Attachment 3 - Price Cost Schedule.docx
DOCX document 28 KB Posted
- Attached to
- V225--NYHHS Ambulette Contract Federal contract opportunity
- Solicitation number
- 36C24220Q0937
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24220Q0937 0003.docx | DOCX document | |
| 36C24220Q0937 0002.docx | DOCX document | |
| 36C24220Q0937 0001.docx | DOCX document | |
| Attachment 8 - Business Associate Agreement (BAA).doc | DOC document | |
| Attachment 6- WD 2015-4187 Rev 15.docx | DOCX document | |
| Combined Synopsis - Solicitation Description.docx | DOCX document | |
| Attachment 7- Contractor Rules of Behavior.pdf | ||
| 36C24220Q0937.docx | DOCX document | |
| P09 final SOW Ambulette 02.docx | DOCX document | |
| Attachment 9- Past Performance Questionnaire.pdf | ||
| Attachment 4-EVALUATIONS CRITERIAS - Ambulette 2020.docx | DOCX document | |
| Attachment 5-QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) -Ambulette 2020.docx | DOCX document |
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Text version
Attachment 3: Price/Cost Schedule
| Item Number |
| Description of Supply/Service |
| Estimated Quantity |
| Unit |
| Unit Price |
| Total Amount |
0001a
Manhattan Campus Ambulette Service – One Way Trip within Mileage Threshold (Base Rate) Base Period 11/1/2020 – 4/31/2021
4500 trips per six months
(approx. 750 trips per month)
Trip / Load Fee
| 0001b |
| Manhattan Campus |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Base Period 11/1/2020 - 4/31/2021
24,000 miles per six months
(approx. 4,000 miles per month)
| Mile |
| $_______ |
| $__________ |
| 0001c |
| Manhattan Campus |
Wait Time beyond the 15 minutes grace period, when required and verified Base Period 11/1/2020 – 4/31/2021 300 hours per six months
(approx. 50 hours per month)
| Hour |
| $_______ |
| $___________ |
0002a
Brooklyn / St. Albans
Base Period 11/1/2020 – 4/31/2021 4500 trips per six months (approx. 750 trips per month;
375 - BK,
375 – St. Albans)
| 0002b |
| Brooklyn / St. Albans |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Base Period 11/1/2020 – 4/31/2021 24,000 miles per six months
(approx. 4,000 miles per month)
| Mile |
| $_______ |
| $___________ |
| 0002c |
| Brooklyn / St. Albans |
Wait Time beyond the 15 minutes grace period, when required and verified Base Period 11/1/2020 – 4/31/2021 300 hours per six months
(approx. 50 hours per month)
| Hour |
| $______ |
| $__________ |
| 0003 |
| Toll fees |
Base Period 11/1/2020 – 4/31/2021
| NTE $130,000 per six months |
| Lot |
| $______ |
| $__________ |
1001a
Manhattan Campus
Option Period 1 5/1/2021 – 7/31/2021
2250 trips per three months
| 1001b |
| Manhattan Campus |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Option Period 1 5/1/2021 – 7/31/2021 12,000 miles per three months
(approx. 4000 miles per month)
| Mile |
| $______ |
| $__________ |
| 1001c |
| Manhattan Campus |
Wait Time beyond the 15 minutes grace period, when required and verified Option Period 1 5/1/2021 – 7/31/2021 150 hours per three months
(approx. 50 hours per month)
| Hour |
| $_____ |
| $__________ |
1002a
Brooklyn / St. Albans
Option Period 1 5/1/2021 – 7/31/2021
(approx. 750 trips per month;
| 1002b |
| Brooklyn / St. Albans |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Option Period 1 5/1/2021 – 7/31/2021 12,000 miles per three months
(approx. 4000 miles per month)
| Mile |
| $______ |
| 1002c |
| Brooklyn / St. Albans |
Wait Time beyond the 15 minutes grace period, when required and verified Option Period 1 5/1/2021 – 7/31/2021 150 hours per three months
(approx. 50 hours per month)
| Hour |
| $______ |
| $__________ |
| 1003 |
| Toll Fees |
Option Period 1 5/1/2021 – 7/31/2021 NTE $ 65,000 per three months
| LOT |
| $______ |
| $__________ |
2001a
Manhattan Campus
Option Period 2 8/1/2021 – 10/31/2021
| 2001b |
| Manhattan Campus |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Option Period 2 8/1/2021 – 10/31/2021 12,000 miles per three months
(approx. 3500 miles per month)
| Mile |
| $______ |
| $__________ |
| 2001c |
| Manhattan Campus |
Wait Time beyond the 15 minutes grace period, when required and verified Option Period 2 8/1/2021 – 10/31/2021 150 hours per three months
(approx. 50 hours per month)
| Hour |
| $______ |
| $__________ |
2002a
Option Period 2 8/1/2021 – 10/31/2021
375 - BK,
| 2002b |
| Brooklyn / St. Albans |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Option Period 2 8/1/2021 – 10/31/2021 12000 miles per three months
(approx. 4000 miles per month)
| Mile |
| $______ |
| $__________ |
| 2002c |
| Brooklyn / St. Albans |
Wait Time beyond the 15 minutes grace period, when required and verified Option Period 2 8/1/2021 – 10/31/2021 150 hours per three months
(approx. 50 hours per month)
| Hour |
| $______ |
| $__________ |
| 2003 |
| Toll Fees |
Option Period 2 8/1/2021 – 10/31/2021
| NTE $ 65,000 per three months |
| LOT |
| $______ |
| $__________ |
3001a
Manhattan Campus
Option Period 3 11/1/2021 – 1/31/2022
| 3001b |
| Manhattan Campus |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Option Period 3
12000 miles per three months
(approx. 4000 miles per month)
| Mile |
| $______ |
| $__________ |
| 3001c |
| Manhattan Campus |
Wait Time beyond the 15 minutes grace period, when required and verified Option Period 3 11/1/2021 – 1/31/2022 150 hours per three months
(approx. 50 hours per month)
| Hour |
| $______ |
| $__________ |
3002a
Option Period 3
| 3002b |
| Brooklyn / St. Albans |
Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip) Option Period 3 11/1/2021 – 1/31/2022 12000 miles per three months
(approx. 4000 miles per month)
| Mile |
| $______ |
| $___________ |
| 3002c |
| Brooklyn / St. Albans |
Wait Time beyond the 15 minutes grace period, when required and verified Option Period 3 11/1/2021 – 1/31/2022 150 hours per three months
(approx. 50 hours per month)
| Hour |
| $______ |
| $__________ |
| 3003 |
| Toll Fees |
Option Period 3 11/1/2021 – 1/31/2022
| NTE $ 65,000 per three months |
| LOT |
| $______ |
| $__________ |
Estimated Total Value
ALL ESTIMATED QUANTITIES LISTED ARE FOR EVALUATION PURPOSES ONLY AND DOES NOT OBLIGATE THE GOVERNMENT TO ORDER SUCH QUANTITIES. THE CONTRACTOR WILL ONLY BE REIMBURSED FOR THE ACTUAL QUANTITY OF SERVICES RENDERED
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