Attachment 6 - Pricing Template Final.xlsx

XLSX spreadsheet 24 KB Posted

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Clinical Occupational Nurse Staffing and Medical Oversight Services
Solicitation number
HQ0034-20-R-0319
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Attachment 9 - Indianapolis IN WD.pdf PDF
Attachement 10 - Limestone ME WD.pdf PDF
Solicitation_Amendment 0001.docx DOCX document
Attachment 1 PWS_Amendment 0001.docx DOCX document
Attachment 11 - Rome NY WD.pdf PDF
Attachment 13 - Columbus OH WD.pdf PDF
Attachment 8 - Key Personnel Quali.docx DOCX document
Attachment 3 - PPQ Amendment 0001.docx DOCX document
Attachment 12 - Cleveland OH WD.pdf PDF
Attachment 14 - QandA.xlsx XLSX spreadsheet
Attachment 4- Personnel Matrix.xlsx XLSX spreadsheet
Attachment 7 - QASP_Final.pdf PDF
Attachment 3 - PPQ Update Date.docx DOCX document
Attachment 2 - Non-Disclosure.pdf PDF
Attachment 5 - Conflict of Interest.pdf PDF
HQ0034-20-R-0319 FINAL.pdf PDF
Attachment 1 PWS Final.pdf PDF
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Tab 1 - Price Schedule Summary

Phase-in LaborCLIN TypeCLIN #Total FTE'sTotal HoursTotal Price
Occupational Nurse Staffing Support ServicesFFP0005$0.00
Standing Order Support ServicesFFP0006$0.00
TOTALS$0.00
IDIQ CEILING (Year 1 Schedule Pricing)CLIN TypeCLIN #Total FTE'sTotal HoursTotal Price
Occupational Nurse Staffing Support ServicesFFP0001$0.00
Standing Order Support ServicesFFP0002$0.00
Other Direct CostsT&M0003$100,000.00
TravelT&M0004$10,000.00
TOTALS$110,000.00
IDIQ CEILING (Year 2 Schedule Pricing)CLIN TypeCLIN #Total FTE'sTotal HoursTotal Price
Occupational Nurse Staffing Support ServicesFFP1001$0.00
Standing Order Support ServicesFFP1002$0.00
Other Direct CostsT&M1003$100,000.00
TravelT&M1004$10,000.00
TOTALS$110,000.00
IDIQ CEILING (Year 3 Schedule Pricing)CLIN TypeCLIN #Total FTE'sTotal HoursTotal Price
Occupational Nurse Staffing Support ServicesFFP2001$0.00
Standing Order Support ServicesFFP2002$0.00
Other Direct CostsT&M2003$100,000.00
TravelT&M2004$10,000.00
TOTALS$110,000.00
IDIQ CEILING (Year 4 Schedule Pricing)CLIN TypeCLIN #Total FTE'sTotal HoursTotal Price
Occupational Nurse Staffing Support ServicesFFP3001$0.00
Standing Order Support ServicesFFP3002$0.00
Other Direct CostsT&M3003$100,000.00
TravelT&M3004$10,000.00
TOTALS$110,000.00
IDIQ CEILING (Year 5 Schedule Pricing)CLIN TypeCLIN #Total FTE'sTotal HoursTotal Price
Occupational Nurse Staffing Support ServicesFFP4001$0.00
Standing Order Support ServicesFFP4002$0.00
Other Direct CostsT&M4003$100,000.00
TravelT&M4004$10,000.00
TOTALS$110,000.00
IDIQ Phase-in Ceiling PriceIDIQ Year 1 Ceiling PriceIDIQ Year 2 Ceiling PriceIDIQ Year 3 Ceiling PriceIDIQ Year 4 Ceiling PriceIDIQ Year 5 Ceiling PriceTOTAL PRICEFAR 52.217-8 (6 MONTH EXTENSION) TOTAL PRICETOTAL PRICE (EACH YEAR CEILING PRICE + DASH 8 EXT.)
$ - 0$ 110,000.00$ 110,000.00$ 110,000.00$ 110,000.00$ 110,000.00$ - 0$ 55,000.00$ 55,000.00

Tab 2 - FFP TO 1 DISA

IDIQ Phase-In SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
0005
0005
TOTALS CLIN 0005000
0006
0006
TOTALS CLIN 0006000
IDIQ YEAR 1 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
0001
0001
TOTALS CLIN 0001000
0002
0002
TOTALS CLIN 0002000
IDIQ YEAR 2 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
1001
1001
TOTALS CLIN 1001000
1002
1002
TOTALS CLIN 1002000
IDIQ YEAR 3 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
2001
2001
TOTALS CLIN 2001000
2002
2002
TOTALS CLIN 2002000
IDIQ YEAR 4 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
3001
3001
TOTALS CLIN 3001000
3002
3002
TOTALS CLIN 3002000
IDIQ YEAR 5 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
4001
4001
TOTALS CLIN 4001000
4002
4002
TOTALS CLIN 4002000

Tab 3 - FFP TO 2 DFAS

IDIQ Phase-In SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
0005
0005
TOTALS CLIN 0005000
0006
0006
TOTALS CLIN 0006000
IDIQ YEAR 1 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
0001
0001
TOTALS CLIN 0001000
0002
0002
TOTALS CLIN 0002000
IDIQ YEAR 2 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
1001
1001
TOTALS CLIN 1001000
1002
1002
TOTALS CLIN 1002000
IDIQ YEAR 3 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
2001
2001
TOTALS CLIN 2001000
2002
2002
TOTALS CLIN 2002000
IDIQ YEAR 4 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
3001
3001
TOTALS CLIN 3001000
3002
3002
TOTALS CLIN 3002000
IDIQ YEAR 5 SCHEDULE PRICING
CLIN #PWS Task SectionLabor Category# of FTEsFully Loaded Unit/Hourly RateTotal Units/Labor HoursTotal Price
4001
4001
TOTALS CLIN 4001000
4002
4002
TOTALS CLIN 4002000

Tab 4 - Other Direct Costs

CLIN 0004: Service TypePrice Per Service - Year 1 Schedule PricingPrice Per Service - Year 2 Schedule PricingPrice Per Service - Year 3 Schedule PricingPrice Per Service - Year 4 Schedule PricingPrice Per Service - Year 5 Schedule Pricing
Equipment
Thermometer, Oral Axillary Mgm120
Chair, Bld Drwng Flip-Arm Uphol Gry Mgm63
Cabinet, Sharps Lock Wall 5qt (2/cs) Mgm128
Scale, Physician Dig W/ht Rod 500lb Pelstr
Wheelchair, Dda Sf 20" 350lbs
Defibrillator, Heartsine Sam Aed 350p
Table, Trtmt H-Brace Willow/nat
Stethoscope, Sprague Rappaportblk 16" Mgm01
Sphyg, Aneroid Dlx Lf Burg Lg Adlt (1/bx) Mgm01
Sphyg, Aneroid Dlx Lf Blk Adlt(1/bx) Mgm01
Blood Pressure Unit, Surebp Mobile Stand W/usb Wa
Refrigerator, Pharm Undercounter Glass Door Lt Hng 4.6cu Ft
Diagnostic Sys, Opht/oto/bp W/access
Top, Upholstered Soft Touch F/204 Exam Table Shadow 28"
Table, Exam Ritter Base Only Fixed Height 500lbs F/204 Model
Ecg, Cp150 Interpretive Wa
Spirometry Sys, Easy One Air
Simulator Bio-Acoustic Quest Ba-202
Audiometer Ra300+ W/ht Wizpc
Booth. Hearing/test Enclosure Industrial
Card, Vision Rosenbaum Near Numbers Pckt
Chart, Eye Test Snellen Lf 20'22"x11" (5/bg)
Screener, Vision V 4 Professional Titmus
Holder, Tube Bc (100/bx 10bx/cs)
Model, Sample Safe Lb-10 Foam Insulated
Centrifuge, Clia Approved 6pl
Rack Tube Cube 9pl 8-16mm
Container, Spec W/lid Str 4oz Taped (100/cs) Mgm16
Supplies
Tube, Urine Coll Plas 10ml (100/bx) Bd
Tourniquet, Lf 18"x1" (250/bx 4bx/cs) Mgm16
Bag, Spcmn Biohaz Outside Pckt6"x9" (100/pk 10pk/ Mgm79
Towelette, Castile Soap (100/bx) Prfdis
Needle, Eclipse Bld Coll 21gx11/4" (48/bx) Bd
Needle, Eclipse Bld Coll 22gx11/4" (48/bx) Bd
Cap, Vac Tube Wht 16mm (1000/bg)
Tube, Sst Plus 8.5ml (100/bx)
Tube, Sst Plus 10ml (100/bx) Bd
Tube, Vac/hemogard Plus Gold 4ml (100/bx) Bd
Tube, Vac Sst Plus Str 7.5ml (100/bx) Bd
Engerix-B, Syr Tiplok 20mcg/ml1ml Pf (10/pk) Smklph
Twinrix, Syr 720-20mg/ml 1ml (10/pk) Smklph
Havrix, Syr 1440u/ml 1ml Pf (10/pk) Smklph
Saline, Irr Sol Str 250ml (24/cs)
Compress, Hot Inst 5"x7" Lf (24/cs) Mgm16
Compress, Cold Inst 5"x7" Lf (24/cs) Mgm16
Closure, Skin Reinf Lf 1/4x3" (3/pk 50pk/bx 4bx/cs)
Bandage, Elas Slf-Clsr Prem N/s Lf 6x5yds Mgm16
Pad, Alcohol Prep Str Med (200/bx 20bx/cs)
Sponge, Gauze 8ply N/s 2"x2" (200/bx)
Albuterol Sulfate Hfa, Inh Aerosol 90mcg 8.5gm
M-M-R Ii, Sdv (10/bx) Mrkvac
Lifogen , Disp Bd/s
Vivotif Berna Vacc, Cap 2b Unit (4/bx)
Typhim Vi, Syr 25mcg/0.5ml 0.5ml Snofps
Diphenhydramine, Vl 50mg/ml 1ml (25/bx) 9west
Epinephrine, Amp Pf 1mg/ml 1ml1:1000 (10/bx)
Atovaquo+proguanil, Tab 250-100mg (24/bt) 9glenm
Tank, O2 Disp Cyl 30min W/masktubing & Gauge D/s Alhoxg

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