Attachment 3 - Price Cost Schedule.docx

DOCX document 19 KB Posted

Attached to
V119--AMBULETTE TRANSPORTATION SERVICES NEW YORK HARBOR Federal contract opportunity
Solicitation number
36C24223Q0108
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2

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Other files for this federal contract opportunity

Other files attached to V119--AMBULETTE TRANSPORTATION SERVICES NEW YORK HARBOR, newest first.
File Type Posted
Attachment 2 - Statement of Work.docx DOCX document
36C24223Q0108.docx DOCX document
Attachment 5 - Wage Determination 2015-4187 RV 23 06272022.pdf PDF
Attachment 6 - Business Associate Agreement (BAA).doc DOC document
Attachment 4 - Evaluation Criteria.docx DOCX document

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BASE PERIOD: 12/01/2022-09/30/2023 BASED ON 10 MONTHS OF SERVICE

CLIN
Description
Estimated QTY
Unit
Unit Price
Total Amount
0001
Manhattan Campus Ambulette Service - One Way Trip Within Milage Threshold (Base Rate)
7,500 (Est 750 trips per month)
FE
_________________
_________________
0002
Manhattan Campus - Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip)
40,000 (Est 4,000 Miles Per Month)
MI
__________
__________
0003
Manhattan Campus - Wait Time beyond the 15 minutes grace period, when required and verified
500 (Est. 50 Hours Per Month)
HR
__________
__________
0004
Brooklyn / St. Albans - Ambulette Service – One Way Trip within Mileage Threshold (Base Rate)
7,500 (Est 750 trips per month)
FE
__________
__________
0005
Brooklyn / St. Albans - Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip)
40,000 (Est 4,000 Miles Per Month)
MI
__________
__________
0006
Brooklyn / St. Albans - Wait Time beyond the 15 minutes grace period, when required and verified
500 (Est. 50 Hours Per Month)
HR
__________
__________
0007
Toll fees - (All bidders are to weigh this equally with an estimate of $22,000 per Month)
10
MO
$22,000
$220,000
BASE YEAR SUB-TOTAL
__________

OPTION YEAR 1: 10/01/2023-09/30/2024 BASED ON 12 MONTHS OF SERVICE

CLIN
Description
Estimated QTY
Unit
Unit Price
Total Amount
1001
Manhattan Campus Ambulette Service - One Way Trip Within Milage Threshold (Base Rate)
9,000 (Est 750 trips per month)
FE
_________________
_________________
1002
Manhattan Campus - Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip)
48,000 (Est 4,000 Miles Per Month)
MI
__________
__________
1003
Manhattan Campus - Wait Time beyond the 15 minutes grace period, when required and verified
600 (Est. 50 Hours Per Month)
HR
__________
__________
1004
Brooklyn / St. Albans - Ambulette Service – One Way Trip within Mileage Threshold (Base Rate)
9,000 (Est 750 trips per month)
FE
__________
__________
1005
Brooklyn / St. Albans - Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip)
48,000 (Est 4,000 Miles Per Month)
MI
__________
__________
1006
Brooklyn / St. Albans - Wait Time beyond the 15 minutes grace period, when required and verified
600 (Est. 50 Hours Per Month)
HR
__________
__________
1007
Toll fees - (All bidders are to weigh this equally with an estimate of $22,000 per Month)
12
MO
$22,000
$264,000
OPTION YEAR 1 SUB-TOTAL
__________

OPTION YEAR 2: 10/01/2024-09/30/2025 BASED ON 12 MONTHS OF SERVICE

CLIN
Description
Estimated QTY
Unit
Unit Price
Total Amount
1001
Manhattan Campus Ambulette Service - One Way Trip Within Milage Threshold (Base Rate)
9,000 (Est 750 trips per month)
FE
_________________
_________________
1002
Manhattan Campus - Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip)
48,000 (Est 4,000 Miles Per Month)
MI
__________
__________
1003
Manhattan Campus - Wait Time beyond the 15 minutes grace period, when required and verified
600 (Est. 50 Hours Per Month)
HR
__________
__________
1004
Brooklyn / St. Albans - Ambulette Service – One Way Trip within Mileage Threshold (Base Rate)
9,000 (Est 750 trips per month)
FE
__________
__________
1005
Brooklyn / St. Albans - Mileage Rate beyond the Mileage Threshold (this rate is in addition to the base rate awarded per trip)
48,000 (Est 4,000 Miles Per Month)
MI
__________
__________
1006
Brooklyn / St. Albans - Wait Time beyond the 15 minutes grace period, when required and verified
600 (Est. 50 Hours Per Month)
HR
__________
__________
1007
Toll fees - (All bidders are to weigh this equally with an estimate of $22,000 per Month)
12
MO
$22,000
$264,000
OPTION YEAR 2 SUB-TOTAL
__________
BASE YEAR SUB-TOTAL
____________________
OPTION YEAR 1 SUB-TOTAL
____________________
OPTION YEAR 2 SUB-TOTAL
____________________
TOTAL CONTRACT VALUE:
____________________

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