Attch 1_Pricing Schedule.pdf
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- Referral Management Center Support Services
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- FA561322R0005
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Attachment 1, Pricing Schedule
FA561322R0005
Base Period 15 May 2022 – 14 May 2023, CLINs 0001 through 0002
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
LICENSED
PRACTICAL NURSE
(LPN) – 1 Full Time Equivalent (FTE) at 1920 hours
12 Months
Firm Fixed Price (FFP)
In accordance with (IAW) the attached Performance Work Statement (PWS), including relocation cost, if any.
Period of Performance from 15 May 2022 through 14 May 2023.
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
MEDICAL SERVICES
COORDINATOR -
ADMINISTRATIVE
SUPPORT – 3 Full Time Equivalents (FTE’s) at 1920 Hours Each
Period of Performance from 15 May 2022 through 14 May 2023.
Total for Base Period, CLINs 0001 through 0002: $____________________
1st Option Period 15 May 2023 – 15 May 2024, CLINs 1001 through 1002
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
LICENSED
PRACTICAL NURSE
(LPN) – 1 Full Time Equivalent (FTE) at 1920 hours
Period of Performance from 15 May 2023 through 14 May 2024.
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
MEDICAL SERVICES
COORDINATOR -
ADMINISTRATIVE
SUPPORT – 3 Full Time Equivalents (FTE’s) at 1920 Hours Each
Period of Performance from 15 May 2023 through 14 May 2024.
Total for 1st Option Period, CLINs 1001 through 1002: $___________________
2nd Option Period 15 May 2024 – 14 May 2025, CLINs 2001 through 2002
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
LICENSED
PRACTICAL NURSE
(LPN) – 1 Full Time Equivalent (FTE) at 1920 hours
Period of Performance from 15 May 2024 through 14 May 2025.
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
MEDICAL SERVICES
COORDINATOR -
ADMINISTRATIVE
SUPPORT – 3 Full Time Equivalents (FTE’s) at 1920 Hours Each
Period of Performance from 15 May 2024 through 14 May 2025.
Total for 2nd Option Period, CLINs 2001 through 2002: $____________________
3rd Option Period 15 May 2025 – 14 May 2026, CLINs 3001 through 3002
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
LICENSED
PRACTICAL NURSE
(LPN) – 1 Full Time Equivalent (FTE) at 1920 hours
Period of Performance from 15 May 2025 through 14 May 2026.
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
MEDICAL SERVICES
COORDINATOR -
ADMINISTRATIVE
SUPPORT – 3 Full Time Equivalents (FTE’s) at 1920 Hours Each
Period of Performance from 15 May 2025 through 14 May 2026.
Total for 3rd Option Period, CLINs 3001 through 3002: $____________________
4th Option Period 15 May 2026 – 14 May 2027, CLINs 4001 through 4002
ITEM
NO
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
LICENSED
PRACTICAL NURSE
(LPN) – 1 Full Time Equivalent (FTE) at 1920 hours
Period of Performance from 15 May 2026 through 14 May 2027.
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
MEDICAL SERVICES
COORDINATOR -
ADMINISTRATIVE
SUPPORT – 3 Full Time Equivalents (FTE’s) at 1920 Hours Each
Period of Performance from 15 May 2026 through 14 May 2027.
Total for 4th Option Period, CLINs 4001 through 4002: $_______________________
GRAND TOTAL FOR BASE AND ALL OPTION PERIODS:
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