Attachment D - Proposal Price Template REV.1 03.25.26.xlsx
XLSX spreadsheet 28 KB Posted
- Attached to
- TELERADIOLOGY PHYSICIAN SERVICES
- Solicitation number
- 36C10G26R0015_0002
About this file
This is a Proposal Price Template for the Veterans Health Administration (VHA) National Teleradiology Program (NTP) Teleradiology Physician Services procurement (Solicitation Number 36C10G26R0015). The template is designed for offerors to submit uniform pricing across five ordering periods, with each period containing Contract Line Item Numbers (CLINs) for four radiology service modalities: Digital X-Rays (DX), CT Scans, MR Scans, and Ultrasound (US) Scans, plus a 3% Service Level Agreement (SLA) fee CLIN. Ordering Period 1 includes CLINs 0001-0005, with estimated quantities of 71,000 Digital X-Rays, 51,000 CT Scans, 5,000 MR Scans, and 11,000 US Scans. Subsequent ordering periods (2-5) contain proportionally increasing quantities, ranging from approximately 74,550 to 86,301 Digital X-Rays, 53,550 to 61,991 CT Scans, 5,250 to 6,078 MR Scans, and 11,550 to 13,371 US Scans respectively, with each period also including the SLA fee CLIN.
Offerors must enter fully burdened unit prices (limited to two decimal places) only in the yellow-highlighted cells for every CLIN across all five ordering periods, with blank entries potentially resulting in proposal rejection. The spreadsheet automatically calculates total proposed prices by summing all pricing across the five ordering periods. Submissions must be provided in the original Excel format (formatted as "Name_Price Schedule_Date"), as PDF or other non-editable formats may be rejected. This revised price template (REV.1 03.25.26) was issued as part of an amendment extending the proposal receipt date to April 6, 2026 at 9:00 AM ET, and includes the newly added SLA fee CLINs (0005-4005).
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment E - Questions and Answers Completed 03.25.26.xlsx | XLSX spreadsheet | |
| 36C10G26R0015 0002.pdf |
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Instructions
| Veterans Health Administration (VHA) |
| National Teleradiology Program (NTP) |
| Teleradiology Physician Services |
| Price Proposal |
| Quoter Name: | CRIZZ | |
| Instructions: | ||
| 1. The purpose of this Price Schedule is to provide a uniform format for Offerors to submit proposed pricing for [Requirement Name/Solicitation Number]. |
| 2, This schedule is organized by Ordering period. Offerors must provide pricing for all five (5) ordering periods as follows: | |
| Ordering Period 1: CLINs 0001-0004 | |
| Ordering Period 2: CLINs 1001-1004 | |
| Ordering Period 3: CLINs 2001-2004 | |
| Ordering Period 4: CLINs 3001-3004 | |
| Ordering Period 5: CLINs 4001-4004 |
| 3. Formatting and Input | |
| Offerors shall enter their fully burdened, proposed unit prices only in the cells highlighted in Yellow. | |
| All other cells (CLINs, Descriptions, Estimated Quantities and Formulas) are locked. Offerors shall not attempt to modify the structure, quantities or formulas of this spreadsheet. | |
| Unit prices must be limited to two (2) decimal places. | |
| Offerors must provide a price for every CLIN. A blank entry may be considered a failure to propose on the entire requirement and may result in the proposal being excluded from further consideration. | |
| 4. The Total Proposed Price is automatically calculated located at the bottom of the schedule. This will consist of the sum of all proposed prices for Ordering Periods 1 through 5. | |
| 5. Offerors shall submit this Price Schedule in its original Excel format. Submissions in PDF or other non-editable formats may be rejected. The Excel file should be formatted as "Name_Price Schedule_Date" |
Price Schedule Offeror Name: CRIZZ
| Ordering Period 1 | ||||||
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 0001 | DX | Digital X-Rays | 71,000 | EA | $ - 0 | |
| 0002 | CT | CT Scans | 51,000 | EA | $ - 0 | |
| 0003 | MR | MR Scans | 5,000 | EA | $ - 0 | |
| 0004 | US | US Scans | 11,000 | EA | $ - 0 | |
| 0005 | SLA FEE 3% | 1 | LT | $ - 0 | ||
| Total OP Price: | $ - 0 |
| Ordering Period 2 | ||||||
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 1001 | DX | Digital X-Rays | 74,550 | EA | $ - 0 | |
| 1002 | CT | CT Scans | 53,550 | EA | $ - 0 | |
| 1003 | MR | MR Scans | 5,250 | EA | $ - 0 | |
| 1004 | US | US Scans | 11,550 | EA | $ - 0 | |
| 1005 | SLA FEE 3% | 1 | LT | $ - 0 | ||
| Total OP Price: | $ - 0 |
| Ordering Period 3 | ||||||
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 2001 | DX | Digital X-Rays | 78,278 | EA | $ - 0 | |
| 2002 | CT | CT Scans | 56,228 | EA | $ - 0 | |
| 2003 | MR | MR Scans | 5,513 | EA | $ - 0 | |
| 2004 | US | US Scans | 12,128 | EA | $ - 0 | |
| 2005 | SLA FEE 3% | 1 | LT | $ - 0 | ||
| Total OP Price: | $ - 0 |
| Ordering Period 4 | ||||||
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 3001 | DX | Digital X-Rays | 82,191 | EA | $ - 0 | |
| 3002 | CT | CT Scans | 59,039 | EA | $ - 0 | |
| 3003 | MR | MR Scans | 5,788 | EA | $ - 0 | |
| 3004 | US | US Scans | 12,734 | EA | $ - 0 | |
| 3005 | SLA FEE 3% | 1 | LT | $ - 0 | ||
| Total OP Price: | $ - 0 |
| Ordering Period 5 | ||||||
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 4001 | DX | Digital X-Rays | 86,301 | EA | $ - 0 | |
| 4002 | CT | CT Scans | 61,991 | EA | $ - 0 | |
| 4003 | MR | MR Scans | 6,078 | EA | $ - 0 | |
| 4004 | US | US Scans | 13,371 | EA | $ - 0 | |
| 4005 | SLA FEE 3% | 1 | LT | $ - 0 | ||
| Total OP Price: | $ - 0 |
Total Proposed Price $ - 0
National Teleradiology Program (NTP) Teleradiology Physician Services Attachment C - Price Model Solicitation Number # 36C10G26R0015
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