Attach 3 - Schedule B (25RA002).xlsx

XLSX spreadsheet 29 KB Posted Feb 6, 2025

Attached to: G1 - Non Clinical Case Management Services Federal contract opportunity
Solicitation number: W912L3-25-R-A002
Issued by: Department of the Army Wyoming Army National Guard

About this file

Written by GovTribe AI · Feb 6, 2025

This is a pricing template (Schedule B) for Non-Clinical Case Management Services (W912L3-20-R-2005) for the Wyoming Army National Guard. The template covers three performance periods: base year (April 1, 2025 - March 31, 2026), option year 1 (April 1, 2026 - March 31, 2027), and a 6-month extension option (April 1, 2027 - September 30, 2027).

The pricing template is structured to capture costs across multiple categories including labor, materials/services, IT support, subcontractors/consultants, other direct costs, overhead, profit, and travel. All fields are blank for vendor completion, and the document is marked as "For Official Use Only (FOUO) Information Sensitive." This template will be used to provide detailed cost breakdowns for services supporting medical readiness tracking and assessment of WYARNG service members.

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Other files for this federal contract opportunity

Other files attached to G1 - Non Clinical Case Management Services, newest first.
File	Type	Posted
B.06 RFIs Answered (25-R-A002).xls	XLS spreadsheet	Mar 10, 2025
B.06 RFIs Answered (25-R-A002).xls	XLS spreadsheet	Mar 4, 2025
Attach 4 - RFP Instructions (25RA002).pdf	PDF	Feb 27, 2025
Attach 6 - Basis for Award (25RA002).pdf	PDF	Feb 27, 2025
RFIs Answered (25-R-A002).xls	XLS spreadsheet	Feb 27, 2025
B.08 W912L325RA002 - G1 - Non Clinical Case Management Services.pdf	PDF	Feb 27, 2025
B.08 W912L325RA002 - G1 - Non Clinical Case Management Services.pdf	PDF	Feb 6, 2025
Attach 4 - RFP Instructions (25RA002).pdf	PDF	Feb 6, 2025
Attach 1 - PWS (25RA002).pdf	PDF	Feb 6, 2025
Attach 5 - Past Perf Questionnaire (25RA002).pdf	PDF	Feb 6, 2025
Attach 6 - Basis for Award (25RA002).pdf	PDF	Feb 6, 2025
Attach 2 - WD 2015-5405 (25RA002).pdf	PDF	Feb 6, 2025

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Summary

1. PROJECT TITLE: Non Clinical Case Management Services

SUMMARY OF ESTIMATED COSTS
2. PERIODS OF PERFORMANCES	ESTIMATED HOURS / QTY	Total Amount
BASE YEAR	1 Apr 2025 - 31 Mar 2026	$ - 0
OPTION YEAR 1	1 Apr 2026 - 31 Mar 2027	$ - 0
52.217-9 Option to extend 6 months	1 Apr 2027 - 30 Sep 2027	$ - 0
GRAND TOTAL ESTIMATED COST		$ - 0

&"Arial,Bold"&12Attachment 3 – Schedule B W912L3-20-R-2005

NON-CLINICAL CASE MANAGEMENT SERVICES

&"Arial,Bold"&12For Official Use Only (FOUO) INFORMATION SENSITIVE &"Arial,Bold"&12&P of &N

BASE

Base Year
1. PROJECT TITLE: Non Clinical Case Management Services
2. PROJECT MANAGER:	3. PERIOD OF PERFORMANCE
	FROM	TO
	Tue, 01-Apr-25	Tue, 31-Mar-26

DESCRIPTION OF COST ELEMENTS
4. LABOR (List Labor Cat)	ESTIMATED HOURS / QTY	RATE/UNIT COST ($)	ESTIMATED COST W/OUT FULLY BURDEN ($)	TOTAL ESTIMATED COST (INCLUDE FRINGE) ($)
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0
SUBTOTAL			$ - 0	$ - 0
5. MATERIALS/SERVICES (Excluding Information Technology (IT)			ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
6. INFORMATION TECHNOLOGY SUPPORT	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
7. SUBCONTRACTOR (S) CONSULTANT (S)	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
8. OTHER DIRECT COSTS	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

					$ - 0	$ - 0
					$ - 0	$ - 0
	SUBTOTAL					$ - 0
	9. OVERHEAD		RATE (%)	TOTAL DIRECT
($)		ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

				$ - 0	$ - 0	$ - 0
	10. PROFIT		RATE (%)	TOTAL DIRECT
($)		ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0	$ - 0
11. TRAVEL		ESTIMATED COST ($)	TOTAL ESTIMATED COST ($)
		$ - 0	$ - 0
		$ - 0	$ - 0
		$ - 0	$ - 0
		$ - 0	$ - 0
SUBTOTAL TRAVEL			$ - 0
GRAND TOTAL ESTIMATED COST			- 0

&"Arial,Bold"&12Attachment 3 – Schedule B

INFORMATION SENSITIVE &"Arial,Bold"&12&P of &N

OY1

Option Year 1
1. PROJECT TITLE: Non Clinical Case Management Services
2. PROJECT MANAGER:	3. PERIOD OF PERFORMANCE
	FROM	TO
	Wed, 01-Apr-26	Wed, 31-Mar-27

DESCRIPTION OF COST ELEMENTS
4. LABOR (List Labor Cat)	ESTIMATED HOURS / QTY	RATE/UNIT COST ($)	ESTIMATED COST W/OUT FULLY BURDEN ($)	TOTAL ESTIMATED COST (INCLUDE FRINGE) ($)
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0
SUBTOTAL			$ - 0	$ - 0
5. MATERIALS/SERVICES (Excluding Information Technology (IT)			ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
6. INFORMATION TECHNOLOGY SUPPORT	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
7. SUBCONTRACTOR (S) CONSULTANT (S)	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
8. OTHER DIRECT COSTS	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

					$ - 0	$ - 0
					$ - 0	$ - 0
	SUBTOTAL					$ - 0
	9. OVERHEAD		RATE (%)	TOTAL DIRECT
($)		ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

				$ - 0	$ - 0	$ - 0
	10. PROFIT		RATE (%)	TOTAL DIRECT
($)		ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0	$ - 0
11. TRAVEL		ESTIMATED COST ($)	TOTAL ESTIMATED COST ($)
		$ - 0	$ - 0
		$ - 0	$ - 0
		$ - 0	$ - 0
		$ - 0	$ - 0
SUBTOTAL TRAVEL			$ - 0
GRAND TOTAL ESTIMATED COST			- 0

&"Arial,Bold"&12Attachment 3 – Schedule B

INFORMATION SENSITIVE &"Arial,Bold"&12&P of &N

52.217-9 Option to extend

6 Month Option
1. PROJECT TITLE: Non Clinical Case Management Services
2. PROJECT MANAGER:	3. PERIOD OF PERFORMANCE
	FROM	TO
	Thu, 01-Apr-27	Thu, 30-Sep-27

DESCRIPTION OF COST ELEMENTS
4. LABOR (List Labor Cat)	ESTIMATED HOURS / QTY	RATE/UNIT COST ($)	ESTIMATED COST W/OUT FULLY BURDEN ($)	TOTAL ESTIMATED COST (INCLUDE FRINGE) ($)
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0	$ - 0
			$ - 0
SUBTOTAL			$ - 0	$ - 0
5. MATERIALS/SERVICES (Excluding Information Technology (IT)			ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
6. INFORMATION TECHNOLOGY SUPPORT	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
7. SUBCONTRACTOR (S) CONSULTANT (S)	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0
	$ - 0	$ - 0
SUBTOTAL		$ - 0
8. OTHER DIRECT COSTS	ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

					$ - 0	$ - 0
					$ - 0	$ - 0
	SUBTOTAL					$ - 0
	9. OVERHEAD		RATE (%)	TOTAL DIRECT
($)		ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

				$ - 0	$ - 0	$ - 0
	10. PROFIT		RATE (%)	TOTAL DIRECT
($)		ESTIMATED COST ($)	TOTAL ESTIMATED

COST ($)

	$ - 0	$ - 0	$ - 0
11. TRAVEL		ESTIMATED COST ($)	TOTAL ESTIMATED COST ($)
		$ - 0	$ - 0
		$ - 0	$ - 0
		$ - 0	$ - 0
		$ - 0	$ - 0
SUBTOTAL TRAVEL			$ - 0
GRAND TOTAL ESTIMATED COST			- 0

&"Arial,Bold"&12Attachment 3 – Schedule B

INFORMATION SENSITIVE &"Arial,Bold"&12&P of &N

File details come from the government source that posted it. Updated Feb 6, 2025.