Amendment_4_-_Attachment_J.5.C__Eastern_Region_SVS_Business_Proposal_Template.xlsx

XLSX spreadsheet 109 KB Posted

Attached to
Provider Enrollment and Oversight Federal contract opportunity
Solicitation number
75FCMC18R0014
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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Amendment 4 - Revised Attachment J.5.C

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File Type Posted
Amendment_6_-_Exhibit_E.1.B_SVS_Task_Order_Questions_and_Responses_3rd_Rd.pdf PDF
75FCMC18R0014_Amendment_0005.pdf PDF
Amendment_5_-_Attachment_J.5.A.1__Eastern_Region_Site_Verification_Services_TO_SOW_Attachment_1_QASP.docx DOCX document
Amendment_5_-_Attachment_J.5__Eastern_Region_Site_Verification_Services_TO_RFP.doc DOC document
Amendment_5_-_75FCMC18R0014_PEO_Solicitation.pdf PDF
Amendment_5_-_Exhibit_E.11__Delivery_of_Proposal_Information.xlsx XLSX spreadsheet
Amendment_5_-_Attachment_J.6.A.1_Western_Region_Site_Verification_Services_TO_SOW_Attachment_1_QASP.docx DOCX document
Amendment_5_-_Attachment_J.6__Western_Region_Site_Verification_Services_TO_RFP.doc DOC document
Amendment_4_-_Attachment_J.6__Western_Region_Site_Verification_Services_TO_RFP.doc DOC document
Amendment_4_-_Attachment_J.5.A_Eastern_Region_Site_Verification_Services_TO_SOW.pdf PDF
Amendment_0004_75FCMC18R0014.pdf PDF
Amendment_4_-_Attachment_J.6.A_Western_Region_Site_Verification_Services_TO_SOW.pdf PDF
Amendment_4_-_Attachment_J.6.C_Western_Region_SVS_Business_Proposal_Template.xlsx XLSX spreadsheet
Amendment_0003_-_75FCMC18R0014_PEO_Solicitation.pdf PDF
Amendment_2_-_Attachment_J.1_PEO_IDIQ_SOW.pdf PDF
Amendment_2_-_Exhibit_E.3__Subcontractor_Proposal_Information_Checklist.doc DOC document
Amendment_2_-_Attachment_J.6__Western_Region_Site_Verification_Services_TO_RFP.doc DOC document
Amendment_2_-_75FCMC18R0014_PEO_Solicitation.pdf PDF
Amendment_0002_75FCMC18R0014.pdf PDF
Amendment_2_-_Attachment_J.5__Eastern_Region_Site_Verification_Services_TO_RFP.doc DOC document
Amendment_2_-_Attachment_J.5.A_Eastern_Region_Site_Verification_Services_TO_SOW.pdf PDF
Amendment_2_-_Attachment_J.6.C__Western_Region_Site_Verification_Services_Business_Proposal_Template.xlsx XLSX spreadsheet
Amendment_2_-_Exhibit_E.4__Choice_of_PEO_Requirements.xlsx XLSX spreadsheet
Amendment_2_-_Exhibit_E.8__Sample_Task_Order_Business_Proposal_Template.xlsx XLSX spreadsheet
Amendment_2_-_Exhibit_E.7__Sample_Task_Order_SOW.docx DOCX document
Amendment_2_-_Exhibit_E.1.A_PEO_IDIQ_Questions_Submission.pdf PDF
Amendment_2_-_Attachment_J.5.A.1__Eastern_Region_Site_Verification_Services_TO_SOW_Attachment_1_QASP.docx DOCX document
Amendment_2_-_Attachment_J.2.A__Contractor_Business_Ethics,_Conflict_of_Interest_and_Compliance_Program_Req.docx DOCX document
Amendment_2_-_Exhibit_E.11__Delivery_of_Proposal_Information.xlsx XLSX spreadsheet
75FCMC18R0014_Amendment_0001_.pdf PDF
Attachment_J.5.A__Eastern_Region_Site_Verification_Services_TO_SOW.pdf PDF
Attachment_J.5.B__Eastern_Region_Site_Verification_Services_TO_Subcontract_Reporting.xlsx XLSX spreadsheet
Attachment_J.6.C__Western_Region_Site_Verification_Services_Business_Proposal_Template.xlsx XLSX spreadsheet
Attachment_J.2.B__Contractor_Personal_Conflict_of_Interest_Financial_Disclosure_Template.docx DOCX document
Exhibit_E.5__Past_Performance_Information_Spreadsheet.xlsx XLSX spreadsheet
Exhibit_E.6___Past_Performance_Questionnaire.docx DOCX document
Exhibit_E.7__Sample_Task_Order_SOW.pdf PDF
Attachment_J.6.B__Western_Region_Site_Verification_Services_TO_Subcontract_Reporting.xlsx XLSX spreadsheet
Attachment_J.3__HHS_Subcontract_Plan_Template.docx DOCX document
Exhibit_E.10__Consent_to_Subcontract.doc DOC document
Attachment_J.2.A__Contractor_Business_Ethics,_Conflict_of_Interest_and_Compliance_Program_Req.docx DOCX document
Attachment_J.5__Eastern_Region_Site_Verification_Services_TO_RFP.doc DOC document
Exhibit_E.4__Choice_of_PEO_Requirements.xlsx XLSX spreadsheet
Exhibit_E.2__Prime_Proposal_Information_Checklist.doc DOC document
Attachment_J.4__PEO_IDIQ_Ordering_Guide.pdf PDF
Exhibit_E.1.A__PEO_IDIQ_Questions_Submission.docx DOCX document
Attachment_J.5.C__Eastern_Region_Site_Verification_Services_Business_Proposal_Template.xlsx XLSX spreadsheet
75FCMC18R0014_PEO_Solicitation.pdf PDF
Exhibit_E.8__Sample_Task_Order_Business_Proposal_Template.xlsx XLSX spreadsheet
Attachment_J.6__Western_Region_Site_Verification_Services_TO_RFP.doc DOC document
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SUMMARY

Amendment 0004PEO MA IDIQ 75FCMC18R0014
SITE VERIFICATION SERVICES EASTERN REGION TASK ORDER
GRAND TOTAL - CLIN 0001
SLIN 0001AASLIN 0001ABSLIN 0001ACSLIN 0001ADTotal
Up to the Minimum Total Price
Minimum to Estimated Total Price
Grand Total CLIN 0001
GRAND TOTAL - CLIN 0002
SLIN 0002AASLIN 0002ABSLIN 0002ACTotal
Up to the Minimum Total Price
Minimum to Estimated Total Price
Grand Total CLIN 0002
GRAND TOTAL - CLIN 0003
SLIN 0003AASLIN 0003ABSLIN 0003ACTotal
Up to the Minimum Total Price
Minimum to Estimated Total Price
Grand Total CLIN 0003
GRAND TOTAL - CLIN 0004
SLIN 0004AASLIN 0004ABSLIN 0004ACTotal
Up to the Minimum Total Price
Minimum to Estimated Total Price
Grand Total CLIN 0004
GRAND TOTAL - CLIN 0005
SLIN 0005AASLIN 0005ABSLIN 0005ACTotal
Up to the Minimum Total Price
Minimum to Estimated Total Price
Grand Total CLIN 0005
GRAND TOTAL - CLIN 0006
SLIN 0006AASLIN 0006ABSLIN 0006ACTotal
Up to the Minimum Total Price
Minimum to Estimated Total Price
Grand Total CLIN 0006
GRAND TOTAL - CLIN 0007
CLIN 0007 PECOS 2.0Grand Total CLIN 0007
TOTAL$5,000.00$5,000.00
Grand Total (Base + Options)
GRAND TOTAL FOR CLINs 0001 - 0007

&"Adobe Devanagari,Regular"&12Attachment J.5.C Eastern Region Site Verification Services Business Proposal Template

CLIN 0001

The tables below are for the fixed price buildup of the "Up to Minimum Quantity" ONLY
CMS is not requiring Offerors to provide a fixed price buildup of any other site visits
SLIN 0001AASLIN 0001AASLIN 0001AASLIN 0001AASLIN 0001AA
30-Day Observational Site Visit - Price Per Visit15-Day Observational Site Visit - Price Per Visit7-Day Observational Site Visit - Price Per Visit48-Hour Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits30,000$0.00Total Estimated Visits6,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits36,002$0
SLIN 0001ABSLIN 0001ABSLIN 0001ABSLIN 0001ABSLIN 0001AB
30-Day Detailed Site Visit - Price Per Visit15-Day Detailed Site Visit - Price Per Visit7-Day Detailed Site Visit - Price Per Visit48-Hour Detailed Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits10,000$0.00Total Estimated Visits3,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits13,002$0
SLIN 0001ACSLIN 0001ACSLIN 0001ACSLIN 0001ACSLIN 0001AC
30-Day IDTF Visit - Price Per Visit15-Day IDTF Visit - Price Per Visit7-Day IDTF Visit - Price Per Visit48-Hour IDTF Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits900$0.00Total Estimated Visits150$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits1,052$0
SLIN 0001AD
60-Day Start-Up Period
Price CategoryHoursTotal
Total Labor
Total Site Visit Contract Value
TravelBase Period CLIN 0001
0001AA
ODCs0001AB
0001AC
Subcontractor0001AD
Total
Total FFP.

CLIN 0002

The tables below are for the fixed price buildup of the "Up to Minimum Quantity" ONLY
CMS is not requiring Offerors to provide a fixed price buildup of any other site visits
SLIN 0002AASLIN 0002AASLIN 0002AASLIN 0002AASLIN 0002AA
30-Day Observational Site Visit - Price Per Visit15-Day Observational Site Visit - Price Per Visit7-Day Observational Site Visit - Price Per Visit48-Hour Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits30,000$0.00Total Estimated Visits6,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits36,002$0
SLIN 0002ABSLIN 0002ABSLIN 0002ABSLIN 0002ABSLIN 0002AB
30-Day Detailed Site Visit - Price Per Visit15-Day Detailed Site Visit - Price Per Visit7-Day Detailed Site Visit - Price Per Visit48-Hour Detailed Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits10,000$0.00Total Estimated Visits3,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits13,002$0
SLIN 0002ACSLIN 0002ACSLIN 0002ACSLIN 0002ACSLIN 0002AC
30-Day IDTF Visit - Price Per Visit15-Day IDTF Visit - Price Per Visit7-Day IDTF Visit - Price Per Visit48-Hour IDTF Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits900$0.00Total Estimated Visits150$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits1,052$0
Total Site Visit Contract Value
Option Period 1 CLIN 0002
0002AA
0002AB
0002AC
Total

CLIN 0003

The tables below are for the fixed price buildup of the "Up to Minimum Quantity" ONLY
CMS is not requiring Offerors to provide a fixed price buildup of any other site visits
SLIN 0003AASLIN 0003AASLIN 0003AASLIN 0003AASLIN 0003AA
30-Day Observational Site Visit - Price Per Visit15-Day Observational Site Visit - Price Per Visit7-Day Observational Site Visit - Price Per Visit48-Hour Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits30,000$0.00Total Estimated Visits6,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits36,002$0
SLIN 0003ABSLIN 0003ABSLIN 0003ABSLIN 0003ABSLIN 0003AB
30-Day Detailed Site Visit - Price Per Visit15-Day Detailed Site Visit - Price Per Visit7-Day Detailed Site Visit - Price Per Visit48-Hour Detailed Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits10,000$0.00Total Estimated Visits3,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits13,002$0
SLIN 0003ACSLIN 0003ACSLIN 0003ACSLIN 0003ACSLIN 0003AC
30-Day IDTF Visit - Price Per Visit15-Day IDTF Visit - Price Per Visit7-Day IDTF Visit - Price Per Visit48-Hour IDTF Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits900$0.00Total Estimated Visits150$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits1,052$0
Total Site Visit Contract Value
Option Period 2 CLIN 0003
0003AA
0003AB
0003AC
Total

CLIN 0004

The tables below are for the fixed price buildup of the "Up to Minimum Quantity" ONLY
CMS is not requiring Offerors to provide a fixed price buildup of any other site visits
SLIN 0004AASLIN 0004AASLIN 0004AASLIN 0004AASLIN 0004AA
30-Day Observational Site Visit - Price Per Visit15-Day Observational Site Visit - Price Per Visit7-Day Observational Site Visit - Price Per Visit48-Hour Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits30,000$0.00Total Estimated Visits6,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits36,002$0
SLIN 0004ABSLIN 0004ABSLIN 0004ABSLIN 0004ABSLIN 0004AB
30-Day Detailed Site Visit - Price Per Visit15-Day Detailed Site Visit - Price Per Visit7-Day Detailed Site Visit - Price Per Visit48-Hour Detailed Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits10,000$0.00Total Estimated Visits3,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits13,002$0
SLIN 0004ACSLIN 0004ACSLIN 0004ACSLIN 0004ACSLIN 0004AC
30-Day IDTF Visit - Price Per Visit15-Day IDTF Visit - Price Per Visit7-Day IDTF Visit - Price Per Visit48-Hour IDTF Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits900$0.00Total Estimated Visits150$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits1,052$0
Total Site Visit Contract Value
Option Period 3 CLIN 0004
0004AA
0004AB
0004AC
Total

CLIN 0005

The tables below are for the fixed price buildup of the "Up to Minimum Quantity" ONLY
CMS is not requiring Offerors to provide a fixed price buildup of any other site visits
SLIN 0005AASLIN 0005AASLIN 0005AASLIN 0005AASLIN 0005AA
30-Day Observational Site Visit - Price Per Visit15-Day Observational Site Visit - Price Per Visit7-Day Observational Site Visit - Price Per Visit48-Hour Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits30,000$0.00Total Estimated Visits6,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits36,002$0
SLIN 0005ABSLIN 0005ABSLIN 0005ABSLIN 0005ABSLIN 0005AB
30-Day Detailed Site Visit - Price Per Visit15-Day Detailed Site Visit - Price Per Visit7-Day Detailed Site Visit - Price Per Visit48-Hour Detailed Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits10,000$0.00Total Estimated Visits3,000$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits13,002$0
SLIN 0005ACSLIN 0005ACSLIN 0005ACSLIN 0005ACSLIN 0005AC
30-Day IDTF Visit - Price Per Visit15-Day IDTF Visit - Price Per Visit7-Day IDTF Visit - Price Per Visit48-Hour IDTF Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits900$0.00Total Estimated Visits150$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits1,052$0
Total Site Visit Contract Value
Option Period 4 CLIN 0005
0005AA
0005AB
0005AC
Total

CLIN 0006

The tables below are for the fixed price buildup of the "Up to Minimum Quantity" ONLY
CMS is not requiring Offerors to provide a fixed price buildup of any other site visits
SLIN 0006AASLIN 0006AASLIN 0006AASLIN 0006AASLIN 0006AA
30-Day Observational Site Visit - Price Per Visit15-Day Observational Site Visit - Price Per Visit7-Day Observational Site Visit - Price Per Visit48-Hour Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits13,636$0.00Total Estimated Visits2,727$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits16,365$0
SLIN 0006ABSLIN 0006ABSLIN 0006ABSLIN 0006ABSLIN 0006AB
30-Day Detailed Site Visit - Price Per Visit15-Day Detailed Site Visit - Price Per Visit7-Day Detailed Site Visit - Price Per Visit48-Hour Detailed Site Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor(s) Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits4,545$0.00Total Estimated Visits1,364$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits5,911$0
SLIN 0006ACSLIN 0006ACSLIN 0006ACSLIN 0006ACSLIN 0006AC
30-Day IDTF Visit - Price Per Visit15-Day IDTF Visit - Price Per Visit7-Day IDTF Visit - Price Per Visit48-Hour IDTF Visit - Price Per VisitTOTAL
Price CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotalPrice CategoryHoursTotal
Total LaborTotal LaborTotal LaborTotal Labor

Travel Travel Travel Travel

ODCs ODCs ODCs ODCs

Subcontractor Subcontractor Subcontractor Subcontractor

Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00 Total FFP PER SITE VISIT $0.00

Per Site Visit Cost x # of Visits
Total Estimated Visits410$0.00Total Estimated Visits70$0.00Total Estimated Visits1$0.00Total Estimated Visits1$0.00Total Estimated Visits482$0
Total Site Visit Contract Value
Option Period 5 CLIN 0006
0006AA
0006AB
0006AC
Total

Min to Est Qty Pricing

The "Minimum to Estimate Qty" in the tables below represent the difference in the Minimum Quantity and Estimated Quanitity. For example, SLIN 0001AA 30-day site visit is the difference between 40,000 (Est.) and 30,000 (Min.).
SLIN 0001AA Total Per Observational Site Visit Minimum to EstimateSLIN 0001AB Total Per Detailed Site Visit Minimum to EstimateSLIN 0001AC Total Per IDTF Visit Minimum to Estimate
Fixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotal
30-Day Site Visit10,00030-Day Site Visit5,00030-Day Site Visit1,100

15-Day Site Visit 2,000 15-Day Site Visit 2,000 15-Day Site Visit 600

7-Day Site Visit 149 7-Day Site Visit 149 7-Day Site Visit 49

48-Hour Site Visit2448-Hour Site Visit1948-Hour Site Visit24
TOTAL12,173TOTAL7,168TOTAL1,773
SLIN 0002AA Total Per Observational Site Visit Minimum to EstimateSLIN 0002AB Total Per Detailed Site Visit Minimum to EstimateSLIN 0002AC Total Per IDTF Visit Minimum to Estimate
Fixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotal
30-Day Site Visit10,00030-Day Site Visit5,00030-Day Site Visit1,100

15-Day Site Visit 2,000 15-Day Site Visit 2,000 15-Day Site Visit 600

7-Day Site Visit 149 7-Day Site Visit 149 7-Day Site Visit 49

48-Hour Site Visit2448-Hour Site Visit1948-Hour Site Visit24
TOTAL12,173TOTAL7,168TOTAL1,773
SLIN 0003AA Total Per Observational Site Visit Minimum to EstimateSLIN 0003AB Total Per Detailed Site Visit Minimum to EstimateSLIN 0003AC Total Per IDTF Visit Minimum to Estimate
Fixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotal
30-Day Site Visit10,00030-Day Site Visit5,00030-Day Site Visit1,100

15-Day Site Visit 2,000 15-Day Site Visit 2,000 15-Day Site Visit 600

7-Day Site Visit 149 7-Day Site Visit 149 7-Day Site Visit 49

48-Hour Site Visit2448-Hour Site Visit1948-Hour Site Visit24
TOTAL12,173TOTAL7,168TOTAL1,773
SLIN 0004AA Total Per Observational Site Visit Minimum to EstimateSLIN 0004AB Total Per Detailed Site Visit Minimum to EstimateSLIN 0004AC Total Per IDTF Visit Minimum to Estimate
Fixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotal
30-Day Site Visit10,00030-Day Site Visit5,00030-Day Site Visit1,100

15-Day Site Visit 2,000 15-Day Site Visit 2,000 15-Day Site Visit 600

7-Day Site Visit 149 7-Day Site Visit 149 7-Day Site Visit 49

48-Hour Site Visit2448-Hour Site Visit1948-Hour Site Visit24
TOTAL12,173TOTAL7,168TOTAL1,773
SLIN 0005AA Total Per Observational Site Visit Minimum to EstimateSLIN 0005AB Total Per Detailed Site Visit Minimum to EstimateSLIN 0005AC Total Per IDTF Visit Minimum to Estimate
Fixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotal
30-Day Site Visit10,00030-Day Site Visit5,00030-Day Site Visit1,100

15-Day Site Visit 2,000 15-Day Site Visit 2,000 15-Day Site Visit 600

7-Day Site Visit 149 7-Day Site Visit 149 7-Day Site Visit 49

48-Hour Site Visit2448-Hour Site Visit1948-Hour Site Visit24
TOTAL12,173TOTAL7,168TOTAL1,773
CLIN 0006AA Total Per Observational Site Visit Minimum to EstimateSLIN 0006AB Total Per Detailed Site Visit Minimum to EstimateSLIN 0006AC Total Per IDTF Visit Minimum to Estimate
Fixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotalFixed Price Per Site VisitMinimum to Estimate QtyTotal
30-Day Site Visit4,54630-Day Site Visit2,27330-Day Site Visit500

15-Day Site Visit 909 15-Day Site Visit 909 15-Day Site Visit 270

7-Day Site Visit 69 7-Day Site Visit 69 7-Day Site Visit 9

48-Hour Site Visit948-Hour Site Visit948-Hour Site Visit9
TOTAL5,533TOTAL3,260TOTAL788

> Est Qt Pricing

SLIN 0001AA Total Per Observational Site Visit > EstimatedSLIN 0001AB Total Per Detailed Site Visit > EstimatedSLIN 0001AC Total Per IDTF Visit > Estimated
Fixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated Qty
30-Day Site Visit> 40,00030-Day Site Visit> 15,00030-Day Site Visit> 2,000

15-Day Site Visit > 8,000 15-Day Site Visit > 5,000 15-Day Site Visit > 750

7-Day Site Visit > 150 7-Day Site Visit > 150 7-Day Site Visit > 50

48-Hour Site Visit > 25 48-Hour Site Visit > 20 48-Hour Site Visit > 25

SLIN 0002AA Total Per Observational Site Visit > EstimatedSLIN 0002AB Total Per Detailed Site Visit > EstimatedSLIN 0002AC Total Per IDTF Visit > Estimated
Fixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated Qty
30-Day Site Visit> 40,00030-Day Site Visit> 15,00030-Day Site Visit> 2,000

15-Day Site Visit > 8,000 15-Day Site Visit > 5,000 15-Day Site Visit > 750

7-Day Site Visit > 150 7-Day Site Visit > 150 7-Day Site Visit > 50

48-Hour Site Visit > 25 48-Hour Site Visit > 20 48-Hour Site Visit > 25

SLIN 0003AA Total Per Observational Site Visit > EstimatedSLIN 0003AB Total Per Detailed Site Visit > EstimatedSLIN 0003AC Total Per IDTF Visit > Estimated
Fixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated Qty
30-Day Site Visit> 40,00030-Day Site Visit> 15,00030-Day Site Visit> 2,000

15-Day Site Visit > 8,000 15-Day Site Visit > 5,000 15-Day Site Visit > 750

7-Day Site Visit > 150 7-Day Site Visit > 150 7-Day Site Visit > 50

48-Hour Site Visit > 25 48-Hour Site Visit > 20 48-Hour Site Visit > 25

SLIN 0004AA Total Per Observational Site Visit > EstimatedSLIN 0004AB Total Per Detailed Site Visit > EstimatedSLIN 0004AC Total Per IDTF Visit > Estimated
Fixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated QtyFixed Price Per Site VisitEstimated Qty
30-Day Site Visit> 40,00030-Day Site Visit> 15,00030-Day Site Visit> 2,000

15-Day Site Visit > 8,000 15-Day Site Visit > 5,000 15-Day Site Visit > 750

7-Day Site Visit > 150 7-Day Site Visit > 150 7-Day Site Visit > 50

48-Hour Site Visit > 25 48-Hour Site Visit > 20 48-Hour Site Visit > 25

SLIN 0005AA Total Per Observational Site Visit > EstimatedSLIN 0005AB Total Per Detailed Site Visit > EstimatedSLIN 0005AC Total Per IDTF Visit > Estimated
Fixed Price Per Site VisitMinimum QtyFixed Price Per Site VisitMinimum QtyFixed Price Per Site VisitEstimated Qty
30-Day Site Visit> 40,00030-Day Site Visit> 15,00030-Day Site Visit> 2,000

15-Day Site Visit > 8,000 15-Day Site Visit > 5,000 15-Day Site Visit > 750

7-Day Site Visit > 150 7-Day Site Visit > 150 7-Day Site Visit > 50

48-Hour Site Visit > 25 48-Hour Site Visit > 20 48-Hour Site Visit > 25

SLIN 0006AA Total Per Observational Site Visit > EstimatedSLIN 0006AB Total Per Detailed Site Visit > EstimatedSLIN 0006AC Total Per IDTF Visit > Estimated
Fixed Price Per Site VisitMinimum QtyFixed Price Per Site VisitMinimum QtyFixed Price Per Site VisitEstimated Qty
30-Day Site Visit> 18,18230-Day Site Visit> 6,81830-Day Site Visit> 910

15-Day Site Visit > 3,636 15-Day Site Visit > 2,273 15-Day Site Visit > 340

7-Day Site Visit > 70 7-Day Site Visit > 70 7-Day Site Visit > 10

48-Hour Site Visit > 10 48-Hour Site Visit > 10 48-Hour Site Visit > 10

File details come from the government source that posted it.