Attachment 3 - Pricing Table.xlsx

XLSX spreadsheet 49 KB Posted Jul 16, 2026

Attached to: Draft Request for Quote (RFQ) – Contract Disputes Act Claims Analysis Support – Industry Review and Comment
Solicitation number: 75H70426Q00040_draft
Issued by: Department of Health and Human Services Indian Health Service

About this file

Written by GovTribe AI · Jul 16, 2026

This is a Pricing Table template in Excel format designed for the Draft Request for Quote (RFQ) for Contract Disputes Act (CDA) Claims Analysis Support issued by the Indian Health Service (IHS), a component of the Department of Health and Human Services. The pricing table serves as an appendix to the draft RFQ and is intended to facilitate industry review and comment on the Government's proposed acquisition strategy. As a template document, it does not contain specific pricing data, labor rates, or cost proposals but rather establishes the structure and format that potential contractors would use to submit pricing information in response to the final solicitation.

This document is part of an industry review and comment period that closes on July 21, 2026, at 12:00 p.m. Eastern Time. Comments and feedback on the pricing table template, along with other draft solicitation documents, should be submitted to cynthia.cason@ihs.gov. The Government is soliciting industry input to improve clarity and identify any ambiguities in the acquisition strategy prior to issuing the final RFQ. No commitment to award or issue a formal solicitation is implied by this draft notice, and responses will be used solely for planning and refinement purposes.

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Other files

File	Type	Posted
Attachment 1 - Performance Work Statement.pdf	PDF	Jul 16, 2026
Draft Request for Quote.pdf	PDF	Jul 16, 2026
Attachment 2 - Clauses.pdf	PDF	Jul 16, 2026

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Summary Pricing Schedule

Attachment 3: Pricing Table

Notes:

* Extended prices and totals are calculated automatically. Supporting pricing for each CLIN shall be completed on the corresponding worksheet in the yellow highlighted cells only.

* The Travel and Incidental Other Direct Costs (CLIN X004) amounts are Government-established evaluation amounts and are automatically included in the Total Price calculations. Offerors shall not modify these amounts.

Contract Line Item Description	PWS Section	Base Period			Option Year One			Option Year Two			Option Year Three			Option Year Four
		Quantity	Unit	Total Price	Quantity	Unit	Total Price	Quantity	Unit	Total Price	Quantity	Unit	Total Price	Quantity	Unit	Total Price
X001 Contract Disputes Act (CDA) Claims Analysis	2.1	1	Job	$ - 0	1	Job	$ - 0	1	Job	$ - 0	1	Job	$ - 0	1	Job	$ - 0
X002 Contract Support Costs (CSC) Proposal Analysis and Operational Support	2.2	1	Job	$ - 0	1	Job	$ - 0	1	Job	$ - 0	1	Job	N/A	1	Job	N/A
X003 Document Preparation	2.3	1	Job	$ - 0	1	Job	$ - 0	1	Job	$ - 0	1	Job	$ - 0	1	Job	$ - 0
X004 Travel and Incidental Other Direct Costs	3	1	Each	$ 50,000.00	1	Each	$ 52,500.00	1	Each	$ 45,125.00	1	Each	$ 37,381.00	1	Each	$ 39,250.00
X005 Transition Period	2.4	1	Job	$ - 0	1	Job	N/A	1	Job	N/A	1	Job	N/A	1	Job	$ - 0
Total Price Per Period				$ 50,000.00			$ 52,500.00			$ 45,125.00			$ 37,381.00			$ 39,250.00
TOTAL PRICE (Base + 4 Option Periods)	$ 224,256.00

X001 CDA Claims Analysis

	X001 Contract Disputes Act (CDA) Claims Analysis
	*Note - the total proposed CLIN price must equal the amount proposed for
X0001 CLINs in Tab A	Base Period			Option 1 Period			Option 2 Period			Option 3 Period			Option 4 Period
	Proposed Labor Category	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
	X001 Contract Disputes Act (CDA) Claims Analysis Per Period	- 0		$ - 0	- 0		$ - 0	- 0		$ - 0	- 0		$ - 0	- 0		$ - 0

	TOTAL X001 Contract Disputes Act (CDA) Claims Analysis Price
(Base + 4 Option Periods)	$ - 0

X002 CSC Proposal Analysis

X002 Contract Support Costs (CSC) Proposal Analysis & Operational Support
*Notes - the total proposed CLIN price must equal the amount proposed for X002 CLINs in Tab A; CLIN X002 applies only to the Base Period, Option Year 1, and Option Year 2. This CLIN is not applicable in Option Years 3 and 4.	Base Period			Option 1 Period			Option 2 Period			Option 3 Period			Option 4 Period
Proposed Labor Category	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price
			$ - 0			$ - 0			$ - 0	N/A	N/A	N/A	N/A	N/A	N/A
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
			$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
X002 Contract Support Costs (CSC) Proposal Analysis & Operational Support Per Period	- 0		$ - 0	- 0		$ - 0	- 0		$ - 0	N/A		N/A	N/A		N/A

	TOTAL X002 Contract Support Costs (CSC) Proposal Analysis & Operational Support Price
(Base + 4 Option Periods)	$ - 0

X003 Document Preparation

	X003 Document Preparation
	*Note - the total proposed CLIN price must equal the amount proposed for
X0003 CLINs in Tab A	Base Period			Option 1 Period			Option 2 Period			Option 3 Period			Option 4 Period
	Proposed Labor Category	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
				$ - 0			$ - 0			$ - 0			$ - 0			$ - 0
	X003 Document Preparation Per Period	- 0		$ - 0	- 0		$ - 0	- 0		$ - 0	- 0		$ - 0	- 0		$ - 0

	TOTAL X003 Document Preparation Price
(Base + 4 Option Periods)	$ - 0

X004 Travel

X004 Travel and Other Direct Costs
*Note - the total proposed CLIN price should equal the amount proposed for X0004 CLIN in Tab A	Base Period	Option 1 Period	Option 2 Period	Option 3 Period	Option 4 Period
	Total NTE	Total NTE	Total NTE	Total NTE	Total NTE
	Total NTE	Total NTE	Total NTE	Total NTE	Total NTE
	$ 50,000.00	$ 52,500.00	$ 45,125.00	$ 37,381.00	$ 39,250.00

	TOTAL X004 Travel and Other Direct Costs Price
(Base + 4 Option Periods)	$ 224,256.00

X005 Transition Period

	X005 Transition Period
	*Note - the total proposed CLIN price must equal the amount proposed for
X0005 CLINs in Tab A	Base Period			Option 4 Period
	Proposed Labor Category	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price	Proposed Hours	Proposed Hourly Rate	Proposed Extended Price
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
				$ - 0			$ - 0
	X005 Transition Period Per Period	- 0		$ - 0	- 0		$ - 0

	TOTAL X005 Transition Period Price
(Base + 4 Option Periods)	$ - 0

File details come from the government source that posted it. Updated Jul 16, 2026.