Attachment 4 - Price Sheet.xlsx

XLSX spreadsheet 37 KB Posted Feb 28, 2024

Attached to: Integrated Referral Management and Appointing Centers (IRMAC) Services for the Florida Panhandle
Solicitation number: HT940824R0002
Issued by: Defense Health Agency

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Written by GovTribe AI · Feb 28, 2024

This document outlines a federal solicitation for Integrated Referral Management and Appointing Centers (IRMAC) services. The Defense Health Agency Contracting Activity is seeking these nonpersonal services to support four military medical treatment facilities in the Florida Panhandle. Services include appointment clerks, referral management clerks and nurses, a service provider manager, supervisor, and leads for a total of seventy-two full-time equivalents. The requirement consists of a base period of five months and three one-year option periods, to be awarded as a single firm-fixed-price level-of-effort contract through full and open competition restricted to certified 8(a) small businesses. The North American Industry Classification code is 621999 and size standard is $20.5 million. The solicitation closes on March 20, 2024 and is available through www.sam.gov. Interested parties must register in SAM and hold a Commercial and Government Entity code to be considered for award. Points of contact are provided for any questions.

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Other files

File	Type	Posted
HT940824R0002-0003 - IRMAC RFP Amendment.pdf	PDF	Mar 29, 2024
HT940824R0002-0002 - IRMAC RFP Amendment.pdf	PDF	Mar 29, 2024
Attachment B - Employee Start Date List.xlsx	XLSX spreadsheet	Mar 22, 2024
Attachment A - Questions and Answers_RFP HT940824R0002_ Amendment 0002.pdf	PDF	Mar 22, 2024
Attachment D - Performance Work Statement (PWS)_V2 20240322.pdf	PDF	Mar 22, 2024
Attachment C - 52.212-1 Addendum_Amendment 0002.pdf	PDF	Mar 22, 2024
HT940824C0002-0002 - IRMAC RFP Amendment.pdf	PDF	Mar 22, 2024
HT940824R0002-0001 - IRMAC RFP Amendment.pdf	PDF	Mar 19, 2024
HT940824R0002 - IRMAC RFP - FINAL.pdf	PDF	Feb 28, 2024
Attachment 3 - Performance Work Statement (PWS)_20240201.pdf	PDF	Feb 28, 2024
Attachment 5 - WDs - all.pdf	PDF	Feb 28, 2024
Attachment 1 - 52.212-1 Addendum FINAL.pdf	PDF	Feb 28, 2024
Attachment 2 - 52.212-2 Addendum FINAL.pdf	PDF	Feb 28, 2024

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Summary - IRMAC FL Panhandle

Attachment 4 - Pricing Sheet - RFP #HT940824R0002

Integrated Referral Management and Appointing Centers (IRMAC) Services FL Panhandle

Contractor:

Date:

Note: No edits can be made to the figures on this Tab, it will populate as you complete the other tabs

Base Period Total
	CLIN	Description	Hours	Total per MTF	Base Period Total
	0001	IRMAC Services - Eglin AFB	27,200	$ - 0
	0002	IRMAC Services - Tyndall AFB	5,600	$ - 0
	0003	IRMAC Services - Hurlburt Field	6,400	$ - 0
	0004	IRMAC Services - Naval Hospital Pensacola	18,400	$ - 0
		BASE PERIOD TOTAL			$ - 0

Option 1 Total
	CLIN	Description	Hours	Total per MTF	1st Option Period Total
	1001	IRMAC Services - Eglin AFB	65,008	$ - 0
	1002	IRMAC Services - Tyndall AFB	13,384	$ - 0
	1003	IRMAC Services - Hurlburt Field	15,296	$ - 0
	1004	IRMAC Services - Naval Hospital Pensacola	43,976	$ - 0
		1ST OPTION PERIOD TOTAL			$ - 0

Option 2 Total
	CLIN	Description	Hours	Total per MTF	2nd Option Period Total
	2001	IRMAC Services - Eglin AFB	65,008	$ - 0
	2002	IRMAC Services - Tyndall AFB	13,384	$ - 0
	2003	IRMAC Services - Hurlburt Field	15,296	$ - 0
	2004	IRMAC Services - Naval Hospital Pensacola	43,976	$ - 0
		2ND OPTION PERIOD TOTAL			$ - 0

Option 3 Total
	CLIN	Description	Hours	Total per MTF	3rd Option Period Total
	3001	IRMAC Services - Eglin AFB	65,008	$ - 0
	3002	IRMAC Services - Tyndall AFB	13,384	$ - 0
	3003	IRMAC Services - Hurlburt Field	15,296	$ - 0
	3004	IRMAC Services - Naval Hospital Pensacola	43,976	$ - 0
		3RD OPTION PERIOD TOTAL			$ - 0

	Grand Total Hours	470,592
Contract Grand Total			$ - 0

Base Year (5 months)	$ - 0
1st Option Year (12 months)	$ - 0
2nd Option Year (12 months)	$ - 0
3rd Option Year (12 months)	$ - 0
Conract Total	$ - 0
6-month Extension	$ - 0
TOTAL	$ - 0

Base - IRMAC FL Panhandle

Attachment 4 - Pricing Sheet - RFP #HT940824R0002

Integrated Referral Management and Appointing Centers (IRMAC) Services FL Panhandle

Contractor:

Date:

INSTRUCTIONS: Insert contractor name and price proposal date above. CLIN 0001 - Price for Eglin Air Force

Base (AFB); CLIN 0002 - Price for Tyndall AFB; CLIN 0003 - Price for Hurlburt Field; and CLIN 0004 - Price for

Naval Hospital Pensacola (NHP). Rate/Unit Price should include Wage Determination and any associated

General and Administrative (G&A) cost plus profit or fee. CLIN 0001/0002/0003/0004 total price (see cells

F22/F28/F34/F39) shall be included in the RFP as "1 JOB" for each CLIN. NOTE: In some cases, when not

all Full-Time Equivalent (FTE) personnel for specified areas of performance are filled, the contractor shall

adjust # of FTEs at time of monthly billing; or adjust actual productive hours worked.

Base Period: 1 June 2024 - 31 October 2024 (5 months)
CLIN 0001 - Eglin AFB
Eglin AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	27	21,600	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	2	1,600	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	2	1,600	$ - 0	$ - 0
	Referral Management Lead	1	800	$ - 0	$ - 0
	Referral Management Supervisor (SPV)	1	800	$ - 0	$ - 0
	Referral Management Service Provider Manager (SPM)	1	800	$ - 0	$ - 0
CLIN 0001 - Eglin AFB TOTAL		34	27,200		$ - 0
CLIN 0002 - Tyndall AFB
Tyndall AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	5	4,000	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	1	800	$ - 0	$ - 0
	Referral Management Lead	1	800	$ - 0	$ - 0
CLIN 0002 - Tyndall AFB TOTAL		7	5,600		$ - 0
CLIN 0003 - Hurlburt Field
Hurlburt Field	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	6	4,800	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	1	800	$ - 0	$ - 0
	Referral Management Lead	1	800	$ - 0	$ - 0
CLIN 0003 - Hurlburt Field TOTAL		8	6,400		$ - 0
CLIN 0004 - NHP
Naval Hospital Pensacola (NHP)	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	22	17,600	$ - 0	$ - 0
	Referral Management Lead	1	800	$ - 0	$ - 0
CLIN 0004 - NHP TOTAL		23	18,400		$ - 0

BASE PERIOD TOTAL 72 57,600 $ - 0

1st Option

Attachment 4 - Pricing Sheet - RFP #HT940824R0002

Integrated Referral Management and Appointing Centers (IRMAC) Services FL Panhandle

Contractor:

Date:

INSTRUCTIONS: Insert contractor name and price proposal date above. CLIN 1001 - Price for Eglin Air Force

Base (AFB); CLIN 1002 - Price for Tyndall AFB; CLIN 1003 - Price for Hurlburt Field; and CLIN 1004 - Price for

Naval Hospital Pensacola (NHP). Rate/Unit Price should include Wage Determination and any associated

General and Administrative (G&A) cost plus profit or fee. CLIN 1001/1002/1003/1004 total price (see cells

F22/F28/F34/F39) shall be included in the RFP as "1 JOB" for each CLIN. NOTE: In some cases, when not

all Full-Time Equivalent (FTE) personnel for specified areas of performance are filled, the contractor shall

adjust # of FTEs at time of monthly billing; or adjust actual productive hours worked.

1st Option Period: 1 November 2024 - 31 October 2025 (12 months)
CLIN 1001 - Eglin AFB
Eglin AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	27	51,624	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	2	3,824	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	2	3,824	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
	Referral Management Supervisor (SPV)	1	1,912	$ - 0	$ - 0
	Referral Management Service Provider Manager (SPM)	1	1,912	$ - 0	$ - 0
CLIN 1001 - Eglin AFB TOTAL		34	65,008		$ - 0
CLIN 1002 - Tyndall AFB
Tyndall AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	5	9,560	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	1	1,912	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 1002 - Tyndall AFB TOTAL		7	13,384		$ - 0
CLIN 1003 - Hurlburt Field
Hurlburt Field	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	6	11,472	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	1	1,912	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 1003 - Hurlburt Field TOTAL		8	15,296		$ - 0
CLIN 1004 - NHP
Naval Hospital Pensacola (NHP)	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	22	42,064	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 1004 - NHP TOTAL		23	43,976		$ - 0

1ST OPTION PERIOD TOTAL 72 137,664 $ - 0

2nd Option

Attachment 4 - Pricing Sheet - RFP #HT940824R0002

Integrated Referral Management and Appointing Centers (IRMAC) Services FL Panhandle

Contractor:

Date:

INSTRUCTIONS: Insert contractor name and price proposal date above. CLIN 2001 - Price for Eglin Air Force

Base (AFB); CLIN 2002 - Price for Tyndall AFB; CLIN 2003 - Price for Hurlburt Field; and CLIN 2004 - Price for

Naval Hospital Pensacola (NHP). Rate/Unit Price should include Wage Determination and any associated

General and Administrative (G&A) cost plus profit or fee. CLIN 2001/2002/2003/2004 total price (see cells

F22/F28/F34/F39) shall be included in the RFP as "1 JOB" for each CLIN. NOTE: In some cases, when not

all Full-Time Equivalent (FTE) personnel for specified areas of performance are filled, the contractor shall

adjust # of FTEs at time of monthly billing; or adjust actual productive hours worked.

2nd Option Period: 1 November 2025 - 31 October 2026 (12 months)
CLIN 2001 - Eglin AFB
Eglin AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	27	51,624	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	2	3,824	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	2	3,824	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
	Referral Management Supervisor (SPV)	1	1,912	$ - 0	$ - 0
	Referral Management Service Provider Manager (SPM)	1	1,912	$ - 0	$ - 0
CLIN 2001 - Eglin AFB TOTAL		34	65,008		$ - 0
CLIN 2002 - Tyndall AFB
Tyndall AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	5	9,560	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	1	1,912	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 2002 - Tyndall AFB TOTAL		7	13,384		$ - 0
CLIN 2003 - Hurlburt Field
Hurlburt Field	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	6	11,472	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	1	1,912	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 2003 - Hurlburt Field TOTAL		8	15,296		$ - 0
CLIN 2004 - NHP
Naval Hospital Pensacola (NHP)	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	22	42,064	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 2004 - NHP TOTAL		23	43,976		$ - 0

2ND OPTION PERIOD TOTAL 72 137,664 $ - 0

3rd Option

Attachment 4 - Pricing Sheet - RFP #HT940824R0002

Integrated Referral Management and Appointing Centers (IRMAC) Services FL Panhandle

Contractor:

Date:

INSTRUCTIONS: Insert contractor name and price proposal date above. CLIN 3001 - Price for Eglin Air Force

Base (AFB); CLIN 3002 - Price for Tyndall AFB; CLIN 3003 - Price for Hurlburt Field; and CLIN 3004 - Price for

Naval Hospital Pensacola (NHP). Rate/Unit Price should include Wage Determination and any associated

General and Administrative (G&A) cost plus profit or fee. CLIN 3001/3002/3003/3004 total price (see cells

F22/F28/F34/F39) shall be included in the RFP as "1 JOB" for each CLIN. NOTE: In some cases, when not

all Full-Time Equivalent (FTE) personnel for specified areas of performance are filled, the contractor shall

adjust # of FTEs at time of monthly billing; or adjust actual productive hours worked.

3rd Option Period: 1 November 2026 - 31 October 2027 (12 months)
CLIN 3001 - Eglin AFB
Eglin AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	27	51,624	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	2	3,824	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	2	3,824	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
	Referral Management Supervisor (SPV)	1	1,912	$ - 0	$ - 0
	Referral Management Service Provider Manager (SPM)	1	1,912	$ - 0	$ - 0
CLIN 3001 - Eglin AFB TOTAL		34	65,008		$ - 0
CLIN 3002 - Tyndall AFB
Tyndall AFB	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	5	9,560	$ - 0	$ - 0
	Referral Management Registered Nurse (RN)	1	1,912	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 3002 - Tyndall AFB TOTAL		7	13,384		$ - 0
CLIN 3003 - Hurlburt Field
Hurlburt Field	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	6	11,472	$ - 0	$ - 0
	Referral Management Licensed Practical Nurse (LPN)	1	1,912	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 3003 - Hurlburt Field TOTAL		8	15,296		$ - 0
CLIN 3004 - NHP
Naval Hospital Pensacola (NHP)	Labor Category	# of FTEs	Productive Hours	Rate / Unit Price	Total
	Appointment & Referral Management Clerks	22	42,064	$ - 0	$ - 0
	Referral Management Lead	1	1,912	$ - 0	$ - 0
CLIN 3004 - NHP TOTAL		23	43,976		$ - 0

3RD OPTION PERIOD TOTAL 72 137,664 $ - 0

File details come from the government source that posted it. Updated Feb 28, 2024.