Attachment III - Pricing Sheet.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
Robins AFB- Emergency Medical Services (EMS) Ambulatory Services
Solicitation number
PANDHA26P0000038595
Issued by

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:
SLINDescriptionQuantity
Unit of IssueUnit PricePeriod Total Price
BASE PERIOD -
0001Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 November 2026-30 April 20276Months$0.00$0.00
0002Special Events IAW PWS for Robins AFB Period of Performance: 1 November 2026-30 April 202740Hours$0.00$0.00
OPTION PERIOD 1 -
1001Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2027- 30 April 202812Months$0.00$0.00
1002Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2027- 30 April 202880Hours$0.00$0.00
OPTION PERIOD 2 -
2001Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2028- 30 April 202912Months$0.00$0.00
2002Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2028- 30 April 202980Hours$0.00$0.00
OPTION PERIOD 3 -
3001Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2029- 30 April 203012Months$0.00$0.00
3002Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2029- 30 April 203080Hours$0.00$0.00
OPTION PERIOD 4 -
4001Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2030- 30 April 203112Months$0.00$0.00
4002Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2030- 30 April 203180Hours$0.00$0.00
FAR 52.217-8 OPTION PERIOD -
5001Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2031- 31 Oct 20316Months$0.00$0.00
5002Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2031- 31 Oct 203140Hours$0.00$0.00
Total Proposed Price$0.00

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