Attachment C - Price Schedule - with header.docx
DOCX document 20 KB Posted
- Solicitation number
- 36C24424Q0242
About this file
This document contains a price schedule for an indefinite delivery contract for ambulance transportation services. The contract will be awarded by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4 to provide various types of ambulance transportation, including advanced life support, basic life support, specialty care transport, bariatric services, paramedic assist, cancellation fees, mileage charges, and waiting time fees. The contract has a minimum value of $50,000 and maximum value of $2,000,000 over a five-year ordering period from March 2024 to March 2029. Pricing will be on a firm-fixed price basis for estimated quantities of emergency and non-emergency transportation trips by type of service. The contractor must register in the System for Award Management and have a NAICS code of 621910 for ambulance services.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24424Q0242_3.docx | DOCX document | |
| 36C24424Q0242_2.docx | DOCX document | |
| 36C24424Q0242_1.docx | DOCX document | |
| Attachment E - Past Performance Questionnaire.docx | DOCX document | |
| 36C24424Q0242 - VA Butler Ambulance Transportation Service.docx | DOCX document | |
| Attachment F - Wage Determinations.docx | DOCX document | |
| Attachment B - Butler Ambulance QASP.docx | DOCX document | |
| Attachment A - VTS_PWS_Ambulance_Ground.docx | DOCX document | |
| Attachment D - BAA- VA Butler - 1-19.docx | DOCX document | |
| 36C24424Q0242.docx | DOCX document |
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Text version
Attachment C This is an Indefinite-Delivery Contract. Accordingly, all quantities are estimates and funds are not obligated on this Contract at award; rather, funds are obligated via task orders issued against this Contract. The Minimum Value will be obligated through a delivery order upon award. Notwithstanding the $0 award amount, the value of all task orders that may be placed against this Contract during its 5-year period is estimated to be:
Minimum Value: $50,000.00 (Total minimum order for supplies and services that will be acquired under this 5-year contract) Maximum Value: $2,000,000.00 (All funds are subject to the availability of funds per clause 52.232-18) This is not an option year contract. The ordering period for this contract is 03-03-2024 – 03-02-2029.
PRICE SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 480.00 |
| TRP |
| __________________ |
| __________________ |
(A0427) Emergent Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 15 miles) One-way trip is equivalent to one each for the unit of issue Contract Ordering Period: 03-01-2024 - 02-28-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 60.00 |
| TRP |
| __________________ |
| __________________ |
(A0433) Emergent Advanced Life Support, Level 2 (ALS 2)
Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 120.00 |
| TRP |
| __________________ |
| __________________ |
(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1)
One-way trip is equivalent to one each for the unit of issue Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 780.00 |
| TRP |
| __________________ |
| __________________ |
(A0429) Emergent Basic Life Support Transport
One-way trip is equivalent to one each for the unit of issue Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 1,140.00 |
| TRP |
| __________________ |
| __________________ |
(A0428) Non-Emergent Basic Life Support Transport, Level 1 (ALS 1)
One-way trip is equivalent to one each for the unit of issue Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 20.00 |
| TRP |
| __________________ |
| __________________ |
(A0434) Specialty Care Transport (SCT)
One-way trip is equivalent to one each for the unit of issue Necessary when a beneficiary's condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area.
Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 30.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Service (flat fee in addition to appropriate transport base rate) Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 480.00 |
| TRP |
| __________________ |
| __________________ |
Paramedic assist
One-way trip is equivalent to one each for the unit of issue Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 25.00 |
| TRP |
| __________________ |
| __________________ |
Cancellation fee (Flat fee per occurrence) Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 34,980.00 |
| MI |
| __________________ |
| __________________ |
(A0380) Mileage Trip Outside the Base Rate Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 1,800.00 |
| EA |
| __________________ |
| __________________ |
(A0435) Waiting Time (more than 15 minutes shall be paid in 15-minute increments) Contract Ordering Period: 03-01-2024 - 02-28-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| GRAND TOTAL |
| __________________ |
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