Hazmat ComponetsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
FD-900 review and FD-899 completion17728152211040550010000011500000100013010071100010100000
RBC and Plasma Cholinesterase Level (1 draw)17728152211040550010000011500000100013010071100010100000
EXAM TYPE
Department of Transportation ExamsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Department of Transportation Physical Exams (Commercial Drivers)* Per State Requirement1091200000100000000006000000000100001000003000000
EXAM TYPE
Federal Aviation Administration ExamsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Federal Aviation Administration (FAA) Physical Exams - Per Federal Requirement
EXAM TYPE
Respiratory Protection Componets ExamVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Respiratory Protection Examinations48000430000031000000000043000000000370000250000020000000
FD 900 and FD 899 forms48000430000031000000000043000000000370000250000020000000
EXAM TYPE
Diver Componets ExamVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Diver Examinations – Navy Dive (NOAA)60131801111000000000005003100000100001000000000000
Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR60131801111000000000005003100000100001000000000000
FD-1095a60131801111000000000005003100000100001000000000000
PFT60131801111000000000005003100000100001000000000000
EXAM TYPE
Language Specialists ExamsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Language Specialists Audiogram Only3556305801431800000000003500000000040100111000006100000
EXAM TYPE
Travel Medicine and/or ImmunizationsVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolumeVolume
Travel Medicine and/or Immunizations000690014310110000000000000000000010010000000100000
A LA CARTE SERVICES AND VACCINATIONS
Chest X-ray60131801111000000000005003100000100001000000000000
Complete Blood Count (CBC)679212120969979106035483825911231511731815852556114793614194462777761621327161214162462112131169
Blood Chemistry w/Lipids679212120969979106035483822011231511731815852556114793614194462777761621327161214162462112131169
Routine Urinalysis679212120969979106035483825911231511731815852556114793614194462777761621327161214162462112131169
Blood Lead (Includes Zinc Protoporphyrin)17728152211040550010000011500000100013010071100010100000
RBC and Plasma Cholinesterase Level (1 draw)17728152211040550010000011500000100013010071100010100000

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