Solicitation_Pricing_Table_(19-236-SOL-00017-1).pdf

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Attached to
Tort Claims Peer Review Services Federal contract opportunity
Solicitation number
19-236-SOL-00017-1
Issued by
Department of Health and Human Services Indian Health Service

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Tort Claims Peer Review Services

Indian Health Service

Office of Clinical and Preventive Services

Solicitation #: 19-236-SOL-00017-1

Please review the Statement of Work (SOW) outlining the requirements that was included with the solicitation communication. If you are interested in providing the services specified in the SOW, please complete the proposed pricing in the table below for this non-personal services opportunity.

CLIN 1 Period of Performance: April 1, 2019 – March 31, 2020 TOTAL

This is a Firm-Fixed Price CLIN for:

Estimated Maximum Total Reviews = Up to 75

Per Review

Total Cost of CLIN 1 (Per Review Rate x Estimated Maximum Total Reviews) $ ________

CLIN 2 Period of Performance: April 1, 2020 – March 31, 2021 TOTAL

Total Cost of CLIN 2 $ ________

CLIN 3 Period of Performance: April 1, 2021 – March 31, 2022 TOTAL

Total Cost of CLIN 3 $ ________

CLIN 4 Period of Performance: April 1, 2022 – March 31, 2023 TOTAL

Total Cost of CLIN 4 $ ________

CLIN 5 Period of Performance: April 1, 2023 – March 31, 2024 TOTAL

Total Cost of CLIN 5 $ ________

Tort Claims Peer Review Services

Indian Health Service

Office of Clinical and Preventive Services

Please provide a formal proposal no later than 20 March 2019, 5:00 P.M. (EST).

Your quote must include the following information:

Vendor DUNS # Pricing as outlined above

The North American Industry Classification System (NAICS) code is 541199: All Other Legal Services.

The small business size standard is $11.0 million.

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