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9594CS26Q0003
Outpatient Treatment Services Attachment J-15 CLIN Price Breakdown
Attachment J-15 CLIN Price Breakdown Provide a price for each line identified below.
This attachment with the final agreed to prices will be incorporated into the award.
| ITEM |
| DESCRIPTION |
| QTY |
| UNIT |
| UNIT PRICE |
| 0001 |
| Base Period: Outpatient Treatment Services |
| Outpatient Assessment |
| 699 |
| Each |
| $ |
| Outpatient Group Session |
| 3009 |
| Session |
| $ |
| Outpatient Case Management |
| 263 |
| Session |
| $ |
| Traffic Alcohol Education Program (TAP) Assessment |
| 360 |
| Each |
| $ |
| TAP Group Session |
| 1550 |
| Session |
| $ |
| TAP Case Management |
| 68 |
| Session |
| $ |
| Translation Services |
| 1 |
| Lot |
| *$ |
| 1001 |
| Option Period 1: Outpatient Treatment Services |
| Outpatient Assessment |
| 699 |
| Each |
| $ |
| Outpatient Group Session |
| 360 |
| Each |
| $ |
| Outpatient Case Management |
| 3009 |
| Session |
| $ |
| TAP Assessment |
| 1550 |
| Session |
| $ |
| TAP Group Session |
| 263 |
| Session |
| $ |
| TAP Case Management |
| 68 |
| Session |
| $ |
| Translation Services |
| 1 |
| Lot |
| *$ |
| 2001 |
| Option Period 1: Outpatient Treatment Services |
| Outpatient Assessment |
| 699 |
| Each |
| $ |
| Outpatient Group Session |
| 360 |
| Each |
| $ |
| Outpatient Case Management |
| 3009 |
| Session |
| $ |
| TAP Assessment |
| 1550 |
| Session |
| $ |
| TAP Group Session |
| 263 |
| Session |
| $ |
| TAP Case Management |
| 68 |
| Session |
| $ |
| Translation Services |
| 1 |
| Lot |
| *$ |
| 3001 |
| Option Period 1: Outpatient Treatment Services |
| Outpatient Assessment |
| 699 |
| Each |
| $ |
| Outpatient Group Session |
| 360 |
| Each |
| $ |
| Outpatient Case Management |
| 3009 |
| Session |
| $ |
| TAP Assessment |
| 1550 |
| Session |
| $ |
| TAP Group Session |
| 263 |
| Session |
| $ |
| TAP Case Management |
| 68 |
| Session |
| $ |
| Translation Services |
| 1 |
| Lot |
| *$ |
| 4001 |
| Option Period 1: Outpatient Treatment Services |
| Outpatient Assessment |
| 699 |
| Each |
| $ |
| Outpatient Group Session |
| 360 |
| Each |
| $ |
| Outpatient Case Management |
| 3009 |
| Session |
| $ |
| TAP Assessment |
| 1550 |
| Session |
| $ |
| TAP Group Session |
| 263 |
| Session |
| $ |
| TAP Case Management |
| 68 |
| Session |
| $ |
| Translation Services |
| 1 |
| Lot |
| *$ |
| Total Base Period and All Options |
| $ |
*A lump sum amount will be included at award by the Government. No pricing is to be added to this line by the entity quoting this requirement. The lump sum amount is a draw down amount based on translation services incurred and approved by the COR in accordance with the terms of the awarded purchase order. However, the Contractor shall complete the table on page 2 below identifying the unit price for various translation services.
Translation Services
The Contractor shall complete the below information for the translation services required by solicitation Section C.5.5, Task 5, Interpretation Services. The final prices for the translation services below as quoted by the entity selected for award will be included in the awarded purchase order and will be the basis of charges for the translation services identified throughout the award periods of performance.
In the table below, the Contractor shall identify the unit of measure for each type of service, e.g., 30 min, 1 hour, 2 hour, etc. In addition, if there are
For purposes of evaluating the unit prices identified below, the Government will add to the Contractor’s total price identified on page 1 above the sum of the following:
Unit price for American Sign Language Interpreter Services * qty of 10 + cost for any minimum quantity above unit amount;
Unit price for Foreign Sign Language Interpreter Services * qty of 10 + cost for any minimum quantity above unit amount; and Unit price for Video Remote Interpreter Services * qty of 10 + cost for any minimum quantity above unit amount.
| Description |
| Unit of Measure |
| Unit Price |
| Minimum Qty or Charge |
| Total Price Per Service |
Base Period
| American Sign Language Translation Services |
| * |
| $ |
| Foreign Language Translation Services |
| * |
| $ |
| Video Remote Translation Services |
| * |
| $ |
| Document Translation Services |
| * |
| $ |
Option Period 1
| American Sign Language Translation Services |
| * |
| $ |
| Foreign Language Translation Services |
| * |
| $ |
| Video Remote Translation Services |
| * |
| $ |
| Document Translation Services |
| * |
| $ |
Option Period 2
| American Sign Language Translation Services |
| * |
| $ |
| Foreign Language Translation Services |
| * |
| $ |
| Video Remote Translation Services |
| * |
| $ |
| Document Translation Services |
| * |
| $ |
Option Period 3
| American Sign Language Translation Services |
| * |
| $ |
| Foreign Language Translation Services |
| * |
| $ |
| Video Remote Translation Services |
| * |
| $ |
| Document Translation Services |
| * |
| $ |
Option Period 4
| American Sign Language Translation Services |
| * |
| $ |
| Foreign Language Translation Services |
| * |
| $ |
| Video Remote Translation Services |
| * |
| $ |
| Document Translation Services |
| * |
| $ |