The file's text, extracted by GovTribe without its formatting.
Index
| Occupational Health Services | 80MSFC19R0041P00004 |
| Tab PA | Total Price Summary | |
| Tab PB | IDIQ Labor Model | |
| Tab PC | Labor Calculation | |
| Tab PD | Physicals Unit Price Model | |
| Tab PE | Specific Medical Procedures Unit Price Model | |
| Tab PF | Other Direct Costs/Materials | |
| Tab PG | Credit Percentage Resulting from No-Cost Medical Services | |
Tab PA
| Occupational Health Services | | | | | | |
| Offeror Name | Total Price Summary | | | | | 80MSFC19R0041P00004 | |
| Price Elements | | | | | | | |
| | Base Year | Option 1 | Option 2 | Option 3 | Option 4 | Total |
| Total WYE | | 16.5 | 14.5 | 13.0 | 12.0 | 12.0 | 68.0 |
| Fully Burdened Labor: | | | | | | | |
| Occupational Medical Services | | $0 | $0 | $0 | $0 | $0 | $0 |
| Industrial Hygiene (IH) | | $0 | $0 | $0 | $0 | $0 | $0 |
| Health Physics (HP) | | $0 | $0 | $0 | $0 | $0 | $0 |
| Total Fully Burdened Labor | | $0 | $0 | $0 | $0 | $0 | $0 |
| Other Direct Costs/Materials | | | | | | | |
| Occupational Medical Services | | $15,000 | $15,000 | $12,000 | $9,000 | $9,000 | $60,000 |
| Industrial Hygiene (IH) | | $15,000 | $15,000 | $15,000 | $16,000 | $16,000 | $77,000 |
| Health Physics (HP) | | $6,000 | $6,000 | $6,000 | $7,000 | $7,000 | $32,000 |
| Subtotal Other Direct Costs/Materials | | $36,000 | $36,000 | $33,000 | $32,000 | $32,000 | $169,000 |
| Burden Rate (e.g., OH/G&A/Profit) on ODC/Materials | % | | | | | | |
| Burden Value on ODC/Materials | | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Total Other Direct Costs/Materials with Burdens | | $36,000 | $36,000 | $33,000 | $32,000 | $32,000 | $169,000 |
| Total Mission Contract Price | $36,000 | $36,000 | $33,000 | $32,000 | $32,000 | $169,000 |
| Note: Industrial Hygiene includes PWS 7.0 Respiratory Protection Services | | | Areas in yellow require Offeror Manual Input | | | |
| Tab | Base Year | Option 1 | Option 2 | Option 3 | Option 4 | Total |
| IDIQ Labor Model | PB | $0 | $0 | $0 | $0 | $0 | $0 |
| IDIQ Physicals Unit Price Model | PD | $0 | $0 | $0 | $0 | $0 | $0 |
| IDIQ Other Medical Procedures Unit Price Model | PE | $0 | $0 | $0 | $0 | $0 | $0 |
| Total IDIQ Model | | $0 | $0 | $0 | $0 | $0 | $0 |
| IDIQ Travel and Training Value | n/a | $5,000 | $5,000 | $5,000 | $5,000 | $5,000 | $25,000 |
| Attachment J-4D ODC Travel and Training Burden (%) | n/a | 0% | 0% | 0% | 0% | 0% | |
| Total ODC Travel and Training Burden | | $0 | $0 | $0 | $0 | $0 | $0 |
| Total IDIQ | | $0 | $0 | $0 | $0 | $0 | $0 |
Credit Resulting From No-Cost Medical Services PG $0 -$0 -$0 -$0 -$0 -$0
| Total Price - Mission with IDIQ less credit | $ 36,000 | $ 36,000 | $ 33,000 | $ 32,000 | $ 32,000 | $ 169,000 |
| Offerors are cautioned to validate the accuracy of their price prior to submitting their proposal to the Government. | | | | | | |
Tab PB Offeror Name IDIQ Labor Model 80MSFC19R0041P00004
| Base Year | | | | | | | | | | | |
| | | Burdens | | | | | | | | | |
| | | 0.0% | 0.0% | 0.0% | | 0.0% | 0.0% | | | | |
| NASA Identified Labor Category | Labor Type | Direct Labor Rate | Fringe $ | OH1 $ | OH2 $ | Subtotal | G&A $ | Profit $ | FBLR* | | IDIQ Hours | IDIQ Dollars |
| Medical Director (Physician) | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Physician | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nurse Practitioner | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Accounting Clerk III (Business Analyst/Purchaser) | SCA 01013 | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nursing Assistant III (Certified Medical Assistant/ Medical Records Clerk) | SCA 12223 | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Radiologic Technologist (X-Ray/Lab Technician) | SCA 12305 | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Registered Nurse II | SCA 12312 | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Chief Nurse/Case Manager | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Medical Assistant (Scheduler/Receptionist/Medical Records Clerk) | SCA 12100 | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygiene Manager | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Industrial Hygienist | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Certified Industrial Hygienist | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygienist | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Health Physicist | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Health Physicist | Exempt | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Pneudraulic Systems Mechanic (Respirator Service Tech) | SCA 23820 | | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| *Note: This form is provided so that each Offeror may show how they arrived at their individually proposed fully burdened labor rates for each labor category specified. The form includes typical indirect cost categories (fringe, overhead, G&A, etc). | | | | | | | | | | | | $0.00 |
| | Areas in yellow require Offeror Manual Input | | | | | | | | | | |
| | Option 1 | | | | | | | | | | |
| | | Burdens | | | | | | | | | |
| Escalation | 0.0% | 0.0% | 0.0% | 0.0% | | 0.0% | 0.0% | | | | |
| NASA Identified Labor Category | Labor Type | Direct Labor Rate | Fringe $ | OH1 $ | OH2 $ | Subtotal | G&A $ | Profit $ | FBLR* | | IDIQ Hours | IDIQ Dollars |
| Medical Director (Physician) | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Physician | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nurse Practitioner | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Accounting Clerk III (Business Analyst/Purchaser) | SCA 01013 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nursing Assistant III (Certified Medical Assistant/ Medical Records Clerk) | SCA 12223 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Radiologic Technologist (X-Ray/Lab Technician) | SCA 12305 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Registered Nurse II | SCA 12312 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Chief Nurse/Case Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Medical Assistant (Scheduler/Receptionist/Medical Records Clerk) | SCA 12100 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygiene Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Certified Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Pneudraulic Systems Mechanic (Respirator Service Tech) | SCA 23820 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| *Note: This form is provided so that each Offeror may show how they arrived at their individually proposed fully burdened labor rates for each labor category specified. The form includes typical indirect cost categories (fringe, overhead, G&A, etc). ESCALATION IS NOT ADDED TO SCA CATEGORIES | | | | | | | | | | | | $0.00 |
| | Areas in yellow require Offeror Manual Input | | | | | | | | | | |
| | Option 2 | | | | | | | | | | |
| | | Burdens | | | | | | | | | |
| Escalation | 0.0% | 0.0% | 0.0% | 0.0% | | 0.0% | 0.0% | | | | |
| NASA Identified Labor Category | Labor Type | Direct Labor Rate | Fringe $ | OH1 $ | OH2 $ | Subtotal | G&A $ | Profit $ | FBLR* | | IDIQ Hours | IDIQ Dollars |
| Medical Director (Physician) | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Physician | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nurse Practitioner | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Accounting Clerk III (Business Analyst/Purchaser) | SCA 01013 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nursing Assistant III (Certified Medical Assistant/ Medical Records Clerk) | SCA 12223 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Radiologic Technologist (X-Ray/Lab Technician) | SCA 12305 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Registered Nurse II | SCA 12312 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Chief Nurse/Case Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Medical Assistant (Scheduler/Receptionist/Medical Records Clerk) | SCA 12100 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygiene Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Certified Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Pneudraulic Systems Mechanic (Respirator Service Tech) | SCA 23820 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| *Note: This form is provided so that each Offeror may show how they arrived at their individually proposed fully burdened labor rates for each labor category specified. The form includes typical indirect cost categories (fringe, overhead, G&A, etc). ESCALATION IS NOT ADDED TO SCA CATEGORIES | | | | | | | | | | | | $0.00 |
| | Areas in yellow require Offeror Manual Input | | | | | | | | | | |
| | Option 3 | | | | | | | | | | |
| | | Burdens | | | | | | | | | |
| Escalation | 0.0% | 0.0% | 0.0% | 0.0% | | 0.0% | 0.0% | | | | |
| NASA Identified Labor Category | Labor Type | Direct Labor Rate | Fringe $ | OH1 $ | OH2 $ | Subtotal | G&A $ | Profit $ | FBLR* | | IDIQ Hours | IDIQ Dollars |
| Medical Director (Physician) | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Physician | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nurse Practitioner | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Accounting Clerk III (Business Analyst/Purchaser) | SCA 01013 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nursing Assistant III (Certified Medical Assistant/ Medical Records Clerk) | SCA 12223 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Radiologic Technologist (X-Ray/Lab Technician) | SCA 12305 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Registered Nurse II | SCA 12312 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Chief Nurse/Case Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Medical Assistant (Scheduler/Receptionist/Medical Records Clerk) | SCA 12100 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygiene Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Certified Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Pneudraulic Systems Mechanic (Respirator Service Tech) | SCA 23820 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| *Note: This form is provided so that each Offeror may show how they arrived at their individually proposed fully burdened labor rates for each labor category specified. The form includes typical indirect cost categories (fringe, overhead, G&A, etc). ESCALATION IS NOT ADDED TO SCA CATEGORIES | | | | | | | | | | | | $0.00 |
| | Areas in yellow require Offeror Manual Input | | | | | | | | | | |
| | Option 4 | | | | | | | | | | |
| | | Burdens | | | | | | | | | |
| Escalation | 0.0% | 0.0% | 0.0% | 0.0% | | 0.0% | 0.0% | | | | |
| NASA Identified Labor Category | Labor Type | Direct Labor Rate | Fringe $ | OH1 $ | OH2 $ | Subtotal | G&A $ | Profit $ | FBLR* | | IDIQ Hours | IDIQ Dollars |
| Medical Director (Physician) | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Physician | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nurse Practitioner | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Accounting Clerk III (Business Analyst/Purchaser) | SCA 01013 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Nursing Assistant III (Certified Medical Assistant/ Medical Records Clerk) | SCA 12223 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Radiologic Technologist (X-Ray/Lab Technician) | SCA 12305 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Registered Nurse II | SCA 12312 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Chief Nurse/Case Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Medical Assistant (Scheduler/Receptionist/Medical Records Clerk) | SCA 12100 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygiene Manager | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Certified Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Industrial Hygienist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Sr. Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Health Physicist | Exempt | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| Pneudraulic Systems Mechanic (Respirator Service Tech) | SCA 23820 | $0.00 | $0.00 | | | $0.00 | $0.00 | $0.00 | $0.00 | x | 40 | $0.00 |
| *Note: This form is provided so that each Offeror may show how they arrived at their individually proposed fully burdened labor rates for each labor category specified. The form includes typical indirect cost categories (fringe, overhead, G&A, etc). ESCALATION IS NOT ADDED TO SCA CATEGORIES | | | | | | | | | | | | $0.00 |
| | Areas in yellow require Offeror Manual Input | | | | | | | | | | |
Tab PC
| Offeror Name | | | | 80MSFC19R0041P00004 | | | | | | | | | | | |
| Labor Calculation | | | | | | | | | | | | | | | |
| Part A | BASE YEAR | | | Option 1 | | | Option 2 | | | Option 3 | | | Option 4 | | |
| 09/01/2019 | | | 09/01/2020 | | | 09/01/2021 | | | 09/01/2022 | | | 09/01/2023 | | |
| 08/31/2020 | | | 08/31/2021 | | | 08/31/2022 | | | 08/31/2023 | | | 08/31/2024 | | |
| Available Hours | 2088 | | Available Hours | 2088 | | Available Hours | 2088 | | Available Hours | 2088 | | Available Hours | 2088 | | |
| Less Holiday, Sick and Vacation Hours | 0 | | | 0 | | | 0 | | | 0 | | | 0 | | |
| Productive Factor | | 2088 | Productive Factor | | 2088 | Productive Factor | | 2088 | Productive Factor | | 2088 | Productive Factor | | 2088 | |
| Part B | | | | | | | | | | | | | | | |
| Calculate Labor Price | Base Year WYEs | | | Option 1 | | | Option 2 | | | Option 3 | | | Option 4 | | |
| Occupational Medical Health Services | Minimum WYE | Hours | Dollars | Minimum WYE | Hours | Dollars | Minimum WYE | Hours | Dollars | Minimum WYE | Hours | Dollars | Minimum WYE | Hours | Dollars |
| Medical Director (Physician) | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 0.50 | 1,044.0 | $0 | 0.25 | 522.0 | $0 | 0.25 | 522.0 | $0 |
| Physician | 0.50 | 1,044.0 | $0 | 0.50 | 1,044.0 | $0 | | - 0 | $0 | | - 0 | $0 | | - 0 | $0 |
| Nurse Practitioner | - 0 | - 0 | $0 | | - 0 | $0 | 0.50 | 1,044.0 | $0 | 0.50 | 1,044.0 | $0 | 0.50 | 1,044.0 | $0 |
| Accounting Clerk III (Business Analyst/Purchaser) | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 0.50 | 1,044.0 | $0 | 0.50 | 1,044.0 | $0 | 0.50 | 1,044.0 | $0 |
| Nursing Assistant III (Certified Medical Assistant/ Medical Records Clerk) | 1.00 | 2,088.0 | $0 | 0.50 | 1,044.0 | $0 | | - 0 | $0 | | - 0 | $0 | | - 0 | $0 |
| Radiologic Technologist (X-Ray/Lab Technician) | 1.00 | 2,088.0 | $0 | 0.50 | 1,044.0 | $0 | 0.50 | 1,044.0 | $0 | 0.25 | 522.0 | $0 | 0.25 | 522.0 | $0 |
| Registered Nurse II | 2.00 | 4,176.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 0.50 | 1,044.0 | $0 | 0.50 | 1,044.0 | $0 |
| Chief Nurse/Case Manager | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Medical Assistant (Scheduler/Receptionist/Medical Records Clerk) | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Health Physics | | | | | | | | | | | | | | | |
| Sr. Health Physicist | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Health Physicist | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Industrial Hygiene | | | | | | | | | | | | | | | |
| Pneudraulic Systems Mechanic (Respirator Service Tech) | 2.00 | 4,176.0 | $0 | 2.00 | 4,176.0 | $0 | 2.00 | 4,176.0 | $0 | 2.00 | 4,176.0 | $0 | 2.00 | 4,176.0 | $0 |
| Certified Industrial Hygienist | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Industrial Hygienist | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Sr. Industrial Hygienist | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Industrial Hygiene Manager | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 | 1.00 | 2,088.0 | $0 |
| Totals | | | $0 | | | $0 | | | $0 | | | $0 | | | $0 |
| | | | | | Areas in yellow require Offeror Manual Input | | | | | | | | | |
Tab PD
| Offeror Name | | | | | Areas in yellow require Offeror Manual Input | | | | | | | | | | | |
| Physicals Unit Price Model | BASE PERIOD | | | OPTION 1 | | | OPTION 2 | | | OPTION 3 | | | OPTION 4 | | |
| Class | Type | Value | IDIQ Units | Price | Value | IDIQ Units | Price | Value | IDIQ Units | Price | Value | IDIQ Units | Price | Value | IDIQ Units | Price |
| Class 1 | Chemicals | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 2 | Benzene | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 3 | Asbestos | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 4 | Security Officers | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 5 | Cadmium | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 6 | Confined Spaces | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 7 | Chromium | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 8 | PCH (Program Critical Hardware) | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 9 | Welder | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 10 | Health Care Provider/Bloodborne Pathogen | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 11 | Water and Sewage | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 12 | Commercial Driver's License | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 13 | Heavy Equipment Operators | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 14 | Laser Workers | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 15 | Pesticides | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 16 | Potential Lead Exposure | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 17 | Mercury | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 18 | FAA Class 2 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 18 | FAA Class 3 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 19 | Respiratory Protection | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 20 | Hearing Conservation Program | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 21 | Food Service Workers | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 22 | Marshall Child Development Center | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 23 | Systems Operators (High Pressure, Liquid, Hydrogen, Oxygen) | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 24 | HAZWOPER (Hazardous Waste Operations) | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 25 | Propellants and Explosive Handler / User / Inspector | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 26 | High Voltage Electrician | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 27 | Fitness for Duty | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 28 | Hydrazine | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 29 | Silica Dusts | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 30 | Beryllium | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 31 | Return to Work | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| Class 32 | International Traveler | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 | $0 | 40 | $0 |
| *The prices proposed shall be inclusive of all costs necessary to perform these services (e.g., labor, ODCs, profit) | | | | $0 | | | $0 | | | $0 | | | $0 | | | $0 |
Tab PE
| Offeror Name | | | | | | | 80MSFC19R0041P00004 | | | | | | | | |
| Specific Medical Procedures Unit Price Model | BASE PERIOD | | | OPTION 1 | | | OPTION 2 | | | OPTION 3 | | | OPTION 4 | | |
| Quantity of 1 | Value | IDIQ Units | Price | Value | IDIQ Units | Price | Value | IDIQ Units | Price | Value | IDIQ Units | Price | Value | IDIQ Units | Price |
| Multi-Chem 12 Profile | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Urinalysis - Complete | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| CBC w/Diff/Platelet Count | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| EKG-12 lead | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Uranium Bioassay | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| LDL-Lp(a) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| T4/TSH | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| HbA1c | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Mercury, Urine | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Lead, Blood/ ZPP | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Cadmium, Blood | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Cholinesterase (Serum) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Tonometry | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Vision Screen | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Spirometry (Pulmonary Function) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Audiometry | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| X-Ray Interpretation | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| X-Ray (B-reads) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| X-Rays-Chest | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| X-Rays-Extremities | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Audiometer Calibration | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Audiology Consult | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| HIV | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Streptozyme Test | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Blood Glucose | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| TB Skin Test (PPD) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Dexamethasone Injection | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Diphenhydramine Injection | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Epinephrine Injection | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Urine Cadmium | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Urine Beta-2 Microglobulin | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Laser Worker Eye Exam (per ANSI) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Hemoccult | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Iron & TIBC Profile | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Tetanus, diptheria, pertussis | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Hepatitis B Surface Antibody | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| HBV/HCV Profile | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| HAV Profile | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Hepatitis B Vaccination (3 injection series) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Hepatitis A Vaccination (2 injection series) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Japanese Encephalitis Vaccination | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Measles Vaccination | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Meningitis Vaccination | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Beryllium Lymphocyte Proliferation Tests (BeLPT) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Rabies Vaccination | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Typhoid Vaccination | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Yellow Fever Vaccination | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Urine Phenol | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Prostate Specific Antigen (PSA) | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| BUN and Serum Creatinine | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Carboxyhemoglobin | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Hemoglobin and Hematocrit | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Varicella Vaccine | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| Chickenpox Vaccine | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 | $0 | 20 | $0 |
| | | $0 | | | $0 | | | $0 | | | $0 | | | $0 |
| **The prices proposed shall be inclusive of all costs necessary to perform these services (e.g., labor, ODCs, profit) | | | | | | | | | | | | | | | |
| | | | Areas in yellow require Offeror Manual Input | | annual input | | | | | | | | | |
Tab PF
| Offeror Name | | | 80MSFC19R0041P00004 | | | |
| Other Direct Cost/Materials | | | | | |
| ODCs as a Minimum | | | | | | |
| Occupational Medical Service | BASE PERIOD | OPTION 1 | OPTION 2 | OPTION 3 | OPTION 4 | |
| Training / Travel | $15,000 | $15,000 | $12,000 | $9,000 | $9,000 | |
| Office Supplies/Consumables | | | | | | |
| Required Reference Material | | | | | | |
| Malpractice Insurance | | | | | | |
| Pharmaceuticals | | | | | | |
| Medical Supplies | | | | | | |
| Lab Coats | | | | | | |
| Records Management Material | | | | | | |
| Laser Eye Exams | | | | | | |
| B-Reads, Overreads | | | | | | |
| Lab Analysis | | | | | | |
| Employee Job Certification Physicals | | | | | | |
| Cell Phones | | | | | | |
| Add items as necessary | | | | | | |
| Add items as necessary | | | | | | |
| Add items as necessary | | | | | | |
| $15,000 | $15,000 | $12,000 | $9,000 | $9,000 | $60,000 |
| ODCs as a Minimum | | | | | | |
| Industrial Hygiene | BASE PERIOD | OPTION 1 | OPTION 2 | OPTION 3 | OPTION 4 | |
| Training / Travel | $15,000 | $15,000 | $15,000 | $16,000 | $16,000 | |
| Cell Phones | | | | | | |
| Fuel/Vehicle Lease/Mileage | | | | | | |
| Office Supplies/Consumables | | | | | | |
| Hydrostatic Testing | | | | | | |
| AIHA PAT/BAPAT Program | | | | | | |
| IH Lab Svc | | | | | | |
| Employee Job Certification Physicals | | | | | | |
| Respiratory Protection supplies/consumables | | | | | | |
| Add items as necessary | | | | | | |
| Add items as necessary | | | | | | |
| Add items as necessary | | | | | | |
| $15,000 | $15,000 | $15,000 | $16,000 | $16,000 | $77,000 |
| ODCs as a Minimum | | | | | | |
| Health Physics | BASE PERIOD | OPTION 1 | OPTION 2 | OPTION 3 | OPTION 4 | |
| Training / Travel | $6,000 | $6,000 | $6,000 | $7,000 | $7,000 | |
| Radon Testing | | | | | | |
| Fuel/Vehicle Lease/Mileage | | | | | | |
| Office Supplies/Consumables | | | | | | |
| Radiation Dosimetry | | | | | | |
| Employee Job Certification Physicals | | | | | | |
| Cell Phones | | | | | | |
| Add items as necessary | | | | | | |
| Add items as necessary | | | | | | |
| $6,000 | $6,000 | $6,000 | $7,000 | $7,000 | $32,000 |
| | Areas in yellow require Offeror Manual Input | | | | |
| *Add other direct costs items as needed. | | | | | | |
| *Values shall exclude indirect burdens and profit on tab PF. | | | | | | |
Tab PG Offeror Name 80MSFC19R0041P00004
| Credit Percentage Resulting From No-Cost Medical Services | | | | |
| BASE PERIOD | OPTION 1 | OPTION 2 | OPTION 3 | OPTION 4 |
| 0% | 0% | 0% | 0% | 0% |
| Areas in yellow require Offeror Manual Input | | | | |
| IDIQ Scenario - $ Income applied to credit percentage | | | | | |
| $125,000 | $250,000 | $250,000 | $350,000 | $500,000 | |
| $ - | $ (0) | $ (0) | $ (0) | $ (0) | $ (0) |