B.3 Price Cost Sched Path Svcs. Draft 5.12.23.docx

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Q515--Pathology Consult Services (Amarillo VAHCS) Federal contract opportunity
Solicitation number
36C25723Q0826
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17

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B.3 PRICE/COST SCHEDULE (DRAFT)

Item Information

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0001
1.0 FTE – Regular, Pathology Services to provide all necessary labor, consultation, assistance, and expertise to provide Pathology coverage to include Surgical, non-GYN cytology, and bone marrow cases IAW Performance Work Statement/Schedule Base Year (1/1/24 – 12/31/24)
2080
Hours
$______
$________
0002
0.2 FTE Additional Pathology Service coverage for primary pathologist absence as required – Base Year

Additional Coverage in blocks of 10 days – as needed (1/1/24 – 12/31/24)

400
Hours
$______
$_______
0003
0.5 FTE On-Call Coverage

Requirement as needed Pathology Services Monday-Friday (as required) 1700-0800 and Saturday and Sunday (24 hour coverage) as required – Base Year (1/1/24– 12/31/24)

1040
Hours
$______
$_______
0004
Courier Service

– Base Year (1/1/24 – 12/31/24)

265
Days
$______
$_______
0005
Staining Services

– Base Year (1 /1/24 – 12/31/24)

100
EA
$______
$_______
0006
HPV Testing

-Base Year (1 /1/24 – 12/31/24)

275
EA
SUB TOTAL
$________
ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1001
1.0 FTE – Regular, Pathology Services to provide all necessary labor, consultation, assistance, and expertise to provide Pathology coverage to include Surgical, non-GYN cytology, and bone marrow cases IAW Performance Work Statement/Schedule Option Year 1 (1/1/25 – 12/31/25)
2080
Hours
$______
$________
1002
0.2 FTE Additional Pathology Service coverage for primary pathologist absence as required – Option Year 1

Additional Coverage in blocks of 10 days – as needed (1/1/25 – 12/31/25)

400
Hours
$______
$_______
1003
0.5 FTE On-Call Coverage

Requirement as needed Pathology Services Monday-Friday (as required) 1700-0800 and Saturday and Sunday (24 hour coverage) as required – Option Year 1 (1/1/25 – 12/31/25)

1040
Hours
$______
$_______
1004
Courier Service

– Option Year 1 (1/1/25 – 12/31/25)

265
Days
$______
$_______
1005
Staining Services

– Option Year 1 (1 /1/25 – 12/31/25)

100
EA
$______
$_______
1006
HPV Testing

Option Year 1 (1 /1/25 – 12/31/25)

275
EA
SUB TOTAL
$________
ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2001
1.0 FTE – Regular, Pathology Services to provide all necessary labor, consultation, assistance, and expertise to provide Pathology coverage to include Surgical, non-GYN cytology, and bone marrow cases IAW Performance Work Statement/Schedule Option Year 2 (1/1/26 – 12/31/26)
2080
Hours
$______
$________
2002
0.2 FTE Additional Pathology Service coverage for primary pathologist absence as required – option Year 2

Additional Coverage in blocks of 10 days – as needed (1/1/26 – 12/31/26)

400
Hours
$______
$_______
2003
0.5 FTE On-Call Coverage

Requirement as needed Pathology Services Monday-Friday (as required) 1700-0800 and Saturday and Sunday (24 hour coverage) as required – Option Year 2 (1/1/26 – 12/31/26)

1040
Hours
$______
$_______
2004
Courier Service

– Option Year 2 (1/1/26 – 12/31/26)

265
Days
$______
$_______
2005
Staining Services

– Option Year 2 (1 /1/26 – 12/31/26)

100
EA
$______
$_______
2006
HPV Testing

Option Year 2 (1 /1/26 – 12/31/26)

275
EA
SUB TOTAL
$________
ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
3001
1.0 FTE – Regular, Pathology Services to provide all necessary labor, consultation, assistance, and expertise to provide Pathology coverage to include Surgical, non-GYN cytology, and bone marrow cases IAW Performance Work Statement/Schedule Option Year 3 (1/1/27 – 12/31/27)
2080
Hours
$______
$________
3002
0.2 FTE Additional Pathology Service coverage for primary pathologist absence as required – Option Year 3

Additional Coverage in blocks of 10 days – as needed (1/1/27 – 12/31/27)

400
Hours
$______
$_______
3003
0.5 FTE On-Call Coverage

Requirement as needed Pathology Services Monday-Friday (as required) 1700-0800 and Saturday and Sunday (24 hour coverage) as required – Option Year 3 (1/1/27 – 12/31/27)

1040
Hours
$______
$_______
3004
Courier Service

– Option Year 3 (1/1/27 – 12/31/27)

265
Days
$______
$_______
3005
Staining Services

– Option Year 3 (1 /1/27 – 12/31/27)

100
EA
$______
$_______
3006
HPV Testing

· Option Year 3 (1 /1/27 – 12/31/27)

275
EA
SUB TOTAL
$________
ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
4001
1.0 FTE – Regular, Pathology Services to provide all necessary labor, consultation, assistance, and expertise to provide Pathology coverage to include Surgical, non-GYN cytology, and bone marrow cases IAW Performance Work Statement/Schedule Option Year 4

(1/1/28 – 12/31/28)

2080
Hours
$______
$________
4002
0.2 FTE Additional Pathology Service coverage for primary pathologist absence as required – Option Year 4

Additional Coverage in blocks of 10 days – as needed (1/1/28 – 12/31/28)

400
Hours
$______
$_______
4003
0.5 FTE On-Call Coverage

Requirement as needed Pathology Services Monday-Friday (as required) 1700-0800 and Saturday and Sunday (24 hour coverage) as required – Option Year 4 (1/1/28 – 12/31/28)

1040
Hours
$______
$_______
4004
Courier Service

– Option Year 4 (1/1/28 – 12/31/28)

265
Days
$______
$_______
4005
Staining Services

– Option Year 4 (1 /1/28 – 12/31/28)

100
EA
$______
$_______
4006
HPV Testing

Option Year 4 (1 /1/28 – 12/31/28)

275
EA
SUB TOTAL
$________
Total Contract Cost (Base +4 Option Years):____________________
GRAND TOTAL --- $___________
====================

** NOTE - contractor will only be compensated for hours that services are actually provided.

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