2.2.1-RFP Attachment 2 Price Template.xlsx
XLSX spreadsheet 39 KB Posted
- Attached to
- Medical Service Support (MSS) Federal contract opportunity
- Solicitation number
- 70CMSD24R00000001
- Issued by
- Immigration and Customs Enforcement
About this file
This document appears to be a pricing template for a federal contract opportunity. The template lists various contract line items (CLINs) for pre-employment tests, independent medical examinations, drug testing services, one-stop mobile events, and laboratory services. The pricing is provided for the base year and four option years. The total evaluated price is $137,500 over the five-year period.
The related federal contract opportunity is for "Medical Service Support (MSS)" for the Department of Homeland Security, Immigration and Customs Enforcement. The scope encompasses pre-employment and post-employment medical, psychological, fitness, and drug testing services for ICE personnel across all 50 U.S. states, Puerto Rico, the Virgin Islands, the Mariana Islands, and potentially worldwide locations. Services will be requested by the ICE Office of Human Capital. The Contractor must be prepared for daily communication and inquiries due to the complex and technical nature of the requirements.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 2.2.1 - Vendor Q&A (landscape).pdf | ||
| 2.2.1 - Vendor Q&A.pdf | ||
| 2.2.1-RFP Attachment 2 Price Template Amendment 1.xlsx | XLSX spreadsheet | |
| 2.2.1-MSS RFP - Amendment 1 Complete.pdf | ||
| 2.2.1 - RFP Attachment 1 - PWS Apr 2024_IAD - Amendment 1.docx | DOCX document | |
| 2.2.1-RFP Attachment 4 PPQ.docx | DOCX document | |
| 2.2.1 - RFP Attachment 1 - PWS Apr 2024_IAD.pdf | ||
| 2.2.1 - RFP 70CMSD24R00000001.pdf | ||
| 2.2.1-Attachment 3 - Vendor Q&A Template.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Base Yr
| Item No. | Qty | Unit | Rate | Total | |
| Parent CLIN 0001 | Pre-Employment (Per Exam) | ||||
| 0001AA | Pre-Employment Physical Fitness Test | 800.00 | Each | $0.00 | |
| 0001AB | Pre-Employment Drug Test | 4200.00 | Each | $0.00 | |
| 0001AC | Pre-employment Medical Examination with TB Questionnaire | 3000.00 | Each | $0.00 | |
| 0001AD | Expediting Fee upon request of Agency | 50.00 | Each | $0.00 | |
| 0001AE OPTIONAL | Pre-Employment Psych Evaluation - initial personality inventory with form report | 2850.00 | Each | $0.00 | |
| 0001AF OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - form letter | 100.00 | Each | $0.00 | |
| 0001AG OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - full written report | 50.00 | Each | $0.00 | |
| 0001AH | Travel | 1.00 | LO | $25,000.00 | $25,000.00 |
| CLIN Total | $25,000.00 | ||||
| Parent CLIN 0002 | Fitness for Duty / Independent Medical Examinations | ||||
| 0002AA | General Medical Independent Medical Examination with Report (pre-psych) | 12.00 | Each | $0.00 | |
| 0002AB1 | Specialty Consult - Internal Medicine (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AB2 | Specialty Consult - Cardiology Evaluation (IME) with Report | 2.00 | Each | $0.00 | |
| 0002AB3 | Specialty Consult - Orthopedic Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AB4 | Specialty Consult - Psychiatric Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AB5 | Specialty Consult - Neurology Evaluation (IME) with Report | 2.00 | Each | $0.00 | |
| 0002AB6 | Specailty Consult - Ophthalmology Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AB7 | Specialty Consult - Physical Medicine (IME) with Report | 5.00 | Each | $0.00 | |
| 0002AB8 | Specialty Consult - Neuropsychological Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AB9 | Specialty Consult - Sports Medicine Evaluation (IME) with Report | 2.00 | Each | $0.00 | |
| 0002AC | Certified Independent Medical Evaluation with Report | 1.00 | Each | $0.00 | |
| 0002AD1 | Specialty Consult - Forensic Psychiatric Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AD2 | Specialty Consult - Pulmonology Evaluation (IME) with Report | 2.00 | Each | $0.00 | |
| 0002AD3 | Specialty Consult - Nephrology Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AD4 | Specialty Consult - Gastroenterology Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AD5 | Specialty Consult - Otolaryngology (ENT) Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AD6 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AD7 | Specialty Consult - General Psychology Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AD8 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1.00 | Each | $0.00 | |
| 0002AD9 | Specialty Consult - Police Psychology Evaluation (IME) with Report | 8.00 | Each | $0.00 | |
| 0002AE | Independent Medical Examination - No Show | 5.00 | Each | $0.00 | |
| 0002AF | Secondary and Tertiary Reviews (Paper Only) | 1.00 | HR | $0.00 | |
| 0002AG | Medical tests - Functional capacity evaluation with report | 5.00 | Each | $0.00 | |
| 0002AG1 | Medical Tests - Maximal stress EKG with MD interpretation | 1.00 | Each | $0.00 | |
| 0002AG2 | Medical Tests - Resting EKG w/ physician interpretation | 5.00 | Each | $0.00 | |
| 0002AG2 | Additional time for chart reviews (per hour) | 10.00 | HR | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0003 | Drug Free Work Place | ||||
| 0003AA | Random Drug Test Urinalysis Collection | 2100.00 | Each | $0.00 | |
| 0003AB | Post-Accident Drug Test Urinalysis Collection | 5.00 | Each | $0.00 | |
| 0003AC | Reasonable Suspicion Drug Test Urinalysis Collection | 5.00 | Each | $0.00 | |
| 0003AD | Statistician for Random Drug Test | 5.00 | Each | $0.00 | |
| 0003AE | Litigation Package (Laboratory Documentation for Positive Drug Tests Reports) | 5.00 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0004 | One Stop Mobile Events | ||||
| 0004AA | One Stop Mobile Event with Fitness Testing (3 day event) | 1.00 | Each | $0.00 | |
| 0004AB | One Stop Mobile Event with Fitness Testing (4 day event) | 1.00 | Each | $0.00 | |
| 0004AC | One Stop Mobile Event with Fitness Testing (5 day event) | 1.00 | Each | $0.00 | |
| 0004AD | One Stop Mobile Event minus Fitness Testing (3 day event) | 1.00 | Each | $0.00 | |
| 0004AE | One Stop Mobile Event minus Fitness Testing (4 day event) | 1.00 | Each | $0.00 | |
| 0004AF | One Stop Mobile Event minus Fitness Testing (5 day event) | 1.00 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0005 | Laboratory Services | ||||
| 0005AA | Telephone or Video Conference Consultation with Lab Per Hour | 1.00 | Each | $0.00 | |
| 0005AB | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Hour | 2.00 | Each | $0.00 | |
| 0005AC | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Day | 2.00 | Each | $0.00 | |
| 0005AD | Affidavit or Attestation by Lab | 4.00 | Each | $0.00 | |
| 0005AE | Opinion Letter by Lab | 4.00 | Each | $0.00 | |
| 0005AF | Expert Witness Testimony - MRO Per Hour | 2.00 | Each | $0.00 | |
| 0005AG | DFWP Blind Sample Testing - Per Sample | 210.00 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Base Year Total | $25,000.00 |
Option Yr 1
| Item No. | Qty | Unit | Rate | Total | |
| Parent CLIN 0001 | Pre-Employment (Per Exam) | ||||
| 0001AA | Pre-Employment Physical Fitness Test | 800 | Each | $0.00 | |
| 0001AB | Pre-Employment Drug Test | 4,200 | Each | $0.00 | |
| 0001AC | Pre-employment Medical Examination with TB Questionnaire | 3,000 | Each | $0.00 | |
| 0001AD | Expediting Fee upon request of Agency | 50 | Each | $0.00 | |
| 0001AE OPTIONAL | Pre-Employment Psych Evaluation - initial personality inventory with form report | 2,850 | Each | $0.00 | |
| 0001AF OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - form letter | 100 | Each | $0.00 | |
| 0001AG OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - full written report | 50 | Each | $0.00 | |
| 0001AH | Travel | 1 | LO | $25,000.00 | $25,000.00 |
| CLIN Total | $25,000.00 | ||||
| Parent CLIN 0002 | Fitness for Duty / Independent Medical Examinations | ||||
| 0002AA | General Medical Independent Medical Examination with Report (pre-psych) | 12 | Each | $0.00 | |
| 0002AB1 | Specialty Consult - Internal Medicine (IME) with Report | 1 | Each | $0.00 | |
| 0002AB2 | Specialty Consult - Cardiology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB3 | Specialty Consult - Orthopedic Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB4 | Specialty Consult - Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB5 | Specialty Consult - Neurology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB6 | Specailty Consult - Ophthalmology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB7 | Specialty Consult - Physical Medicine (IME) with Report | 5 | Each | $0.00 | |
| 0002AB8 | Specialty Consult - Neuropsychological Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB9 | Specialty Consult - Sports Medicine Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AC | Certified Independent Medical Evaluation with Report | 1 | Each | $0.00 | |
| 0002AD1 | Specialty Consult - Forensic Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD2 | Specialty Consult - Pulmonology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AD3 | Specialty Consult - Nephrology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD4 | Specialty Consult - Gastroenterology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD5 | Specialty Consult - Otolaryngology (ENT) Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD6 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD7 | Specialty Consult - General Psychology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD8 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD9 | Specialty Consult - Police Psychology Evaluation (IME) with Report | 8 | Each | $0.00 | |
| 0002AE | Independent Medical Examination - No Show | 5 | Each | $0.00 | |
| 0002AF | Secondary and Tertiary Reviews (Paper Only) | 1 | HR | $0.00 | |
| 0002AG | Medical tests - Functional capacity evaluation with report | 5 | Each | $0.00 | |
| 0002AG1 | Medical Tests - Maximal stress EKG with MD interpretation | 1 | Each | $0.00 | |
| 0002AG2 | Medical Tests - Resting EKG w/ physician interpretation | 5 | Each | $0.00 | |
| 0002AG2 | Additional time for chart reviews (per hour) | 10 | HR | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0003 | Drug Free Work Place | ||||
| 0003AA | Random Drug Test Urinalysis Collection | 2,100 | Each | $0.00 | |
| 0003AB | Post-Accident Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AC | Reasonable Suspicion Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AD | Statistician for Random Drug Test | 5 | Each | $0.00 | |
| 0003AE | Litigation Package (Laboratory Documentation for Positive Drug Tests Reports) | 5 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0004 | One Stop Mobile Events | ||||
| 0004AA | One Stop Mobile Event with Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AB | One Stop Mobile Event with Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AC | One Stop Mobile Event with Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| 0004AD | One Stop Mobile Event minus Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AE | One Stop Mobile Event minus Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AF | One Stop Mobile Event minus Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0005 | Laboratory Services | ||||
| 0005AA | Telephone or Video Conference Consultation with Lab Per Hour | 1 | Each | $0.00 | |
| 0005AB | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Hour | 2 | Each | $0.00 | |
| 0005AC | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Day | 2 | Each | $0.00 | |
| 0005AD | Affidavit or Attestation by Lab | 4 | Each | $0.00 | |
| 0005AE | Opinion Letter by Lab | 4 | Each | $0.00 | |
| 0005AF | Expert Witness Testimony - MRO Per Hour | 2 | Each | $0.00 | |
| 0005AG | Price for Blind Sample Testing - Per Sample | 210 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Option Year 1 Total | $25,000.00 |
Option Yr 2
| Item No. | Qty | Unit | Rate | Total | |
| Parent CLIN 0001 | Pre-Employment (Per Exam) | ||||
| 0001AA | Pre-Employment Physical Fitness Test | 800 | Each | $0.00 | |
| 0001AB | Pre-Employment Drug Test | 4,200 | Each | $0.00 | |
| 0001AC | Pre-employment Medical Examination with TB Questionnaire | 3,000 | Each | $0.00 | |
| 0001AD | Expediting Fee upon request of Agency | 50 | Each | $0.00 | |
| 0001AE OPTIONAL | Pre-Employment Psych Evaluation - initial personality inventory with form report | 2,850 | Each | $0.00 | |
| 0001AF OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - form letter | 100 | Each | $0.00 | |
| 0001AG OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - full written report | 50 | Each | $0.00 | |
| 0001AH | Travel | 1 | LO | $25,000.00 | $25,000.00 |
| CLIN Total | $25,000.00 | ||||
| Parent CLIN 0002 | Fitness for Duty / Independent Medical Examinations | ||||
| 0002AA | General Medical Independent Medical Examination with Report (pre-psych) | 12 | Each | $0.00 | |
| 0002AB1 | Specialty Consult - Internal Medicine (IME) with Report | 1 | Each | $0.00 | |
| 0002AB2 | Specialty Consult - Cardiology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB3 | Specialty Consult - Orthopedic Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB4 | Specialty Consult - Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB5 | Specialty Consult - Neurology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB6 | Specailty Consult - Ophthalmology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB7 | Specialty Consult - Physical Medicine (IME) with Report | 5 | Each | $0.00 | |
| 0002AB8 | Specialty Consult - Neuropsychological Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB9 | Specialty Consult - Sports Medicine Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AC | Certified Independent Medical Evaluation with Report | 1 | Each | $0.00 | |
| 0002AD1 | Specialty Consult - Forensic Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD2 | Specialty Consult - Pulmonology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AD3 | Specialty Consult - Nephrology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD4 | Specialty Consult - Gastroenterology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD5 | Specialty Consult - Otolaryngology (ENT) Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD6 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD7 | Specialty Consult - General Psychology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD8 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD9 | Specialty Consult - Police Psychology Evaluation (IME) with Report | 8 | Each | $0.00 | |
| 0002AE | Independent Medical Examination - No Show | 5 | Each | $0.00 | |
| 0002AF | Secondary and Tertiary Reviews (Paper Only) | 1 | HR | $0.00 | |
| 0002AG | Medical tests - Functional capacity evaluation with report | 5 | Each | $0.00 | |
| 0002AG1 | Medical Tests - Maximal stress EKG with MD interpretation | 1 | Each | $0.00 | |
| 0002AG2 | Medical Tests - Resting EKG w/ physician interpretation | 5 | Each | $0.00 | |
| 0002AG2 | Additional time for chart reviews (per hour) | 10 | HR | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0003 | Drug Free Work Place | ||||
| 0003AA | Random Drug Test Urinalysis Collection | 2,100 | Each | $0.00 | |
| 0003AB | Post-Accident Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AC | Reasonable Suspicion Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AD | Statistician for Random Drug Test | 5 | Each | $0.00 | |
| 0003AE | Litigation Package (Laboratory Documentation for Positive Drug Tests Reports) | 5 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0004 | One Stop Mobile Events | ||||
| 0004AA | One Stop Mobile Event with Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AB | One Stop Mobile Event with Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AC | One Stop Mobile Event with Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| 0004AD | One Stop Mobile Event minus Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AE | One Stop Mobile Event minus Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AF | One Stop Mobile Event minus Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0005 | Laboratory Services | ||||
| 0005AA | Telephone or Video Conference Consultation with Lab Per Hour | 1 | Each | $0.00 | |
| 0005AB | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Hour | 2 | Each | $0.00 | |
| 0005AC | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Day | 2 | Each | $0.00 | |
| 0005AD | Affidavit or Attestation by Lab | 4 | Each | $0.00 | |
| 0005AE | Opinion Letter by Lab | 4 | Each | $0.00 | |
| 0005AF | Expert Witness Testimony - MRO Per Hour | 2 | Each | $0.00 | |
| 0005AG | Price for Blind Sample Testing - Per Sample | 210 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Option Year 2 Total | $25,000.00 |
Option Yr 3
| Item No. | Qty | Unit | Rate | Total | |
| Parent CLIN 0001 | Pre-Employment (Per Exam) | ||||
| 0001AA | Pre-Employment Physical Fitness Test | 800 | Each | $0.00 | |
| 0001AB | Pre-Employment Drug Test | 4,200 | Each | $0.00 | |
| 0001AC | Pre-employment Medical Examination with TB Questionnaire | 3,000 | Each | $0.00 | |
| 0001AD | Expediting Fee upon request of Agency | 50 | Each | $0.00 | |
| 0001AE OPTIONAL | Pre-Employment Psych Evaluation - initial personality inventory with form report | 2,850 | Each | $0.00 | |
| 0001AF OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - form letter | 100 | Each | $0.00 | |
| 0001AG OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - full written report | 50 | Each | $0.00 | |
| 0001AH | Travel | 1 | LO | $25,000.00 | $25,000.00 |
| CLIN Total | $25,000.00 | ||||
| Parent CLIN 0002 | Fitness for Duty / Independent Medical Examinations | ||||
| 0002AA | General Medical Independent Medical Examination with Report (pre-psych) | 12 | Each | $0.00 | |
| 0002AB1 | Specialty Consult - Internal Medicine (IME) with Report | 1 | Each | $0.00 | |
| 0002AB2 | Specialty Consult - Cardiology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB3 | Specialty Consult - Orthopedic Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB4 | Specialty Consult - Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB5 | Specialty Consult - Neurology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB6 | Specailty Consult - Ophthalmology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB7 | Specialty Consult - Physical Medicine (IME) with Report | 5 | Each | $0.00 | |
| 0002AB8 | Specialty Consult - Neuropsychological Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB9 | Specialty Consult - Sports Medicine Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AC | Certified Independent Medical Evaluation with Report | 1 | Each | $0.00 | |
| 0002AD1 | Specialty Consult - Forensic Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD2 | Specialty Consult - Pulmonology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AD3 | Specialty Consult - Nephrology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD4 | Specialty Consult - Gastroenterology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD5 | Specialty Consult - Otolaryngology (ENT) Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD6 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD7 | Specialty Consult - General Psychology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD8 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD9 | Specialty Consult - Police Psychology Evaluation (IME) with Report | 8 | Each | $0.00 | |
| 0002AE | Independent Medical Examination - No Show | 5 | Each | $0.00 | |
| 0002AF | Secondary and Tertiary Reviews (Paper Only) | 1 | HR | $0.00 | |
| 0002AG | Medical tests - Functional capacity evaluation with report | 5 | Each | $0.00 | |
| 0002AG1 | Medical Tests - Maximal stress EKG with MD interpretation | 1 | Each | $0.00 | |
| 0002AG2 | Medical Tests - Resting EKG w/ physician interpretation | 5 | Each | $0.00 | |
| 0002AG2 | Additional time for chart reviews (per hour) | 10 | HR | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0003 | Drug Free Work Place | ||||
| 0003AA | Random Drug Test Urinalysis Collection | 2,100 | Each | $0.00 | |
| 0003AB | Post-Accident Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AC | Reasonable Suspicion Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AD | Statistician for Random Drug Test | 5 | Each | $0.00 | |
| 0003AE | Litigation Package (Laboratory Documentation for Positive Drug Tests Reports) | 5 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0004 | One Stop Mobile Events | ||||
| 0004AA | One Stop Mobile Event with Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AB | One Stop Mobile Event with Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AC | One Stop Mobile Event with Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| 0004AD | One Stop Mobile Event minus Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AE | One Stop Mobile Event minus Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AF | One Stop Mobile Event minus Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0005 | Laboratory Services | ||||
| 0005AA | Telephone or Video Conference Consultation with Lab Per Hour | 1 | Each | $0.00 | |
| 0005AB | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Hour | 2 | Each | $0.00 | |
| 0005AC | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Day | 2 | Each | $0.00 | |
| 0005AD | Affidavit or Attestation by Lab | 4 | Each | $0.00 | |
| 0005AE | Opinion Letter by Lab | 4 | Each | $0.00 | |
| 0005AF | Expert Witness Testimony - MRO Per Hour | 2 | Each | $0.00 | |
| 0005AG | Price for Blind Sample Testing - Per Sample | 210 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Option Year 3 Total | $25,000.00 |
Option Yr 4
| Item No. | Qty | Unit | Rate | Total | |
| Parent CLIN 0001 | Pre-Employment (Per Exam) | ||||
| 0001AA | Pre-Employment Physical Fitness Test | 800 | Each | $0.00 | |
| 0001AB | Pre-Employment Drug Test | 4,200 | Each | $0.00 | |
| 0001AC | Pre-employment Medical Examination with TB Questionnaire | 3,000 | Each | $0.00 | |
| 0001AD | Expediting Fee upon request of Agency | 50 | Each | $0.00 | |
| 0001AE OPTIONAL | Pre-Employment Psych Evaluation - initial personality inventory with form report | 2,850 | Each | $0.00 | |
| 0001AF OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - form letter | 100 | Each | $0.00 | |
| 0001AG OPTIONAL | Pre-Employment Psych Evaluation - individualized assessment by a psychiatrist or psychologist - full written report | 50 | Each | $0.00 | |
| 0001AH | Travel | 1 | LO | $25,000.00 | $25,000.00 |
| CLIN Total | $25,000.00 | ||||
| Parent CLIN 0002 | Fitness for Duty / Independent Medical Examinations | ||||
| 0002AA | General Medical Independent Medical Examination with Report (pre-psych) | 12 | Each | $0.00 | |
| 0002AB1 | Specialty Consult - Internal Medicine (IME) with Report | 1 | Each | $0.00 | |
| 0002AB2 | Specialty Consult - Cardiology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB3 | Specialty Consult - Orthopedic Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB4 | Specialty Consult - Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB5 | Specialty Consult - Neurology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AB6 | Specailty Consult - Ophthalmology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB7 | Specialty Consult - Physical Medicine (IME) with Report | 5 | Each | $0.00 | |
| 0002AB8 | Specialty Consult - Neuropsychological Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AB9 | Specialty Consult - Sports Medicine Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AC | Certified Independent Medical Evaluation with Report | 1 | Each | $0.00 | |
| 0002AD1 | Specialty Consult - Forensic Psychiatric Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD2 | Specialty Consult - Pulmonology Evaluation (IME) with Report | 2 | Each | $0.00 | |
| 0002AD3 | Specialty Consult - Nephrology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD4 | Specialty Consult - Gastroenterology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD5 | Specialty Consult - Otolaryngology (ENT) Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD6 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD7 | Specialty Consult - General Psychology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD8 | Specialty Consult - Dermatology Evaluation (IME) with Report | 1 | Each | $0.00 | |
| 0002AD9 | Specialty Consult - Police Psychology Evaluation (IME) with Report | 8 | Each | $0.00 | |
| 0002AE | Independent Medical Examination - No Show | 5 | Each | $0.00 | |
| 0002AF | Secondary and Tertiary Reviews (Paper Only) | 1 | HR | $0.00 | |
| 0002AG | Medical tests - Functional capacity evaluation with report | 5 | Each | $0.00 | |
| 0002AG1 | Medical Tests - Maximal stress EKG with MD interpretation | 1 | Each | $0.00 | |
| 0002AG2 | Medical Tests - Resting EKG w/ physician interpretation | 5 | Each | $0.00 | |
| 0002AG2 | Additional time for chart reviews (per hour) | 10 | HR | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0003 | Drug Free Work Place | ||||
| 0003AA | Random Drug Test Urinalysis Collection | 2,100 | Each | $0.00 | |
| 0003AB | Post-Accident Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AC | Reasonable Suspicion Drug Test Urinalysis Collection | 5 | Each | $0.00 | |
| 0003AD | Statistician for Random Drug Test | 5 | Each | $0.00 | |
| 0003AE | Litigation Package (Laboratory Documentation for Positive Drug Tests Reports) | 5 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0004 | One Stop Mobile Events | ||||
| 0004AA | One Stop Mobile Event with Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AB | One Stop Mobile Event with Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AC | One Stop Mobile Event with Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| 0004AD | One Stop Mobile Event minus Fitness Testing (3 day event) | 1 | Each | $0.00 | |
| 0004AE | One Stop Mobile Event minus Fitness Testing (4 day event) | 1 | Each | $0.00 | |
| 0004AF | One Stop Mobile Event minus Fitness Testing (5 day event) | 1 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Parent CLIN 0005 | Laboratory Services | ||||
| 0005AA | Telephone or Video Conference Consultation with Lab Per Hour | 1 | Each | $0.00 | |
| 0005AB | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Hour | 2 | Each | $0.00 | |
| 0005AC | In-Person Professional Services (Testimony or Deposition by Lab Personnel) Per Day | 2 | Each | $0.00 | |
| 0005AD | Affidavit or Attestation by Lab | 4 | Each | $0.00 | |
| 0005AE | Opinion Letter by Lab | 4 | Each | $0.00 | |
| 0005AF | Expert Witness Testimony - MRO Per Hour | 2 | Each | $0.00 | |
| 0005AG | Price for Blind Sample Testing - Per Sample | 210 | Each | $0.00 | |
| CLIN Total | $0.00 | ||||
| Option Year 4 Total | $25,000.00 |
Summary
| <VENDOR> Proposed Price | |
| Base Yr | $25,000.00 |
| OY1 | $25,000.00 |
| OY2 | $25,000.00 |
| OY3 | $25,000.00 |
| OY4 | $25,000.00 |
| TOTAL | $125,000.00 |
| * The above TOTAL is the five year proposed price. |
| 6 Month Option to extend the term. | $12,500.00 |
| Total Evaluated Price (TEP) | $137,500.00 |
File details come from the government source that posted it. Updated .