The file's text, extracted by GovTribe without its formatting.
Instructions
| Veterans Health Administration (VHA) |
| National Teleradiology Program (NTP) |
| Teleradiology Physician Services |
| Price Proposal |
| Quoter Name: |
| Instructions: | |
| 1. The purpose of this Price Schedule is to provide a uniform format for Offerors to submit proposed pricing for [Requirement Name/Solicitation Number]. | |
| 2, This schedule is organized by Ordering period. Offerors must provide pricing for all five (5) ordering periods as follows: | |
| Ordering Period 1: CLINs 0001-0004 |
| Ordering Period 2: CLINs 1001-1004 |
| Ordering Period 3: CLINs 2001-2004 |
| Ordering Period 4: CLINs 3001-3004 |
| Ordering Period 5: CLINs 4001-4004 |
| 3. Formatting and Input | |
| Offerors shall enter their fully burdened, proposed unit prices only in the cells highlighted in Yellow. |
| All other cells (CLINs, Descriptions, Estimated Quantities and Formulas) are locked. Offerors shall not attempt to modify the structure, quantities or formulas of this spreadsheet. |
| Unit prices must be limited to two (2) decimal places. |
| Offerors must provide a price for every CLIN. A blank entry may be considered a failure to propose on the entire requirement and may result in the proposal being excluded from further consideration. |
| 4. The Total Proposed Price is automatically calculated located at the bottom of the schedule. This will consist of the sum of all proposed prices for Ordering Periods 1 through 5. | |
| 5. Offerors shall submit this Price Schedule in its original Excel format. Submissions in PDF or other non-editable formats may be rejected. The Excel file should be formatted as "Name_Price Schedule_Date" | |
Price Schedule Offeror Name: 0
| Ordering Period 1 | | | | | | |
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 0001 | DX | Digital X-Rays | 71,000 | EA | | $ - 0 |
| 0002 | CT | CT Scans | 51,000 | EA | | $ - 0 |
| 0003 | MR | MR Scans | 5,000 | EA | | $ - 0 |
| 0004 | US | US Scans | 11,000 | EA | | $ - 0 |
| 0005 | | SLA FEE 3% | 1 | LT | | $ - 0 |
| | | | | Total OP Price: | $ - 0 |
| Ordering Period 2 | | | | | | |
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 1001 | DX | Digital X-Rays | 74,550 | EA | | $ - 0 |
| 1002 | CT | CT Scans | 53,550 | EA | | $ - 0 |
| 1003 | MR | MR Scans | 5,250 | EA | | $ - 0 |
| 1004 | US | US Scans | 11,550 | EA | | $ - 0 |
| 1005 | | SLA FEE 3% | 1 | LT | | $ - 0 |
| | | | | Total OP Price: | $ - 0 |
| Ordering Period 3 | | | | | | |
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 2001 | DX | Digital X-Rays | 78,278 | EA | | $ - 0 |
| 2002 | CT | CT Scans | 56,228 | EA | | $ - 0 |
| 2003 | MR | MR Scans | 5,513 | EA | | $ - 0 |
| 2004 | US | US Scans | 12,128 | EA | | $ - 0 |
| 2005 | | SLA FEE 3% | 1 | LT | | $ - 0 |
| | | | | Total OP Price: | $ - 0 |
| Ordering Period 4 | | | | | | |
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 3001 | DX | Digital X-Rays | 82,191 | EA | | $ - 0 |
| 3002 | CT | CT Scans | 59,039 | EA | | $ - 0 |
| 3003 | MR | MR Scans | 5,788 | EA | | $ - 0 |
| 3004 | US | US Scans | 12,734 | EA | | $ - 0 |
| 3005 | | SLA FEE 3% | 1 | LT | | $ - 0 |
| | | | | Total OP Price: | $ - 0 |
| Ordering Period 5 | | | | | | |
| CLIN | Modality | Description | Quantity | Unit | Unit Cost | Total CLIN Price |
| 4001 | DX | Digital X-Rays | 86,301 | EA | | $ - 0 |
| 4002 | CT | CT Scans | 61,991 | EA | | $ - 0 |
| 4003 | MR | MR Scans | 6,078 | EA | | $ - 0 |
| 4004 | US | US Scans | 13,371 | EA | | $ - 0 |
| 4005 | | SLA FEE 3% | 1 | LT | | $ - 0 |
| | | | | Total OP Price: | $ - 0 |
Total Proposed Price $ - 0
National Teleradiology Program (NTP) Teleradiology Physician Services Attachment C - Price Model Solicitation Number # 36C10G26R0015