Attachment B-Schedule of Items and Prices.xlsx

XLSX spreadsheet 127 KB Posted Apr 24, 2024

Attached to: OMAO/Occupational Health Support Services
Solicitation number: 1305M224Q0073
Issued by: Department of Commerce National Oceanic and Atmospheric Administration

About this file

Written by GovTribe AI · Apr 24, 2024

This document appears to be an Attachment B - Schedule of Items and Prices for a federal contract opportunity. It details the pricing schedule for various medical services and examinations to be provided over a five-year ordering period. The services include comprehensive physical exams, functional capacity examinations, audiometric testing, spirometry testing, tuberculosis testing, chest x-rays, laboratory services, immunizations, and COVID-19 testing. Pricing is provided for services to be delivered in different geographic regions, including CONUS, Hawaii, Guam, Panama Canal, Puerto Rico, and the Virgin Islands. The total ceiling value for the contract is not specified. This attachment is related to Solicitation Number 1305M224Q0073 for OMAO/Occupational Health Support Services issued by the Department of Commerce National Oceanic and Atmospheric Administration.

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Other files

File	Type	Posted
Attachment B-Schedule of Items and Prices_Amend0005.xlsx	XLSX spreadsheet	Jun 21, 2024
Attachment A-SOW_Amend0005.pdf	PDF	Jun 21, 2024
Attachment 4-QASP.pdf	PDF	Jun 21, 2024
SOW_Attachment 4-Audiology Questionnaire.pdf	PDF	Jun 21, 2024
Amendment 0005.pdf	PDF	Jun 21, 2024
Questions and Answers_Amend0005.xlsx	XLSX spreadsheet	Jun 21, 2024
SOW_Attachment 5 Respirator Questionnaire.pdf	PDF	Jun 21, 2024
Amendment 0004.pdf	PDF	Jun 20, 2024
Amendment 0003.pdf	PDF	Jun 3, 2024
Amendment 0002.pdf	PDF	May 30, 2024
Amendment 0001.pdf	PDF	May 7, 2024
Attachment C- Past Performance Information Form.pdf	PDF	Apr 24, 2024
Attachment A-Statement of Work-Occupational Health Services.pdf	PDF	Apr 24, 2024
Attachment D-Past Performance Questionnaire.pdf	PDF	Apr 24, 2024
Sol_1305M224Q0073.pdf	PDF	Apr 24, 2024

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Summary-TOTAL

Attachment 1: Pricing Schedule
Summary Pricing Table
	ORDERING PERIOD 1	ORDERING PERIOD 2	ORDERING PERIOD 3	ORDERING PERIOD 4	ORDERING PERIOD 5	ESTIMATED VALUE
CONUS	$0	$0	$0	$0	$0	$0
Hawaii	$0	$0	$0	$0	$0	$0
Guam	$0	$0	$0	$0	$0	$0
Panama Canal	$0	$0	$0	$0	$0	$0
Puerto Rico	$0	$0	$0	$0	$0	$0
Virgin Islands	$0	$0	$0	$0	$0	$0
					TOTAL CEILING	$0

CONUS

ORDERING PERIOD ONE
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
0001	1.0	Comprehensive Physical Exam	1	EA		$0
000101	1.1	Functional Capacity Examination	1	EA		$0
000102	1.2	Audiometric Testing w/ report	1	EA		$0
000103	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
000104	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
000105	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
000106	1.6	Chest X-Ray Services	1	EA		$0
000107	1.7	Laboratory Services	1	EA		$0
000108	1.8	Immunizations	1	EA		$0
000109	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
000110	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
000111	2.2	Respirator Fit Testing	1	EA		$0
000112	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 2
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
0002	1.0	Comprehensive Physical Exam	1	EA		$0
000201	1.1	Functional Capacity Examination	1	EA		$0
000202	1.2	Audiometric Testing w/ report	1	EA		$0
000203	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
000204	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
000205	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
000206	1.6	Chest X-Ray Services	1	EA		$0
000207	1.7	Laboratory Services	1	EA		$0
000208	1.8	Immunizations	1	EA		$0
000209	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
000210	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
000211	2.2	Respirator Fit Testing	1	EA		$0
000212	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 3
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
0003	1.0	Comprehensive Physical Exam	1	EA		$0
000301	1.1	Functional Capacity Examination	1	EA		$0
000302	1.2	Audiometric Testing w/ report	1	EA		$0
000303	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
000304	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
000305	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
000306	1.6	Chest X-Ray Services	1	EA		$0
000307	1.7	Laboratory Services	1	EA		$0
000308	1.8	Immunizations	1	EA		$0
000309	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
000310	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
000311	2.2	Respirator Fit Testing	1	EA		$0
000312	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 4
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
0004	1.0	Comprehensive Physical Exam	1	EA		$0
000401	1.1	Functional Capacity Examination	1	EA		$0
000402	1.2	Audiometric Testing w/ report	1	EA		$0
000403	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
000404	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
000405	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
000406	1.6	Chest X-Ray Services	1	EA		$0
000407	1.7	Laboratory Services	1	EA		$0
000408	1.8	Immunizations	1	EA		$0
000409	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
000410	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
000411	2.2	Respirator Fit Testing	1	EA		$0
000412	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

					TOTAL	$0
ORDERING PERIOD 5
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
0005	1.0	Comprehensive Physical Exam	1	EA		$0
000501	1.1	Functional Capacity Examination	1	EA		$0
000502	1.2	Audiometric Testing w/ report	1	EA		$0
000503	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
000504	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
000505	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
000506	1.6	Chest X-Ray Services	1	EA		$0
000507	1.7	Laboratory Services	1	EA		$0
000508	1.8	Immunizations	1	EA		$0
000509	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
000510	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
000511	2.2	Respirator Fit Testing	1	EA		$0
000512	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

HAWAII

ORDERING PERIOD ONE
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
1001	1.0	Comprehensive Physical Exam	1	EA		$0
100101	1.1	Functional Capacity Examination	1	EA		$0
100102	1.2	Audiometric Testing w/ report	1	EA		$0
100103	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
100104	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
100105	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
100106	1.6	Chest X-Ray Services	1	EA		$0
100107	1.7	Laboratory Services	1	EA		$0
100108	1.8	Immunizations	1	EA		$0
100109	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
100110	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
100111	2.2	Respirator Fit Testing	1	EA		$0
100112	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 2
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
1002	1.0	Comprehensive Physical Exam	1	EA		$0
100201	1.1	Functional Capacity Examination	1	EA		$0
100202	1.2	Audiometric Testing w/ report	1	EA		$0
100203	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
100204	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
100205	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
100206	1.6	Chest X-Ray Services	1	EA		$0
100207	1.7	Laboratory Services	1	EA		$0
100208	1.8	Immunizations	1	EA		$0
100209	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
100210	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
100211	2.2	Respirator Fit Testing	1	EA		$0
100212	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 3
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
1003	1.0	Comprehensive Physical Exam	1	EA		$0
100301	1.1	Functional Capacity Examination	1	EA		$0
100302	1.2	Audiometric Testing w/ report	1	EA		$0
100303	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
100304	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
100305	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
100306	1.6	Chest X-Ray Services	1	EA		$0
100307	1.7	Laboratory Services	1	EA		$0
100308	1.8	Immunizations	1	EA		$0
100309	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
100310	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
100311	2.2	Respirator Fit Testing	1	EA		$0
100312	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 4
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
1004	1.0	Comprehensive Physical Exam	1	EA		$0
100401	1.1	Functional Capacity Examination	1	EA		$0
100402	1.2	Audiometric Testing w/ report	1	EA		$0
100403	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
100404	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
100405	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
100406	1.6	Chest X-Ray Services	1	EA		$0
100407	1.7	Laboratory Services	1	EA		$0
100408	1.8	Immunizations	1	EA		$0
100409	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
100410	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
100411	2.2	Respirator Fit Testing	1	EA		$0
100412	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

					TOTAL	$0
ORDERING PERIOD 5
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
1005	1.0	Comprehensive Physical Exam	1	EA		$0
100401	1.1	Functional Capacity Examination	1	EA		$0
100402	1.2	Audiometric Testing w/ report	1	EA		$0
100403	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
100404	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
100405	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
100406	1.6	Chest X-Ray Services	1	EA		$0
100407	1.7	Laboratory Services	1	EA		$0
100408	1.8	Immunizations	1	EA		$0
100409	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
100410	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
100411	2.2	Respirator Fit Testing	1	EA		$0
100412	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

GUAM

ORDERING PERIOD ONE
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
2001	1.0	Comprehensive Physical Exam	1	EA		$0
200101	1.1	Functional Capacity Examination	1	EA		$0
200102	1.2	Audiometric Testing w/ report	1	EA		$0
200103	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
200104	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
200105	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
200106	1.6	Chest X-Ray Services	1	EA		$0
200107	1.7	Laboratory Services	1	EA		$0
200108	1.8	Immunizations	1	EA		$0
200109	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
200110	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
000111	2.2	Respirator Fit Testing	1	EA		$0
000112	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 2
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
2002	1.0	Comprehensive Physical Exam	1	EA		$0
200201	1.1	Functional Capacity Examination	1	EA		$0
200202	1.2	Audiometric Testing w/ report	1	EA		$0
200203	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
200204	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
200205	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
200206	1.6	Chest X-Ray Services	1	EA		$0
200207	1.7	Laboratory Services	1	EA		$0
200208	1.8	Immunizations	1	EA		$0
200209	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
200210	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
200211	2.2	Respirator Fit Testing	1	EA		$0
200212	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 3
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
2003	1.0	Comprehensive Physical Exam	1	EA		$0
200301	1.1	Functional Capacity Examination	1	EA		$0
200302	1.2	Audiometric Testing w/ report	1	EA		$0
200303	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
200304	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
200305	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
200306	1.6	Chest X-Ray Services	1	EA		$0
200307	1.7	Laboratory Services	1	EA		$0
200308	1.8	Immunizations	1	EA		$0
200309	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
200310	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
200311	2.2	Respirator Fit Testing	1	EA		$0
200312	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 4
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
2004	1.0	Comprehensive Physical Exam	1	EA		$0
200401	1.1	Functional Capacity Examination	1	EA		$0
200402	1.2	Audiometric Testing w/ report	1	EA		$0
200403	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
200404	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
200405	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
200406	1.6	Chest X-Ray Services	1	EA		$0
200407	1.7	Laboratory Services	1	EA		$0
200408	1.8	Immunizations	1	EA		$0
200409	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
200410	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
200411	2.2	Respirator Fit Testing	1	EA		$0
200412	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

					TOTAL	$0
ORDERING PERIOD 5
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
2005	1.0	Comprehensive Physical Exam	1	EA		$0
200501	1.1	Functional Capacity Examination	1	EA		$0
200502	1.2	Audiometric Testing w/ report	1	EA		$0
200503	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
200504	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
200505	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
200506	1.6	Chest X-Ray Services	1	EA		$0
200507	1.7	Laboratory Services	1	EA		$0
200508	1.8	Immunizations	1	EA		$0
200509	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
200510	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
200511	2.2	Respirator Fit Testing	1	EA		$0
200512	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

PANAMA CANAL

ORDERING PERIOD ONE
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
3001	1.0	Comprehensive Physical Exam	1	EA		$0
300101	1.1	Functional Capacity Examination	1	EA		$0
300102	1.2	Audiometric Testing w/ report	1	EA		$0
300103	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
300104	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
300105	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
300106	1.6	Chest X-Ray Services	1	EA		$0
300107	1.7	Laboratory Services	1	EA		$0
300108	1.8	Immunizations	1	EA		$0
300109	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
300110	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
300111	2.2	Respirator Fit Testing	1	EA		$0
300112	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 2
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
3002	1.0	Comprehensive Physical Exam	1	EA		$0
300201	1.1	Functional Capacity Examination	1	EA		$0
300202	1.2	Audiometric Testing w/ report	1	EA		$0
300203	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
300204	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
300205	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
300206	1.6	Chest X-Ray Services	1	EA		$0
300207	1.7	Laboratory Services	1	EA		$0
300208	1.8	Immunizations	1	EA		$0
300209	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
300210	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
300211	2.2	Respirator Fit Testing	1	EA		$0
300212	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 3
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
3003	1.0	Comprehensive Physical Exam	1	EA		$0
300301	1.1	Functional Capacity Examination	1	EA		$0
300302	1.2	Audiometric Testing w/ report	1	EA		$0
300303	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
300304	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
300305	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
300306	1.6	Chest X-Ray Services	1	EA		$0
300307	1.7	Laboratory Services	1	EA		$0
300308	1.8	Immunizations	1	EA		$0
300309	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
300310	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
300311	2.2	Respirator Fit Testing	1	EA		$0
300312	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 4
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
3004	1.0	Comprehensive Physical Exam	1	EA		$0
300401	1.1	Functional Capacity Examination	1	EA		$0
300402	1.2	Audiometric Testing w/ report	1	EA		$0
300403	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
300404	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
300405	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
300406	1.6	Chest X-Ray Services	1	EA		$0
300407	1.7	Laboratory Services	1	EA		$0
300408	1.8	Immunizations	1	EA		$0
300409	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
300410	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
300411	2.2	Respirator Fit Testing	1	EA		$0
300412	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

					TOTAL	$0
ORDERING PERIOD 5
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
3005	1.0	Comprehensive Physical Exam	1	EA		$0
300501	1.1	Functional Capacity Examination	1	EA		$0
300502	1.2	Audiometric Testing w/ report	1	EA		$0
300503	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
300504	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
300505	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
300506	1.6	Chest X-Ray Services	1	EA		$0
300507	1.7	Laboratory Services	1	EA		$0
300508	1.8	Immunizations	1	EA		$0
300509	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
300510	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
300511	2.2	Respirator Fit Testing	1	EA		$0
300512	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

PUERTO RICO

ORDERING PERIOD ONE
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
4001	1.0	Comprehensive Physical Exam	1	EA		$0
400101	1.1	Functional Capacity Examination	1	EA		$0
400102	1.2	Audiometric Testing w/ report	1	EA		$0
400103	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
400104	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
400105	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
400106	1.6	Chest X-Ray Services	1	EA		$0
400107	1.7	Laboratory Services	1	EA		$0
400108	1.8	Immunizations	1	EA		$0
400109	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
400110	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
400111	2.2	Respirator Fit Testing	1	EA		$0
400112	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 2
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
4002	1.0	Comprehensive Physical Exam	1	EA		$0
400201	1.1	Functional Capacity Examination	1	EA		$0
400202	1.2	Audiometric Testing w/ report	1	EA		$0
400203	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
400204	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
400205	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
400206	1.6	Chest X-Ray Services	1	EA		$0
400207	1.7	Laboratory Services	1	EA		$0
400208	1.8	Immunizations	1	EA		$0
400209	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
400210	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
400211	2.2	Respirator Fit Testing	1	EA		$0
400212	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 3
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
4003	1.0	Comprehensive Physical Exam	1	EA		$0
400301	1.1	Functional Capacity Examination	1	EA		$0
400302	1.2	Audiometric Testing w/ report	1	EA		$0
400303	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
400304	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
400305	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
400306	1.6	Chest X-Ray Services	1	EA		$0
400307	1.7	Laboratory Services	1	EA		$0
400308	1.8	Immunizations	1	EA		$0
400309	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
400310	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
400311	2.2	Respirator Fit Testing	1	EA		$0
400312	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 4
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
4004	1.0	Comprehensive Physical Exam	1	EA		$0
400401	1.1	Functional Capacity Examination	1	EA		$0
400402	1.2	Audiometric Testing w/ report	1	EA		$0
400403	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
400404	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
400405	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
400406	1.6	Chest X-Ray Services	1	EA		$0
400407	1.7	Laboratory Services	1	EA		$0
400408	1.8	Immunizations	1	EA		$0
400409	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
400410	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
400411	2.2	Respirator Fit Testing	1	EA		$0
40012	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

					TOTAL	$0
ORDERING PERIOD 5
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
4005	1.0	Comprehensive Physical Exam	1	EA		$0
400501	1.1	Functional Capacity Examination	1	EA		$0
400502	1.2	Audiometric Testing w/ report	1	EA		$0
400503	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
400504	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
400505	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
400506	1.6	Chest X-Ray Services	1	EA		$0
400507	1.7	Laboratory Services	1	EA		$0
400508	1.8	Immunizations	1	EA		$0
400509	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
400110	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
400111	2.2	Respirator Fit Testing	1	EA		$0
400112	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

VIRGIN ISLANDS

ORDERING PERIOD ONE
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
5001	1.0	Comprehensive Physical Exam	1	EA		$0
500101	1.1	Functional Capacity Examination	1	EA		$0
500102	1.2	Audiometric Testing w/ report	1	EA		$0
500103	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
500104	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
500105	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
500106	1.6	Chest X-Ray Services	1	EA		$0
500107	1.7	Laboratory Services	1	EA		$0
500108	1.8	Immunizations	1	EA		$0
500109	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
500110	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
500111	2.2	Respirator Fit Testing	1	EA		$0
500112	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 2
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
5002	1.0	Comprehensive Physical Exam	1	EA		$0
500201	1.1	Functional Capacity Examination	1	EA		$0
500202	1.2	Audiometric Testing w/ report	1	EA		$0
500203	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
500204	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
500205	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
500206	1.6	Chest X-Ray Services	1	EA		$0
500207	1.7	Laboratory Services	1	EA		$0
500208	1.8	Immunizations	1	EA		$0
500209	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
500210	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
500211	2.2	Respirator Fit Testing	1	EA		$0
500212	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 3
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
5003	1.0	Comprehensive Physical Exam	1	EA		$0
500301	1.1	Functional Capacity Examination	1	EA		$0
500302	1.2	Audiometric Testing w/ report	1	EA		$0
500303	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
500304	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
500305	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
500306	1.6	Chest X-Ray Services	1	EA		$0
500307	1.7	Laboratory Services	1	EA		$0
500308	1.8	Immunizations	1	EA		$0
500309	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
500310	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
500311	2.2	Respirator Fit Testing	1	EA		$0
500312	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

ORDERING PERIOD 4
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
5004	1.0	Comprehensive Physical Exam	1	EA		$0
500401	1.1	Functional Capacity Examination	1	EA		$0
500402	1.2	Audiometric Testing w/ report	1	EA		$0
500403	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
500404	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
500405	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
500406	1.6	Chest X-Ray Services	1	EA		$0
500407	1.7	Laboratory Services	1	EA		$0
500408	1.8	Immunizations	1	EA		$0
500409	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
500410	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
500411	2.2	Respirator Fit Testing	1	EA		$0
500412	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

					TOTAL	$0
ORDERING PERIOD 5
CONTRACT LINE ITEM NUMBER	TASK NUMBER	DESCRIPTION	QTY	UNIT	UNIT RATE	AMOUNT
5005	1.0	Comprehensive Physical Exam	1	EA		$0
500501	1.1	Functional Capacity Examination	1	EA		$0
500502	1.2	Audiometric Testing w/ report	1	EA		$0
500503	1.3	Spirometry Testing (Pulmonary Function Test)	1	EA		$0
500504	1.4	PPD/Tuberculosis Skin Test/Reading	1	EA		$0
500505	1.5	PPD/Tuberculosis Screening (Screening Form Only)	1	EA		$0
500506	1.6	Chest X-Ray Services	1	EA		$0
500507	1.7	Laboratory Services	1	EA		$0
500508	1.8	Immunizations	1	EA		$0
500509	1.9	COVID-19 Testing	1	EA		$0
	2.0	Optional Items				$0
500510	2.1	OSHA Respirator Questionnaire Document	1	EA		$0
500511	2.2	Respirator Fit Testing	1	EA		$0
500512	2.3	Audiologist Consultation for Problem Audiograms	1	EA		$0

TOTAL $0

File details come from the government source that posted it. Updated Apr 24, 2024.