Attachment III - Pricing Sheet.xlsx
XLSX spreadsheet 13 KB Posted
- Solicitation number
- PANDHA26P0000038595
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet template for submission of quotes in response to a Request for Quotation for Emergency Medical Services (EMS) at Robins Air Force Base, Georgia. The spreadsheet serves as the pricing template that contractors must complete and submit as part of their proposal in accordance with the solicitation requirements. Contractors bidding on this 100% Total Small Business Set-Aside (NAICS Code 621910) must use this template to provide their firm-fixed-price (FFP) cost proposals for delivering paramedic-level EMS services, including all personnel, management, supervision, fully equipped ambulances, and supplies necessary for continuous 24/7/365 coverage with a seven-minute response time requirement for primary emergency calls. The contract consists of a six-month Base Period (01 November 2026 - 30 April 2027) and four twelve-month Option Periods, with the Defense Health Agency reserving the right to expand EMS requirements to other Military Treatment Facilities in Georgia and South Carolina via bilateral modification.
As a template document, this pricing sheet establishes the specific cost line items, formats, and pricing structures that contractors must follow when submitting their financial proposals. Proper completion and timely submission of this pricing attachment, along with other required proposal materials, is essential for quote evaluation and contract award consideration. Contractors should reference Attachment I (Combined Synopsis/Solicitation) and the Performance Work Statement for complete proposal instructions and evaluation criteria.
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Text version
HT940625R0009 (RFP)
Price Sheet- Emergency Medical Services (EMS) Ambulatory Services 78th Medical Group- Robins Air Force Base (AFB)
HT940626RXXXX (RFP)
| Vendor: | |||||
| UEI: | |||||
| CAGE CODE: | |||||
| POC: | |||||
| SLIN | Description | Quantity | |||
| Unit of Issue | Unit Price | Period Total Price | |||
| BASE PERIOD - | |||||
| 0001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 November 2026-30 April 2027 | 6 | Months | $0.00 | $0.00 |
| 0002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 November 2026-30 April 2027 | 40 | Hours | $0.00 | $0.00 |
| OPTION PERIOD 1 - | |||||
| 1001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2027- 30 April 2028 | 12 | Months | $0.00 | $0.00 |
| 1002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2027- 30 April 2028 | 80 | Hours | $0.00 | $0.00 |
| OPTION PERIOD 2 - | |||||
| 2001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2028- 30 April 2029 | 12 | Months | $0.00 | $0.00 |
| 2002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2028- 30 April 2029 | 80 | Hours | $0.00 | $0.00 |
| OPTION PERIOD 3 - | |||||
| 3001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2029- 30 April 2030 | 12 | Months | $0.00 | $0.00 |
| 3002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2029- 30 April 2030 | 80 | Hours | $0.00 | $0.00 |
| OPTION PERIOD 4 - | |||||
| 4001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2030- 30 April 2031 | 12 | Months | $0.00 | $0.00 |
| 4002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2030- 30 April 2031 | 80 | Hours | $0.00 | $0.00 |
| FAR 52.217-8 OPTION PERIOD - | |||||
| 5001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2031- 31 Oct 2031 | 6 | Months | $0.00 | $0.00 |
| 5002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2031- 31 Oct 2031 | 40 | Hours | $0.00 | $0.00 |
| Total Proposed Price | $0.00 |
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