Attachment D Pricing Spreadsheet_Amend 3.xlsx
XLSX spreadsheet 19 KB Posted
- Attached to
- RFP - Medical Evaluations and Services
- Solicitation number
- 15F06725R0000538
About this file
This document is a Pricing Spreadsheet (Attachment D) for a medical evaluation services contract with the Federal Bureau of Investigation (FBI). The spreadsheet details volume estimates for multiple types of medical examinations and services across a base year and four option years, including pre-employment physicals, fitness for duty exams, Department of State/Embassy personnel exams, hazardous materials response exams, transportation and aviation physical exams, respiratory protection examinations, and specialized services like travel medicine, audiograms, and various laboratory tests. The spreadsheet provides a comprehensive breakdown of examination types, including specific components such as physical exams, HIV testing, hepatitis screenings, tuberculosis tests, blood work, and additional a la carte services like vaccinations and specialized medical screenings. While the pricing columns are currently populated with zero values, the document serves as a detailed pricing and volume template for the proposed Indefinite Delivery/Indefinite Quantity (IDIQ) contract for nationwide medical evaluation services supporting FBI employees.
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Total Value Estimate
| Exam/Service Type | Volume Estimates | Base Year | Option Year 1 | Option Year 2 | Option Year 3 | Option Year 4 | 6 Month Ext | Total |
| Pre-Employment (Applicant) Physical Examinations | 1,397 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Fitness for Duty (FFD) Periodic Examinations | 3,300 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Department of State/Embassy Personnel Examinations | 542 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hazardous Materials Response Examinations | 674 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Department of Transportation Physical Exams (Commercial Drivers) | 189 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Federal Aviation Administration Physical Exams (FAA) | 255 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Respiratory Protection Examinations | 1,236 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Diver Examinations – Navy Dive (NOAA) | 99 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Audiogram Only | 683 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Travel Medicine Review Exams and/or Immunizations | 5,871 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Chest X-ray | 99 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Complete Blood Count (CBC) with Differential | 13563 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Comprehensive Metabolic Panel with ALT | 13563 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Routine Urinalysis | 13563 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Blood Lead | 672 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| RBC and Plasma Cholinesterase Level (1 draw) | 672 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| PFT (Spirometry) | 99 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Totals | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
Exam Pricing
| Exam Type | Base Year | Option Year 1 | Option Year 2 | Option Year 3 | Option Year 4 | 6 Month Ext |
| Pre-Employment (Applicant) Exams | ||||||
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | ||||||
| OSHA Audiogram (Includes review of Hearing History) | ||||||
| Tuberculosis Test (PPD) (Includes injection & post reading) | ||||||
| Vision - Peripheral | ||||||
| Vision - Color- Ishihara or Computerized | ||||||
| Resting EKG | ||||||
| Completion of FD-967 and written summary of findings | ||||||
| Total | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Fitness for Duty (Periodic) Exams | ||||||
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | ||||||
| OSHA Audiogram (Includes review of Hearing History) | ||||||
| Tuberculosis Test (PPD) (Includes injection & post reading) | ||||||
| Vision - Peripheral | ||||||
| Resting EKG | ||||||
| Written summary of findings | ||||||
| Total | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Department of State Exams | ||||||
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | ||||||
| HIV 1 and 2 | ||||||
| DOS forms | ||||||
| Hepatitis B Surface Antigen | ||||||
| Hepatitis C Antibody | ||||||
| Tuberculosis Skin Test | ||||||
| Complete Blood Count with Differential | ||||||
| Complete Metabolic Panel with ALT | ||||||
| Rapid Plasma Reagin | ||||||
| Total | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Hazmat Componets |
| FD-900 review and FD-899 completion |
| Department of Transportation Exams |
| Department of Transportation Physical Exams (Commercial Drivers)* Per State Requirement |
| Federal Aviation Administration Exams |
| Federal Aviation Administration (FAA) Physical Exams - Per Federal Requirement |
| Respiratory Protection Componets Exam | ||||||
| Respiratory Protection Examinations | ||||||
| FD 900 and FD 899 forms | ||||||
| Total | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Diver Componets Exam | ||||||
| Diver Examinations – Navy Dive (NOAA) | ||||||
| FD-1065a | ||||||
| FD 900 and FD 899 forms | ||||||
| Total | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Audiogram Only |
| Audiogram |
| Travel Medicine Review Exams and/or Immunizations |
| Travel Medicine Review Exams and/or Immunizations |
| A LA CARTE SERVICES |
| Chest X-ray |
| Complete Blood Count (CBC) with Differential |
| Comprehensive Metabolic Panel with ALT |
| Lipid Panel |
| Routine Urinalysis |
| Blood Lead |
| Zinc Protoporphyrin (ZPP) |
| RBC and Plasma Cholinesterase Level (1 draw) |
| PFT (Spirometry) |
| Hepatitis A vaccine |
| Hepatitis B vaccine |
| HIV I and HIV II |
| Glycosylated Hemoglobin (A1C) |
| Hepatitis B Surface Antigen |
| Hepatitis C Antibody |
| G6PD |
| Twinrix |
| Meningitis |
| MMR |
| Inactivated Polio |
| Tetanus/Diptheria |
| Tetanus/Diptheria/Pertussis |
| Varicella |
| Thyphoid |
| Yellow Fever |
| Rabies |
| Quantiferon Gold |
| Whisper Test |
| Blood Group and Type |
| Expedited Services Fee |
| Seasonal Influenza (ADMINISTRATION OF VACCINE ONLY) |
| Seasonal Influenza |
| Anti-Malaria Medication |
| Antibiotics for Travelers Diarrhea |
| Medication for Altitude Sickness |
| Anthrax |
| COVID-19 (ADMINISTRATION OF VACCINE ONLY) |
| COVID-19 vaccine |
| Japanese Encephalitis |
| Syphilis Test Non-treponemal Antibody Qualitative (e.g. VDRL RPR ART) |
| Syphilis Test Non-treponemal Antibody Quantitative |
| ECG-Resting 12 lead with interpretation |
| Tuberculosis Skin Test |
| Comprehensive Vision Screening |
| Color Vision Testing |
| Supplemental Form Fee for Applicant Exams |
| IGRA |
| GRA |
| Language Specialist Exam |
| Focused Respiratory Protection Exam |
| Hazardous Devices School (HDS) Physical Standards Form |
File details come from the government source that posted it. Updated .