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Attachment B. PRICE/COST SCHEDULE
MINIMUM AND MAXIMUM AMOUNTS
This is an Indefinite-Delivery, Indefinite Quantity (IDIQ) contract. Accordingly, all quantities are estimates only and are not ordered upon award of this contract. Funds are obligated via task orders issued against this contract. The Government shall order the below specified minimum contract value of services and may order up to the below specified maximum contract value of services through orders under this basic IDIQ contract for all ordering periods. The maximum amount under this contract is not guaranteed.
IDIQ contract Minimum: $1,000,000.00 IDIQ contract Maximum: $26,000,000.00
All funds are subject to the availability of funds per FAR 52.232-18.
Orders shall only be placed by Authorized Medical Center Personnel as defined in Section 3.10 of the PWS. Contractor shall provide the following services in accordance with the PWS herein:
YEAR ONE: TO BE DETERMINED AT TIME OF CONTRACT AWARD
ITEM NUMBER/DESCRIPTION OF SERVICES
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| TOTAL AMOUNT |
| CLIN 0001 ACLS/ALS |
| 313 |
| TRIPS |
| $ |
| $ |
CLIN 0002 BLS
11443
TRIPS
| CLIN 0003 Bariatric |
| 210 |
| TRIPS |
| $ |
| $ |
| CLIN 0004 PHRN/SCTU |
| 4 |
| EA |
| $ |
| $ |
| CLIN 0005 Ablation Procedure (12 procedures @ 5 hours/each) |
| 60 |
| HR |
| $ |
| $ |
CLIN 0006 Mileage Rate (Beyond 25 Miles)
MILES
| CLIN 0007 Waiting Time (Beyond the 30 minute grace period). Billed in 15 min increments. |
| 104 |
| EA |
| $ |
| $ |
| CLIN 0008 Cancellations On Scene |
| 394 |
| EA |
| $ |
| $ |
| CLIN 0009 Cancellations Enroute |
| 81 |
| EA |
| $ |
| $ |
TOTAL ESTIMATED COST FOR YEAR ONE $ ________________
YEAR TWO: TWO BE DETERMINED AT TIME OF CONTRACT AWARD
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| TOTAL AMOUNT |
| CLIN 1001 ACLS/ALS |
| 376 |
| TRIPS |
| $ |
| $ |
CLIN 1002 BLS
13732
TRIPS
| CLIN 1003 Bariatric |
| 252 |
| TRIPS |
| $ |
| $ |
| CLIN 1004 PHRN/SCTU |
| 5 |
| EA |
| $ |
| $ |
| CLIN 1005 Ablation Procedure (14 procedures @ 5 hours/each) |
| 70 |
| HR |
| $ |
| $ |
CLIN 1006 Mileage Rate (Beyond 25 miles)
10284
MILES
| CLIN 1007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments. |
| 125 |
| EA |
| CLIN 1008 Cancellations On Scene |
| 473 |
| EA |
| $ |
| $ |
| CLIN 1009 Cancellations Enroute |
| 97 |
| EA |
| $ |
| $ |
TOTAL ESTIMATED COST FOR YEAR TWO $ ________________
YEAR THREE: TO BE DETERMINED AT TIME OF CONTRACT AWARD
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| TOTAL AMOUNT |
| CLIN 2001 ACLS/ALS |
| 451 |
| TRIPS |
| $ |
| $ |
| CLIN 2002 BLS |
| 16478 |
| TRIPS |
| $ |
| $ |
| CLIN 2003 Bariatric |
| 302 |
| TRIPS |
| $ |
| $ |
| CLIN 2004 PHRN/SCTU |
| 6 |
| EA |
| $ |
| $ |
| CLIN 2005 Ablation Procedure (17 procedures @ 5 hours/each) |
| 85 |
| HR |
| $ |
| $ |
CLIN 2006 Mileage Rate (Beyond 25 Miles)
12341
MILES
| CLIN 2007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments |
| 150 |
| EA |
| CLIN 2008 Cancellations On Scene |
| 568 |
| EA |
| $ |
| $ |
| CLIN 2009 Cancellations Enroute |
| 116 |
| EA |
| $ |
| $ |
TOTAL ESTIMATED COST FOR YEAR THREE $ ________________
YEAR FOUR: TO BE DETERMINED AT TIME OF CONTRACT AWARD
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| TOTAL AMOUNT |
| CLIN 3001 ACLS/ALS |
| 541 |
| TRIPS |
| $ |
| $ |
| CLIN 3002 BLS |
| 19774 |
| TRIPS |
| $ |
| $ |
| CLIN 3003 Bariatric |
| 362 |
| TRIPS |
| $ |
| $ |
| CLIN 3004 PHRN/SCTU |
| 7 |
| EA |
| $ |
| $ |
| CLIN 3005 Ablation Procedure (20 procedures @ 5 hours/each) |
| 100 |
| HR |
| $ |
| $ |
CLIN 3006 Mileage Rate (Beyond 25 Miles)
14809
MILES
| CLIN 3007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments. |
| 180 |
| EA |
| CLIN 3008 Cancellations On Scene |
| 682 |
| EA |
| $ |
| $ |
| CLIN 3009 Cancellations Enroute |
| 139 |
| EA |
| $ |
| $ |
TOTAL ESTIMATED COST FOR YEAR FOUR $ ________________
YEAR FIVE: TO BE DETERMINED AT TIME OF CONTRACT AWARD
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| TOTAL AMOUNT |
| CLIN 4001 ACLS/ALS |
| 649 |
| TRIPS |
| $ |
| $ |
| CLIN 4002 BLS |
| 23729 |
| TRIPS |
| $ |
| $ |
| CLIN 4003 Bariatric |
| 434 |
| TRIPS |
| $ |
| $ |
| CLIN 4004 PHRN/SCTU |
| 8 |
| EA |
| $ |
| $ |
| CLIN 4005 Ablation Procedure (24 procedures @ 5 hours/each) |
| 120 |
| HR |
| $ |
| $ |
CLIN 4006 Mileage Rate (Beyond 25 Miles)
17771
MILES
| CLIN 4007 Waiting Time (Beyond the 30 minute grace period). Billed in 15- minute increments. |
| 216 |
| EA |
| CLIN 4008 Cancellations On Scene |
| 818 |
| EA |
| $ |
| $ |
| CLIN 4009 Cancellations Enroute |
| 167 |
| EA |
| $ |
| $ |
TOTAL ESTIMATED COST FOR YEAR FIVE $ ________________
GRAND TOTAL FOR YEARS ONE - FIVE: $__________________________
