Price-Cost Schedule - ALS and BLS Ambulance Transportation - Ann Arbor VAMC - Updated Amendment 0001.xlsx

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V225--Ambulance Transportation Service Ann Arbor VA Medical Center
Solicitation number
36C25024R0182
Issued by

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This document is a Price-Cost Schedule for Ambulance Transportation Services for the Ann Arbor VA Medical Center. It is related to Solicitation Number 36C25024R0182 for "V225--Ambulance Transportation Service Ann Arbor VA Medical Center". The Department of Veterans Affairs, Network Contracting Office 10, is seeking quotes for ambulance transportation services for the Ann Arbor VA Medical Center and its Community Based Outpatient Clinics. The government intends to award a five-year Indefinite Delivery Indefinite Quantity (IDIQ) contract. The Price-Cost Schedule provides pricing details for both Advanced Life Support (ALS) and Basic Life Support (BLS) ambulance transportation services, including one-way transport, wait time, and mileage rates.

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Item Detail

Item NumberSLINDescriptionContract PeriodPoP BeginPoP EndEstimated QuantityUnit of MeasureUnit PriceExtended Price
1001Provide Basice and Advanced Life Support Ambulance Service for the LTC Charles S. Kettles VA Medical CenterYear One10/20/2410/19/25
1001AABasic Life Support, Non-Emergency Transport within 25 miles (base rate)Year One10/20/2410/19/252200TRP$1.00$2,200.00
1001ABACLS/ALS base rate within 25 milesYear One10/20/2410/19/25530TRP$1.00$530.00
1001ACCritical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year One10/20/2410/19/2520TRP$1.00$20.00
1001ADMileage beyond 25 mile base rate (rate per mile)Year One10/20/2410/19/2529558MI$1.00$29,558.00
1001AECancel FeeYear One10/20/2410/19/2550EA$1.00$50.00
1001AFWait time billed in .25 hour incrementsYear One10/20/2410/19/25180EA$1.00$180.00
2001Provide Basice and Advanced Life Support Ambulance Service for the LTC Charles S. Kettles VA Medical CenterYear Two10/20/2510/19/26
2001AABasic Life Support, Non-Emergency Transport within 25 miles (base rate)Year Two7/16/257/15/262200TRP$1.00$2,200.00
2001ABACLS/ALS base rate within 25 milesYear Two7/16/257/15/26530TRP$1.00$530.00
2001ACCritical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Two7/16/257/15/2620TRP$1.00$20.00
2001ADMileage beyond 25 mile base rate (rate per mile)Year Two7/16/257/15/2629558MI$1.00$29,558.00
2001AECancel FeeYear Two7/16/257/15/2650EA$1.00$50.00
2001AFWait time billed in .25 hour incrementsYear Two7/16/257/15/26180EA$1.00$180.00
3001Provide Basice and Advanced Life Support Ambulance Service for the LTC Charles S. Kettles VA Medical CenterYear Three10/20/2610/19/27
3001AABasic Life Support, Non-Emergency Transport within 25 miles (base rate)Year Three10/20/2610/19/272200TRP$1.00$2,200.00
3001ABACLS/ALS base rate within 25 milesYear Three10/20/2610/19/27530TRP$1.00$530.00
3001ACCritical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Three10/20/2610/19/2720TRP$1.00$20.00
3001ADMileage beyond 25 mile base rate (rate per mile)Year Three10/20/2610/19/2729558MI$1.00$29,558.00
3001AECancel FeeYear Three10/20/2610/19/2750EA$1.00$50.00
3001AFWait time billed in .25 hour incrementsYear Three10/20/2610/19/27180EA$1.00$180.00
4001Provide Basice and Advanced Life Support Ambulance Service for the LTC Charles S. Kettles VA Medical CenterYear Four10/20/2710/19/28
4001AABasic Life Support, Non-Emergency Transport within 25 miles (base rate)Year Four10/20/2710/19/282200TRP$1.00$2,200.00
4001ABACLS/ALS base rate within 25 milesYear Four10/20/2710/19/28530TRP$1.00$530.00
4001ACCritical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Four10/20/2710/19/2820TRP$1.00$20.00
4001ADMileage beyond 25 mile base rate (rate per mile)Year Four10/20/2710/19/2829558MI$1.00$29,558.00
4001AECancel FeeYear Four10/20/2710/19/2850EA$1.00$50.00
4001AFWait time billed in .25 hour incrementsYear Four10/20/2710/19/28180EA$1.00$180.00
5001Provide Basice and Advanced Life Support Ambulance Service for the LTC Charles S. Kettles VA Medical CenterYear Five10/20/2810/19/29
5001AABasic Life Support, Non-Emergency Transport within 25 miles (base rate)Year Five10/20/2810/19/292200TRP$1.00$2,200.00
5001ABACLS/ALS base rate within 25 milesYear Five10/20/2810/19/29530TRP$1.00$530.00
5001ACCritical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Five10/20/2810/19/2920TRP$1.00$20.00
5001ADMileage beyond 25 mile base rate (rate per mile)Year Five10/20/2810/19/2929558MI$1.00$29,558.00
5001AECancel FeeYear Five10/20/2810/19/2950EA$1.00$50.00
5001AFWait time billed in .25 hour incrementsYear Five10/20/2810/19/29180EA$1.00$180.00

Annual Totals

Annual Totals
Line Item 1001$32,538.00
Line Item 2001$32,538.00
Line Item 3001$32,538.00
Line Item 4001$32,538.00
Line Item 5001$32,538.00
Total Estimated Contract Value$162,690.00$162,690.00

File details come from the government source that posted it. Updated .