Attachment 3- Line Item Pricing Template.docx

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Attached to
R499--478-26-1-6869-0002: VISN 1 HR - Workers Compensation Surveillance (VA-26-00013938)
Solicitation number
36C24126Q0087
Issued by

About this file

This document is a Line Item Pricing Template for a Worker's Compensation Surveillance Services contract issued by the Department of Veterans Affairs Veterans Health Administration (VA VISN 1). The solicitation (Number 36C24126Q0087) is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside for commercial items, with a NAICS code of 561611 and a small business size standard of $25 million. The contract includes a base year and four option years, with pricing for two primary line items: Worker's Compensation Surveillance Services and an annual fee for daily unmanned surveillance camera footage review.

The contract period spans from December 29, 2025, to December 28, 2030, with each year (base and option) involving 2,250 hours of surveillance services and one annual camera footage review. The pricing template shows consistent NAICS and Product/Service codes (561611 and J065) across all line items, with the exception of Option Year 2's camera footage review line item showing a $0 unit price. Vendors must be registered in SAM.gov, VetCert, and complete VA Form 10091 to qualify for the contract. The solicitation was amended to extend the submission deadline to December 22, 2025.

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Other files

File Type Posted
Attachment 2- Past Performance Information.docx DOCX document
36C24126Q0087 0002.docx DOCX document
Attachment 4- P07 Wage Determination.docx DOCX document
Attachment 1- Solicitation Questions Background Investigation 12.5.25.docx DOCX document
36C24126Q0087 0001.docx DOCX document
VA Notice 24-12.pdf PDF
36C24126Q0087.docx DOCX document
Appendix B.pdf PDF
VISN 1 Background Investigation SDVOSB Combined Synopsis.docx DOCX document

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Text version

ITEM NUMBER

DESCRIPTION
CONTRACT PERIOD
POP BEGIN
POP END
QUANTITY
UNIT OF MEASURE
UNIT PRICE
PRINCIPAL NAICS CODE
PRODUCT/SERVICE CODE
0001
Worker’s Compensation Surveillance Services in accordance with the Statement of Work.
Base
12/29/2025
12/28/2026
2250
HR
561611
J065
0002
Annual fee for daily unmanned surveillance camera footage review.
Base
12/29/2025
12/28/2026
1
EA
561611
J065
1001
Worker’s Compensation Surveillance Services in accordance with the Statement of Work.
Option Year 1
12/29/2026
12/28/2027
2250
HR
561611
J065
1002
Annual fee for daily unmanned surveillance camera footage review.
Option Year 1
12/29/2026
12/28/2027
1
EA
561611
J065
2001
Worker’s Compensation Surveillance Services in accordance with the Statement of Work.
Option Year 2
12/29/2027
12/28/2028
2250
HR
561611
J065
2002
Annual fee for daily unmanned surveillance camera footage review.
Option Year 2
12/29/2027
12/28/2028
1
EA
0
561611
J065
3001
Worker’s Compensation Surveillance Services in accordance with the Statement of Work.
Option Year 3
12/29/2028
12/28/2029
2250
HR
561611
J065
3002
Annual fee for daily unmanned surveillance camera footage review.
Option Year 3
12/29/2028
12/28/2029
1
EA
561611
J065
4001
Worker’s Compensation Surveillance Services in accordance with the Statement of Work.
Option Year 4
12/29/2029
12/28/2030
2250
HR
561611
J065
4002
Annual fee for daily unmanned surveillance camera footage review.
Option Year 4
12/29/2028
12/28/2029
1
EA
561611
J065

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