Attachment J-17 Solicitation Price Sheet.docx

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Attached to
Medically Managed Intensive Inpatient Withdrawal Management Services
Solicitation number
9594CS26Q0004
Issued by

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This is a Solicitation Price Sheet for federal contract opportunity 9594CS26Q0004, issued by the Court Services and Offender Supervision Agency (CSOSA). The price sheet is a template that requires contractors to submit pricing for Medically Managed Intensive Inpatient Withdrawal Management Services. Contractors must provide unit pricing for each placement, with each unit defined as one medically managed intensive inpatient withdrawal management placement.

The pricing structure includes a base period and four option periods, each requiring pricing for 183 placements. Contractors must complete the form by entering the unit price and calculating the not-to-exceed (NTE) amount for each period, then provide a total NTE amount covering the base period and all option periods combined. This template must be submitted with any quote in response to the solicitation. The solicitation seeks qualified firms to provide CSOSA clients with these specialized substance abuse treatment services, with specific service delivery requirements detailed in the full solicitation and supporting attachments.

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Other files

File Type Posted
Amendment 0001 9594CS26Q0004.pdf PDF
Attachment J-2 Billing Authorization.pdf PDF
Attachment J-16 Past Performance Questionnaire.docx DOCX document
Attachment J-1 SOW.pdf PDF
Attachment J-5 Release of Mental Health-Sex Offender Information.pdf PDF
Attachment J-7 Monthly Program Activity Report.pdf PDF
Attachment J-8 CSOSA Treatment Monthly Invoice.pdf PDF
Attachment J-10 Security form for Temp Contractors.pdf PDF
Attachment J-11 CSOSA Credit Release.pdf PDF
Attachment J-12 WD 2015-4281 Rev 35.pdf PDF
Attachment J-15 Cover Letter.docx DOCX document
Solicitation 9594CS26Q0004.pdf PDF
Attachment J-3 Release of Information- Substance Abuse Treatment.pdf PDF
Attachment J-4 Release of Information - Health Records.pdf PDF
Attachment J-6 Privacy Act Waiver.pdf PDF
Attachment J-9 CSOSA Contact Form.pdf PDF
Attachment J-13 Contractor Confidentiality and Nondisclosure Agreement.docx DOCX document
Attachment J-14 FAR 52.212-3 Offeror Reps & Certs.docx DOCX document
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ITEM

DESCRIPTION
NTEQTY
UNIT*
UNIT PRICE
NTE

AMOUNT

0001
Base Period: Medically Managed Inpatient Withdrawal Management
183
Each
$
$
1001
Option Period 1: Medically Managed Inpatient Withdrawal Management
183
Each
$
$
2001
Option Period 2: Medically Managed Inpatient Withdrawal Management
183
Each
$
$
3001
Option Period 3: Medically Managed Inpatient Withdrawal Management
183
Each
$
$
4001
Option Period 4: Medically Managed Inpatient Withdrawal Management
183
Each
$
$
Total Purchase Order NTE Amount (Base Period and All Option Periods)
$

SOLICITATION 9594CS26Q0004

ATTACHMENT J-17, SOLICITATION PRICE SHEET

This form shall be completed and provided with any submitted quote.

*Each is defined as one Medically Managed Intensive Inpatient Withdrawal Management Placement.

File details come from the government source that posted it. Updated .