Attch 1_Pricing Schedule.pdf
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- Solicitation number
- FA561321R0002
About this file
This document is an attachment to a solicitation for occupational health physician and registered nurse services. It includes pricing schedules for the base year and four option years, outlining the clinical item numbers, supplies and services, quantities, units, and firm fixed pricing terms for 1920 hours each of occupational health physician services and occupational health registered nurse services per year. The solicitation is issued by the Department of the Air Force United States Air Forces in Europe - Air Forces Africa under number FA561321R0002 and seeks these medical services for the period of March 28, 2021 through March 27, 2026. Pricing must be included for the base year and all option years for evaluation.
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Attachment 1, Pricing Schedule
FA561321R0002
Base Period 28 Mar 2021 – 27 Mar 2022, CLINs 0001 through 0002
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH PHYSICIAN
1920 Hours
Firm Fixed Price (FFP) In accordance with (IAW) the attached Performance Work Statement (PWS), including relocation cost, if any.
Period of Performance from 28 March 2021 through 27 March 2021.
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH REGISTER
NURSE
Period of Performance from 28 March 2021 through 27 March 2021.
Total for Base Period, CLINs 0001 through 0002: $____________________
1st Option Period 28 Mar 2022 – 27 Mar 2023, CLINs 1001 through 1002
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH PHYSICIAN
Period of Performance from 28 March 2022 through 27 March 2023.
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH REGISTER
NURSE
Period of Performance from 28 March 2022 through 27 March 2023.
Total for 1st Option Period, CLINs 1001 through 1002: $___________________
2nd Option Period 28 Mar 2023 – 27 Mar 2024, CLINs 2001 through 2002
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH PHYSICIAN
Period of Performance from 28 March 2023 through 27 March 2024.
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH REGISTER
NURSE
Period of Performance from 28 March 2023 through 27 March 2024.
Total for 2nd Option Period, CLINs 2001 through 2002: $____________________
3rd Option Period 28 Mar 2024 – 27 Mar 2025, CLINs 3001 through 3002
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH PHYSICIAN
Period of Performance from 28 March 2024 through 27 March 2025.
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH REGISTER
NURSE
Period of Performance from 28 March 2024 through 27 March 2025.
Total for 3rd Option Period, CLINs 3001 through 3002: $____________________
4th Option Period 28 Mar 2025 – 27 Mar 2026, CLINs 4001 through 4002
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH PHYSICIAN
Period of Performance from 28 March 2025 through 27 March 2026.
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
OCCUPATIONAL
HEALTH REGISTER
NURSE
Period of Performance from 28 March 2025 through 27 March 2026.
Total for 4th Option Period, CLINs 4001 through 4002: $_______________________
GRAND TOTAL FOR BASE AND ALL OPTION PERIODS:
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