Attachment C - Price Schedule.docx

DOCX document 27 KB Posted

Attached to
V225--36C24424Q0823 COATESVILLE VA ALS/BLS/WC Transportation Services
Solicitation number
36C24424Q0823
Issued by

About this file

This document is a Price Schedule that is part of a Request for Quote (RFQ) for an Indefinite Delivery Indefinite Quantity (IDIQ) contract for ambulance and wheelchair transportation services for the Department of Veterans Affairs (VA) in Coatesville, Pennsylvania.

The IDIQ contract will have a 5-year ordering period from November 24, 2024, to November 23, 2029. The government will issue 12-month unilateral firm-fixed price task orders. The contract has a guaranteed minimum of $5,000 and a maximum of $2,500,000. Pricing is requested for Advanced Life Support (ALS), Basic Life Support (BLS), and Wheelchair Van transportation services, including mileage and wait time charges. The North American Industry Classification System (NAICS) code is 621910 - Ambulance Services, with a small business size standard of $22.5 million annually. This is a Small Business Set-Aside solicitation.

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A single firm-fixed price Indefinite Delivery Indefinite Quantity (IDIQ) contract type will be awarded with a single ordering period of five years. The Ordering Period is November 24, 2024, through November 23, 2029. The government will issue 12-month unilateral firm-fixed priced task orders to authorize and fund performance.

NOTE: The Government shall order the below-specified guaranteed minimum under this IDIQ contract during the fiscal year in which the contract is awarded. The maximum amount under this contract is not guaranteed.

IDIQ Contract Minimum: $5,000.00 IDIQ Contract Maximum: $2,500,000.00

All CLIN descriptions describe current trip averages per month. If the average number of trips per month is consistently higher (over by 3 months) or lower (under by 3 months), the VA or vendor may request a renegotiation of any firm-fixed monthly priced CLIN (based on new trip, mileage, and wait time averages). CLINs will be reviewed every 6 months to verify actual trip averages per month.

NOTE: Offerors shall complete all pricing fillables below and provide a fixed price (CLINS 0001 – 0012) in accordance with the CLINs below and the Performance Work Statement (PWS), Attachment A.

PRICE SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
60.00
MO
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A0422- Advanced Life Support (ALS) (Includes first 20 miles and 30 min wait time) Est 1 trip +/-1 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0422 -ALS Price of transport outside contract area (Includes first 20 miles and 30 min wait time) Est 1 trip +/- 1 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0435- Wait Time for each 15-minute increment - BLS (After initial 30 min wait time) Est 2 ea +/-2 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0429 - Basic Life Support (BLS)

Est 45 trips +/-3 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0429 - Price of transport outside contract area for BLS

Est 1 trips +/-1 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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Mileage for Critical Care / ALS / BLS starting at mile 21 Est 250 miles +/- 5 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0435 - Wait Time for each 15-minute increment - BLS (After the first 30 min wait time) Est 6 ea +/-2 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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T2003- Wheelchair Van Transportation

Est 20 trips +/-3 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0130 - Wheelchair Van Transportation outside contract area (Includes the first 20 miles) Est 1 trips +/- 1 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0380 - Mileage for Wheelchair starting at mile 21 Est 115 miles +/- 10 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

60.00
MO
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A0380 - Wait Time for each 15-minute increment - W/C (After the first 30 min wait time) Est 1 ea +/-3 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

5.00
EA
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A0422- Critical Care Transport

Est 1 trip +/-1 Contract Period: Base POP Begin: 11-24-2024 POP End: 11-23-2029

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

GRAND TOTAL
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