Att 2 - DAD-MA PSP Price Sheet.xlsx

XLSX spreadsheet 27 KB Posted Aug 15, 2024

Attached to: DHA DAD-MA Patient Safety Program for Military Medical Treatment Facilities
Solicitation number: HT001124R0080
Issued by: Defense Health Agency

About this file

Written by GovTribe AI · Aug 15, 2024

This document is a price sheet attachment for a Request for Proposal (RFP) for the Defense Health Agency (DHA) Defense Health Agency Medical Affairs (DAD-MA) Enterprise-Wide Patient Safety Program for Military Medical Treatment Facilities (MTFs).

The key details are: This is a commercial services acquisition with a 100% small business set-aside for administrative management and general management consulting support services (NAICS 541611). The DHA PSP provides products, services, and training to promote a culture of safety and eliminate preventable patient harm at MTFs. The contract includes labor categories such as Patient Safety Specialists, Patient Safety Consultants, and Patient Safety Data Analysts to support this program. The pricing sheet outlines the contract line items, types, quantities, unit prices, and total prices for the base period and four option periods. The total price for the base period is $24,000, with no pricing provided for the optional CLINs. Questions are due by August 26, 2024, and proposals will be held firm for 180 days.

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Other files

File	Type	Posted
Att 2 - DAD-MA PSP Price Sheet REV 3.xlsx	XLSX spreadsheet	Sep 11, 2024
Att 2 - DAD-MA PSP Price Sheet REV 2.xlsx	XLSX spreadsheet	Sep 10, 2024
HT001124R0080-0002 DAD-MA PSP for MTFs Amd 0002.pdf	PDF	Sep 10, 2024
Att 1 - DAD-MA PSP PWS Final Revised.pdf	PDF	Sep 6, 2024
Att 2 - DAD-MA PSP Price Sheet Revised.xlsx	XLSX spreadsheet	Sep 6, 2024
Att 15 - DAD-MA PSP FOR MTFs Q and A List Final.pdf	PDF	Sep 6, 2024
HT001124R0080-0001 DAD-MA PSP for MTFs Amd 0001.pdf	PDF	Sep 6, 2024
Att 6 - PWS 7.1.2 - DHA Annual Mandatory KTR Training List.pdf	PDF	Aug 15, 2024
Att 9 - PWS App A - BAA.docx	DOCX document	Aug 15, 2024
Att 11 - SOFAs.pdf	PDF	Aug 15, 2024
Att 5 - PWS 7.1.1 - DMDC TASS Application Spreadsheet.xlsx	XLSX spreadsheet	Aug 15, 2024
Att 7 - PWS 7.2 - DHA Form 49 for KTR.pdf	PDF	Aug 15, 2024
Att 14 - OCI Contract List.xlsx	XLSX spreadsheet	Aug 15, 2024
Att 13 - Sample Consent Letter.docx	DOCX document	Aug 15, 2024
HT001124R0080 DAD-MA PSP for MTFs RFP Final.pdf	PDF	Aug 15, 2024
Att 1 - DAD-MA PSP PWS final 20240815.pdf	PDF	Aug 15, 2024
Att 12 - Past Performance Questionnaire.docx	DOCX document	Aug 15, 2024
Att 4 - PWS 7.1.1 - CAC Req Process.pdf	PDF	Aug 15, 2024
Att 8 - PII-PHI-Fed Info Rqmts.pdf	PDF	Aug 15, 2024
Att 10 - CDRL Portfolio PSP.pdf	PDF	Aug 15, 2024
Att 3 - QASP Final.docx	DOCX document	Aug 15, 2024

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IDIQ PRICING

HT001124R0080 - DHA DAD-MA ENTERPRISE-WIDE PATIENT SAFETY PROGRAM FOR MILITARY MEDICAL TREATMENT FACILITIES (MTFs)
					ATTACHMENT 2 - PRICE SHEET
Base Period
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
0001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	0001 CLIN TOTAL	FFP	12	Months	$ - 0	$ - 0
0002	DHA Patient Safety Program Services - OPTIONAL
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	0003 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ - 0	$ - 0
0003	PCS RELOCATION - NOT TO EXCEED (NTE)
	PCS RELOCATION - NOT TO EXCEED (NTE)	FFP	NTE		$ 24,000.00	$ 24,000.00
	0002 CLIN TOTAL	FFP	12	Months	$ - 0	$ 24,000.00
				BASE TOTAL		$ 24,000.00
				BASE TOTAL W/OPT CLIN 0003		$ 24,000.00
Option Period One
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
1001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	1001 CLIN TOTAL	FFP	12	Months	$ - 0	$ - 0
1002	DHA Patient Safety Program Services - OPTIONAL
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	1002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ - 0	$ - 0
				OPTION ONE TOTAL		$ - 0
				OPTION ONE TOTAL W/OPT CLIN 1002		$ - 0
Option Period Two
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
2001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	2001 CLIN TOTAL	FFP	12	Months	$ - 0	$ - 0
2002	DHA Patient Safety Program Services - OPTIONAL
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	2002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ - 0	$ - 0
				OPTION TWO TOTAL		$ - 0
				OPTION TWO TOTAL W/OPTIONAL CLIN 2002		$ - 0
Option Period Three
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
3001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	3001 CLIN TOTAL	FFP	12	Months	$ - 0	$ - 0
3002	DHA Patient Safety Program Services - OPTIONAL
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	3002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ - 0	$ - 0
				OPTION THREE TOTAL		$ - 0
				OPTION THREE TOTAL W/OPTIONAL CLIN 3002		$ - 0
Option Period Four
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
4001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	4001 CLIN TOTAL	FFP	12	Months	$ - 0	$ - 0
4002	DHA Patient Safety Program Services - OPTIONAL
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	4002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ - 0	$ - 0
				OPTION FOUR TOTAL		$ - 0
				OPTION FOUR TOTAL W/OPTIONAL CLIN 4002		$ - 0
				BASE & OPTS 1-4 TOTAL		$ 24,000.00
				OPTIONAL CLINS 0003, 1002-4002		$ - 0
				BASE-OPTIONAL CLINS TOTAL		$ 24,000.00
Extension of Svcs Option
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
E001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	E001 CLIN TOTAL	FFP	12	Months	$ - 0	$ - 0
E002	DHA Patient Safety Program Services - OPTIONAL
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL	FFP	12	Months	$ - 0	$ - 0
	E002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ - 0	$ - 0
				EXTENSION OF SERVICES OPTION TOTAL		$ - 0
				EXTENSION OF SERVICES OPTION CLIN E002 TOTAL		$ - 0
				GRAND TOTAL W/OUT OPTIONAL CLINS		$ 24,000.00
				GRAND TOTAL W/ OPTIONAL CLINS		$ 24,000.00

CLIN BREAKDOWN

HT001124R0080 - DHA DAD-MA ENTERPRISE-WIDE PATIENT SAFETY PROGRAM FOR MILITARY MEDICAL TREATMENT FACILITIES (MTFs)

CLIN NO

LABOR CATEGORY (LCAT) AS LISTED IN PWS, ESTIMATED WORKLOAD TABLE

CORRESPONDING LABOR CATEGORY THAT MAPS TO PWS LCATs

KEY PERSONNEL (Y/N)

PRIME CONTRACTOR NAME

SUB-CONTRACTOR NAME

PLACE "P" FOR PRIME OR "S' FOR SUB

FOR EACH ROW THAT IS "P" IN COLUMN G - ENTER NAICS, FOR EACH ROW THAT IS "S" IN COLUMN G- ENTER NAICS CODE ASSIGNED TO THAT SUBCONTRACTOR

FOR EACH ROW THAT HAS "P" IN COLUMN G - ENTER SB SIZE STANDARD, FOR EACH ROW THAT HAS A NAICS CODE IN COLUMN G - ENTER TYPE OF SB BUSINESS, FOR EACH ROW THAT IS "S" IN COLUMN G - ENTER "L" OR "S" AND IF "S" ENTER TYPE OF SB

PROPOSED LABOR HOURS

PROPOSED FULLY BURDENED LABOR RATES (FBLRs)

TOTAL (PROPOSED LABOR HOURS x PROPOSED FBLRs)

PERCENTAGE DISCOUNT FROM FBLRs

DISCOUNTED PROPOSED FBLRs

TOTAL (PRPOSED LABOR HOURS x DISCOUNTED PROPOSED FBLRs)

0001

0001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
0003
0003
0003

0003 - OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
BASE YEAR LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
1001
0001
0001
0001
0001

1001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
1002
1002
1002

1002 - OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY1 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
2001
2001
2001
2001
2001

2001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
2002
2002
2002

2002 - OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY2 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
3001
3001
3001
3001
3001

3001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
3002
3002
3002

3002 - OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY3 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
4001
4001
4001
4001
4001

4001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
4002
4002
4002

4002 - OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY4 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
BASE - OYS 1-4 CLINs 0001, 0002, 1001-4002 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OPTIONAL CLINS 0003, 1002-4002 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
TOTAL W/OPT CLINS	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
E001
E001
E001
E001
E001

E001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
E002
E002
E002

E002 - OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
EOS LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
GRAND TOTAL W/OUT OPT CLINS	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
GRAND TOTAL W/OPT CLINS	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
NOTE 1: ALL YEARS SHOULD INCLUDE A ROW REFLECTING THE TOTALS FOR PROPOSED LABOR HOURS, TOTAL LABOR AND TOTAL LABOR W/DISCOUNTS.
NOTE 2: All LABOR HOURS, LABOR RATES, PERCENTAGES, AND TOTALS SHOULD BE ROUNDED OUT TO 2 DECIMAL PLACES ONLY.
NOTE 3: SHOW ALL FORMULAS, DO NOT JUST INPUT NUMBERS [I.E., LHs x DISCOUNTED FBLRs = $]

File details come from the government source that posted it. Updated Feb 26, 2026.