36C24919R0069-0006001.pdf

36C24919R0069 – TENNESSEE VALLEY HEALTHCARE SYSTEM – NON-EMERGENT

TRANSPORTATION SERVICES

B.2 PRICE/COST SCHEDULE

The contractor shall provide all equipment, vehicles, and personnel required to provide the services below and in accordance with the Performance Work Statement below.

The contract’s maximum amount is $15,000,000.00.

The contract’s minimum guaranteed amount is $2,500.00.

All prices and rates below shall be for loaded (patient onboard) miles only. With the exception noted in paragraph 13, No service or no-load charge, of section (b) within the performance work statement (PWS), the government shall not pay for unloaded (no patient onboard) services or mileage.

Ordering Period: The contract will have five ordering periods as listed in the price schedule below. Task orders may only be placed by NCO 9 contracting officers."

ITEM INFORMATION

ORDERING PERIOD 1: June 1, 2019 through September 30, 2019

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

EST.

QUANTITY UNIT UNIT PRICE EST. AMOUNT

350.00 TRP ____________ ________________

Trips made within a 11-mile radius of the Alvin C. York or

Nashville VAMCs, whichever is closer. One-way trip to or from pickup point.

425.00 TRP ____________ ________________

Trips made between a 11 to 20-mile radius of the Alvin C. York or

425.00 TRP ____________

Trips made between a 21 to 30-mile radius of the Alvin C. York or

1,375.00 TRP ____________ ________________

Trips made between a 31 to 40-mile radius of the Alvin C. York or

48,000.00 MI ____________ ________________

Rate per mile beyond 40-mile radius of the Alvin C. York or

Nashville VAMCs, whichever is closer. One way only (in addition to CLIN 0004).

625.00 EA ____________ ________________

Waiting time in excess of 15 minutes. Invoiced in nearest 1/4-hour increments.

63.00 EA ____________ ________________

Additional non-beneficiary passenger. Flat rate per additional passenger.

38.00 TRP ____________ ________________

-No-load charge within 40-mile radius of the Alvin C. York or

Nashville VAMC, whichever is closer. Price per trip.

38.00 TRP ____________ ________________

No-load charge beyond 40-mile radius of the Alvin C. York or

942.00 MI ____________ ________________

No-load charge, rate per mile, beyond 40-mile radius of the Alvin

C. York or Nashville VAMCs, whichever is closer. One way only (in addition to CLIN 0009).

ORDERING PERIOD 2: October 1, 2019 through September

30, 2020

1,400.00 TRP ____________ ________________

1,700.00 TRP ____________ ________________

Trips made between a 21 to 30-mile radius of the Alvin C. York or

5,500.00 TRP ____________ ________________

192,000.00 MI ____________ ________________

to CLIN 1004).

2,500.00 EA ____________ ________________

250.00 EA ____________ ________________

150.00 TRP ____________ ________________

No-load charge within 40-mile radius of the Alvin C. York or

3,768.00 MI ____________ ________________

(in addition to CLIN 1009).

ORDERING PERIOD 3: October 1, 2020 through September 30, 2021 to CLIN 2004).

3,768.00 MI ____________ ______________

(in addition to CLIN 2009).

ORDERING PERIOD 4: October 1, 2021 through September

30, 2022

1,400.00 TRP ___________ _______________

to CLIN 3004).

(in addition to CLIN 3009).

ORDERING PERIOD 5: October 1, 2022 through September

30, 2023 to CLIN 4004).

(in addition to CLIN 4009).

EST. GRAND

TOTAL