70LGLY26RGLB00005.pdf

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ENTERPRISE HEALTH UNIT SERVICES
Solicitation number
70LGLY26RGLB00005
Issued by

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Written by GovTribe AI ·

This is a Standard Form 1449 and Performance Work Statement for Enterprise Health Unit Services (EHUS) issued by the Department of Homeland Security Federal Law Enforcement Training Centers (FLETC).

The solicitation seeks a single firm fixed-price requirements contract to provide comprehensive health unit operations and medical services across four FLETC training delivery points: Glynco, Georgia; Artesia, New Mexico; Charleston, South Carolina; and Cheltenham, Maryland. Services include staffing and operating health clinics, conducting health screenings and medical surveillance programs for students and staff, emergency medical response, occupational medicine services, immunizations, laboratory testing, pharmacy services, and transportation for medical appointments. The contractor must maintain minimum staffing levels including physicians (minimum 20 hours weekly per site), physician assistants, nurse practitioners, registered nurses, and medical assistants, with all personnel meeting applicable state licensure and DHS credentialing requirements. The base performance period runs from June 1, 2026 through May 31, 2027 (inclusive of a 30-day phase-in), with four optional one-year periods extending through May 31, 2031. The solicitation is set-aside as a Women-Owned Small Business (WOSB) competition under NAICS code 621999 with a $20.5 million small business size standard. Proposals are due June 4, 2026 at 12:30 PM Eastern Time, with evaluation based on technical approach (30 pages), prior experience (10 pages), past performance (7 pages), and price. The contractor must provide all personnel, equipment, supplies, medications from the government-approved formulary, vehicles for patient transport, and maintain government-furnished property inventories while the government provides facilities, utilities, certain medical equipment, computers, software access, and government vehicles at three sites.

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70LGLY26RGLB00005-0004.pdf PDF
70LGLY26RGLB00005-0003.pdf PDF
70LGLY26RGLB00005-0002.pdf PDF
Attachment 21 Pricing Table Excel Spreadsheet Rev1.xlsx XLSX spreadsheet
70LGLY26RGLB00005-0001.pdf PDF
TE 3-13 Statistics Report October 2025.xlsx XLSX spreadsheet
TE 3-19 Statistics Report April 2026.xlsx XLSX spreadsheet
TE 3-14 Statistics Report November 2025.xlsx XLSX spreadsheet
TE 3-15 Statistics Report December 2025.xlsx XLSX spreadsheet
TE 3-16 Statistics Report January 2026.xlsx XLSX spreadsheet
TE 3-18 Statistics Report March 2026.xlsx XLSX spreadsheet
TE 3-17 Statistics Report February 2026.xlsx XLSX spreadsheet
Attachment 11 FLETC Form 254-01-01.pdf PDF
Attachment 16 Form Rhabdomyolysis Tracking.xlsx XLSX spreadsheet
Attachment 20 - Medication PAR All Sites.xlsx XLSX spreadsheet
Attachment 18 DHS Form 11000-6 NDA.pdf PDF
TE 14 List of Deliverables.pdf PDF
TE 3-3 Statistics Report December 2024.xlsx XLSX spreadsheet
TE 13 OSHA 300 300A 301 Forms.pdf PDF
Attachment 15 Form SSTI Monitoring.xlsx XLSX spreadsheet
TE 4 Medicines (Formulary).pdf PDF
TE 1 QASP EHUS.pdf PDF
TE 10 Artesia Accountable Non-Accountable.pdf PDF
Attachment 21 Pricing Table Excel Spreadsheet.xlsx XLSX spreadsheet
Attachment 2 Form SF 91 Motor Vehicle Accident Report.pdf PDF
TE 3-2 Statistics Report November 2024.xlsx XLSX spreadsheet
Attachment 7 Against Medical Advice Form.docx DOCX document
TE 5 WD 2015-4281 R36.pdf PDF
TE 3-5 Statistics Report February 2025.xlsx XLSX spreadsheet
TE 3-8 Statistics Report May 2025.xlsx XLSX spreadsheet
List of Attachments and Technical Exhibits USE.xlsx XLSX spreadsheet
TE 3-9 Statistics Report June 2025.xlsx XLSX spreadsheet
TE 8 WD 2015-5455 R30.pdf PDF
Attachment 1 Form FTC-SEM-34 FLETC Statement.pdf PDF
Attachment 6 Form FTC-ALM-46 Move Order Request Form.pdf PDF
Attachment 10 FLETC Form 500-14-01.pdf PDF
TE 3-6 Statistics Report March 2025.xlsx XLSX spreadsheet
TE 3-7 Statistics Report April 2025.xlsx XLSX spreadsheet
Attachment 12 Form OSHA.xlsx XLSX spreadsheet
TE 3-4 Statistics Report January 2025.xlsx XLSX spreadsheet
Attachment 9 Form.xlsx XLSX spreadsheet
TE 3-1 Statistics Report October 2024.xlsx XLSX spreadsheet
Attachment 13 FLETC Form 500-14-04.pdf PDF
Attachment 5 Form FTC-ALM-44 Survey Report.pdf PDF
Attachment 17 Form Refrigerator Temperature Log.xlsx XLSX spreadsheet
TE 2 Performance Requirement Summary.xlsx XLSX spreadsheet
Attachment 4 Notifiable Diseases Poster.pdf PDF
TE 9 Glynco Accountable Non Accountable GFE.pdf PDF
Attachment 3 Form SF 94 Statement of Witness.pdf PDF
Attachment 19 FLETC Form 500-14-02.pdf PDF
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WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3.AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4.

FAR 52.212-3 AND 52.212-5 ARE ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

DATED.

OFFER

ADDENDA

ADDENDA

70LGLY26RGLB00005

DEPARTMENT OF HOMELAND SECURITY

FEDERAL LAW ENFORCEMENT TRNG CTR

1131 CHAPEL CROSSING RD

ATTN: BLDG:

GLYNCO GA 31524

DEPARTMENT OF HOMELAND SECURITY

FEDERAL LAW ENFORCEMENT TRAINING CENTERS

1131 CHAPEL CROSSING RD

GLYNCO GA 31524

DEPARTMENT OF HOMELAND SECURITY

FEDERAL LAW ENFORCEMENT TRAINING CENTERS

1131 CHAPEL CROSSING RD

GLYNCO GA 31524

06/04/2026 1230 ET

Sheryle Wood 912-267-3590

70LGLY 100.00

70LGLY

Sheryle Wood

621999

$20.5

05/13/2026

FLETC GL

Successful offeror will be required to provide a statement of compliance with FAR 52.222-50, Combating Trafficking in Persons, requirements and confirm subcontractors have accomplished a statement of compliance upon award.

Continued...

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ACCEPTED,

Notice to Offeror(s): Due to Funds are not presently available for this effort. No award will be made under this solicitation until funds are available. The Government reserves the right to cancel this solicitation, either before or after the closing date. In the event the Government cancels this solicitation, the Government has no obligation to reimburse an offeror for any costs.

0001 11 MO0001 LOT I – SITE 1 GLYNCO GA - BASE

PERFORMANCE PERIOD INCLUSIVE OF PHASE-IN PERIOD

(JUNE 1, 2026 THROUGH MAY 31, 2027). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement.

Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs). The phase-in period is anticipated for June 1-30 2026, with full contract performance beginning July 1, 2026.

Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGES

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

NSN 7540-01-152-8067

70LGLY26RGLB00005

0001AA 11 MO0001AA – SITE 1 GLYNCO GA – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0001AB 11 MO0001AB – SITE 1 GLYNCO GA – FFP BASIC GLYNCO

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0001AC 11 MO0001AC – SITE 1 GLYNCO GA – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0001AD 11 MO0001AD – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0001AE 11 MO0001AE – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0001AF 11 MO0001AF – SITE 1 GLYNCO GA – FFP PHASE IN

Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2026 to 06/30/2026

0002 11 MO0002 LOT I – SITE 2 ARTESIA NM - BASE

PERFORMANCE PERIOD INCLUSIVE OF PHASE-IN PERIOD

(JUNE 1, 2026 THROUGH MAY 31, 2027). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement.

Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs). The phase-in period is anticipated for June 1-30 2026, with full contract performance beginning July 1, 2026.

Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0002AA 11 MO0002AA – SITE 2 ARTESIA NM – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

0002AB 11 MO0002AB – SITE 2 ARTESIA NM – FFP BASIC ARTESIA

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0002AC 11 MO0002AC – SITE 2 ARTESIA NM – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0002AD 11 MO0002AD – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0002AE 11 MO0002AE – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

0002AF 1 MO0002AF – SITE 2 ARTESIA NM – FFP PHASE IN

Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2026 to 06/30/2026

0003 11 MO0003 LOT I – SITE 3 CHARLESTON SC - BASE

PERFORMANCE PERIOD INCLUSIVE OF PHASE-IN PERIOD

(JUNE 1, 2026 THROUGH MAY 31, 2027). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement.

Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs). The phase-in period is anticipated for June 1-30 2026, with full contract performance beginning July 1, 2026.

Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0003AA 11 MO0003AA – SITE 3 CHARLESTON SC – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0003AB 11 MO0003AB – SITE 3 CHARLESTON SC – FFP BASIC

CHARLESTON HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

0003AC 11 MO0003AC – SITE 3 CHARLESTON SC – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0003AD 11 MO0003AD – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0003AE 11 MO0003AE – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0003AF 1 MO0003AF – SITE 3 CHARLESTON SC – FFP PHASE IN

Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2026 to 06/30/2026

0004 11 MO0004 LOT I – SITE 4 CHELTENHAM MD - BASE

PERFORMANCE PERIOD INCLUSIVE OF PHASE-IN PERIOD

(JUNE 1, 2026 THROUGH MAY 31, 2027). Firm Fixed

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Price Scheduled Work to Include all Requirements of the Performance Work Statement.

Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs). The phase-in period is anticipated for June 1-30 2026, with full contract performance beginning July 1, 2026.

Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0004AA 11 MO0004AA – SITE 4 CHELTENHAM MD – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0004AB 11 MO0004AB – SITE 4 CHELTENHAM MD – FFP BASIC

CHELTENHAM HEALTH SERVICES

References: PWS 5.6(5), 5.8 through 5.9, 5.13, and 5.14; PRS #1, #2 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

0004AC 11 MO0004AC – SITE 4 CHELTENHAM MD – FFP LAB

WORK/X-RAYS (for Medical Surveillance Program

(MSP))

References: PWS 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, and 5.7.6.3; PRS #9 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 07/01/2026 to 05/31/2027

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

0004AD 1 MO0004AD – SITE 4 CHELTENHAM MD – PHASE IN

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2026 to 06/30/2026

1001 12 MO1001 LOT II – SITE 1 GLYNCO GA - OPTION YEAR

ONE PERFORMANCE PERIOD (JUNE 1, 2027 THROUGH

MAY 31, 2028). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1001AA 12 MO1001AA – SITE 1 GLYNCO GA – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1001AB 12 MO1001AB – SITE 1 GLYNCO GA – FFP BASIC GLYNCO

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Period of Performance: 06/01/2027 to 05/31/2028

1001AC 12 MO1001AC – SITE 1 GLYNCO GA – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1001AD 12 MO1001AD – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1001AE 12 MO1001AE – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1002 12 MO1002 LOT II – SITE 2 ARTESIA NM - OPTION YEAR

ONE PERFORMANCE PERIOD (JUNE 1, 2027 THROUGH

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

MAY 31, 2028). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1002AA 12 MO1002AA – SITE 2 ARTESIA NM – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1002AB 12 MO1002AB – SITE 2 ARTESIA NM – FFP BASIC ARTESIA

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1002AC 12 MO1002AC – SITE 2 ARTESIA NM – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item)

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Anticipated Option Exercise Date 05/01/2027

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1002AD 12 MO1002AD – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1002AE 12 MO1002AE – SITE 2 ARTESIA NM – OPTION ITEM FFP

MEDICINES (FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1003 12 MO1003 LOT II – SITE 3 CHARLESTON SC - OPTION

YEAR ONE PERFORMANCE PERIOD (JUNE 1, 2027

THROUGH MAY 31, 2028). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1003AA 12 MO1003AA – SITE 3 CHARLESTON SC – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1003AB 12 MO1003AB – SITE 3 CHARLESTON SC – FFP BASIC

CHARLESTON HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1003AC 12 MO1003AC – SITE 3 CHARLESTON SC – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1003AD 12 MO1003AD – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1003AE 12 MO1003AE – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1004 12 MO1004 LOT II – SITE 4 CHELTENHAM MD - OPTION

YEAR ONE PERFORMANCE PERIOD (JUNE 1, 2027

THROUGH MAY 31, 2028). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1004AA 12 MO1004AA – SITE 4 CHELTENHAM MD – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3 (Option Line Item)

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Anticipated Option Exercise Date 05/01/2027

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1004AB 12 MO1004AB – SITE 4 CHELTENHAM MD – FFP BASIC

CHELTENHAM HEALTH SERVICES

References: PWS 5.6(5), 5.8 through 5.9, 5.13, and 5.14; PRS #1, #2 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

1004AC 12 MO1004AC – SITE 4 CHELTENHAM MD – FFP LAB

WORK/X-RAYS (for Medical Surveillance Program

(MSP))

References: PWS 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, and 5.7.6.3; PRS #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2027 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2027 to 05/31/2028

2001 12 MO2001 LOT III – SITE 1 GLYNCO GA - OPTION YEAR

TWO PERFORMANCE PERIOD (JUNE 1, 2028 THROUGH

MAY 31, 2029). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Period of Performance: 06/01/2028 to 05/31/2029

2001AA 12 MO2001AA – SITE 1 GLYNCO GA – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2001AB 12 MO2001AB – SITE 1 GLYNCO GA – FFP BASIC GLYNCO

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2001AC 12 MO2001AC – SITE 1 GLYNCO GA – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2001AD 12 MO2001AD – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

(Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2001AE 12 MO2001AE – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2002 12 MO2002 LOT III – SITE 2 ARTESIA NM - OPTION YEAR

TWO PERFORMANCE PERIOD (JUNE 1, 2028 THROUGH

MAY 31, 2029). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2002AA 12 MO2002AA – SITE 2 ARTESIA NM – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2028

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2002AB 12 MO2002AB – SITE 2 ARTESIA NM – FFP BASIC ARTESIA

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2002AC 12 MO2002AC – SITE 2 ARTESIA NM – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2002AD 12 MO2002AD – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/31/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

2002AE 12 MO2002AE – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2003 12 MO2003 LOT III – SITE 3 CHARLESTON SC - OPTION

YEAR TWO PERFORMANCE PERIOD (JUNE 1, 2028

THROUGH MAY 31, 2029). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2003AA 12 MO2003AA – SITE 3 CHARLESTON SC – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2003AB 12 MO2003AB – SITE 3 CHARLESTON SC – FFP BASIC

CHARLESTON HEALTH SERVICES

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2003AC 12 MO2003AC – SITE 3 CHARLESTON SC – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/02/2028 to 05/31/2029

2003AD 12 MO2003AD – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2003AE 12 MO2001AE – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Product/Service Description: MEDICAL- MANAGED

Period of Performance: 06/01/2028 to 05/31/2029

2004 12 MO2004 LOT III – SITE 4 CHELTENHAM MD - OPTION

YEAR TWO PERFORMANCE PERIOD (JUNE 1, 2028

THROUGH MAY 31, 2029). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2004AA 12 MO2004AA – SITE 4 CHELTENHAM MD – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3 (Option Line Item) Anticipated Option Exercise Date 05/31/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

2004AB 12 MO2004AB – SITE 4 CHELTENHAM MD – FFP BASIC

CHELTENHAM HEALTH SERVICES

References: PWS 5.6(5), 5.8 through 5.9, 5.13, and 5.14; PRS #1, #2 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

2004AC 12 MO2004AC – SITE 4 CHELTENHAM MD – FFP LAB

WORK/X-RAYS (for Medical Surveillance Program

(MSP))

References: PWS 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, and 5.7.6.3; PRS #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2028 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2028 to 05/31/2029

3001 12 MO3001 LOT IV – SITE 1 GLYNCO GA - OPTION YEAR

THREE PERFORMANCE PERIOD (JUNE 1, 2029 THROUGH

MAY 31, 2030). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3001AA 12 MO3001AA – SITE 1 GLYNCO GA – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3001AB 12 MO3001AB – SITE 1 GLYNCO GA – FFP BASIC GLYNCO

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3001AC 12 MO3001AC – SITE 1 GLYNCO GA – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3001AD 12 MO3001AD – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3001AE 12 MO3001AE – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Period of Performance: 06/01/2029 to 05/31/2030

3002 12 MO3002 LOT IV – SITE 2 ARTESIA NM - OPTION YEAR

THREE PERFORMANCE PERIOD (JUNE 1, 2029 THROUGH

MAY 31, 2030). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3002AA 12 MO3002AA – SITE 2 ARTESIA NM – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3002AB 12 MO3002AB – SITE 2 ARTESIA NM – FFP BASIC ARTESIA

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3002AC 12 MO3002AC – SITE 2 ARTESIA NM – FFP MEDICINES

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3002AD 12 MO3002AD – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3002AE 12 MO3002AE – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3003 12 MO3003 LOT IV – SITE 3 CHARLESTON SC - OPTION

YEAR THREE PERFORMANCE PERIOD (JUNE 1, 2029

THROUGH MAY 31, 2030). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C) quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3003AA 12 MO3003AA – SITE 3 CHARLESTON SC – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3003AB 12 MO3003AB – SITE 3 CHARLESTON SC – FFP BASIC

CHARLESTON HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3003AC 12 MO3003AC – SITE 3 CHARLESTON SC – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

05/31/2030

3003AD 12 MO3003AD – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3003AE 12 MO3003AE – SITE 3 CHARLESTON SC – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3004 12 MO3004 LOT IV – SITE 4 CHELTENHAM MD - OPTION

YEAR THREE PERFORMANCE PERIOD (JUNE 1, 2029

THROUGH MAY 31, 2030). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

05/31/2030

3004AA 12 MO3004AA – SITE 4 CHELTENHAM MD – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3004AB 12 MO3004AB – SITE 4 CHELTENHAM MD – FFP BASIC

CHELTENHAM HEALTH SERVICES

References: PWS 5.6(5), 5.8 through 5.9, 5.13, and 5.14; PRS #1, #2 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

3004AC 12 MO3004AC – SITE 4 CHELTENHAM MD – FFP LAB

WORK/X-RAYS (for Medical Surveillance Program

(MSP))

References: PWS 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, and 5.7.6.3; PRS #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2029 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2029 to 05/31/2030

4001 12 MO4001 LOT V – SITE 1 GLYNCO GA - OPTION YEAR

FOUR PERFORMANCE PERIOD (JUNE 1, 2030 THROUGH

MAY 31, 2031). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C) safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4001AA 12 MO4001AA – SITE 1 GLYNCO GA – FFP PROJECT

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4001AB 12 MO4001AB – SITE 1 GLYNCO GA – FFP BASIC GLYNCO

HEALTH SERVICES

(Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4001AC 12 MO4001AC – SITE 1 GLYNCO GA – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

05/31/2031

4001AD 12 MO4001AD – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4001AE 12 MO4001AE – SITE 1 GLYNCO GA – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4002 12 MO4002 LOT V – SITE 2 ARTESIA NM - OPTION YEAR

FOUR PERFORMANCE PERIOD (JUNE 1, 2030 THROUGH

MAY 31, 2031). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4002AA 12 MO4002AA – SITE 2 ARTESIA NM – FFP PROJECT

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

MANAGEMENT

References: PWS Parts 1 through 8, PRS #3, #7, #8 (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4002AB 12 MO4002AB – SITE 2 ARTESIA NM – FFP BASIC ARTESIA

HEALTH SERVICES

References: PWS 5.1 through 5.7, 5.8.4, and 5.9 through 5.14; PRS #1, #5, #6 (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4002AC 12 MO4002AC – SITE 2 ARTESIA NM – FFP MEDICINES

(FORMULARY), LAB WORK, X-RAYS (for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS SUPPLIES References: PWS 3.2, 5.4.9, 5.4.9.1, 5.7.1(4), 5.7.6.1, 5.7.6.3, and 5.10; PRS #4, #9 (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4002AD 12 MO4002AD – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE REQUIREMENTS OUTSIDE OF BASIC HOURS TO

INCLUDE NIGHT & WEEKENDS AS NEEDED.

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Period of Performance: 06/01/2030 to 05/31/2031

4002AE 12 MO4002AE – SITE 2 ARTESIA NM – OPTION ITEM FFP

SURGE MEDICINES (FORMULARY), LAB WORK, X-RAYS

(for Medical Surveillance Program (MSP)), EQUIPMENT CALIBRATIONS, and MISCELLANEOUS

SUPPLIES

References: PWS 5.4.6 as needed (Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Period of Performance: 06/01/2030 to 05/31/2031

4003 12 MO4003 LOT V – SITE 3 CHARLESTON NM - OPTION YEAR

FOUR PERFORMANCE PERIOD (JUNE 1, 2030 THROUGH

MAY 31, 2031). Firm Fixed Price Scheduled Work to Include all Requirements of the Performance Work Statement. Prices shall include all labor, management, supervision, quality, scheduling, safety, reporting requirements, (including all associated direct and indirect costs).

(Option Line Item) Anticipated Option Exercise Date 05/01/2030 Product/Service Code: Q201 Product/Service Description: MEDICAL-…

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