Attachment B Price Cost Schedule 7-9-2021 Revised 7-30-2021.docx

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Attached to
V225--Ambulance Services Contract for the Corporal Michael J. Crescenz VA Medical Center in Philadelphia, PA
Solicitation number
36C24421R0065
Issued by

About this file

This document is a solicitation for ambulance services for the Corporal Michael J. Crescenz VA Medical Center in Philadelphia, Pennsylvania. The VA seeks to award a five-year firm-fixed price indefinite delivery indefinite quantity contract to provide both emergent and non-emergent advanced and basic life support ambulance transportation 24 hours a day, 7 days a week including holidays. Services will transport patients, physically or mentally handicapped individuals, aged and infirm persons, their attendants and belongings throughout southern New Jersey, greater Philadelphia, Delaware and other VA and approved non-VA facilities. The contractor must meet all requirements in the statement of work including providing all required labor, materials, equipment and supervision. The period of performance will be five years beginning on or about September 20, 2021.

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Attachment B. PRICE/COST SCHEDULE

MINIMUM AND MAXIMUM AMOUNTS

This is an Indefinite-Delivery, Indefinite Quantity (IDIQ) contract. Accordingly, all quantities are estimates only and are not ordered upon award of this contract. Funds are obligated via task orders issued against this contract. The Government shall order the below specified minimum contract value of services and may order up to the below specified maximum contract value of services through orders under this basic IDIQ contract for all ordering periods. The maximum amount under this contract is not guaranteed.

IDIQ contract Minimum: $1,000,000.00 IDIQ contract Maximum: $26,000,000.00

All funds are subject to the availability of funds per FAR 52.232-18.

Orders shall only be placed by Authorized Medical Center Personnel as defined in Section 3.10 of the PWS. Contractor shall provide the following services in accordance with the PWS herein:

TRANSITION PERIOD: TO BE DETERMINED AT TIME OF CONTRACT AWARD (45 Days)

ITEM NUMBER/DESCRIPTION OF SERVICES

ESTIMATED QUANTITY
UNIT
UNIT PRICE
TOTAL AMOUNT
CLIN 0001 Transition Period
45
DAYS

TOTAL ESTIMATED COST FOR TRANSITION PERIOD $ ________________

BASE PERIOD: TO BE DETERMINED AT TIME OF CONTRACT AWARD

ESTIMATED QUANTITY
UNIT
UNIT PRICE
TOTAL AMOUNT
CLIN 1001 ACLS/ALS
313
TRIPS
$
$
CLIN 1002 BLS
11443
TRIPS
$
$
CLIN 1003 Bariatric
210
TRIPS
$
$
CLIN 1004 PHRN/SCTU
4
EA
$
$
CLIN 1005 Ablation Procedure (12 procedures @ 5 hours/each)
60
HR
$
$

CLIN 1006 Mileage Rate (Beyond 25 Miles)

MILES

CLIN 1007 Waiting Time (Beyond the 30 minute grace period). Billed in 15 min increments.
104
EA
$
$
CLIN 1008 Cancellations On Scene
394
EA
$
$
CLIN 1009 Cancellations Enroute
81
EA
$
$

TOTAL ESTIMATED COST FOR BASE PERIOD $ __

PERFORMANCE PERIOD ONE: TO BE DETERMINED AT TIME OF CONTRACT AWARD

ESTIMATED QUANTITY
UNIT
UNIT PRICE
TOTAL AMOUNT
CLIN 2001 ACLS/ALS
376
TRIPS
$
$
CLIN 2002 BLS
13732
TRIPS
$
$
CLIN 2003 Bariatric
252
TRIPS
$
$
CLIN 2004 PHRN/SCTU
5
EA
$
$
CLIN 2005 Ablation Procedure (14 procedures @ 5 hours/each)
70
HR
$
$

CLIN 2006 Mileage Rate (Beyond 25 miles)

10284

MILES

CLIN 2007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments.
125
EA
CLIN 2008 Cancellations On Scene
473
EA
$
$
CLIN 2009 Cancellations Enroute
97
EA
$
$

TOTAL ESTIMATED COST FOR PERFORMANCE PERIOD ONE

PERFORMANCE PERIOD TWO: TO BE DETERMINED AT TIME OF CONTRACT AWARD

ESTIMATED QUANTITY
UNIT
UNIT PRICE
TOTAL AMOUNT
CLIN 3001 ACLS/ALS
451
TRIPS
$
$
CLIN 3002 BLS
16478
TRIPS
$
$
CLIN 3003 Bariatric
302
TRIPS
$
$
CLIN 3004 PHRN/SCTU
6
EA
$
$
CLIN 3005 Ablation Procedure (17 procedures @ 5 hours/each)
85
HR
$
$

CLIN 3006 Mileage Rate (Beyond 25 Miles)

12341

MILES

CLIN 3007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments
150
EA
CLIN 3008 Cancellations On Scene
568
EA
$
$
CLIN 3009 Cancellations Enroute
116
EA
$
$

TOTAL ESTIMATED COST FOR PERFORMANCE PERIOD TWO

PERFORMANCE PERIOD THREE: TO BE DETERMINED AT TIME OF CONTRACT AWARD

ESTIMATED QUANTITY
UNIT
UNIT PRICE
TOTAL AMOUNT
CLIN 4001 ACLS/ALS
541
TRIPS
$
$
CLIN 4002 BLS
19774
TRIPS
$
$
CLIN 4003 Bariatric
362
TRIPS
$
$
CLIN 4004 PHRN/SCTU
7
EA
$
$
CLIN 4005 Ablation Procedure (20 procedures @ 5 hours/each)
100
HR
$
$

CLIN 4006 Mileage Rate (Beyond 25 Miles)

14809

MILES

CLIN 4007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments.
180
EA
CLIN 4008 Cancellations On Scene
682
EA
$
$
CLIN 4009 Cancellations Enroute
139
EA
$
$

TOTAL ESTIMATED COST FOR PERFORMANCE PERIOD THREE

PERFORMANCE PERIOD FOUR: TO BE DETERMINED AT TIME OF CONTRACT AWARD

ESTIMATED QUANTITY
UNIT
UNIT PRICE
TOTAL AMOUNT
CLIN 5001 ACLS/ALS
649
TRIPS
$
$
CLIN 5002 BLS
23729
TRIPS
$
$
CLIN 5003 Bariatric
434
TRIPS
$
$
CLIN 5004 PHRN/SCTU
8
EA
$
$
CLIN 5005 Ablation Procedure (24 procedures @ 5 hours/each)
120
HR
$
$

CLIN 5006 Mileage Rate (Beyond 25 Miles)

17771

MILES

CLIN 5007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments.
216
EA
CLIN 5008 Cancellations On Scene
818
EA
$
$
CLIN 5009 Cancellations Enroute
167
EA
$
$

TOTAL ESTIMATED COST FOR PERFORMANCE PERIOD YEAR FOUR

GRAND TOTAL FOR ALL PERFORMANCE YEARS

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