Attachment 3 - Sample BPA Call Order.xlsx

XLSX spreadsheet 18 KB Posted

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Medical Teleconsultation Program
Solicitation number
1145PC23Q0111
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BPA Call Order

Base Period
DescriptionQuantityUnit of MeasureUnit PriceTotal
Level 1 Consultations (Base 25 Consultants)1Each$ - 0
Level 2 Consultation (Base 25 Consultants)1Each$ - 0
Level 1 Consultations (Additional once the base 25 is exceeded)10Each$ - 0
Level 2 Consultation (Additional once the base 25 is exceeded)10Each$ - 0
Base Period Total$ - 0
Renewal Period 1
DescriptionQuantityUnit of MeasureUnit PriceTotal
Level 1 Consultations (Base 25 Consultants)1Each$ - 0
Level 2 Consultation (Base 25 Consultants)1Each$ - 0
Level 1 Consultations (Additional once the base 25 is exceeded)10Each$ - 0
Level 2 Consultation (Additional once the base 25 is exceeded)10Each$ - 0
Renewal Period 1 Total$ - 0
Renewal Period 2
DescriptionQuantityUnit of MeasureUnit PriceTotal
Level 1 Consultations (Base 25 Consultants)1Each$ - 0
Level 2 Consultation (Base 25 Consultants)1Each$ - 0
Level 1 Consultations (Additional once the base 25 is exceeded)10Each$ - 0
Level 2 Consultation (Additional once the base 25 is exceeded)10Each$ - 0
Renewal Period 2 Total$ - 0
Renewal Period 3
DescriptionQuantityUnit of MeasureUnit PriceTotal
Level 1 Consultations (Base 25 Consultants)1Each$ - 0
Level 2 Consultation (Base 25 Consultants)1Each$ - 0
Level 1 Consultations (Additional once the base 25 is exceeded)10Each$ - 0
Level 2 Consultation (Additional once the base 25 is exceeded)10Each$ - 0
Renewal Period 3 Total$ - 0
Renewal Period 4
DescriptionQuantityUnit of MeasureUnit PriceTotal
Level 1 Consultations (Base 25 Consultants)1Each$ - 0
Level 2 Consultation (Base 25 Consultants)1Each$ - 0
Level 1 Consultations (Additional once the base 25 is exceeded)10Each$ - 0
Level 2 Consultation (Additional once the base 25 is exceeded)10Each$ - 0
Renewal Period 4 Total$ - 0
Base Period and All Renewal Periods Total$ - 0

&"-,Bold"1145PC23Q0111 Medical Teleconsultation Services Attachment 3 - Sample BPA Call Order&"-,Regular" (Fill in the yellow highlighted cells with Firm Fixed Price (FFP) unit prices. Totals will auto calculate.)

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