Attachment C - Price Schedule.docx

DOCX document 27 KB Posted

Attached to
V225--ALS / BLS Ambulance Transportation Services | VA Pittsburgh Healthcare System
Solicitation number
36C24423R0182
Issued by

About this file

This document is an attachment to a solicitation providing a price schedule for ambulance transportation services. The indefinite-delivery contract has a minimum value of $50,000 and maximum value of $12,000,000 over a five-year period from April 1, 2024 through March 31, 2029. The price schedule includes rates for advanced and basic life support emergent and non-emergent transports, ventilator surcharges, bariatric transports, oxygen administration, mileage rates after 25 miles, wait times, and no load miles for trips over 75 miles for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4. Transports would serve the VA Pittsburgh Healthcare System between facilities. NAICS and PSC codes are provided for ambulance services.

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Other files

File Type Posted
36C24423R0182_5.docx DOCX document
Attachment F - Past Performance Questionnaire.1.docx DOCX document
36C24423R0182_4.docx DOCX document
36C24423R0182_3.docx DOCX document
36C24423R0182_2.docx DOCX document
36C24423R0182_1.docx DOCX document
Attachment F - Past Performance Questionnaire.docx DOCX document
Attachment A - PWS VAPHS ALS-BLS Services .docx DOCX document
Attachment D - BAA- VAPHS.docx DOCX document
Attachment B - QASP VAPHS ALS BLS Ambulance Services.docx DOCX document
36C24423R0182.docx DOCX document
Attachment E - WD 2015-4235_Rev 24_Date 06-30-2023.pdf PDF
36C24423R0182 - VAPHS Ambulance Transportation Service.docx DOCX document
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This is an Indefinite-Delivery Contract. Accordingly, all quantities are estimates and funds are not obligated on this Contract at award; rather, funds are obligated via task orders issued against this Contract. The Minimum Value will be obligated through a delivery order upon award. Notwithstanding the $0 award amount, the value of all task orders that may be placed against this Contract during its 5-year period is estimated to be:

Minimum Value: $50,000.00 (Total minimum order for supplies and services that will be acquired under this 5-year contract) Maximum Value: $12,000,000.00 (All funds are subject to the availability of funds per clause 52.232-18) This is not an option year contract. The ordering period for this contract is 04-01-2024 – 03-31-2029.

PRICE SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
500.00
EA
__________________
__________________

Advanced Life Support (ALS) Emergent Transports - VA Pittsburgh Healthcare System (VAPHS) Intra-facility Trips between Heinz Division and University Drive or other nearby Hospitals (excluding Ventilators) Contract Ordering Period: 04-01-2024 - 03-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

3,800.00
EA
__________________
__________________

ALS Transports - All other ALS trips pre-scheduled or non-emergent requests. (excluding Ventilators).

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

120.00
EA
__________________
__________________

Ventilator Patient Surcharge - for all ALS Ventilator trips, in addition to the applicable base rate.

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

1,000.00
EA
__________________
__________________

Basic Life Support (BLS) Emergent Transports - VAPHS Intra-facility Trips between Heinz Division and University Drive or other nearby Hospitals.

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

21,000.00
EA
__________________
__________________

BLS Transports - All other BLS trips pre-scheduled or non-emergent requests.

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

300.00
EA
__________________
__________________

Bariatric Transports - All ALS or BLS Bariatric trips, patients typically over 300 pounds, pre-scheduled or non-emergent requests.) in addition to the applicable base rate.

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

324,000.00
EA
__________________
__________________

Mileage starting at greater than 25 miles distance.

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

90,000.00
MI
__________________
__________________

Trips greater than 75 miles (include 25 miles) No Load Miles

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

1,400.00
EA
__________________
__________________

Oxygen required during ambulance transport.

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

10,000.00
EA
__________________
__________________

Wait time for each 15-minute increment beyond the initial 15 minutes.

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

GRAND TOTAL
__________________

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