D.1 36C26325Q0027 line item template.xlsx

XLSX spreadsheet 464 KB Posted Oct 29, 2024

Attached to: V225--Ground Ambulance Services IDIQ SFVAHCS
Solicitation number: 36C26325Q0027
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

About this file

Written by GovTribe AI · Oct 29, 2024

This document appears to be a Line Item Template related to a federal contract opportunity for Ground Ambulance Services. The federal contract opportunity is a 5-year, single-award IDIQ (Indefinite Delivery, Indefinite Quantity) contract for Ambulance Services for the Sioux Falls, SD VA Health Care System (SFVAHCS). The contract includes base and ordering periods, with line items for ALS Emergent, BLS Non-Emergent, ALS Non-Emergent, Mileage, and Waiting Time services. The contract has an estimated quantity and unit pricing for each line item. The contract opportunity is solicitation number 36C26325Q0027, and all questions must be submitted 72 hours prior to the date specified in the SF1449 form. The contracting agency is the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 23.

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Other files

File	Type	Posted
36C26325Q0027_1.docx	DOCX document	Oct 29, 2024
36C26325Q0027.pdf	PDF	Oct 29, 2024
D.4 VA Business Associate Agreement_NonFederal.pdf	PDF	Oct 29, 2024
D.2 Quality Assurance Surveillance Plan.pdf	PDF	Oct 29, 2024
D.6 Attachment B Veterans Transportation Service SOP.pdf	PDF	Oct 29, 2024
D.3 DOL WD 2015-5369.pdf	PDF	Oct 29, 2024
D.5 Attachment A Critical Care Transport Capabilities Confirmation.pdf	PDF	Oct 29, 2024

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Action Line Item Information

Action Type Name	Primary ID	Secondary ID	Mod Number	Title	Order Discount Type Name	Order Discount Type	Order Discount
RFQ	VA69D-14-Q-0161				Percent		0

KB Version: FY22.12A

Items

Item Number

SLIN

Description

Ref CLIN

Comment

Include Comments in Document

Contract Period

Pop Begin

Pop End

Estimated Quantity

Unit of Measure

Packaging Multiple

Receipt Type

Line Item Is

Unit Price

Item Discount Type Name

Item Discount

Date Updated

Address1

Address2

Address3

City

State

Zip

Zip4

Country

Mark For

Contact Name

Contact Phone

Contact Email

Delivery Date

FOB

Special Instructions

Include Instructions/Comments in Document

Include Data Values in Document

PRINCIPAL NAICS CODE

PRODUCT/SERVICE CODE

UNSPSC

SIC CODE

MANUFACTURER PART NUMBER (MPN)

NATIONAL STOCK NUMBER

LOCAL STOCK NUMBER

DM DOC ID

DELIVERY REF. COUNTER

UNIT TEXT/DESCRIPTION

DELIVERY REFERENCE

ITEM MASTER FILE NUMBER

EXPENDABLE/NON-EXPENDABLE

QUANTITY REQUESTED

UNIT OF PURCHASE CODE

0001

ALS Emergent

Base

1/1/25

12/31/25

TRP

Priced

tc={F08D7933-362A-4B97-8766-43E9BEB7D476}: [Threaded comment]

Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924

Comment:

PLEASE ADD UNIT PRICING HERE

621910

V225

0002

BLS Non-Emergent

Base

1/1/25

12/31/25

250

TRP

Priced

621910

V225

0003

ALS Non-Emergent

Base

1/1/25

12/31/25

150

TRP

Priced

621910

V225

0004

Mileage

Base

1/1/25

12/31/25

3000

Priced

621910

V225

0005

Waiting Time

Base

1/1/25

12/31/25

Priced

621910

V225

1001

ALS Emergent

Ordering Period 1

1/1/26

12/31/26

TRP

Priced

621910

V225

1002

BLS Non-Emergent

Ordering Period 1

1/1/26

12/31/26

250

TRP

Priced

621910

V225

1003

ALS Non-Emergent

Ordering Period 1

1/1/26

12/31/26

150

TRP

Priced

621910

V225

1004

Mileage

Ordering Period 1

1/1/26

12/31/26

3000

Priced

621910

V225

1005

Waiting Time

Ordering Period 1

1/1/26

12/31/26

Priced

621910

V225

2001

ALS Emergent

Ordering Period 2

1/1/27

12/31/27

TRP

Priced

621910

V225

2002

BLS Non-Emergent

Ordering Period 2

1/1/27

12/31/27

250

TRP

Priced

621910

V225

2003

ALS Non-Emergent

Ordering Period 2

1/1/27

12/31/27

150

TRP

Priced

621910

V225

2004

Mileage

Ordering Period 2

1/1/27

12/31/27

3000

Priced

621910

V225

2005

Waiting Time

Ordering Period 2

1/1/27

12/31/27

Priced

621910

V225

3001

ALS Emergent

Ordering Period 3

1/1/28

12/31/28

TRP

Priced

621910

V225

3002

BLS Non-Emergent

Ordering Period 3

1/1/28

12/31/28

250

TRP

Priced

621910

V225

3003

ALS Non-Emergent

Ordering Period 3

1/1/28

12/31/28

150

TRP

Priced

621910

V225

3004

Mileage

Ordering Period 3

1/1/28

12/31/28

3000

Priced

621910

V225

3005

Waiting Time

Ordering Period 3

1/1/28

12/31/28

Priced

621910

V225

4001

ALS Emergent

Ordering Period 4

1/1/29

12/31/29

TRP

Priced

621910

V225

4002

BLS Non-Emergent

Ordering Period 4

1/1/29

12/31/29

250

TRP

Priced

621910

V225

4003

ALS Non-Emergent

Ordering Period 4

1/1/29

12/31/29

150

TRP

Priced

621910

V225

4004

Mileage

Ordering Period 4

1/1/29

12/31/29

3000

Priced

621910

V225

4005

Waiting Time

Ordering Period 4

1/1/29

12/31/29

Priced

621910

V225

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File details come from the government source that posted it. Updated Oct 29, 2024.