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Pricing Template Solicitation # 70B02C20Q00000016 Pricing Template
INSTRUCTIONS: Contractors must fill in cells highlighted in GREEN only. Cells highlighted in RED are automatically populated by formula. Contractors shall make no changes to the spreadsheet or formatting other than filling in cells highlighted in GREEN. This pricing template shall be returned in a workable format so that an evaluator can see the contents of each cell after it's been completed.
| Contractor Name: | |
| Total FFP of Base and All Options: | $0.00 |
| Base Year | | | | | | |
| CLIN # | Description | Period of Performance | Unit of Measurement | Qty | Unit Value | Total Extended Fixed Price Value |
| 0001 | Fitness Facility Access for Up to 100 Members | 11/22/2019 - 11/21/2020 | MON | 12 | | |
| Option Year 1 | | | | | | |
| CLIN # | Description | Period of Performance | Unit of Measurement | Qty | Unit Value | Total Extended Fixed Price Value |
| 1001 | Fitness Facility Access for Up to 100 Members | 11/22/2020 - 11/21/2021 | MON | 12 | | |
| 1002 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2020 - 11/21/2021 | MON | 12 | | |
| 2020 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2020 - 11/21/2021 | MON | 12 | | |
| | | | | Total Option Year 1 Value | $ - 0 |
| Option Year 2 | | | | | | |
| CLIN # | Description | Period of Performance | Unit of Measurement | Qty | Unit Value | Total Extended Fixed Price Value |
| 2001 | Fitness Facility Access for Up to 100 Members | 11/22/2021 - 11/21/2022 | MON | 12 | | |
| 2002 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2021 - 11/21/2022 | MON | 12 | | |
| 2003 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2021 - 11/21/2022 | MON | 12 | | |
| | | | | Total Option Year 2 Value | $ - 0 |
| Option Year 3 | | | | | | |
| CLIN # | Description | Period of Performance | Unit of Measurement | Qty | Unit Value | Total Extended Fixed Price Value |
| 3001 | Fitness Facility Access for Up to 100 Members | 11/22/2022 - 11/21/2023 | MON | 12 | | |
| 3002 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2022 - 11/21/2023 | MON | 12 | | |
| 3003 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2022 - 11/21/2023 | MON | 12 | | |
| | | | | Total Option Year 3 Value | $ - 0 |
| Option Year 4 | | | | | | |
| CLIN # | Description | Period of Performance | Unit of Measurement | Qty | Unit Value | Total Extended Fixed Price Value |
| 4001 | Fitness Facility Access for Up to 100 Members | 11/22/2023 - 11/21/2024 | MON | 12 | | |
| 4002 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2023 - 11/21/2024 | MON | 12 | | |
| 4003 | Optional CLIN for Fitness Facility Access for up to an additional 25 active members | 11/22/2023 - 11/21/2024 | MON | 12 | | |
| | | | | Total Option Year 4 Value | $ - 0 |