Attachment 2.xlsx
XLSX spreadsheet 19 KB Posted
- Solicitation number
- 36C25025R0013
About this file
This is a pricing template spreadsheet for non-emergent wheelchair and ambulatory patient transportation services at the Aleda E. Lutz VA Medical Center. The template covers a 5-year IDIQ contract period from February 1, 2025 through January 31, 2030, with line items broken down by contract year (Years 1-5).
The pricing structure includes wheelchair and ambulatory base rates for trips within 15 miles of VA facilities, mileage rates for trips beyond 15 miles, waiting time charges (per 15 minutes), no-show/cancellation fees, weekend rates, after-hours rates (before 7:00 am and after 5:00 pm), unloaded mileage rates, and additional charges for COVID-positive passengers. Key quantities include 1,800 wheelchair trips and 300 ambulatory trips annually within the base area, 72,000 wheelchair miles and 13,500 ambulatory miles annually outside the base area, and 2,100 waiting time units per year. The template requires vendors to input unit prices, with automatic calculation of extended prices and annual totals for each contract year.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25025R0013 0001.docx | DOCX document | |
| Attachment 3 REVISED.pdf | ||
| Solicitation Questions with Responses.pdf | ||
| Attachment 2.xlsx | XLSX spreadsheet | |
| 36C25025R0013.pdf | ||
| Attachment 3.pdf | ||
| Attachment 1.pdf | ||
| Attachment 2.xlsx | XLSX spreadsheet | |
| Attachment 1.A.pdf | ||
| Attachment 4.pdf | ||
| Appendix D.pdf | ||
| Attachment 4 - Service Contract Act WD 2015-4865 REF 25 Eff 7.22.2024.pdf | ||
| Attachment 2 - Price-Cost Schedule.xlsx | XLSX spreadsheet | |
| Appendix D- Rules of Behavior.pdf | ||
| Attachment 3 - Past Performance Questionnaire.pdf | ||
| 36C25025R0013.docx | DOCX document | |
| Attachment 1.A Surveillance Checklist - Saginaw Non Emergent Transportation.pdf | ||
| Attachment 1 - Quality Assurance Surveillance Plan.pdf |
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Text version
Item Detail
| Item Number | SLIN | Description | Contract Period | PoP Begin | PoP End | Estimated Quantity | Unit of Measure | Unit Price | Extended Price | |
| 1001 | Provide Non-Emergent Wheelchair and Ambulatory Patient Transportation Services for the Aleda E. Lutz VA Medical Center | Year One | 2/1/25 | 1/31/26 | ||||||
| 1001 | AA | Wheelchair base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year One | 2/1/25 | 1/31/26 | 1800 | TRP | $0.00 | $0.00 | |
| 1001 | AB | Ambulatory base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year One | 2/1/25 | 1/31/26 | 300 | TRP | $0.00 | $0.00 | |
| 1001 | AC | Wheelchair mileage rate outside of the 15 mile base rate; per mile | Year One | 2/1/25 | 1/31/26 | 72000 | MI | $0.00 | $0.00 | |
| 1001 | AD | Ambulatory mileage rate outside of the 15 mile base rate; per mile | Year One | 2/1/25 | 1/31/26 | 13500 | MI | $0.00 | $0.00 | |
| 1001 | AE | Waiting Time (per 15 mins) | Year One | 2/1/25 | 1/31/26 | 2100 | EA | $0.00 | $0.00 | |
| 1001 | AF | Ambulatory No Show/Cancel at Door | Year One | 2/1/25 | 1/31/26 | 10 | EA | $0.00 | $0.00 | |
| 1001 | AG | Wheelchair No Show/Cancel at Door | Year One | 2/1/25 | 1/31/26 | 40 | EA | $0.00 | $0.00 | |
| 1001 | AH | Ambulatory No Show/Cancel at Door Mileage | Year One | 2/1/25 | 1/31/26 | 400 | MI | $0.00 | $0.00 | |
| 1001 | AJ | Wheelchair No Show/Cancel at Door Mileage | Year One | 2/1/25 | 1/31/26 | 1600 | MI | $0.00 | $0.00 | |
| 1001 | AK | Weekend Trip Rate | Year One | 2/1/25 | 1/31/26 | 150 | TRP | $0.00 | $0.00 | |
| 1001 | AL | After Hours (before 7:00 am and after 5:00 pm) Trip Rate Per Trip | Year One | 2/1/25 | 1/31/26 | 150 | TRP | $0.00 | $0.00 | |
| 1001 | AM | Wheelchair unloaded mileage rate per mile over 15 miles | Year One | 2/1/25 | 1/31/26 | 36000 | MI | $0.00 | $0.00 | |
| 1001 | AN | Ambulatory mileage rate per mile unloaded over 15 miles from base | Year One | 2/1/25 | 1/31/26 | 6750 | MI | $0.00 | $0.00 | |
| 1001 | AP | COVID positive passenger/facility additional per trip (all services) | Year One | 2/1/25 | 1/31/26 | 2 | EA | $0.00 | $0.00 | |
| 2001 | Provide Non-Emergent Wheelchair and Ambulatory Patient Transportation Services for the Aleda E. Lutz VA Medical Center | Year Two | 2/1/26 | 1/31/27 | ||||||
| 2001 | AA | Wheelchair base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year Two | 2/1/26 | 1/31/27 | 1800 | TRP | $0.00 | $0.00 | |
| 2001 | AB | Ambulatory base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year Two | 2/1/26 | 1/31/27 | 300 | TRP | $0.00 | $0.00 | |
| 2001 | AC | Wheelchair mileage rate outside of the 15 mile base rate; per mile | Year Two | 2/1/26 | 1/31/27 | 72000 | MI | $0.00 | $0.00 | |
| 2001 | AD | Ambulatory mileage rate outside of the 15 mile base rate; per mile | Year Two | 2/1/26 | 1/31/27 | 13500 | MI | $0.00 | $0.00 | |
| 2001 | AE | Waiting Time (per 15 mins) | Year Two | 2/1/26 | 1/31/27 | 2100 | EA | $0.00 | $0.00 | |
| 2001 | AF | Ambulatory No Show/Cancel at Door | Year Two | 2/1/26 | 1/31/27 | 10 | EA | $0.00 | $0.00 | |
| 2001 | AG | Wheelchair No Show/Cancel at Door | Year Two | 2/1/26 | 1/31/27 | 40 | EA | $0.00 | $0.00 | |
| 2001 | AH | Ambulatory No Show/Cancel at Door Mileage | Year Two | 2/1/26 | 1/31/27 | 400 | MI | $0.00 | $0.00 | |
| 2001 | AJ | Wheelchair No Show/Cancel at Door Mileage | Year Two | 2/1/26 | 1/31/27 | 1600 | MI | $0.00 | $0.00 | |
| 2001 | AK | Weekend Trip Rate | Year Two | 2/1/26 | 1/31/27 | 150 | TRP | $0.00 | $0.00 | |
| 2001 | AL | After Hours (before 7:00 am and after 5:00 pm) Trip Rate Per Trip | Year Two | 2/1/26 | 1/31/27 | 150 | TRP | $0.00 | $0.00 | |
| 2001 | AM | Wheelchair unloaded mileage rate per mile over 15 miles | Year Two | 2/1/26 | 1/31/27 | 36000 | MI | $0.00 | $0.00 | |
| 2001 | AN | Ambulatory mileage rate per mile unloaded over 15 miles from base | Year Two | 2/1/26 | 1/31/27 | 6750 | MI | $0.00 | $0.00 | |
| 2001 | AP | COVID positive passenger/facility additional per trip (all services) | Year Two | 2/1/26 | 1/31/27 | 2 | EA | $0.00 | $0.00 | |
| 3001 | Provide Non-Emergent Wheelchair and Ambulatory Patient Transportation Services for the Aleda E. Lutz VA Medical Center | Year Three | 2/1/27 | 1/31/28 | ||||||
| 3001 | AA | Wheelchair base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year Three | 2/1/27 | 1/31/28 | 1800 | TRP | $0.00 | $0.00 | |
| 3001 | AB | Ambulatory base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year Three | 2/1/27 | 1/31/28 | 300 | TRP | $0.00 | $0.00 | |
| 3001 | AC | Wheelchair mileage rate outside of the 15 mile base rate; per mile | Year Three | 2/1/27 | 1/31/28 | 72000 | MI | $0.00 | $0.00 | ` |
| 3001 | AD | Ambulatory mileage rate outside of the 15 mile base rate; per mile | Year Three | 2/1/27 | 1/31/28 | 13500 | MI | $0.00 | $0.00 | |
| 3001 | AE | Waiting Time (per 15 mins) | Year Three | 2/1/27 | 1/31/28 | 2100 | EA | $0.00 | $0.00 | |
| 3001 | AF | Ambulatory No Show/Cancel at Door | Year Three | 2/1/27 | 1/31/28 | 10 | EA | $0.00 | $0.00 | |
| 3001 | AG | Wheelchair No Show/Cancel at Door | Year Three | 2/1/27 | 1/31/28 | 40 | EA | $0.00 | $0.00 | |
| 3001 | AH | Ambulatory No Show/Cancel at Door Mileage | Year Three | 2/1/27 | 1/31/28 | 400 | MI | $0.00 | $0.00 | |
| 3001 | AJ | Wheelchair No Show/Cancel at Door Mileage | Year Three | 2/1/27 | 1/31/28 | 1600 | MI | $0.00 | $0.00 | |
| 3001 | AK | Weekend Trip Rate | Year Three | 2/1/27 | 1/31/28 | 150 | TRP | $0.00 | $0.00 | |
| 3001 | AL | After Hours (before 7:00 am and after 5:00 pm) Trip Rate Per Trip | Year Three | 2/1/27 | 1/31/28 | 150 | TRP | $0.00 | $0.00 | |
| 3001 | AM | Wheelchair unloaded mileage rate per mile over 15 miles | Year Three | 2/1/27 | 1/31/28 | 36000 | MI | $0.00 | $0.00 | |
| 3001 | AN | Ambulatory mileage rate per mile unloaded over 15 miles from base | Year Three | 2/1/27 | 1/31/28 | 6750 | MI | $0.00 | $0.00 | |
| 3001 | AP | COVID positive passenger/facility additional per trip (all services) | Year Three | 2/1/27 | 1/31/28 | 2 | EA | $0.00 | $0.00 | |
| 4001 | Provide Non-Emergent Wheelchair and Ambulatory Patient Transportation Services for the Aleda E. Lutz VA Medical Center | Year Four | 2/1/28 | 1/31/29 | ||||||
| 4001 | AA | Wheelchair base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year Four | 2/1/28 | 1/31/29 | 1800 | TRP | $0.00 | $0.00 | |
| 4001 | AB | Ambulatory base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year Four | 2/1/28 | 1/31/29 | 300 | TRP | $0.00 | $0.00 | |
| 4001 | AC | Wheelchair mileage rate outside of the 15 mile base rate; per mile | Year Four | 2/1/28 | 1/31/29 | 72000 | MI | $0.00 | $0.00 | |
| 4001 | AD | Ambulatory mileage rate outside of the 15 mile base rate; per mile | Year Four | 2/1/28 | 1/31/29 | 13500 | MI | $0.00 | $0.00 | |
| 4001 | AE | Waiting Time (per 15 mins) | Year Four | 2/1/28 | 1/31/29 | 2100 | EA | $0.00 | $0.00 | |
| 4001 | AF | Ambulatory No Show/Cancel at Door | Year Four | 2/1/28 | 1/31/29 | 10 | EA | $0.00 | $0.00 | |
| 4001 | AG | Wheelchair No Show/Cancel at Door | Year Four | 2/1/28 | 1/31/29 | 40 | EA | $0.00 | $0.00 | |
| 4001 | AH | Ambulatory No Show/Cancel at Door Mileage | Year Four | 2/1/28 | 1/31/29 | 400 | MI | $0.00 | $0.00 | |
| 4001 | AJ | Wheelchair No Show/Cancel at Door Mileage | Year Four | 2/1/28 | 1/31/29 | 1600 | MI | $0.00 | $0.00 | |
| 4001 | AK | Weekend Trip Rate | Year Four | 2/1/28 | 1/31/29 | 150 | TRP | $0.00 | $0.00 | |
| 4001 | AL | After Hours (before 7:00 am and after 5:00 pm) Trip Rate Per Trip | Year Four | 2/1/28 | 1/31/29 | 150 | TRP | $0.00 | $0.00 | |
| 4001 | AM | Wheelchair unloaded mileage rate per mile over 15 miles | Year Four | 2/1/28 | 1/31/29 | 36000 | MI | $0.00 | $0.00 | |
| 4001 | AN | Ambulatory mileage rate per mile unloaded over 15 miles from base | Year Four | 2/1/28 | 1/31/29 | 6750 | MI | $0.00 | $0.00 | |
| 4001 | AP | COVID positive passenger/facility additional per trip (all services) | Year Four | 2/1/28 | 1/31/29 | 2 | EA | $0.00 | $0.00 | |
| 5001 | Provide Non-Emergent Wheelchair and Ambulatory Patient Transportation Services for the Aleda E. Lutz VA Medical Center | Year Five | 2/1/29 | 1/31/30 | ||||||
| 5001 | AA | Wheelchair base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic. | Year Five | 2/1/29 | 1/31/30 | 1800 | TRP | $0.00 | $0.00 | |
| 5001 | AB | Ambulatory base rate within 15 miles of Aleda E. Lutz VA Medical Center, VA Clinic, or VA Community Based Outpatient Clinic.e | Year Five | 2/1/29 | 1/31/30 | 300 | TRP | $0.00 | $0.00 | |
| 5001 | AC | Wheelchair mileage rate outside of the 15 mile base rate; per mile | Year Five | 2/1/29 | 1/31/30 | 72000 | MI | $0.00 | $0.00 | ` |
| 5001 | AD | Ambulatory mileage rate outside of the 15 mile base rate; per mile | Year Five | 2/1/29 | 1/31/30 | 13500 | MI | $0.00 | $0.00 | |
| 5001 | AE | Waiting Time (per 15 mins) | Year Five | 2/1/29 | 1/31/30 | 2100 | EA | $0.00 | $0.00 | |
| 5001 | AF | Ambulatory No Show/Cancel at Door | Year Five | 2/1/29 | 1/31/30 | 10 | EA | $0.00 | $0.00 | |
| 5001 | AG | Wheelchair No Show/Cancel at Door | Year Five | 2/1/29 | 1/31/30 | 40 | EA | $0.00 | $0.00 | |
| 5001 | AH | Ambulatory No Show/Cancel at Door Mileage | Year Five | 2/1/29 | 1/31/30 | 400 | MI | $0.00 | $0.00 | |
| 5001 | AJ | Wheelchair No Show/Cancel at Door Mileage | Year Five | 2/1/29 | 1/31/30 | 1600 | MI | $0.00 | $0.00 | |
| 5001 | AK | Weekend Trip Rate | Year Five | 2/1/29 | 1/31/30 | 150 | TRP | $0.00 | $0.00 | |
| 5001 | AL | After Hours (before 7:00 am and after 5:00 pm) Trip Rate Per Trip | Year Five | 2/1/29 | 1/31/30 | 150 | TRP | $0.00 | $0.00 | |
| 5001 | AM | Wheelchair unloaded mileage rate per mile over 15 miles | Year Five | 2/1/29 | 1/31/30 | 36000 | MI | $0.00 | $0.00 | |
| 5001 | AN | Ambulatory mileage rate per mile unloaded over 15 miles from base | Year Five | 2/1/29 | 1/31/30 | 6750 | MI | $0.00 | $0.00 | |
| 5001 | AP | COVID positive passenger/facility additional per trip (all services) | Year Five | 2/1/29 | 1/31/30 | 2 | EA | $0.00 | $0.00 |
Annual Totals
| Annual Totals | |
| Line Item 1001 - Year One Total | $0.00 |
| Line Item 2001-Year Two Total | $0.00 |
| Line Item 3001-Year Three Total | $0.00 |
| Line Item 4001-Year Four Total | $0.00 |
| Line Item 5001-Year Five Total | $0.00 |
| Total Estimated Contract Value | $0.00 |
File details come from the government source that posted it. Updated .