Revised Attachment E - Proposal Price Template HSI Participant - Amendment 0002.xlsx

XLSX spreadsheet 62 KB Posted

Attached to
R422- HSI Participant Recruitment Federal contract opportunity
Solicitation number
36C10G25Q0094
Issued by
Department of Veterans Affairs Headquarters

About this file

The file is a detailed Proposal Price Template for a Department of Veterans Affairs (VA) contract solicitation for Human Systems Integration (HSI) Participant Recruitment. The pricing document outlines a five-year contract with a base period and four one-year option periods, with a total proposed price of $262,700.00. Each contract period (base and option years) is structured identically, with a primary cost of $40,925.00 for participant reimbursement and an additional optional task cost of $11,615.00.

The pricing template includes extensive breakdowns for each contract period, covering multiple monthly deliverables such as test session schedules, participant agreements, communication copies, screening questionnaires, study checklists, study notes, audio/visual files, and payment records. The document also details escalation rates and labor costs for key personnel including a Program Manager III, Project Manager II, Informatics Specialist/Bioinformatician, and Health System Specialist II, with hourly rates increasing by 3% annually. Travel costs are consistently budgeted at $81,000 per year, including team travel to Washington DC and attendance at industry conferences like Healthcare Information and Management Systems Society (HIMSS) and meetings related to the Office of the National Coordinator.

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INSTRUCTIONS

INSTRUCTIONS
1On IGCE Summary Tab - Offeror shall fill in highlighted cell with their company name. Name will auto populate on all remaining worksheet tabs.
*All remaining information will auto calculate and auto populate from information provided in the remaining worksheet tabs.
*Offerors are ENCOURAGED to confirm total proposed amounts on the summary tab.
2On Base and Option Period Tabs - Offeror shall complete highlighted cell with their unit price for deliverables.
NOTE:
a.Offeror shall only fill in the highlighted cells.
b.Offeror shall not alter the worksheet or workbook in any way.

Summary

Offeror Name:

SUMMARY OF PROPOSED PRICE

Total Proposed Price:

$262,700.00

Contract Period of PerformanceStart DateEnd DateTotal
Base Period9/1/258/31/26$52,540.00
Option Year 19/1/268/31/27$52,540.00
Option Year 29/1/278/31/28$52,540.00
Option Year 39/1/288/31/29$52,540.00
Option Year 49/1/298/31/30$52,540.00

Base Year Option Year 3

Base Period $ 40,925.00 Option Year Period Three $ 40,925.00 0 0

BASE Period- Optional Task $ 11,615.00 Option Year Period Three -Optional Task $ 11,615.00 0 0

Option Year 1 Option Year 4

Option Year Period One $ 40,925.00 Option Year Period Four $ 40,925.00 0 0

Option Year Period One- Optional Task $ 11,615.00 Option Year Period Four -Optional Task $ 11,615.00 0 0

Option Period 2

Option Year Period Two $ 40,925.00

Option Year Period Two -Optional Task $ 11,615.00

&"Arial,Regular"&24HSI Recruitment Participant &"Arial,Regular"&24Attachment E Proposal Price Template&"-,Regular"&11 &"Arial,Regular"&24Solicitation No. 36C10G25Q00XX

Base

0Base Period Total Proposed Price
StartEnd
Base Period of Performance9/1/258/31/26$52,540.00

BASE Period $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Amount
00014.1.1.A Kick off meeting1EA$0.00
00024.1.2.A Contractor's project management plan1EA$0.00
00034.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$0.00
00044.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$0.00
00054.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$0.00
00064.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$0.00
00074.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$0.00
00084.2.3.A Study notes - Up to 50 study notes per month12MO$0.00
00094.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$0.00
00104.2.3.C Payment record - Up to 50 payment records per month12MO$0.00
00114.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$40,925.00

BASE Period- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Amount
00114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$0.00
00124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$0.00
00134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$0.00
00144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$0.00
00154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$0.00
00164.3.F Study notes - Up to 40 study notes40EA$0.00
00174.3.G Audio/visual files -Up to 40 audio/visual files40EA$0.00
00184.3.H Payment record -Up to 40 payment records40EA$0.00
00194.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$11,615.00

&"Arial,Regular"&24HSI Recruitment Participant &"Arial,Regular"&24Attachment E

&"Arial,Regular"&24Solicitation No. 36C10G25Q0094

OPYR 1

0OPYR 1 Total Proposed Price
StartEnd$52,540.00
OPYR 1 Period of Performance9/1/268/31/27

Option Year Period One $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
10014.1.2.A Contractor's project management plan1EA$ - 0
10024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
10034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
10044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
10054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
10064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
10074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
10084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
10094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
10104.2.3 Other Directed Cost- Particpant Reimbursement40925EA1$ 40,925.00

Option Year Period One- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
10114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
10124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
10134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
10144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
10154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
10164.3.F Study notes - Up to 40 study notes40EA$ - 0
10174.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
10184.3.H Payment record -Up to 40 payment records40EA$ - 0
10194.2.3 Other Directed Cost- Particpant Reimbursement11615EA1$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

OPYR 2

0OPYR 2 Total Proposed Price
StartEnd
OPYR 2 Period of Performance9/1/278/31/28$ 52,540.00

Option Year Period Two $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
20014.1.2.A Contractor's project management plan1EA$ - 0
20024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
20034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
20044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
20054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
20064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
20074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
20084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
20094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
20104.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$ 40,925.00

Option Year Period Two- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
20104.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
20104.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
20104.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
20104.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
20104.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
20104.3.F Study notes - Up to 40 study notes40EA$ - 0
20104.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
20104.3.H Payment record -Up to 40 payment records40EA$ - 0
20104.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

OPYR 3

0OPYR 3 Total Proposed Price
StartEnd
OPYR 3 Period of Performance9/1/288/31/29$ 52,540.00

Option Year Period Three $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
30014.1.2.A Contractor's project management plan1EA$ - 0
30024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
30034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
30044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
30054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
30064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
30074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
30084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
30094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
30104.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$ 40,925.00

Option Year Period Three- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
30114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
30124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
30134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
30144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
30154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
30164.3.F Study notes - Up to 40 study notes40EA$ - 0
30174.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
30184.3.H Payment record -Up to 40 payment records40EA$ - 0
30194.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

Option Period 1

Option Period 1
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 103/03/202603/02/20273%$1,334,343.55
Direct Labor$1,253,343.55
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$195.94$201.82Hours1920$387,490.94
Project Manager IICALC+$142.09$146.35Hours1920$280,997.18
Informatic Specialist/BioinformaticianCALC+$119.52$123.11Hours1440$177,272.06
Health System Specialist IICALC+$206.10$212.28Hours1920$407,583.36
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

Option Period 2

Option Period 2
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 203/03/202703/02/20283%$1,371,943.86
Direct Labor$1,290,943.86
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$201.82$207.87Hours1920$399,115.67
Project Manager IICALC+$146.35$150.74Hours1920$289,427.10
Informatic Specialist/BioinformaticianCALC+$123.11$126.80Hours1440$182,590.23
Health System Specialist IICALC+$212.28$218.65Hours1920$419,810.86
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

Option Period 3

Option Period 3
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 303/03/202803/03/20293%$1,410,672.17
Direct Labor$1,329,672.17
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$207.87$214.11Hours1920$411,089.14
Project Manager IICALC+$150.74$155.27Hours1920$298,109.91
Informatic Specialist/BioinformaticianCALC+$126.80$130.60Hours1440$188,067.93
Health System Specialist IICALC+$218.65$225.21Hours1920$432,405.19
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

Option Period 4

Option Period 4
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 403/04/202903/03/20303%$1,450,562.34
Direct Labor$1,369,562.34
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$214.11$220.53Hours1920$423,421.82
Project Manager IICALC+$155.27$159.92Hours1920$307,053.21
Informatic Specialist/BioinformaticianCALC+$130.60$134.52Hours1440$193,709.97
Health System Specialist IICALC+$225.21$231.97Hours1920$445,377.34
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

OPYR 4

0OPYR 4 Total Proposed Price
StartEnd
OPYR 4 Period of Performance9/1/298/31/30$ 52,540.00

Option Year Period Three $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
40014.1.2.A Contractor's project management plan1EA$ - 0
40024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
40034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
40044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
40054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
40064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
40074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
40084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
40094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
40104.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$ 40,925.00

Option Year Period Three- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
40114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
40124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
40134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
40144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
40154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
40164.3.F Study notes - Up to 40 study notes40EA$ - 0
40174.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
40184.3.H Payment record -Up to 40 payment records40EA$ - 0
40194.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

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