ATTACH 1 - PRICE SCHEDULE - FINAL.docx

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Attached to
V225--640-21-1-426-0001 New Special Needs Ground Transportation Contract - Current Contact Federal contract opportunity
Solicitation number
36C26120R0046
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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This price schedule template outlines estimated pricing and quantities for non-emergency medical transportation services over four option years. The contractor shall provide wheelchair van, gurney van, and secure car services with attendant for trips both under and over 40 miles from the VA Palo Alto Health Care System. Pricing is established for base rates by vehicle type for short trips and long trips, with an additional mileage rate applied to long trips. Estimated totals are provided for each contract period. The related pre-solicitation notice seeks these special needs ground transportation services through total SDVOSB set-aside contract 36C26120R0046, with responses due on SAM by November 17, 2020. The Department of Veterans Affairs VISN 21 is identified as the contracting agency.

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Other files attached to V225--640-21-1-426-0001 New Special Needs Ground Transportation Contract - Current Contact, newest first.
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P09 - PWS - FINAL.docx DOCX document
ATTACH 3 - QASP.docx DOCX document
S02 - 36C26120R0046_2.docx DOCX document
36C26120R0046_3.docx DOCX document
ATTACH 4 - Experience.docx DOCX document
ATTACH 2 - WAGES - ALAMEDA-MONTEREY-SAN JOAQUIN-SANTA CLARA.pdf PDF
36C26120R0046_1.docx DOCX document

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B.2 PRICE SCHEDULE

IDIQ Contract Minimum and Maximum Values Referenced FAR Clause, 52.216-22 (Indefinite Quantity), the following minimum and maximum values are provided for the purpose of paragraph (b) of the clause:

(a) The minimum amount for the life of the contract including options is $2,000. The Government will obligate the minimum guarantee at the time of awarding the basic contract, by issuing a task order with an amount that is equal to or greater than the minimum guarantee.

(b) The maximum value for the life of the contract including options will be $45,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

Base Year - February 1, 2021 to January 31, 2022

Part 1 - Short Trips - Mileage per trip is less than 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

0001
Gurney Van
277
Per trip
$
$
0002
Wheelchair Van
2,918
Per trip
$
$
0003
Secure Car

w/ attendant

41
Per trip
$
$
0004
Furnishing Oxygen

(per patient)

6
Per trip
$
$
0005
Waiting Time
10
Per 1/4 hr
$
$
Part 1 Short Trips - Estimated Total
$

Part 2 - Long Trips - Mileage per trip is over 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

0006
Gurney Van
40
Per trip
$
$
0007
Wheelchair Van
488
Per trip
$
$
0008
Secure Car

w/ attendant

7
Per trip
$
$
0009
Furnishing Oxygen

(per patient)

6
Per trip
$
$
0010
Waiting Time
8
Per 1/4 hr
$
$
Part 2 Long Trips - Estimated Total
$

Part 3 - Mileage Rate for Trips Over 40 Miles - Amount Added to Base Rate in Part 2

Line Item
Description
Est Qty

Per Mo

Unit
Mileage

Price Total

0011
Gurney Van
515
Per mile
$
$
0012
Wheelchair Van
18,361
Per mile
$
$
0013
Secure Car

w/ attendant

122
Per mile
$
$
Part 3 Mileage - Estimated Total
$
Summary of Prices
Total Per Section
Part 1 - Short Trips
$
Part 2 - Long Trips
$
Part 3 - Mileage
$
Estimated Total Per Month
$
Estimated Total for Base Year
$

Option Year #1 - February 1, 2022 to January 31, 2023

Part 1 - Short Trips - Mileage per trip is less than 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

1001
Gurney Van
277
Per trip
$
$
1002
Wheelchair Van
2,918
Per trip
$
$
1003
Secure Car

w/ attendant

41
Per trip
$
$
1004
Furnishing Oxygen

(per patient)

6
Per trip
$
$
1005
Waiting Time
10
Per 1/4 hr
$
$
Part 1 Short Trips - Estimated Total
$

Part 2 - Long Trips - Mileage per trip is over 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

1006
Gurney Van
40
Per trip
$
$
1007
Wheelchair Van
488
Per trip
$
$
1008
Secure Car

w/ attendant

7
Per trip
$
$
1009
Furnishing Oxygen

(per patient)

6
Per trip
$
$
1010
Waiting Time
8
Per 1/4 hr
$
$
Part 2 Long Trips - Estimated Total
$

Part 3 - Mileage Rate for Trips Over 40 Miles - Amount Added to Base Rate in Part 2

Line Item
Description
Est Qty

Per Mo

Unit
Mileage

Price Total

1011
Gurney Van
515
Per mile
$
$
1012
Wheelchair Van
18,361
Per mile
$
$
1013
Secure Car

w/ attendant

122
Per mile
$
$
Part 3 Mileage - Estimated Total
$
Summary of Prices
Total Per Section
Part 1 - Short Trips
$
Part 2 - Long Trips
$
Part 3 - Mileage
$
Estimated Total Per Month
$
Estimated Total for OY1
$

Option Year #2 - February 1, 2023 to January 31, 2024

Part 1 - Short Trips - Mileage per trip is less than 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

2001
Gurney Van
277
Per trip
$
$
2002
Wheelchair Van
2,918
Per trip
$
$
2003
Secure Car

w/ attendant

41
Per trip
$
$
2004
Furnishing Oxygen

(per patient)

6
Per trip
$
$
2005
Waiting Time
10
Per 1/4 hr
$
$
Part 1 Short Trips - Estimated Total
$

Part 2 - Long Trips - Mileage per trip is over 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

2006
Gurney Van
40
Per trip
$
$
2007
Wheelchair Van
448
Per trip
$
$
2008
Secure Car

w/ attendant

7
Per trip
$
$
2009
Furnishing Oxygen

(per patient)

6
Per trip
$
$
2010
Waiting Time
8
Per 1/4 hr
$
$
Part 2 Long Trips - Estimated Total
$

Part 3 - Mileage Rate for Trips Over 40 Miles - Amount Added to Base Rate in Part 2

Line Item
Description
Est Qty

Per Mo

Unit
Mileage

Price Total

2011
Gurney Van
515
Per mile
$
$
2012
Wheelchair Van
18,361
Per mile
$
$
2013
Secure Car

w/ attendant

122
Per mile
$
$
Part 3 Mileage - Estimated Total
$
Summary of Prices
Total Per Section
Part 1 - Short Trips
$
Part 2 - Long Trips
$
Part 3 - Mileage
$
Estimated Total Per Month
$
Estimated Total for OY2
$

Option Year #3 - February 1, 2024 to January 31, 2025

Part 1 - Short Trips - Mileage per trip is less than 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

3001
Gurney Van
277
Per trip
$
$
3002
Wheelchair Van
2,918
Per trip
$
$
3003
Secure Car

w/ attendant

41
Per trip
$
$
3004
Furnishing Oxygen

(per patient)

6
Per trip
$
$
3005
Waiting Time
10
Per 1/4 hr
$
$
Part 1 Short Trips - Estimated Total
$

Part 2 - Long Trips - Mileage per trip is over 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

3006
Gurney Van
40
Per trip
$
$
3007
Wheelchair Van
488
Per trip
$
$
3008
Secure Car

w/ attendant

7
Per trip
$
$
3009
Furnishing Oxygen

(per patient)

6
Per trip
$
$
3010
Waiting Time
8
Per 1/4 hr
$
$
Part 2 Long Trips - Estimated Total
$

Part 3 - Mileage Rate for Trips Over 40 Miles - Amount Added to Base Rate in Part 2

Line Item
Description
Est Qty

Per Mo

Unit
Mileage

Price Total

3011
Gurney Van
515
Per mile
$
$
3012
Wheelchair Van
18,361
Per mile
$
$
3013
Secure Car

w/ attendant

122
Per mile
$
$
Part 3 Mileage - Estimated Total
$
Summary of Prices
Total Per Section
Part 1 - Short Trips
$
Part 2 - Long Trips
$
Part 3 - Mileage
$
Estimated Total Per Month
$
Estimated Total for OY3
$

Option Year #4 - February 1, 2025 to January 31, 2026

Part 1 - Short Trips - Mileage per trip is less than 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

4001
Gurney Van
277
Per trip
$
$
4002
Wheelchair Van
2,918
Per trip
$
$
4003
Secure Car

w/ attendant

41
Per trip
$
$
4004
Furnishing Oxygen

(per patient)

6
Per trip
$
$
4005
Waiting Time
10
Per 1/4 hr
$
$
Part 1 Short Trips - Estimated Total
$

Part 2 - Long Trips - Mileage per trip is over 40 miles

Line Item
Description
Est Qty

Per Mo

Unit
Base Rate

Price Total

4006
Gurney Van
40
Per trip
$
$
4007
Wheelchair Van
488
Per trip
$
$
4008
Secure Car

w/ attendant

7
Per trip
$
$
4009
Furnishing Oxygen

(per patient)

6
Per trip
$
$
4010
Waiting Time
8
Per 1/4 hr
$
$
Part 2 Long Trips - Estimated Total
$

Part 3 - Mileage Rate for Trips Over 40 Miles - Amount Added to Base Rate in Part 2

Line Item
Description
Est Qty

Per Mo

Unit
Mileage

Price Total

4011
Gurney Van
515
Per mile
$
$
4012
Wheelchair Van
18,361
Per mile
$
$
4013
Secure Car

w/ attendant

122
Per mile
$
$
Part 3 Mileage - Estimated Total
$
Summary of Prices
Total Per Section
Part 1 - Short Trips
$
Part 2 - Long Trips
$
Part 3 - Mileage
$
Estimated Total Per Month
$
Estimated Total for OY4
$
Estimated Grand Total
$

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