Attachment 4 - Pricing Template - Amd 1.xlsx
XLSX spreadsheet 17 KB Posted
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- NASA Employee International Medical Support
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- 80KSC021R0027
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Sheet1
| NASA Employee International Medical Support | ||||||||
| Pricing Template | ||||||||
| CLIN | TYPE | BASE PERIOD | OPTION PERIOD 1 | OPTION PERIOD 2 | OPTION PERIOD 3 | OPTION PERIOD 4 | OPTION PERIOD 5 | TOTAL PRICE |
| 07/01/21-09/30/21 | 10/01/21-09/30/22 | 10/01/22-09/30/23 | 10/01/23-09/30/24 | 10/01/24-09/30/25 | 10/01/25-06/30/26 | |||
| 001 | FFP | $ - 0 | ||||||
| 002a | FFP per occurrence* | $ 3,000.00 | $ 3,000.00 | $ 3,100.00 | $ 3,200.00 | $ 3,300.00 | $ 3,400.00 | $ 19,000.00 |
| 002b | ODC/ |
Travel
| Actuals** | TBD | TBD | TBD | TBD | TBD | TBD | TBD | ||
| Total Evaluated Price | $ 19,000.00 | ||||||||
| CLIN | TYPE | Description | |||||||
| 001 | FFP | Annual Services (Reference Statement of Work (SOW) Sections III and IV) | |||||||
| 002a | FFP per occasion* | Occurrence Charge (Reference SOW Section VI) | |||||||
| 002b | ODC/ |
Travel Actuals** Additional Requirements (Reference SOW Section VI)
| * The Occurrence Charge is only applicable if/when ground and/or air transportation services are authorized under SOW Section VI. CLIN 002a will be paid per evacuation occurrence and is limited to only one Occurrence Charge per patient. When NASA is notified and concurs with transportation/evacuation services, the Contracting Officer will obligate funding in the amount of the CLIN 002a Occurrence Charge. The CLIN 002a amount will be paid to the contractor in addition to the amount authorized under CLIN 002b. |
| ** The Contractor shall be reimbursed for actual other direct costs (ODCs) and travel costs incurred associated with CLIN 002 services called out in the SOW, for the provision of ground transportation, air evacuation, ground/air crew labor costs if not included in other transportation costs, medical professional personnel services if not included in other transportation costs, hospital/medical facility costs, medical procedure and/or monitoring costs, disposable and durable medical equipment and supplies, medications, if not included in other transportation costs, and repatriation of mortal remains. Where applicable, travel costs will be reimbursed in accordance with FAR 31.205-46. Any reimbursement requests under this purchase order must be sufficiently documented through invoices/receipts in accordance with SOW Section VII. The costs under this CLIN are exclusive of fee/profit. |
&"Times New Roman,Regular"&12 80KSC021R0027 Attachment 4-AMD1
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