Attach 1 Fillable Table Nursing Assistant.docx

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Outpatient Nursing Assistant Service – Jicarilla Service Unit, ISBEE Set-aside
Solicitation number
7571PS26Q00024
Issued by

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This is a fillable pricing table for RFQ 7571PS26Q00024 for nursing assistant services at the Jicarilla Service Unit in Dulce, New Mexico. The table requests quotation of fully burdened hourly rates for four (4) nursing assistants across a five-year contract period consisting of one base year (July 1, 2026 – June 30, 2027) and four option years. Each position is estimated at 2,080 hours annually (40 hours per week), with actual payment based on hours worked. The hourly rate must be all-inclusive, covering labor, fringe benefits, overhead, general and administrative expenses, travel, per diem, lodging, and all applicable Federal, State, Tribal, and local taxes. Quoters may submit pricing in their own format if preferred. The contract is a total Indian Small Business Economic Enterprise (ISBEE) set-aside issued by the Department of Health and Human Services Indian Health Service for the Albuquerque Area. Quotes were due via email by 3:00 p.m. ET on Tuesday, June 2, 2026, with questions required by 3:00 p.m. ET on Tuesday, May 26, 2026. The quoted hourly rate multiplied by 2,080 hours per year and the number of positions yields the annual pricing total for each contract line item, with the grand total representing the maximum contract value across all years.

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Other files

File Type Posted
Questions.pdf PDF
Attach 4 Bus Assoc agreement.pdf PDF
Attach 3 IHS IEE Representation Form_Jan 2022_508 Compliant.pdf PDF
RFQ 7571PS26Q00024.pdf PDF
Attach 2 Wage Determination.pdf PDF

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Text version

Fillable Table RFQ No. 7571PS26Q00024 Nursing Assistants (NA) – Jicarilla Service Unit – Dulce, NM

Item #
Contract Period
Pricing
Total Amount

CLIN 1

Base Year: 07/01/2026 – 06/30/2027
4 NAs x $________/hour x 2,080 estimated hours/year =
$______________/year
CLIN 2
1st Option Year: 07/01/2027 – 06/30/2028
4 NAs x $________/hour x 2,080 estimated hours/year =
$______________/year
CLIN 3
2nd Option Year: 07/01/2028 – 06/30/2029
4 NAs x $________/hour x 2,080 estimated hours/year =
$______________/year
CLIN 4
3rd Option Year: 07/01/2029 – 06/30/2030
4 NAs x $________/hour x 2,080 estimated hours/year =
$______________/year
CLIN 5
4th Option Year: 07/01/2030 – 06/30/2031
4 NAs x $________/hour x 2,080 estimated hours/year =
$______________/year
GRAND TOTAL (base year + option years):
$__________________

Notes: continued on next page

• The total estimated level of effort is 2,080 hours per year (40 hours per week) per NA. Actual hours worked may vary based on Federal holidays, clinic closures, and operational requirements.

• Payment will be made based on actual hours worked at the Contractor’s quoted fully burdened hourly rate.

• The hourly rate shall be all-inclusive and include all direct and indirect costs, including but not limited to labor, fringe benefits, overhead, general and administrative expenses, travel, per diem, lodging, and all applicable Federal, State, Tribal, and local taxes.

• The total contract value represents the maximum amount payable under the contract. The Contractor shall not exceed this amount without prior written approval from the Contracting Officer.

• The period of performance start date is contingent upon completion of all required background investigations and issuance of an official start date.

• You may submit quote in your own format, if preferred. Thank you!

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