Attachment E - Proposal Price Template _HSI Participant.xlsx

XLSX spreadsheet 68 KB Posted

Attached to
R422- HSI Participant Recruitment Federal contract opportunity
Solicitation number
36C10G25Q0094
Issued by
Department of Veterans Affairs Headquarters

About this file

This file is a Proposal Price Template for the HSI Participant Recruitment contract (Solicitation No. 36C10G25Q0094) with the Department of Veterans Affairs. The document details a five-year contract with a base year and four one-year option periods, totaling $262,700.00, with each period valued at $52,540.00. The pricing breakdown includes direct labor costs for four key roles: Program Manager III, Project Manager II, Informatics Specialist/Bioinformatician, and Health System Specialist II, with escalating hourly rates and a 3% annual escalation rate.

The contract requires the contractor to recruit participants (employees/staff, veterans, caregivers, or survivors) for VA studies, performing screening, recruiting, scheduling, technological assistance, note-taking, validation, and participant reimbursement activities. Key deliverables include monthly test session schedules, participant agreements, communication copies, screening questionnaires, study checklists, study notes, audio/visual files, and payment records. Travel costs are included for team travel to Washington DC and attendance at industry conferences like HIMSS and meetings with the Office of the National Coordinator. The roles require specific education levels (ranging from Bachelor's to Master's degrees) and substantial professional experience in their respective fields.

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INSTRUCTIONS

INSTRUCTIONS
1On IGCE Summary Tab - Offeror shall fill in highlighted cell with their company name. Name will auto populate on all remaining worksheet tabs.
*All remaining information will auto calculate and auto populate from information provided in the remaining worksheet tabs.
*Offerors are ENCOURAGED to confirm total proposed amounts on the summary tab.
2On Base and Option Period Tabs - Offeror shall complete highlighted cell with their unit price for deliverables.
NOTE:
a.Offeror shall only fill in the highlighted cells.
b.Offeror shall not alter the worksheet or workbook in any way.

Summary

Offeror Name:

SUMMARY OF PROPOSED PRICE

Total Proposed Price:

$262,700.00

Contract Period of PerformanceStart DateEnd DateTotal
Base Period9/1/258/31/26$52,540.00
Option Year 19/1/268/31/27$52,540.00
Option Year 29/1/278/31/28$52,540.00
Option Year 39/1/288/31/29$52,540.00
Option Year 49/1/298/31/30$52,540.00

Base Year Option Year 3

Base Period $ 40,925.00 Option Year Period Three $ 40,925.00 0 0

BASE Period- Optional Task $ 11,615.00 Option Year Period Three -Optional Task $ 11,615.00 0 0

Option Year 1 Option Year 4

Option Year Period One $ 40,925.00 Option Year Period Four $ 40,925.00 0 0

Option Year Period One- Optional Task $ 11,615.00 Option Year Period Four -Optional Task $ 11,615.00 0 0

Option Period 2

Option Year Period Two $ 40,925.00

Option Year Period Two -Optional Task $ 11,615.00

&"Arial,Regular"&24HSI Recruitment Participant &"Arial,Regular"&24Attachment E Proposal Price Template&"-,Regular"&11 &"Arial,Regular"&24Solicitation No. 36C10G25Q00XX

Base

0Base Period Total Proposed Price
StartEnd
Base Period of Performance9/1/258/31/26$52,540.00

BASE Period $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Amount
00014.1.1.A Kick off meeting1EA$0.00
00024.1.2.A Contractor's project management plan1EA$0.00
00034.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$0.00
00044.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$0.00
00054.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$0.00
00064.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$0.00
00074.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$0.00
00084.2.3.A Study notes - Up to 50 study notes per month12MO$0.00
00094.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$0.00
00104.2.3.C Payment record - Up to 50 payment records per month12MO$0.00
00114.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$40,925.00

BASE Period- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Amount
00114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$0.00
00124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$0.00
00134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$0.00
00144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$0.00
00154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$0.00
00164.3.F Study notes - Up to 40 study notes40EA$0.00
00174.3.G Audio/visual files -Up to 40 audio/visual files40EA$0.00
00184.3.H Payment record -Up to 40 payment records40EA$0.00
00194.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$11,615.00

&"Arial,Regular"&24HSI Recruitment Participant &"Arial,Regular"&24Attachment E

&"Arial,Regular"&24Solicitation No. 36C10G25Q0094

OPYR 1

0OPYR 1 Total Proposed Price
StartEnd$52,540.00
OPYR 1 Period of Performance9/1/268/31/27

Option Year Period One $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
10014.1.2.A Contractor's project management plan1EA$ - 0
10024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
10034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
10044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
10054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
10064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
10074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
10084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
10094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
10104.2.3 Other Directed Cost- Particpant Reimbursement40925EA1$ 40,925.00

Option Year Period One- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
10114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
10124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
10134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
10144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
10154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
10164.3.F Study notes - Up to 40 study notes40EA$ - 0
10174.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
10184.3.H Payment record -Up to 40 payment records40EA$ - 0
10194.2.3 Other Directed Cost- Particpant Reimbursement11615EA1$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

OPYR 2

0OPYR 2 Total Proposed Price
StartEnd
OPYR 2 Period of Performance9/1/278/31/28$ 52,540.00

Option Year Period Two $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
20014.1.2.A Contractor's project management plan1EA$ - 0
20024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
20034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
20044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
20054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
20064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
20074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
20084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
20094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
20104.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$ 40,925.00

Option Year Period Two- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
20104.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
20104.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
20104.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
20104.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
20104.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
20104.3.F Study notes - Up to 40 study notes40EA$ - 0
20104.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
20104.3.H Payment record -Up to 40 payment records40EA$ - 0
20104.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

OPYR 3

0OPYR 3 Total Proposed Price
StartEnd
OPYR 3 Period of Performance9/1/288/31/29$ 52,540.00

Option Year Period Three $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
30014.1.2.A Contractor's project management plan1EA$ - 0
30024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
30034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
30044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
30054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
30064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
30074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
30084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
30094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
30104.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$ 40,925.00

Option Year Period Three- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
30114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
30124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
30134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
30144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
30154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
30164.3.F Study notes - Up to 40 study notes40EA$ - 0
30174.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
30184.3.H Payment record -Up to 40 payment records40EA$ - 0
30194.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

Option Period 1

Option Period 1
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 103/03/202603/02/20273%$1,334,343.55
Direct Labor$1,253,343.55
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$195.94$201.82Hours1920$387,490.94
Project Manager IICALC+$142.09$146.35Hours1920$280,997.18
Informatic Specialist/BioinformaticianCALC+$119.52$123.11Hours1440$177,272.06
Health System Specialist IICALC+$206.10$212.28Hours1920$407,583.36
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

Option Period 2

Option Period 2
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 203/03/202703/02/20283%$1,371,943.86
Direct Labor$1,290,943.86
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$201.82$207.87Hours1920$399,115.67
Project Manager IICALC+$146.35$150.74Hours1920$289,427.10
Informatic Specialist/BioinformaticianCALC+$123.11$126.80Hours1440$182,590.23
Health System Specialist IICALC+$212.28$218.65Hours1920$419,810.86
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

Option Period 3

Option Period 3
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 303/03/202803/03/20293%$1,410,672.17
Direct Labor$1,329,672.17
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$207.87$214.11Hours1920$411,089.14
Project Manager IICALC+$150.74$155.27Hours1920$298,109.91
Informatic Specialist/BioinformaticianCALC+$126.80$130.60Hours1440$188,067.93
Health System Specialist IICALC+$218.65$225.21Hours1920$432,405.19
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

Option Period 4

Option Period 4
Contract PeriodPeriod of Performance Start DatePeriod of Performance End DateEscalation RateTotal
Option Period 403/04/202903/03/20303%$1,450,562.34
Direct Labor$1,369,562.34
OccupationSourceHourly RateEscalated Hourly RateUnitHoursFringe BenefitsOverheadGeneral & AdministrativeFees & ProfitsTotal
Program Manager IIICALC+$214.11$220.53Hours1920$423,421.82
Project Manager IICALC+$155.27$159.92Hours1920$307,053.21
Informatic Specialist/BioinformaticianCALC+$130.60$134.52Hours1440$193,709.97
Health System Specialist IICALC+$225.21$231.97Hours1920$445,377.34
Other Direct Cost$0.00

Travel $81,000.00

TypeDescriptionCostGeneral & AdministrativeTotal
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelTeam Travel Washington DC$15,000.00$15,000.00
TravelHealthcare Information and Management Systems Society (HIMSS) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelAssistant Secretary for Technology Policy/Office of the National Coordinator (ASTP ONC) - or equivalent Annual Meeting$12,000.00$12,000.00
TravelTrusted Exchange Framework and Common Agreement™ (TEFCA™) - or equivalent Annual Meeting$12,000.00$12,000.00

OPYR 4

0OPYR 4 Total Proposed Price
StartEnd
OPYR 4 Period of Performance9/1/298/31/30$ 52,540.00

Option Year Period Three $40,925.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit of Measure
Unit PriceTotal Price
40014.1.2.A Contractor's project management plan1EA$ - 0
40024.2.1.A Test session schedule -Up to 50 Test Sessions Schedules per month12MO$ - 0
40034.2.1.B Signed copies of Participant agreement - Up to 50 signed copies of Participant Agreements per month12MO$ - 0
40044.2.1.C Copies of communcations with study Participants - Up to 50 copies of communications with Study Participants per month12MO$ - 0
40054.2.2.B Answers to Screening Questionnaire. - Up to 50 responses/answers to screening questionnaire per month12MO$ - 0
40064.2.2.C Completed study checklist - Up to 50 completed studies checklist per month12MO$ - 0
40074.2.3.A Study notes - Up to 50 study notes per month12MO$ - 0
40084.2.3.B Audio/visual files - Up to 50 audio/visual files per month12MO$ - 0
40094.2.3.C Payment record - Up to 50 payment records per month12MO$ - 0
40104.2.3 Other Directed Cost- Particpant Reimbursement40925EA$ 1.00$ 40,925.00

Option Year Period Three- Optional Task $11,615.00

CLINTask / Deliverable IAW Performance Work StatementQuantityUnit
Unit PriceTotal Price
40114.3.A Test session schedule - -Up to 40 Test Sessions Scheduled40EA$ - 0
40124.3.B Signed copies of Participant agreement - Up to 40 signed copies of Participant Agreements40EA$ - 0
40134.3.C Copies of communcations with study Participants -Up to 40 copies of communications with Study Participants40EA$ - 0
40144.3.D Answers to Screening Questionnaire -Up to 40 responses/answers to screening questionnaire40EA$ - 0
40154.3.E Completed study checklist -Up to 40 completed studies checklist40EA$ - 0
40164.3.F Study notes - Up to 40 study notes40EA$ - 0
40174.3.G Audio/visual files -Up to 40 audio/visual files40EA$ - 0
40184.3.H Payment record -Up to 40 payment records40EA$ - 0
40194.2.3 Other Directed Cost- Particpant Reimbursement11615EA$ 1.00$ 11,615.00

&"Arial,Regular"&24HSI Participant Recruitment &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25R0026

LCAT

ROLESKILL SET DEFINITIONMINIMUM
EDUCATION LEVELMINIMUM

EXPERIENCE

Informatics Specialist/ BioinformaticianAn Informatic Specialist/Bioinformatician provides high level expertise in the application of technology to areas of interest to government health organizations including Medical Informatics or Public Health Informatics; statistics, bio-statistics, mathematics; applying sound quantitative data and methods to support deployment of resources for massive public health surveillance, prevention and intervention campaigns and related health activities. Provide expertise across a wide variety of IT areas as applied to public health, including information retrieval technology, decision science, web technology, data mining, expert systems, networking, public health science, and education. Provide expertise in the integration of a variety of heterogeneous public health information systems and databases the sharing and dissemination of public health information; in the interaction of information security technology and the requirements for privacy and confidentiality of public health data; in the application of the Health Insurance Portability and Accountability Act (HIPAA) regulations to the use of information technology in public health; in new areas of interest to public health including the information available from managed care organizations; with national and/or international standards development activities such as HL7, X12, W3C; and in the application of advanced scientific visualization technology to public health science and practice.Master's DegreeFifteen (15) years of direct experience, or (10) years of experience with Master's Degree.
Program Manager IIIA Program Manager must have experience with diverse IT projects both large and small. Must be able to manage a portfolio of projects. Must be well versed in full systems development life cycle, enterprise wide network engineering, strategic information planning, business process reengineering, structure and management practices. Must be able to identify and mitigate risks to the program. Must be able to manage to cost, schedule and performance. Have experience with and demonstrate understanding of SAFe’s Lean Agile principles and practices to drive value and sustain organizational change and operational excellence through the empowering of high-performing Agile teams.Master's DegreeFifteen (15) years of direct experience, or (10) years of experience with Master's Degree.
Project Manager IIA Project Manager must have experience managing Information Technology related projects. Must be well versed in life cycle and project management methodologies. Must have experience in tracking costs, schedule and performance progress. Must be able to identify and mitigate risks. Have experience with and demonstrate understanding of SAFe’s Lean Agile principles and practices to drive value and sustain organizational change and operational excellence through the empowering of high-performing Agile teams.Bachelor's DegreeTen (10) years of direct experience, or (6) years with experience with Bachelor's Degree.
Health System Specialist IIA Mid-Level Program Analyst must have knowledge in how to plan, analyze and evaluate the effectiveness of operating programs. Must be able to use source data to evaluate the effectiveness of programs and business processes. Must be able to use qualitative and quantitative analytical skills to assess the effectiveness of the operations. Mus be able to effectively manipulate data to present program status and make recommendations on improving business processes. Requires relevant clinical informatics experience in a Veterans Administration healthcare setting. Conducts requirements gathering and use case analysis, information modeling, process documentation, and liaison tasks required to support the development of clinical informatics software or other clinical informatics project activities. Works independently or under only general direction. Must have experience and expertise in requirements development.Master's DegreeTen (10) years of direct experience,or (5) years with experience with Master's Degree.

&"Arial,Regular"&24HSI Recruitment Participant &"Arial,Regular"&24Attachment E

&"Arial,Regular"&20Solicitation No. 36C10G25Q0094

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