Attachment 1 - Revised Price Schedule.pdf

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Attached to
V212--New: 5-year Indefinite Quantity Contract: 7/1/2026 through 06/30/2031. Non-Emergency Medical Transportation Services at the William S Middleton VA Hospital in Madison, WI, and its affiliated Clinics.
Solicitation number
36C25226Q0366
Issued by

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This is a Revised Price Schedule for a special needs transportation services contract. The contract covers five priced periods spanning from the award date through June 30, 2031, with services classified under NAICS code 485991 (Special Needs Transportation) and Product/Service Code V212 (Motor Passenger Transportation).

The pricing schedule encompasses three vehicle types with differentiated rate structures: Ambulatory Sedans, Wheelchair Vans, and Stretcher Vans. Each vehicle type has a base fare for trips up to 30 miles and a flat per-mile rate for trips exceeding 30 miles. Base fares are quoted in trips (TRP) with quantities of 2,100 trips for Ambulatory Sedans, 900 trips for Wheelchair Vans, and 50 trips for Stretcher Vans. Per-mile rates are calculated for estimated mileage quantities of 167,025 miles for Ambulatory Sedans, 71,500 miles for Wheelchair Vans, and 2,750 miles for Stretcher Vans. The schedule also includes a wait time charge of $125 per 15-minute increment after the first 30 minutes are provided free, with an estimated quantity of 125 wait time units per priced period. All line items are replicated across the five contract periods with identical quantities, allowing contractors to submit unit prices for each service category. The contractor must provide unit prices and calculate estimated annual amounts for each line item, with a grand total estimated annual amount required at the conclusion of the schedule.

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Other files

File Type Posted
36C25226Q0366 0007.docx DOCX document
36C25226Q0366 0006.docx DOCX document
36C25226Q0366 0005.docx DOCX document
36C25226Q0366 0004.docx DOCX document
36C25226Q0366 0003.docx DOCX document
Attachment 2 - Revised PWS.pdf PDF
Attachment 3 - Questions and Answers.pdf PDF
36C25226Q0366 0002.docx DOCX document
S06 - 36C25226Q0366 0001.pdf PDF
P07 - Stephenson County IL WD 2015-5041 Rev-30 Dated 12.03.2025.pdf PDF
P07 - Dane County WI WD 2015-4897 Rev-30 Dated 12.03.2025.pdf PDF
RFQ - 36C25226Q0366.pdf PDF
P07 - Sauk County WI WD 2015-4927 Rev-31 Dated 12.03.2025.pdf PDF
P07 - Winnebago County IL WD 2015-5029 Rev-27 Dated 12.03.2025.pdf PDF
VHA Local BAA Template.doc DOC document
P07 - Rock County WI WD 2015-4895 Rev-29 Dated 12.03.2025.pdf PDF
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Attachment 1 – Revised Price Schedule

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE

ESTIMATED

ANNUAL AMOUNT

2,100.00 TRP __________________ __________________

Ambulatory Sedan Base Fare (first 30 miles)

Contract Period: Priced Period 1 POP Begin: Award Date POP End: 06-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V212 - Transportation/Travel/Relocation

- Travel/Lodging/Recruitment: Motor Passenger

900.00 TRP __________________ __________________

Wheelchair Van Base Fare (first 30 miles)

Contract Period: Priced Period 1 POP Begin: Award Date POP End: 06-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

50.00 TRP __________________ __________________

Stretcher Van Base Fare (first 30 miles)

Contract Period: Priced Period 1 POP Begin: Award Date POP End: 06-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

167,025.00 MI __________________ __________________

Ambulatory Sedan Flat Per-Mile Rate (over 30 miles)

Contract Period: Priced Period 1 POP Begin: Award Date POP End: 06-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

71,500.00 MI __________________ __________________

Wheelchair Van Flat Per-Mile Rate (over 30 miles)

Contract Period: Priced Period 1 POP Begin: Award Date POP End: 06-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

2,750.00 MI __________________ __________________

Stretcher Van Flat Per-Mile Rate (over 30 miles) Contract Period: Priced Period 1 POP Begin: Award Date POP End: 06-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

125.00 EA __________________ __________________

Wait Time (First 30 minutes Free, then 15-minute increments)

Contract Period: Priced Period 1 POP Begin: Award Date POP End: 06-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 2 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 2 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 2 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 2 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 2 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 2 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 2 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 3 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 3 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 3 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 3 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 3 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 3 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 3 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 4 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 4 POP Begin: 07-01-2029 POP End: 06-30-2030

Contract Period: Priced Period 4 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 4 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 4 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 4 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 4 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 5 POP Begin: 07-01-2030 POP End: 06-30-2031

Contract Period: Priced Period 5 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 5 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 5 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 5 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 5 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

Contract Period: Priced Period 5 POP Begin: 07-01-2030

POP End: 06-30-2031 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation

ESTIMATED GRAND

TOTAL

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