Attachment_4_1449_Schedule_8_Aug_2018.pdf

PDF 217 KB Posted

Attached to
Emergency Medical Services Federal contract opportunity
Solicitation number
FA301618U0255
Issued by
Department of the Air Force Air Education and Training Command

About this file

1449 Schedule/Pricing

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Other files for this federal contract opportunity

Other files attached to Emergency Medical Services, newest first.
File Type Posted
EMS_Amendment_03.pdf PDF
AMRDEC_SAFE_Training.pdf PDF
EMS_Amendment_02.pdf PDF
EMS_Solicitation__QA_Final.pdf PDF
EMS_Amendment_01.pdf PDF
Appendices_A_Map.pdf PDF
Attachment_1_EMS_PWS_4_Aug_18.docx DOCX document
Attachment_6_Past_Performance_Reference_List_8_Aug_18.pdf PDF
Attachment_2_Additional_Terms_and_Conditions_8_Aug_18.docx DOCX document
Attachment_5_Perf_Questionnaire_EMS_8_Aug_18.pdf PDF
Appendices_B_Gate_Hours.pptx PPTX presentation
Attachment_3_Wage_Determination_EMS_8_Aug_18.pdf PDF
EMS_Combined_Syn-Sol_8_Aug_18.docx DOCX document
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Text version

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

SIZE STANDARD: $15M

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS: 621910

EDWOSB

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

FA3016-18-U-0255

Leketa Cunningham (210) 652-8877

FA3016 100

359 MED Group - F3P4C1

221 3RD ST W. BLDG 1040

JBSA-Randolph, TX 78150

SEE ITEM 9

DFAS DEAMS-F87700

ACCTG DISB STA NR 387700

DFAS DEAMS

27 ARKANSAS RD

LIMESTONE ME 04751-6216

This a a Request for Proposal for Emergency Medical Services at JBSA-Randolph, Texas in accordance with the Performance Work Statement (PWS) and Schedule.

See Attachment 2 of Solicitation for Additional Terms and Conditions.

Anticipated Period of Performance:

09/15/2018 to 09/14/2023

Solicitation procedures are IAW FAR 13.5

LOCAL TIME

08/23/2018

3:00 PM CT

F3P4C1

502D CONTRACTING SQUADRON

395 B STREET WEST, SUITE 2, BLDG 224

JBSA RANDOLPH TX 78150-4525

F87700

Solicitation: FA3016-18-U-0255

Section SF 1449 - CONTINUATION SHEET

AMOUNT

Emergency Medical Services

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to perform full Emergency Medical Services (EMS) ground transport services 24/7 for patients requiring emergency transportation from Randolph in accordance with the Performance Work Statement (PWS). The EMS contractor shall be able to respond up to two

(2) simultaneous calls. Period of performance is 09/15/2018 - 09/14/2019.

FOB: Destination

NET AMT

AMOUNT

Additional Support

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to provide additional support that exceed those in CLIN 0001 and that conforms to the requirements of the Performance Work Statement (PWS). Quantities for this CLIN are estimated.

Period of performance is 09/15/2018 - 09/14/2019.

FOB: Destination

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

0001 12 Months

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

0002 30 Runs

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1001 12 Months OPTION Emergency Medical Services

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to perform full Emergency Medical Services (EMS) ground transport services 24/7 for patients requiring emergency transportation from Randolph in accordance with the Performance Work Statement (PWS). The EMS contractor shall be able to respond up to two

(2) simultaneous calls. Period of performance is 09/15/2019 - 09/14/2020. FOB:

Destination

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1002 30 Runs OPTION Additional Support

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to provide additional support that exceed those in CLIN 0001 and that conforms to the requirements of the Performance Work Statement (PWS). Quantities for this CLIN are estimated. Period of performance is 09/15/2019 - 09/14/2020.

FOB: Destination

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2001 12 Months OPTION Emergency Medical Services

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to perform full Emergency Medical Services (EMS) ground transport services 24/7 for patients requiring emergency transportation from Randolph in accordance with the Performance Work Statement (PWS). The EMS contractor shall be able to respond up to two

(2) simultaneous calls. Period of performance is 09/15/2020 - 09/14/2021. FOB:

Destination

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2002 30 Runs OPTION Additional Support

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to provide additional support that exceed those in CLIN 0001 and that conforms to the requirements of the Performance Work Statement (PWS). Quantities for this CLIN are estimated. Period of performance is 09/15/2020 - 09/14/2021.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3001 12 Months OPTION Emergency Medical Services

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to perform full Emergency Medical Services (EMS) ground transport services 24/7 for patients requiring emergency transportation from Randolph in accordance with the Performance Work Statement (PWS). The EMS contractor shall be able to respond up to two

(2) simultaneous calls. Period of performance is 09/15/2021 - 09/14/2022. FOB:

Destination

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3002 30 Runs OPTION Additional Support

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to provide additional support that exceed those in CLIN 0001 and that conforms to the requirements of the Performance Work Statement (PWS). Quantities for this CLIN are estimated. Period of performance is 09/15/2021 - 09/14/2022.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4001 12 Months OPTION Emergency Medical Services

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to perform full Emergency Medical Services (EMS) ground transport services 24/7 for patients requiring emergency transportation from Randolph in accordance with the Performance Work Statement (PWS). The EMS contractor shall be able to respond up to two

(2) simultaneous calls. Period of performance is 09/15/2022 - 09/14/2023. FOB:

Destination

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4002 30 Runs OPTION Additional Support

FFP

The contractor shall provide personnel, equipment, supplies, transportation, tools, materials, supervision, and all other items necessary to provide additional support that exceed those in CLIN 0001 and that conforms to the requirements of the Performance Work Statement (PWS). Quantities for this CLIN are estimated. Period of performance is 09/15/2022 - 09/14/2023.

FOB: Destination

NET AMT

Propsal total offered price for this requirement including all Base period CLIN’s and all Option CLIN’s

TOTAL AMT

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