B08-Price Breakdown Worksheet.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Case Management & Medical Records Services
- Solicitation number
- W912J2-20-R-0006
About this file
This document contains a price breakdown worksheet and solicitation for case management and medical records services. Solicitation number W912J2-20-R-0006 requires providing all qualified personnel, materials, supervision, and quality control necessary to perform non-clinical case management and medical records services for the Wisconsin Army National Guard. The period of performance is one eleven month base period from July 2020 to June 2021, followed by four one-year option periods. The location of work is at Joint Forces Headquarters in Dane County, Wisconsin. The requirement is set aside 100% for Service Disabled Veteran Owned Small Businesses under NAICS code 621399 with a small business size standard of $7.5 million. Proposals were due by June 23, 2020 at 2:00 PM CST and should be emailed to the point of contact listed. The price breakdown worksheet is a template for offerors to provide pricing for the base period and option years by labor category.
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Other files
| File | Type | Posted |
|---|---|---|
| W912J2-20-R-0006-0002 Case Management Services.pdf | ||
| W912J2-20-R-0006-0001 Case Management Services.pdf | ||
| W912J2-20-R-0006-0001 (summary of changes document) Case Management Services.pdf | ||
| B04-Wage Determination.docx | DOCX document | |
| FY20 CM Question and Answers.docx | DOCX document | |
| B08-EXHIBIT_C FORM .pdf | ||
| W912J2-20-R-0006 Case Manager Solicitation.pdf | ||
| B08-EXHIBIT A.DOC | DOC document | |
| B08-EXHIBIT B.doc | DOC document |
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Price Breakdown Worksheet
| Price Breakdown Worksheet, SOLICITATION NUMBER: W912J2-20-R-0006 CASE MANAGEMENT / MEDICAL RECORDS Services | ||||||||||||
| Company Name: | Pay Rate: | Fringe % | DL plus Fringe | OH % | Subtotal DL, Fringe & OH | G&A % | Subtotal Cost | Profit % | Total Cost per Hour | Estimated Hours per position | Number of Postiions | Total |
| Line Item 0001: Case Management Services (11 months) | ||||||||||||
| Case Management Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||
| Medical Recoords Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||
| Total CLIN 0001 | $ - 0 | |||||||||||
| Line Item 0002: Contractor Manpower Reporting: | Total CLIN 0002 |
| Line Item 1001: Case Management Services (12 months) | |||||
| Case Management Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Medical Recoords Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Total CLIN 1001 | $ - 0 | ||||
| Line Item 1002: Contractor Manpower Reporting: | Total CLIN 1002 |
| Line Item 2001: Case Management Services (12 months) | |||||
| Case Management Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Medical Recoords Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Total CLIN 2001 | $ - 0 | ||||
| Line Item 2002: Contractor Manpower Reporting: | Total CLIN 2002 |
| Line Item 3001: Case Management Services (12 months) | |||||
| Case Management Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Medical Recoords Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Total CLIN 3001 | $ - 0 | ||||
| Line Item 3002: Contractor Manpower Reporting: | Total CLIN 3002 |
| Line Item 4001: Case Management Services (12 months) | |||||
| Case Management Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Medical Recoords Services | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Total CLIN 4001 | $ - 0 | ||||
| Line Item 4002: Contractor Manpower Reporting: | Total CLIN 4002 |
TOTAL Contract Price - Base Plus Four Options: $ - 0
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