005. Specifications - Schedule.pdf

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MEDICAL EXAM ADMINISTRATIVE SERVICES
Solicitation number
89503224QWA000567
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About this file

This document contains pricing schedules for medical examination services for multiple locations over a base year and four option years. The contractor will be required to provide facilities, staff, materials, and equipment to conduct periodic occupational health examinations in accordance with the Performance Work Statement. Services include audiograms, chest X-rays, DOT physicals, ECGs, physical exams, pulmonary function tests, vision exams, and administrative expenses. Pricing must be provided per exam and per location for Loveland, CO, Craig, CO, Montrose, CO, Gering, NE, Cody, WY, Casper, WY, Farmington, NM, and Vernal, UT for the initial base year and all option years. The solicitation was issued by the Department of Energy Western Area Power Administration to manage their medical services program by conducting the necessary occupational health examinations.

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Text version

Supplies/Services Loveland, CO Craid, CO Montrose, CO Gering, NE Cody, WY Casper, WY Farmington, NM Vernal, UT

1 Audiogram $ $ $ $ $ $ $ $

2 Chest X-ray $ $ $ $ $ $ $ $

3 DOT Physical $ $ $ $ $ $ $ $

4 ECG/EKG $ $ $ $ $ $ $ $

5 Physical Exam $ $ $ $ $ $ $ $

6 Pulmonary Function Test $ $ $ $ $ $ $ $

7 Vision $ $ $ $ $ $ $ $

8 Admin Expenses, Postage, etc. $ $ $ $ $ $ $ $

Supplies/Services Loveland, CO Craid, CO Montrose, CO Gering, NE Cody, WY Casper, WY Farmington, NM Vernal, UT

1 Audiogram $ $ $ $ $ $ $ $

2 Chest X-ray $ $ $ $ $ $ $ $

3 DOT Physical $ $ $ $ $ $ $ $

4 ECG/EKG $ $ $ $ $ $ $ $

5 Physical Exam $ $ $ $ $ $ $ $

6 Pulmonary Function Test $ $ $ $ $ $ $ $

7 Vision $ $ $ $ $ $ $ $

8 Admin Expenses, Postage, etc. $ $ $ $ $ $ $ $

Specifications - Base Year Quote shall include pricing for the Base and 4 Option Years. Quote shall also include the facility information and location. Services shall be priced per exam/service.

Specifications - Option Year 1

Supplies/Services Loveland, CO Craid, CO Montrose, CO Gering, NE Cody, WY Casper, WY Farmington, NM Vernal, UT

2 Chest X-ray $ $ $ $ $ $ $ $

3 DOT Physical $ $ $ $ $ $ $ $

4 ECG/EKG $ $ $ $ $ $ $ $

5 Physical Exam $ $ $ $ $ $ $ $

6 Pulmonary Function Test $ $ $ $ $ $ $ $

7 Vision $ $ $ $ $ $ $ $

8 Admin Expenses, Postage, etc. $ $ $ $ $ $ $ $

Supplies/Services Loveland, CO Craid, CO Montrose, CO Gering, NE Cody, WY Casper, WY Farmington, NM Vernal, UT

1 Audiogram $ $ $ $ $ $ $ $

2 Chest X-ray $ $ $ $ $ $ $ $

3 DOT Physical $ $ $ $ $ $ $ $

4 ECG/EKG $ $ $ $ $ $ $ $

5 Physical Exam $ $ $ $ $ $ $ $

6 Pulmonary Function Test $ $ $ $ $ $ $ $

7 Vision $ $ $ $ $ $ $ $

8 Admin Expenses, Postage, etc. $ $ $ $ $ $ $ $

Specifications - Option Year 3

Specifications - Option Year 2

Supplies/Services Loveland, CO Craid, CO Montrose, CO Gering, NE Cody, WY Casper, WY Farmington, NM Vernal, UT

2 Chest X-ray $ $ $ $ $ $ $ $

3 DOT Physical $ $ $ $ $ $ $ $

4 ECG/EKG $ $ $ $ $ $ $ $

5 Physical Exam $ $ $ $ $ $ $ $

6 Pulmonary Function Test $ $ $ $ $ $ $ $

7 Vision $ $ $ $ $ $ $ $

8 Admin Expenses, Postage, etc. $ $ $ $ $ $ $ $

Specifications - Option Year 4

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