Attachment N Estimated Quantities and Pricing Sheet.xlsx

14 KB Posted

Attached to
R499--Community Living Centers (CLC) Long Term Care
Solicitation number
36C10G24R0017
Issued by

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This is an Estimated Quantities and Pricing Sheet for a federal contract opportunity related to Community Living Centers (CLC) Long Term Care surveys and related services.

The pricing template establishes line items across a base period and four additional contract periods (spanning approximately 4.5 years). The deliverables include 134 CLC Annual Onsite Surveys and 5 SCI/D (Spinal Cord Injury/Disease) Annual Onsite Surveys per year during the base and Periods 1-4, with reduced quantities in Period 5 (67 CLC surveys and 2 SCI/D surveys). Additional recurring services include 12 monthly electronic feedback reports, 12 monthly meetings, and 4 quarterly meetings annually. One-time deliverables in the base period consist of a kickoff meeting, annual survey schedule, survey script, contractor personnel training plan and documents, electronic feedback mechanism, project work plan, and communication plan. All unit prices and amounts are currently blank ($-0), indicating this is a template for contractor pricing proposals. The sheet is designed for the Department of Veterans Affairs Headquarters and relates to solicitation number 36C10G24R0017.

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Other files

File Type Posted
36C10G24R0017 CLC.pdf PDF
Past Performance Questionnaire Fillable.pdf PDF
Answers Amendment 1 CLC.pdf PDF
36C10G24R0017 0001.docx DOCX document
Attachment I Scope and Severity Ratings.pdf PDF
Attachment H VA-Joint Commission LSC Clarifications Document.pdf PDF
Attachment E Table of Surveyor Component Guide_updated.pdf PDF
36C10G24R0017.docx DOCX document
Attachment M -Business Associate Agreement.docx DOCX document
Attachment G Survey Due By Dates.pdf PDF
Attachment C Corrective Action Request Procedure and Form.pdf PDF
Attachment O Detailed Price Cost Sheet.xlsx XLSX spreadsheet
Attachment L CLC Deidentifed Survey Report Template.pdf PDF
Attachment F Updated VA F-Tag-Crosswalk 8.2023.pdf PDF
Attachment D Survey Observation Record.xlsx XLSX spreadsheet
Attachment B List of VA CLCs and SCI-D.pdf PDF
Attachment A HATCh Intro VA CLCs.pdf PDF
36C10G24R0017.pdf PDF
Attachment K CLC Survey Report Template.pdf PDF
Attachment J Immediate Jeaporday Template.pdf PDF
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Sheet1

ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001CLC Annual Onsite Surveys134EA$ - 0$ - 0
0002SCI/D Annual Onsite Surveys5EA$ - 0$ - 0
0003Monthly Electronic Feedback Reports12EA$ - 0$ - 0
0004Kick off Meeting1EA$ - 0$ - 0
0005Monthly Meeting12EA$ - 0$ - 0
0006Quarterly Meeting4EA$ - 0$ - 0
0007Annual Survey Schedule1EA$ - 0$ - 0
0008Survey Script1EA$ - 0$ - 0
0009Contractor Personnel Training Plan & Documents1EA$ - 0$ - 0
0010Electronic Feedback Mechanism1EA$ - 0$ - 0
0011Project Work Plan1EA$ - 0$ - 0
0012Communication Plan1EA$ - 0$ - 0
BASE TOTAL$ - 0
1001CLC Annual Onsite Surveys134EA$ - 0$ - 0
1002SCI/D Annual Onsite Surveys5EA$ - 0$ - 0
1003Monthly Electronic Feedback Reports12EA$ - 0$ - 0
1004Kick off Meeting1EA$ - 0$ - 0
1005Monthly Meeting12EA$ - 0$ - 0
1006Quarterly Meeting4EA$ - 0$ - 0
1007Annual Survey Schedule1EA$ - 0$ - 0
PERIOD 1 TOTAL$ - 0
2001CLC Annual Onsite Surveys134EA$ - 0$ - 0
2002SCI/D Annual Onsite Surveys5EA$ - 0$ - 0
2003Monthly Electronic Feedback Reports12EA$ - 0$ - 0
2004Kick off Meeting1EA$ - 0$ - 0
2005Monthly Meeting12EA$ - 0$ - 0
2006Quarterly Meeting4EA$ - 0$ - 0
2007Annual Survey Schedule1EA$ - 0$ - 0
PERIOD 2 TOTAL$ - 0
3001CLC Annual Onsite Surveys134EA$ - 0$ - 0
3002SCI/D Annual Onsite Surveys5EA$ - 0$ - 0
3003Monthly Electronic Feedback Reports12EA$ - 0$ - 0
3004Kick off Meeting1EA$ - 0$ - 0
3005Monthly Meeting12EA$ - 0$ - 0
3006Quarterly Meeting4EA$ - 0$ - 0
3007Annual Survey Schedule1EA$ - 0$ - 0
PERIOD 3 TOTAL$ - 0
4001CLC Annual Onsite Surveys134EA$ - 0$ - 0
4002SCI/D Annual Onsite Surveys5EA$ - 0$ - 0
4003Monthly Electronic Feedback Reports12EA$ - 0$ - 0
4004Kick off Meeting1EA$ - 0$ - 0
4005Monthly Meeting12EA$ - 0$ - 0
4006Quarterly Meeting4EA$ - 0$ - 0
4007Annual Survey Schedule1EA$ - 0$ - 0
PERIOD 4 TOTAL$ - 0
5001CLC Annual Onsite Surveys67EA$ - 0$ - 0
5002SCI/D Annual Onsite Surveys2EA$ - 0$ - 0
5003Monthly Electronic Feedback Reports6EA$ - 0$ - 0
5004Kick off Meeting1EA$ - 0$ - 0
5005Monthly Meeting6EA$ - 0$ - 0
5006Quarterly Meeting2EA$ - 0$ - 0
5007Annual Survey Schedule1EA$ - 0$ - 0
PERIOD 5 TOTAL$ - 0
GRAND TOTAL$ - 0

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