Attachment (a)_Quotation Sheet.docx

DOCX document 29 KB Posted

Attached to
JRM F&ES Electronic Patient Care Reporting Web-Based System
Solicitation number
N6824624Q0010
Issued by

About this file

This document is an Attachment (a) Quotation Sheet for a Request for Quotes (RFQ) issued by the Department of the Navy Naval Supply Systems Command for a JRM F&ES Electronic Patient Care Reporting Web-Based System. The RFQ is a small business set-aside with a NAICS code of 518210 and a $40,000,000 size standard.

The RFQ requires a firm fixed price contract for a 12-month base period with four 12-month option periods to provide an Electronic Patient Care Reporting System and related services. The Quotation Sheet lists the base year CLINs, which include system setup, crew training, and an annual program platform fee, as well as four option year CLINs for the annual program platform fee. The total evaluated price is required on the form. The RFQ includes a Statement of Work detailing the requirements and evaluation procedures considering price and other factors to determine the most advantageous offer.

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Other files

File Type Posted
Questions and Answer 3.docx DOCX document
Questions and Answer 2.docx DOCX document
Questions and Answers.docx DOCX document
Statement of Work.pdf PDF
Attachment (b)_Addendum 52.212-1.docx DOCX document
Wage Determination Rev 21.docx DOCX document
Attachment (c)_52.212-2 .docx DOCX document

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Text version

Attachment (a) Quotation Sheet

RFQ: N6824624Q0010

Title: JRM F&ES Electronic Patient Care Reporting Web-Based System

Base Year

CLIN
Description
Estimated Quantity
Unit
Unit Price
Extended Price
0001
JRM F&ES Electronic Patient Care Reporting System Setup
1
Each
0002
E-PCR Crew Training and System Familiarization
1
Each
0003
E-PCR Program Platform Annual Fee
1
Each

sub-total

52.217-9 Option to Extend the Term of the Contract Option Year 1

CLIN
Description
Estimated Quantity
Unit
Unit Price
Extended Price
1001
E-PCR Program Platform Annual Fee
1
Each

sub-total

Option Year 2

CLIN
Description
Estimated Quantity
Unit
Unit Price
Extended Price
2001
E-PCR Program Platform Annual Fee
1
Each

sub-total

Option Year 3

CLIN
Description
Estimated Quantity
Unit
Unit Price
Extended Price
3001
E-PCR Program Platform Annual Fee
1
Each

sub-total

Option Year 4

CLIN
Description
Estimated Quantity
Unit
Unit Price
Extended Price
4001
E-PCR Program Platform Annual Fee
1
Each

sub-total

52.217-8 Option to Extend Services Not-to-Exceed 6 Month Service Extension

CLIN
Description
Estimated Quantity
Unit
Unit Price
Extended Price
5001
E-PCR Program Platform 6 Month Extension Fee
1
Each

sub-total

Total Evaluated Price
$

***CLIN values or quantities are deemed estimates only and may be ordered in any combination, not exceeding the contract ceiling provided in the solicitation***

Contractor Name:

CAGE Code & UEI:

Phone:

Email:

Name of Representative Authorized to Negotiate on behalf of the Quoter/Offeror:

Signature of Representative Authorized to sign contractual documents on behalf of the Quoter/Offeror:

Source Selection Information-See FAR 2.101 and 3.104 (when completed)

File details come from the government source that posted it. Updated .