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This document contains an amendment to a price-cost schedule for non-emergency special mode transportation services in the South Region for the North Florida/South Georgia Veterans Health System. The amendment revises pricing for wheelchair/scooter patient trips, stretcher patient trips, and contractor attendant fees for the base period of performance as well as four option periods. Pricing is required on a per-trip basis for wheelchair/scooter and stretcher transportation, and on a per-attendant basis. The solicitation also includes an option to extend services clause with pricing at the rates in effect at the time of extension. The requirement is a SDVOSB set-aside with an estimated total value over the five-year period. The solicitation was issued by the Department of Veterans Affairs Veterans Health Administration VISN 8 and had an original response date of May 7, 2021.

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36C24821Q0592 – NF/SG Special Mode Transportation – South Region Amendment 0002

B.2 PRICE/COST SCHEDULE

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

EST

QTY UNIT

UNIT

PRICE AMOUNT

BASE PERIOD (12 MONTHS)

0001 Wheelchair/Scooter Patient Trips 7,000 EA _________ _________ 0002 Stretcher Patient Trips 2,000 EA _________ _________ (Pricing Includes One Contractor Attendant at No Additional Cost) 0003 Contractor Attendant Fee 500 EA _________ _________

BASE PERIOD TOTAL _________

OPTION PERIOD ONE (12 MONTHS)

1001 Wheelchair/Scooter Patient Trips 7,000 EA _________ _________ 1002 Stretcher Patient Trips 2,000 EA _________ _________ (Pricing Includes One Contractor Attendant at No Additional Cost) 1003 Contractor Attendant Fee 500 EA _________ _________

OPTION PERIOD ONE TOTAL _________

OPTION PERIOD TWO (12 MONTHS)

2001 Wheelchair/Scooter Patient Trips 7,000 EA _________ _________ 2002 Stretcher Patient Trips 2,000 EA _________ _________ (Pricing Includes One Contractor Attendant at No Additional Cost) 2003 Contractor Attendant Fee 500 EA _________ _________

OPTION PERIOD TWO TOTAL _________

OPTION PERIOD THREE (12 MONTHS)

3001 Wheelchair/Scooter Patient Trips 7,000 EA _________ _________ 3002 Stretcher Patient Trips 2,000 EA _________ _________ (Pricing Includes One Contractor Attendant at No Additional Cost) 3003 Contractor Attendant Fee 500 EA _________ _________

OPTION PERIOD THREE TOTAL _________

OPTION PERIOD FOUR (12 MONTHS)

4001 Wheelchair/Scooter Patient Trips 7,000 EA _________ _________ 4002 Stretcher Patient Trips 2,000 EA _________ _________ (Pricing Includes One Contractor Attendant at No Additional Cost) 4003 Contractor Attendant Fee 500 EA _________ _________

OPTION PERIOD FOUR TOTAL _________

OPTION PERIOD UNDER FAR CLAUSE 52.217-8 – OPTION TO EXTEND SERVICES

NOTE: The specified rates under this clause will be those rates in effect pursuant to the CLINs under which the contractor is currently providing services 5001 Wheelchair/Scooter Patient Trips 3,500 EA NOT SEPARATELY PRICED 5002 Stretcher Patient Trips 1,000 EA NOT SEPARATELY PRICED (Pricing Includes One Contractor Attendant at No Additional Cost) 5003 Contractor Attendant Fee 250 EA NOT SEPARATELY PRICED

GRAND TOTAL _____________

B.2 PRICE/COST SCHEDULE

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