2-Amended_Bid_Schedule__-_Attachment_1.xlsx

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Medical Evaluation Board Services
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FA3016-17-R-0001
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Second Amendment to Bid Schedule - Attch 1

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Sheet1

CLINDESCRIPTIONUNITQUANTITY OF ISSUEUNIT PRICETOTAL
Base Period: 28 April 2017 - 30 September 2017
0001Physician Assistant ServicesHours820$ - 0
0002Nurse Practitioner ServicesHours820$ - 0
0003Beneficiary Services Representative ServicesHours5,740$ - 0
0004PEBLO Assistant ServicesHours820$ - 0
0005Travel Allowance for PEBLONTE Cost$ 1,295.20$ 1.00$ 1,295.20
Subtotal$ 1,295.20
1st Option Year: 1 October 2017 - 30 September 2018
1001Physician Assistant ServicesHours1,960.00$ - 0
1002Nurse Practitioner ServicesHours1,960.00$ - 0
1003Beneficiary Services Representative ServicesHours13,720.00$ - 0
1004PEBLO Assistant ServicesHours1,960.00$ - 0
1005Travel Allowance for PEBLONTE Cost$ 3,108.48$ 1.00$ 3,108.48
Subtotal$ 3,108.48
2nd Option Year: 1 October 2018 - 30 September 2019
2001Physician Assistant ServicesHours1,960.00$ - 0
2002Nurse Practitioner ServicesHours1,960.00$ - 0
2003Beneficiary Services Representative ServicesHours13,720.00$ - 0
2004PEBLO Assistant ServicesHours1,960.00$ - 0
2005Travel Allowance for PEBLONTE Cost$ 3,108.48$ 1.00$ 3,108.48
Subtotal$ 3,108.48
3rd Option Year: 1 October 2019 - 30 September 2020
3001Physician Assistant ServicesHours1,960.00$ - 0
3002Nurse Practitioner ServicesHours1,960.00$ - 0
3003Beneficiary Services Representative ServicesHours13,720.00$ - 0
3004PEBLO Assistant ServicesHours1,960.00$ - 0
3005Travel Allowance for PEBLONTE Cost$ 3,108.48$ 1.00$ 3,108.48
Subtotal$ 3,108.48
4th Option Year: 1 October 2020 - 30 September 2021
4001Physician Assistant ServicesHours1,960.00$ - 0
4002Nurse Practitioner ServicesHours1,960.00$ - 0
4003Beneficiary Services Representative ServicesHours13,720.00$ - 0
4004PEBLO Assistant ServicesHours1,960.00$ - 0
4005Travel Allowance for PEBLONTE Cost$ 3,108.48$ 1.00$ 3,108.48
Subtotal$ 3,108.48
Contract Total$ 13,729.12

FA3016-17-R-0001

AMENDMENT 2 to Attachment 1 Bid Schedule Company Name:_______________________

Sheet2

Sheet3

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