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Instructions Instructions Sheet
Evaluated Price Summary Sheet Instructions - (1) Offeror shall make no inputs in this Sheet. Evaluated Price Summary Sheet automatically calculates the total evaluated price.
Proposed Rates Tab Instructions -
(1) Offeror Name: In YELLOW shaded cell B1, the Offeror shall enter the name of the Prime Offeror.
(2) Offerors shall enter proposed FFP rates in the YELLOW shaded cells as per instructions below regarding methodology (no more than two decimal places). If proposed rates are entered with more than two decimal places, cells are formatted to be flagged and will be shaded ORANGE. Ensure all proposed rate cells are corrected so no color shading is remaining before submitting the proposal.
(3) Line Item X002 COTS - includes referral network (Infrastructure costs should be included in FFP rate) : Offeror shall propose FFP rates on a per bed quantity or enterprise methodology (Only one methodology will be accepted).
(3a) Per Bed License Methodology: If an Offeror chooses to propose a per bed license methodology, the Offeror must provide a fully loaded fixed price rate for the both price categories: 1-250 Beds and 251-500 Beds for all periods. Each fully loaded FFP rate must be no more than two decimal places for all periods. If selecting this method, an Offeror shall not propose FFP rates for the Enterprise price categories.
(3b) Enterprise License Methodology: If an offeror chooses to propose an Enterprise license methodology the Offerors must propose according to the Enterprise methodology found in the Offeror's technical proposal. If selecting this method, an Offeror shall not propose FFP rates for the Per Bed price categories. One of the two following Enterprise methodologies will be accepted:
i. Per site – Enterprise licenses per individual VAMC.
ii. Entire VA - One enterprise license for the VA in entirety.
(4) Line Item X002AA SOFTWARE DEVELOPMENT AND INTERFACES: Offeror shall provide FFP rates for all periods. The rate provided shall be for one interface, in accordance with (IAW) PWS 5.2.2. Offerors shall also provide labor categories, fully burdened blended hourly labor rates and level of effort hours for the interface development.
(5) Line Item X004 Helpdesk: Offeror shall provide FFP rates for all periods. The rate provided shall be per VAMC and IAW PWS 5.4.
(6) Line Item X005 SLA: Offeror shall propose FFP rates on a per bed quantity or enterprise methodology (Only one methodology will be accepted).
(6a) Per Bed License Methodology: If an Offeror chooses to propose a per bed license methodology, the Offeror must provide a fully loaded fixed price rate for the both price categories: 1-250 Beds and 251-500 Beds for all periods. Each fully loaded FFP rate must be no more than two decimal places for all periods. If selecting this method, an Offeror shall not propose FFP rates for the Enterprise price categories.
(6b) Enterprise License Methodology: If an offeror chooses to propose an Enterprise license methodology the Offerors must propose according to the Enterprise methodology found in the Offeror's technical proposal. If selecting this method, an Offeror shall not propose FFP rates for the Per Bed price categories. One of the two following Enterprise methodologies will be accepted:
i. Per site – Enterprise licenses per individual VAMC.
ii. Entire VA - One enterprise license for the VA in entirety.
(7) Line X006 Training: Offeror shall provide FFP rates for all periods. The rate provided shall be per VAMC.
(8) Travel - Offerors must propose fully loaded FFP travel for all periods in the YELLOW shaded cells for the price category labeled Travel (no more than two decimal places). If proposed rates are entered with more than two decimal places, cells are formatted to be flagged and will be shaded ORANGE. Ensure all proposed rate cells are corrected so no color shading is remaining before submitting the proposal.
FFP Line Items Summary Sheet Instructions - (1) Offeror shall make no inputs in this Sheet. For each FFP Priced Line Item, the FFP sheet automatically calculates unit price and total price.
FFP Evaluated Detail Sheets Instructions - (1) Offeror shall make no inputs in these Sheets. Each FFP Evaluated Detailed Sheet automatically calculates the total evaluated price per Line Item.
Evaluated Price Summary Evaluated Price Summary Sheet
| Category | Ordering Period One | Ordering Period Two | Ordering Period Three | Ordering Period Four | Ordering Period Five | Total |
| Total Evaluated FFP- Not to Exceed (NTE) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
Total Evaluated Price (Firm Fixed Price) $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Proposed Rates Tab
| Prime Contractor: |
| **Choose one Enterprise methodolgy only (see Instructions Tab) |
| FFP | | | PROPOSED FFP FULLY LOADED RATE | | | | |
| Line Item | Line Item Description | Price Category | Ordering Period 1 | Ordering Period 2 | Ordering Period 3 | Ordering Period 4 | Ordering Period 5 |
| X002 | COTS - includes referral network | 1-250 Beds | | | | | |
| | 251-500 Beds | | | | | |
| | Enterprise - Per Site** | | | | | |
| | Enterprise - Entire VA** | | | | | |
| | Travel | | | | | |
| X002AA | SOFTWARE DEVELOPMENT AND INTERFACES | Inferface |
| | Travel |
| Labor Category | Labor Hours |
X004 Helpdesk LOT
| X005 | SLA | 1-250 Beds |
| | 251-500 Beds |
| | Enterprise - Per Site** |
| | Enterprise - Entire VA** |
FFP Line Items Summary FFP Line Items Summary Sheet
| LINE ITEM | Period | Optional Task | DESCRIPTION | QTY | UNIT | UNIT PRICE | TOTAL PRICE |
| 0002 | Ordering Period One | No | COTS - includes referral network | 12 | MO | $0.00 | $0.00 |
| 0002AA | Ordering Period One | No | SOFTWARE DEVELOPMENT AND INTERFACES | 12 | MO | $0.00 | $0.00 |
| 0004 | Ordering Period One | No | Heldesk | 12 | MO | $0.00 | $0.00 |
| 0005 | Ordering Period One | No | SLA | 12 | MO | $0.00 | $0.00 |
| 0006 | Ordering Period One | No | Training | 12 | MO | $0.00 | $0.00 |
| 1002 | Ordering Period Two | No | COTS - includes referral network | 12 | MO | $0.00 | $0.00 |
| 1002AA | Ordering Period Two | No | SOFTWARE DEVELOPMENT AND INTERFACES | 12 | MO | $0.00 | $0.00 |
| 1004 | Ordering Period Two | No | Heldesk | 12 | MO | $0.00 | $0.00 |
| 1005 | Ordering Period Two | No | SLA | 12 | MO | $0.00 | $0.00 |
| 1006 | Ordering Period Two | No | Training | 12 | MO | $0.00 | $0.00 |
| 2002 | Ordering Period Three | No | COTS - includes referral network | 12 | MO | $0.00 | $0.00 |
| 2002AA | Ordering Period Three | No | SOFTWARE DEVELOPMENT AND INTERFACES | 12 | MO | $0.00 | $0.00 |
| 2004 | Ordering Period Three | No | Heldesk | 12 | MO | $0.00 | $0.00 |
| 2005 | Ordering Period Three | No | SLA | 12 | MO | $0.00 | $0.00 |
| 2006 | Ordering Period Three | No | Training | 12 | MO | $0.00 | $0.00 |
| 3002 | Ordering Period Four | No | COTS - includes referral network | 12 | MO | $0.00 | $0.00 |
| 3002AA | Ordering Period Four | No | SOFTWARE DEVELOPMENT AND INTERFACES | 12 | MO | $0.00 | $0.00 |
| 3004 | Ordering Period Four | No | Heldesk | 12 | MO | $0.00 | $0.00 |
| 3005 | Ordering Period Four | No | SLA | 12 | MO | $0.00 | $0.00 |
| 3006 | Ordering Period Four | No | Training | 12 | MO | $0.00 | $0.00 |
| 4002 | Ordering Period Five | No | COTS - includes referral network | 12 | MO | $0.00 | $0.00 |
| 4002AA | Ordering Period Five | No | SOFTWARE DEVELOPMENT AND INTERFACES | 12 | MO | $0.00 | $0.00 |
| 4004 | Ordering Period Five | No | Heldesk | 12 | MO | $0.00 | $0.00 |
| 4005 | Ordering Period Five | No | SLA | 12 | MO | $0.00 | $0.00 |
| 4006 | Ordering Period Five | No | Training | 12 | MO | $0.00 | $0.00 |
FFP Evaluated Detail OP1 FFP Evaulated Detail Ordering Period One
| Line Item 0002 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 0002 Total Dollars |
| 0002 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 0002 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 0002 - Beds | | | | $ - 0 |
0002 Enterprise Entire VA 1 $ - 0 $ - 0
| 0002 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 0002 Evaluated Price | | | | $ - 0 |
| Line Item 0002AA | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 0002AA Total Dollars |
| 0002AA | Interface | 2 | $ - 0 | $ - 0 |
| 0002AA | Travel | 1 | $ - 0 | $ - 0 |
| Subtotal 0002AA | | | | $ - 0 |
| Line Item 0002AA | Labor Category | Labor Hours | FFP Fully Loaded Rate | Line Item 0002AA Total Dollars |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| 0002AA | | | $ - 0 | |
| Line Item 0002AA Evaluated Price | | | | $ - 0 |
| Line Item 0004 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 0004 Total Dollars |
| 0004 | LOT | 58 | $ - 0 | $ - 0 |
| Line Item 0004 Evaluated Price | | | | $ - 0 |
| Line Item 0005 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 0005 Total Dollars |
| 0005 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 0005 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 0005 - Beds | | | | $ - 0 |
| 0005 | Enterprise Entire VA | 1 | $ - 0 | $ - 0 |
| Line Item 0005 Evaluated Price | | | | $ - 0 |
| Line Item 0006 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 0006 Total Dollars |
| 0006 | LOT | 58 | $ - 0 | $ - 0 |
| 0006 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 0006 Evaluated Price | | | | $ - 0 |
FFP Evaluated Detail OP2 FFP Evaulated Detail Ordering Period Two
| Line Item 1002 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 1002 Total Dollars |
| 1002 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 1002 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 1002 - Beds | | | | $ - 0 |
1002 Enterprise Entire VA 1 $ - 0 $ - 0
| 1002 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 1002 Evaluated Price | | | | $ - 0 |
| Line Item 1002AA | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 1002AA Total Dollars |
| 1002AA | Interface | 2 | $ - 0 | $ - 0 |
| 1002AA | Travel | 1 | $ - 0 | $ - 0 |
| Subtotal 1002AA | | | | $ - 0 |
| Line Item 1002AA | Labor Category | Labor Hours | FFP Fully Loaded Rate | Line Item 1002AA Total Dollars |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| 1002AA | | | $ - 0 | |
| Line Item 1002AA Evaluated Price | | | | $ - 0 |
| Line Item 1004 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 1004 Total Dollars |
| 1004 | LOT | 58 | $ - 0 | $ - 0 |
| Line Item 1004 Evaluated Price | | | | $ - 0 |
| Line Item 1005 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 1005 Total Dollars |
| 1005 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 1005 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 1005 - Beds | | | | $ - 0 |
| 1005 | Enterprise Entire VA | 1 | $ - 0 | $ - 0 |
| Line Item 1005 Evaluated Price | | | | $ - 0 |
| Line Item 1006 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 1006 Total Dollars |
| 1006 | LOT | 58 | $ - 0 | $ - 0 |
| 1006 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 1006 Evaluated Price | | | | $ - 0 |
FFP Evaluated Detail OP3 FFP Evaulated Detail Ordering Period Three
| Line Item 2002 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 2002 Total Dollars |
| 2002 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 2002 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 2002 - Beds | | | | $ - 0 |
2002 Enterprise Entire VA 1 $ - 0 $ - 0
| 2002 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 2002 Evaluated Price | | | | $ - 0 |
| Line Item 2002AA | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 2002AA Total Dollars |
| 2002AA | Interface | 2 | $ - 0 | $ - 0 |
| 2002AA | Travel | 1 | $ - 0 | $ - 0 |
| Subtotal 2002AA | | | | $ - 0 |
| Line Item 2002AA | Labor Category | Labor Hours | FFP Fully Loaded Rate | Line Item 2002AA Total Dollars |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| 2002AA | | | $ - 0 | |
| Line Item 2002AA Evaluated Price | | | | $ - 0 |
| Line Item 2004 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 2004 Total Dollars |
| 2004 | LOT | 58 | $ - 0 | $ - 0 |
| Line Item 2004 Evaluated Price | | | | $ - 0 |
| Line Item 2005 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 2005 Total Dollars |
| 2005 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 2005 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 2005 - Beds | | | | $ - 0 |
| 2005 | Enterprise Entire VA | 1 | $ - 0 | $ - 0 |
| Line Item 2005 Evaluated Price | | | | $ - 0 |
| Line Item 2006 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 2006 Total Dollars |
| 2006 | LOT | 58 | $ - 0 | $ - 0 |
| 2006 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 2006 Evaluated Price | | | | $ - 0 |
FFP Evaluated Detail OP4 FFP Evaulated Detail Ordering Period Four
| Line Item 3002 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 3002 Total Dollars |
| 3002 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 3002 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 3002 - Beds | | | | $ - 0 |
3002 Enterprise Entire VA 1 $ - 0 $ - 0
| 3002 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 3002 Evaluated Price | | | | $ - 0 |
| Line Item 3002AA | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 3002AA Total Dollars |
| 3002AA | Interface | 2 | $ - 0 | $ - 0 |
| 3002AA | Travel | 1 | $ - 0 | $ - 0 |
| Subtotal 3002AA | | | | $ - 0 |
| Line Item 3002AA | Labor Category | Labor Hours | FFP Fully Loaded Rate | Line Item 3002AA Total Dollars |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| 3002AA | | | $ - 0 | |
| Line Item 3002AA Evaluated Price | | | | $ - 0 |
| Line Item 3004 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 3004 Total Dollars |
| 3004 | LOT | 58 | $ - 0 | $ - 0 |
| Line Item 3004 Evaluated Price | | | | $ - 0 |
| Line Item 3005 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 3005 Total Dollars |
| 3005 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 3005 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 3005 - Beds | | | | $ - 0 |
| 3005 | Enterprise Entire VA | 1 | $ - 0 | $ - 0 |
| Line Item 3005 Evaluated Price | | | | $ - 0 |
| Line Item 3006 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 3006 Total Dollars |
| 3006 | LOT | 58 | $ - 0 | $ - 0 |
| 3006 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 3006 Evaluated Price | | | | $ - 0 |
FFP Evaluated Detail OP5 FFP Evaulated Detail Ordering Period Five
| Line Item 4002 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 4002 Total Dollars |
| 4002 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 4002 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 4002 - Beds | | | | $ - 0 |
4002 Enterprise Entire VA 1 $ - 0 $ - 0
| 4002 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 4002 Evaluated Price | | | | $ - 0 |
| Line Item 4002AA | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 4002AA Total Dollars |
| 4002AA | Interface | 2 | $ - 0 | $ - 0 |
| 4002AA | Travel | 1 | $ - 0 | $ - 0 |
| Subtotal 4002AA | | | | $ - 0 |
| Line Item 4002AA | Labor Category | Labor Hours | FFP Fully Loaded Rate | Line Item 4002AA Total Dollars |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| 4002AA | | | $ - 0 | |
| Line Item 4002AA Evaluated Price | | | | $ - 0 |
| Line Item 4004 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 4004 Total Dollars |
| 4004 | LOT | 58 | $ - 0 | $ - 0 |
| Line Item 0004 Evaluated Price | | | | $ - 0 |
| Line Item 4005 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 4005 Total Dollars |
| 4005 | 1-250 Beds | 52 | $ - 0 | $ - 0 |
| 4005 | 251-500 Beds | 6 | $ - 0 | $ - 0 |
| Subtotal 4005 - Beds | | | | $ - 0 |
| 4005 | Enterprise Entire VA | 1 | $ - 0 | $ - 0 |
| Line Item 4005 Evaluated Price | | | | $ - 0 |
| Line Item 4006 | Description | NTE Site Quantity | FFP Fully Loaded Rate | Line Item 4006 Total Dollars |
| 4006 | LOT | 58 | $ - 0 | $ - 0 |
| 4006 | Travel | 1 | $ - 0 | $ - 0 |
| Line Item 4006 Evaluated Price | | | | $ - 0 |