EAP Attachement L001 - Pricing Worksheet.pdf

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FAA Employee Assistance Program - Amendment 0001
Solicitation number
693KA9-19-R-00021
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EAP Attachement L001 - Pricing Worksheet (pdf)

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EAP Attachement L001 - Pricing Worksheet.pdf PDF
AGC-AM1 693KA9-19-R-00021.pdf PDF
693KA9-19-R-00021 Amendment 0001.pdf PDF
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EAP Attachement L001 - Pricing Worksheet.pdf PDF
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EAP Attachment L002 - Past Performance Questionnaire.pdf PDF
AGC-AM1 693KA9-19-R-00021.pdf PDF
J001 FAA Headcount and Locations.pdf PDF
AGC-AM1 693KA9-19-R-00021.pdf PDF
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INSTRUCTIONS TO OFFEROR: Fill in Blue Shaded Cells Only

OFFEROR NAME:

Base Year – CLIN 0001

SUBCLIN Description Fixed Unit Price Unit QTY Extended

Amount

0001AA Basic Employee Assistance Program 0 Month 12 $ -

0001AB Concierge / Convenience Services 0 Month 12 $ -

0001AC Elder Care Management Services 0 Month 12 $ -

0001AD Wellness/healthy lifestyle online resources $ TBD Each 1 $ 200,000.00

0001AE CISMs * 0 Each 60 $ -

$ 200,000.00

Option One – CLIN 0002

SUBCLIN Description Fixed Unit Price Unit QTY Extended

Amount

0002AA Basic Employee Assistance Program 0 Month 12 $ -

0002AB Concierge / Convenience Services 0 Month 12 $ -

0002AC Elder Care Management Services 0 Month 12 $ -

0002AD Wellness/healthy lifestyle online resources $ TBD Each 1 $ 200,000.00

0002AE CISMs * 0 Each 60 $ -

$ 200,000.00

Option Two – CLIN 0003

Total

SUBCLIN Description Fixed Unit Price Unit QTY Extended

Amount

0003AA Basic Employee Assistance Program 0 Month 12 $ -

0003AB Concierge / Convenience Services 0 Month 12 $ -

0003AC Elder Care Management Services 0 Month 12 $ -

0003AD Wellness/healthy lifestyle online resources $ TBD Each 1 $ 200,000.00

0003AE CISMs * 0 Each 60 $ - $ 200,000.00

Option Three – CLIN 0004

SUBCLIN Description Fixed Unit Price Unit QTY Extended

Amount 0004AA Basic Employee Assistance

Program 0 Month 12 $ -

0004AB Concierge / Convenience Services 0 Month 12 $ -

0004AC Elder Care Management Services 0 Month 12 $ -

0004AD Wellness/healthy lifestyle online resources $ TBD Each 1 $ 200,000.00

0004AE CISMs 0 Each 60 $ - $ 200,000.00

Option Four – CLIN 0005

SUBCLIN Description Fixed Unit Price Unit QTY Extended

Amount

0004AA Basic Employee Assistance Program 0 Month 12 $ -

0004AB Concierge / Convenience Services 0 Month 12 $ -

0004AC Elder Care Management Services 0 Month 12 $ -

0004AD Wellness/healthy lifestyle online resources $ TBD Each 1 $ 200,000.00

0004AE CISMs 0 Each 60 $ - $ 200,000.00

$ 1,000,000.00 Total Price (All Years)

L001

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