Attachment J-3 - Pricing Table.xlsx
XLSX spreadsheet 30 KB Posted
- Attached to
- Region IX Emergency Medical Membership Access
- Solicitation number
- 70FB8027Q00000001
About this file
This is a pricing table template for a Federal Emergency Management Agency (FEMA) Region IX solicitation (70FB8027Q00000001) for emergency medical membership access and medical evacuation services within the Pacific Islands and territories, excluding Hawaii. The contract is structured as a single-award Indefinite Delivery/Indefinite Quantity (IDIQ) with a base year plus four option years.
The pricing table contains Contract Line Items (CLINs) organized by service category and contract type. Base year and optional year services include: annual membership (15 each at firm-fixed-price), ground ambulance services, commercial medical escort, fixed-wing air ambulance services (standard and critical care) across five geographic zones covering routes from Guam/CNMI to Hawaii, CONUS West Coast, and American Samoa, with time-and-material rates for non-zoned Pacific Basin routes, specialty and other services, waiting/standby time, specialty medical teams, and other direct costs (ODCs). All line items in this template currently show $0.00 pricing and require vendor completion. The template includes separate pricing sections for the base year (CLINs 0001-0009) and four option years (CLINs 1001-1009, 2001-2009, 3001-3009, and 4001-4009), with a summary section for total contract value calculations across firm-fixed-price and time-and-material components. The solicitation deadline for quote submission is December 14, 2026, at 1:00 p.m. ET, with questions due by November 13, 2026.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Summary
| Vendor: | |
| UEI No. | |
| Base + 4 | |
| Period | Annual Cost |
| Base Year | |
| Option Period 1 | |
| Option Period 2 | |
| Option Period 3 | |
| Option Period 4 | |
| Grand Total |
Base
| CLIN | DESCRIPTION | QTY | UOM | UNIT PRICE | CLIN TOTAL |
| 0001 | Annual Membership (FFP) in accordance with SOW Section 5.1. | 15 | Each | $0.00 | |
| 0002 | Ground Ambulance Services (FFP) | Dollars | $0.00 | ||
| 0003 | Commercial Medical Escort (FFP) | Dollars | $0.00 | ||
| 0004 | Fixed-Wing Air Ambulance Services, Standard in accordance with SOW Section 5.6. (FFP) | $0.00 | |||
| 0004AA | Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 0004AB | Zone 3: - Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 0004AC | Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 0004AD | Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 5.00 | Fixed-Wing Air Ambulance Services, Standard Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | $0.00 | |||
| 6.00 | Fixed-Wing Air Ambulance Services, Critical Care in accordance with SOW Section 5.7. (FFP) | $0.00 | |||
| 0006AA | Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 0006AB | Zone 3: Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 0006AC | Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 0006AD | Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 7.00 | Fixed-Wing Air Ambulance Services, Critical Care Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | Dollars | $0.00 | ||
| 8.00 | Specialty and Other Services (Time-and-Material) in accordance with Statement of Work 5.8 and 5.9. | Dollars | $0.00 | ||
| 0008AA | Waiting/Standby Time (Time-and-Material) in accordance Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 0008AB | Specialty Medical Team (Time-and-Material) in accordance with Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 9.00 | Other Direct Costs (ODCs) in accordance with Statement of Work Section 5.10. | Dollars | $0.00 |
B
Option Year 1
| CLIN | DESCRIPTION | QTY | UOM | UNIT PRICE | CLIN TOTAL |
| 1001 | Option Year 1: Annual Membership (FFP) in accordance with SOW Section 5.1. | 15 | Each | $0.00 | |
| 1002 | Option Year 1: Ground Ambulance Services (FFP) | Dollars | $0.00 | ||
| 1003 | Option Year 1: Commercial Medical Escort (FFP) | Dollars | $0.00 | ||
| 1004 | Option Year 1: Fixed-Wing Air Ambulance Services, Standard in accordance with SOW Section 5.6. (FFP) | $0.00 | |||
| 1004AA | Option Year 1: Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1004AB | Option Year 1: Zone 3: - Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1004AC | Option Year 1: Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1004AD | Option Year 1: Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1005 | Option Year 1: Fixed-Wing Air Ambulance Services, Standard Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | $0.00 | |||
| 1006 | Option Year 1: Fixed-Wing Air Ambulance Services, Critical Care in accordance with SOW Section 5.7. (FFP) | $0.00 | |||
| 1006AA | Option Year 1: Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1006AB | Option Year 1: Zone 3: Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1006AC | Optoin Year 1: Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1006AD | Option Year 1: Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 1007 | Option Year 1: Fixed-Wing Air Ambulance Services, Critical Care Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | Dollars | $0.00 | ||
| 1008 | Option Year 1: Specialty and Other Services (Time-and-Material) in accordance with Statement of Work 5.8 and 5.9. | Dollars | $0.00 | ||
| 1008AA | Option Year 1: Waiting/Standby Time (Time-and-Material) in accordance Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 1008AB | Option Year 1: Specialty Medical Team (Time-and-Material) in accordance with Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 1009 | Option Year 1: Other Direct Costs (ODCs) in accordance with Statement of Work Section 5.10. | Dollars | $0.00 |
Option Year 2
| CLIN | DESCRIPTION | QTY | UOM | UNIT PRICE | CLIN TOTAL |
| 2001 | Option Year 2: Annual Membership (FFP) in accordance with SOW Section 5.1. | 15 | Each | $0.00 | |
| 2002 | Option Year 2: Ground Ambulance Services (FFP) | Dollars | $0.00 | ||
| 2003 | Option Year 2: Commercial Medical Escort (FFP) | Dollars | $0.00 | ||
| 2004 | Option Year 2: Fixed-Wing Air Ambulance Services, Standard in accordance with SOW Section 5.6. (FFP) | $0.00 | |||
| 2004AA | Option Year 2: Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2004AB | Option Year 2: Zone 3: - Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2004AC | Option Year 2: Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2004AD | Option Year 2: Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2005 | Option Year 2: Fixed-Wing Air Ambulance Services, Standard Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | Dollars | $0.00 | ||
| 2006 | Optoin Year 2: Fixed-Wing Air Ambulance Services, Critical Care in accordance with SOW Section 5.7. (FFP) | $0.00 | |||
| 2006AA | Option Year 2: Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2006AB | Option Year 2: Zone 3: Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2006AC | Option Year 2: Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2006AD | Option Year 2: Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 2007 | Option Year 2: Fixed-Wing Air Ambulance Services, Critical Care Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | Dollars | $0.00 | ||
| 2008 | Option Year 2: Specialty and Other Services (Time-and-Material) in accordance with Statement of Work 5.8 and 5.9. | Dollars | $0.00 | ||
| 2008AA | Option Year 2: Waiting/Standby Time (Time-and-Material) in accordance Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 2008AB | Option Year 2: Specialty Medical Team (Time-and-Material) in accordance with Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 2009 | Option Years 2: Other Direct Costs (ODCs) in accordance with Statement of Work Section 5.10. | Dollars | $0.00 |
Option Year 3
| CLIN | DESCRIPTION | QTY | UOM | UNIT PRICE | CLIN TOTAL |
| 3001 | Option Year 3: Annual Membership (FFP) in accordance with SOW Section 5.1. | 15 | Each | $0.00 | |
| 3002 | Option Year 3: Ground Ambulance Services (FFP) | Dollars | $0.00 | ||
| 3003 | Option Year 3: Commercial Medical Escort (FFP) | Dollars | $0.00 | ||
| 3004 | Option Year 3: Fixed-Wing Air Ambulance Services, Standard in accordance with SOW Section 5.6. (FFP) | $0.00 | |||
| 3004AA | Option Year 3: Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 3004AB | Option Year 3: Zone 3: - Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 3004AC | Option Year 3: Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 3004AD | Option Year 3: Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 3005 | Option Year 3: Fixed-Wing Air Ambulance Services, Standard Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | Dollars | $0.00 | ||
| 3006 | Option Year 3: Fixed-Wing Air Ambulance Services, Critical Care in accordance with SOW Section 5.7. (FFP) | $0.00 | |||
| 3006AA | Option Year 3: Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 3006AB | Option Year 3: Zone 3: Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 30006AC | Option Year 3: Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 3006AD | Option Year 3: Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 3007 | Option Year 3: Fixed-Wing Air Ambulance Services, Critical Care Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | Dollars | $0.00 | ||
| 3008 | Option Year 3: Specialty and Other Services (Time-and-Material) in accordance with Statement of Work 5.8 and 5.9. | Dollars | $0.00 | ||
| 3008AA | Option Year 3: Waiting/Standby Time (Time-and-Material) in accordance Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 3008AB | Option Year 3: Specialty Medical Team (Time-and-Material) in accordance with Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 3009 | Option Year 3: Other Direct Costs (ODCs) in accordance with Statement of Work Section 5.10. | Dollars | $0.00 |
Option Year 4
| CLIN | DESCRIPTION | QTY | UOM | UNIT PRICE | CLIN TOTAL |
| 4001 | Annual Membership (FFP) in accordance with SOW Section 5.1. | 15 | Each | $0.00 | |
| 4002 | Ground Ambulance Services (FFP) | Dollars | $0.00 | ||
| 4003 | Commercial Medical Escort (FFP) | Dollars | $0.00 | ||
| 4004 | Fixed-Wing Air Ambulance Services, Standard in accordance with SOW Section 5.6. (FFP) | $0.00 | |||
| 4004AA | Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4004AB | Zone 3: - Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4004AC | Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4004AD | Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.6 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4005 | Fixed-Wing Air Ambulance Services, Standard Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | $0.00 | |||
| 4006 | Fixed-Wing Air Ambulance Services, Critical Care in accordance with SOW Section 5.7. (FFP) | $0.00 | |||
| 4006AA | Zone 2: Guam/CNMI to Hawaii (1-Mission) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4006AB | Zone 3: Guam/CNMI to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes) in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4006AC | Zone 4: - American Samoa to Hawaii in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4006AD | Zone 5: American Samoa to CONUS West Coast (Arizona, California, Nevada, Including 153 Area Tribes. in accordance with SOW Section 5.7 (Firm-Fixed-Price) | Dollars | $0.00 | ||
| 4007 | Fixed-Wing Air Ambulance Services, Critical Care Zone 6 - Non-Zoned: Other Pacific Basin routes authorized by the Government in accordance with SOW Section 5.6 (Time-and-Material) | Dollars | $0.00 | ||
| 4008 | Specialty and Other Services (Time-and-Material) in accordance with Statement of Work 5.8 and 5.9. | Dollars | $0.00 | ||
| 4008AA | Waiting/Standby Time (Time-and-Material) in accordance Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 0008AB | Specialty Medical Team (Time-and-Material) in accordance with Statement of Work Section 5.9. | Dollars | $0.00 | ||
| 4009 | Other Direct Costs (ODCs) in accordance with Statement of Work Section 5.10. | Dollars | $0.00 |
Labor Categories and Rates -T&M
| Contract type | Estimated Total Value | |||
| Firm-Fixed-Price (FFP) | ERROR:#REF! | T&M Totals | Total Contract Value | Difference |
| Time & Materials (T&M) | ERROR:#REF! | $0.00 | ||
| ERROR:#REF! | ERROR:#REF! | |||
| ERROR:#REF! | ||||
| ERROR:#REF! | ||||
| ERROR:#REF! | ||||
| ERROR:#REF! | $0.00 | ERROR:#REF! |
File details come from the government source that posted it. Updated .