J.3. Pricing Template - 1605C3-24-R-00009.xlsx

XLSX spreadsheet 91 KB Posted

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NURSE AND VOCATIONAL REHABILITATION CASE MANAGEMENT SERVICES (NVRS)
Solicitation number
1605C3-24-R-00009
Issued by

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This document is a Pricing Template for a federal contract opportunity titled "NURSE AND VOCATIONAL REHABILITATION CASE MANAGEMENT SERVICES (NVRS)". The solicitation is being issued by the U.S. Department of Labor, Office of Workers' Compensation Programs (U.S. DOL OWCP) for Nurse and Vocational Rehabilitation Case Management Services.

The Pricing Template provides instructions and assumptions for pricing various contract line items (CLINs) related to Triage Nurse Closure Reports, Field Nurse Regular and Site Visit Reports, SECOP Prep Packets, Rehabilitation Counselor Regular and Site Visit Reports, Vocational Rehabilitation Plans, travel expenses, and other direct expenses. Pricing is requested across 10 geographic regions, with tiered pricing for certain report submissions. The estimated quantities provided are for evaluation purposes only and do not represent the actual contract quantities. The total evaluated price across the base period and four option periods is $1,767,577.65. Questions on the solicitation are due by June 7, 2024.

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1605C3-24-R-00009 Amendment 0002.pdf PDF
Attach J.4- Region WD - 1605C3-24-R-00009-Updated.txt TXT text file
J.3. Pricing Template - 1605C3-24-R-00009 - updated.xlsx XLSX spreadsheet
1605C3-24-R-00009 Amendment 0001.pdf PDF
Attachment J2 QA Spreadsheet - consolidated list.pdf PDF
J.7 List of Proposed Contractor Personnel Template updated.xlsx XLSX spreadsheet
DMP Overview Updated.pptx PPTX presentation
1605C3-24-R-00009.pdf PDF
J.8 DMP Overview Updated 1605C3-24-R-00009.pptx PPTX presentation
J.5 Past Performance Questionnaire - 1605C3-24-R-00009.docx DOCX document
Attach J.2-QA Spreadsheet - 1605C3-24-R-00009.xls XLS spreadsheet
J.1-QASP NVRS 1605C3-24-R-00009.docx DOCX document
Attach J.4- Region WD - 1605C3-24-R-00009.txt TXT text file
J. 6- Subcontracting Plan Template - 1605C3-24-R-00009.docx DOCX document
J.7 List of Proposed Contractor Personnel Template 1605C3-24-R-00009.xlsx XLSX spreadsheet
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Assumptions & Instructions

Contract Line Item Number (CLIN)Pricing Assumptions (Reference Technical Exhibit 4 of the PWS for additional information on the Regions)Instructions
CLIN X001The established "number of units" by region for the Triage Nurse (TN) Closure Reports is a reasonable estimate based on the data provided in Technical Exhibit 3 but does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
CLIN X002The established "number of units" by region for the Registered Field Nurses (FN) Regular Report* is a reasonable estimate based on the data provided in Technical Exhibit 3 but does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only.

*As stated in the PWS, the FN completes either Regular Reports or Site visit Reports for each assigned case on a monthly basis. The FNs may also complete SECOP Prep Packets in addition to the Regular/Site Visit Reports, if applicable.

Tier pricing is applied based on submission date.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 1Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 2Tier 2 pricing cell is locked for entry and will be calculated automatically. Any modifications are restricted
CLIN X003The established "number of units" by region for the FN Site Visit Report is based on the data provided in Technical Exhibit 3 but does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only.
Tier pricing is applied based on submission date.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 1Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 2Tier 2 pricing cell is locked for entry, and will be calculated automatically
CLIN X004The established "number of units" by region is a reasonable estimate and does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only. The "per unit rate "should be based on the GSA Mileage rates: https://www.gsa.gov/travel/plan-book/transportation-airfare-pov-etc/privately-owned-vehicle-mileage-rates/pov-mileage-rates-archived.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
CLIN X005Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
CLIN X006The established "number of units" by region for the SECOP Prep Packet is a reasonable estimate based on the data provided in Technical Exhibit 3 but does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
CLIN X007The established "number of units" by region for the Rehabilitation Counselor (RC) Regular Report* is a reasonable estimate based on the data provided in Technical Exhibit 3 but does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only.

*As stated in the PWS, the RC complete either Regular Reports or Site Visit Reports for each assigned case on a monthly basis. The RCs may also complete Vocational Rehabilitation Plans in addition to the Regular/Site Visit Reports, if applicable.

Tier pricing is applied based on submission date.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 1Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 2Tier 2 pricing cell is locked for entry and will be calculated automatically. Any modifications are restricted
CLIN X008The established "number of units" by region for the RC Site Visit Report is a reasonable estimate based on the data provided in Technical Exhibit 3 but does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only.
Tier pricing is applied based on submission date.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 1Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 2Tier 2 pricing cell is locked for entry and will be calculated automatically. Any modifications are restricted
CLIN X009The established "number of units" by region for the Vocational Rehabilitation Plan is a reasonable estimate based on historical data/annual average. However, the established "number of units" by region are provided for evaluation purposes only and do not represent/limit the actual "number of units" by region in the contract to be awarded.
Tier pricing is applied based on submission date.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 1Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
Tier 2Tier 2 pricing cell is locked for entry and will be calculated automatically. Any modifications are restricted
CLIN X010The established "number of units" by region is a reasonable estimate and does not represent/limit the actual "number of units" by region in the contract to be awarded. The established "number of units" by region are provided for evaluation purposes only. The "per unit rate "should be based on the GSA Mileage rates: https://www.gsa.gov/travel/plan-book/transportation-airfare-pov-etc/privately-owned-vehicle-mileage-rates/pov-mileage-rates-archived.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.
CLIN X011The Not To Exceed (NTE) amounts are based on resonable estimates and included into total calculations.RC Other Direct Expenses, NTE" in Excel comes pre-populated and is locked for data entry. Any modifications are restricted
CLIN X012The established "number of units" by region for Longshore VR cases is a reasonable estimate and is based on historical data/annual average. Historically, the cost per case is approximately $2,900.Please input pricing into the cells highlighted in yellow, as shown here. Subtotals will be calculated automatically.

Pricing Template

Period of PerformanceContract Line Item Number (CLIN)Item DescriptionUnit MeasureRegion 1Region 2Region 3Region 4Region 5Region 6Region 7Region 8Region 9Region 10SUBTOTALS (Base Pricing only)
# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit# of units (for evaluation only; not actual numbers)Proposed Price per unit
BASE PERIODCLIN 0001Triage Nurse Closure ReportCase1,4848495092,8601,4842,0835511,20112921$ - 0
CLIN 0002FN Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each3,845$ - 02,200$ - 01,318$ - 07,410$ - 03,845$ - 05,398$ - 01,427$ - 03,112$ - 0335$ - 055$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.Each$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 0003FN Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each2,071$ - 01,184$ - 0710$ - 03,990$ - 02,071$ - 02,906$ - 0769$ - 01,676$ - 0181$ - 029$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.Each$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 0004FN Travel GSA Milage ChargeMiles236,936$ - 0135,529$ - 081,222$ - 0456,571$ - 0236,936$ - 0332,576$ - 087,950$ - 0191,760$ - 020,666$ - 03,364$ - 0$ - 0
CLIN 0005FN Other Direct ExpensesActual$ - 0
CLIN 0006SECOP Prep PacketEach887$ - 0508$ - 0304$ - 01,710$ - 0887$ - 01,246$ - 0329$ - 0718$ - 077$ - 013$ - 0$ - 0
CLIN 0007RC Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each1,755$ - 0616$ - 0959$ - 03,276$ - 01,154$ - 02,738$ - 0250$ - 01,529$ - 0109$ - 039$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 0008RC Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each945$ - 0332$ - 0517$ - 01,764622$ - 01,474$ - 0134$ - 0823$ - 059$ - 021$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 0009Vocational Rehabilitation Plan
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 121- 150 calendar days after the day of the RC assignment.Each563$ - 0198$ - 0308$ - 01,052$ - 0371$ - 0879$ - 080$ - 0491$ - 035$ - 013$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and conforming report is submitted within 120 calendar days after the day of the of the RC assignment.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 0010RC Travel GSA Milage ChargeMiles48,488$ - 017,025$ - 026,507$ - 090,511$ - 031,894$ - 075,641$ - 06,896$ - 042,238$ - 03,017$ - 01,078$ - 0$ - 0
CLIN 0011RC Other Direct Expenses, NTEActual$ 332,931.33
CLIN 0012Longshore VR casesCase2$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 0$ - 0
Total of Base Period$ 332,931.33
OPTION PERIOD 1CLIN 1001Triage Nurse Closure ReportCase1,484$ - 0849$ - 0509$ - 02,860$ - 01,484$ - 02,083$ - 0551$ - 01,201$ - 0129$ - 021$ - 0$ - 0
CLIN 1002FN Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each3,845$ - 02,200$ - 01,318$ - 07,410$ - 03,845$ - 05,398$ - 01,427$ - 03,112$ - 0335$ - 055$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 1003FN Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each2,071$ - 01,184$ - 0710$ - 03,990$ - 02,071$ - 02,906$ - 0769$ - 01,676$ - 0181$ - 029$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 1004FN Travel GSA Milage ChargeMiles236,936$ - 0135,529$ - 081,222$ - 0456,571$ - 0236,936$ - 0332,576$ - 087,950$ - 0191,760$ - 020,666$ - 03,364$ - 0$ - 0
CLIN 1005FN Other Direct ExpensesActual$ - 0
CLIN 1006SECOP Prep PacketEach887$ - 0508$ - 0304$ - 01,710$ - 0887$ - 01,246$ - 0329$ - 0718$ - 077$ - 013$ - 0$ - 0
CLIN 1007RC Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each1,755$ - 0616$ - 0959$ - 03,276$ - 01,154$ - 02,738$ - 0250$ - 01,529$ - 0109$ - 039$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 1008RC Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each945$ - 0332$ - 0517$ - 01,764$ - 0622$ - 01,474$ - 0134$ - 0823$ - 059$ - 021$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 1009Vocational Rehabilitation Plan
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 121- 150 calendar days after the day of the RC assignment.Each563$ - 0198$ - 0308$ - 01,052$ - 0371$ - 0879$ - 080$ - 0491$ - 035$ - 013$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and conforming report is submitted within 120 calendar days after the day of the of the RC assignment.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 1010RC Travel GSA Milage ChargeMiles48,488$ - 017,025$ - 026,507$ - 090,511$ - 031,894$ - 075,641$ - 06,896$ - 042,238$ - 03,017$ - 01,078$ - 0$ - 0
CLIN 1011RC Other Direct Expenses, NTEActual$ 342,919.27
CLIN 1012Longshore VR casesCase2$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 0$ - 0
Total of Option Period 1$ 342,919.27
OPTION PERIOD 2CLIN 2001Triage Nurse Closure ReportCase1,484$ - 0849$ - 0509$ - 02,860$ - 01,484$ - 02,083$ - 0551$ - 01,201$ - 0129$ - 021$ - 0$ - 0
CLIN 2002FN Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each3,845$ - 02,200$ - 01,318$ - 07,410$ - 03,845$ - 05,398$ - 01,427$ - 03,112$ - 0335$ - 055$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0- 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 2003FN Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each2,071$ - 01,184$ - 0710$ - 03,990$ - 02,071$ - 02,906$ - 0769$ - 01,676$ - 0181$ - 029$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 2004FN Travel GSA Milage ChargeMiles236,936$ - 0135,529$ - 081,222$ - 0456,571$ - 0236,936$ - 0332,576$ - 087,950$ - 0191,760$ - 020,666$ - 03,364$ - 0$ - 0
CLIN 2005FN Other Direct ExpensesActual$ - 0
CLIN 2006SECOP Prep PacketEach887$ - 0508$ - 0304$ - 01,710$ - 0887$ - 01,246$ - 0329$ - 0718$ - 077$ - 013$ - 0$ - 0
CLIN 2007RC Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each1,755$ - 0616$ - 0959$ - 03,276$ - 01,154$ - 02,738$ - 0250$ - 01,529$ - 0109$ - 039$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 2008RC Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each945$ - 0332$ - 0517$ - 01,764$ - 0622$ - 01,474$ - 0134$ - 0823$ - 059$ - 021$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 2009Vocational Rehabilitation Plan
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 121- 150 calendar days after the day of the RC assignment.Each563$ - 0198$ - 0308$ - 01,052$ - 0371$ - 0879$ - 080$ - 0491$ - 035$ - 013$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and conforming report is submitted within 120 calendar days after the day of the of the RC assignment.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 2010RC Travel GSA Milage ChargeMiles48,488$ - 017,025$ - 026,507$ - 090,511$ - 031,894$ - 075,641$ - 06,896$ - 042,238$ - 03,017$ - 01,078$ - 0$ - 0
CLIN 2011RC Other Direct Expenses, NTEActual$ 353,206.85
CLIN 2012Longshore VR casesCase2$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 0$ - 0
Total of Option Period 2$ 353,206.85
OPTION PERIOD 3CLIN 3001Triage Nurse Closure ReportCase1,484$ - 0849$ - 0509$ - 02,860$ - 01,484$ - 02,083$ - 0551$ - 01,201$ - 0129$ - 021$ - 0$ - 0
CLIN 3002FN Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each3,845$ - 02,200$ - 01,318$ - 07,410$ - 03,845$ - 05,398$ - 01,427$ - 03,112$ - 0335$ - 055$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 3003FN Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each2,071$ - 01,184$ - 0710$ - 03,990$ - 02,071$ - 02,906$ - 0769$ - 01,676$ - 0181$ - 029$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 3004FN Travel GSA Milage ChargeMiles236,936$ - 0135,529$ - 081,222$ - 0456,571$ - 0236,936$ - 0332,576$ - 087,950$ - 0191,760$ - 020,666$ - 03,364$ - 0$ - 0
CLIN 3005FN Other Direct ExpensesActual$ - 0
CLIN 3006SECOP Prep PacketEach887$ - 0508$ - 0304$ - 01,710$ - 0887$ - 01,246$ - 0329$ - 0718$ - 077$ - 013$ - 0$ - 0
CLIN 3007RC Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each1,755$ - 0616$ - 0959$ - 03,276$ - 01,154$ - 02,738$ - 0250$ - 01,529$ - 0109$ - 039$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 3008RC Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each945$ - 0332$ - 0517$ - 01,764$ - 0622$ - 01,474$ - 0134$ - 0823$ - 059$ - 021$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 3009Vocational Rehabilitation Plan
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 121- 150 calendar days after the day of the RC assignment.Each563$ - 0198$ - 0308$ - 01,052$ - 0371$ - 0879$ - 080$ - 0491$ - 035$ - 013$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and conforming report is submitted within 120 calendar days after the day of the of the RC assignment.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 3010RC Travel GSA Milage ChargeMiles48,488$ - 017,025$ - 026,507$ - 090,511$ - 031,894$ - 075,641$ - 06,896$ - 042,238$ - 03,017$ - 01,078$ - 0$ - 0
CLIN 3011RC Other Direct Expenses, NTEActual$ 363,803.05
CLIN 3012Longshore VR casesCase2$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 0$ - 0
Total of Option Period 3$ 363,803.05
OPTION PERIOD 4CLIN 4001Triage Nurse Closure ReportCase1,484$ - 0849$ - 0509$ - 02,860$ - 01,484$ - 02,083$ - 0551$ - 01,201$ - 0129$ - 021$ - 0$ - 0
CLIN 4002FN Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each3,845$ - 02,200$ - 01,318$ - 07,410$ - 03,845$ - 05,398$ - 01,427$ - 03,112$ - 0335$ - 055$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 4003FN Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each2,071$ - 01,184$ - 0710$ - 03,990$ - 02,071$ - 02,906$ - 0769$ - 01,676$ - 0181$ - 029$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 4004FN Travel GSA Milage ChargeMiles236,936$ - 0135,529$ - 081,222$ - 0456,571$ - 0236,936$ - 0332,576$ - 087,950$ - 0191,760$ - 020,666$ - 03,364$ - 0$ - 0
CLIN 4005FN Other Direct ExpensesActual$ - 0
CLIN 4006SECOP Prep PacketEach887$ - 0508$ - 0304$ - 01,710$ - 0887$ - 01,246$ - 0329$ - 0718$ - 077$ - 013$ - 0$ - 0
CLIN 4007RC Regular Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each1,755$ - 0616$ - 0959$ - 03,276$ - 01,154$ - 02,738$ - 0250$ - 01,529$ - 0109$ - 039$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 4008RC Site Visit Report
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 11-30 calendar days after the end date of the monthly service period.Each945$ - 0332$ - 0517$ - 01,764$ - 0622$ - 01,474$ - 0134$ - 0823$ - 059$ - 021$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and the conforming report is submitted within ten (10) calendar days after the end date of the monthly service period.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 4009Vocational Rehabilitation Plan
Tier 1Base billable price if the required report is approved by the FECA program and the conforming report is submitted within 121- 150 calendar days after the day of the RC assignment.Each563$ - 0198$ - 0308$ - 01,052$ - 0371$ - 0879$ - 080$ - 0491$ - 035$ - 013$ - 0$ - 0
Tier 2Highest billable price (10% increase of Tier 1 price) if the required report is approved by the FECA program and conforming report is submitted within 120 calendar days after the day of the of the RC assignment.$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CLIN 4010RC Travel GSA Milage ChargeMiles48,488$ - 017,025$ - 026,507$ - 090,511$ - 031,894$ - 075,641$ - 06,896$ - 042,238$ - 03,017$ - 01,078$ - 0$ - 0
CLIN 4011RC Other Direct Expenses, NTEActual$ 374,717.15
CLIN 4012Longshore VR casesCase2$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 02$ - 0$ - 0
Total of Option Period 4$ 374,717.15

Summary

Period of PerformanceTotal
Base Period$ 332,931.33
Option Period 1$ 342,919.27
Option Period 2$ 353,206.85
Option Period 3$ 363,803.05
Option Period 4$ 374,717.15
Total Evaluated Price:$ 1,767,577.65
DESCRIPTION OF WORKTier pricing
Triage Nurse Closure Report/ documentation in DMPNo tier pricing applied.
FN Regular ReportTier pricing is applied based on submission date.
FN Site Visit ReportTier pricing is applied based on submission date.
FN Travel GSA Milage ChargeNo tier pricing applied.
FN Other Direct ExpensesNo tier pricing applied.
SECOP Prep PacketNo tier pricing applied.
RC Regular ReportTier pricing is applied based on submission date.
RC Site Visit ReportTier pricing is applied based on submission date.
Vocational Rehabilitation PlanTier pricing is applied based on submission date.
RC Travel GSA Milage ChargeNo tier pricing applied.
RC Other Direct ExpensesNo tier pricing applied.
Longshore VR casesNo tier pricing applied.

File details come from the government source that posted it. Updated .