Attachment_2_-_Price_Schedule.xlsx

XLSX spreadsheet 15 KB Posted Jun 12, 2019

Attached to: Occupational Health Care and Consultation Services
Solicitation number: FA448619QA008
Issued by: Department of the Air Force United States Air Forces in Europe - Air Forces Africa

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From the source

Price Schedule

File	Type	Posted
Solicitation_Amendment_FA448619QA0080001_SF_30.pdf	PDF	Jul 12, 2019
Solicitation_-_FA448619QA008.pdf	PDF	Jun 12, 2019
Attachment_1_-_Performance_Work_Statement_20_May_2019.pdf	PDF	Jun 12, 2019
Attachment_3_-_PMP-QCP_Questionnaire.pdf	PDF	Jun 12, 2019

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Base Year

Base Year (1 August 2019 - 31 July 2020)
Line Item	Description	Unit of Issue	Quantity	Unit Price	Total Price
0001	Physical Examination (To include in-person/face to face exam, documented review of results from any applicable exams performed under CLINs 0003-0015, plus exam and documentation of Height, Weight, Blood Pressure, and medical history)	EA	63		0.00 €
0002	Medical Examination (Non in-person, non-face-to-face documented review of results from any applicable exams performed under CLINs 0003-0015)	EA	216		0.00 €
0003	Audiogram	EA	279		0.00 €
0004	BUN and Creatinine	EA	63		0.00 €
0005	CBC with Diff	EA	28		0.00 €
0006	Confrontational Fields	EA	63		0.00 €
0007	Electrocardiogram	EA	28		0.00 €
0008	Fecal Occult Blood	EA	28		0.00 €
0009	Lipid Panel	EA	28		0.00 €
0010	Liver Function Panel	EA	28		0.00 €
0011	Prostate Exam	EA	4		0.00 €
0012	Spirometry	EA	63		0.00 €
0013	Urine Glucose	EA	28		0.00 €
0014	Urine Microalbumin	EA	28		0.00 €
0015	Visual acuity	EA	63		0.00 €
Base Year Total					0.00 €

Option Year 1 (1 August 2020 - 31 July 2021)
Line Item	Description	Unit of Issue	Quantity	Unit Price	Total Price
1001	Physical Examination (To include in-person/face to face exam, documented review of results from any applicable exams performed under CLINs 1003-1015, plus exam and documentation of Height, Weight, Blood Pressure, and medical history)	EA	63		0.00 €
1002	Medical Examination (Non in-person, non-face-to-face documented review of results from any applicable exams performed under CLINs 1003-1015)	EA	216		0.00 €
1003	Audiogram	EA	279		0.00 €
1004	BUN and Creatinine	EA	63		0.00 €
1005	CBC with Diff	EA	34		0.00 €
1006	Confrontational Fields	EA	63		0.00 €
1007	Electrocardiogram	EA	34		0.00 €
1008	Fecal Occult Blood	EA	34		0.00 €
1009	Lipid Panel	EA	34		0.00 €
1010	Liver Function Panel	EA	34		0.00 €
1011	Prostate Exam	EA	5		0.00 €
1012	Spirometry	EA	63		0.00 €
1013	Urine Glucose	EA	34		0.00 €
1014	Urine Microalbumin	EA	34		0.00 €
1015	Visual acuity	EA	34		0.00 €
Option Year 1 Total					0.00 €

Option Year 2 (1 August 2021 - 31 July 2022)
Line Item	Description	Unit of Issue	Quantity	Unit Price	Total Price
2001	Physical Examination (To include in-person/face to face exam, documented review of results from any applicable exams performed under CLINs 2003-2015, plus exam and documentation of Height, Weight, Blood Pressure, and medical history)	EA	63		0.00 €
2002	Medical Examination (Non in-person, non-face-to-face documented review of results from any applicable exams performed under CLINs 2003-2015)	EA	216		0.00 €
2003	Audiogram	EA	279		0.00 €
2004	BUN and Creatinine	EA	63		0.00 €
2005	CBC with Diff	EA	40		0.00 €
2006	Confrontational Fields	EA	63		0.00 €
2007	Electrocardiogram	EA	40		0.00 €
2008	Fecal Occult Blood	EA	40		0.00 €
2009	Lipid Panel	EA	40		0.00 €
2010	Liver Function Panel	EA	40		0.00 €
2011	Prostate Exam	EA	5		0.00 €
2012	Spirometry	EA	63		0.00 €
2013	Urine Glucose	EA	40		0.00 €
2014	Urine Microalbumin	EA	40		0.00 €
2015	Visual acuity	EA	63		0.00 €
Option Year 2 Total					0.00 €

Option Year 3 (1 August 2022 - 31 July 2023)
Line Item	Description	Unit of Issue	Quantity	Unit Price	Total Price
3001	Physical Examination (To include in-person/face to face exam, documented review of results from any applicable exams performed under CLINs 3003-3015, plus exam and documentation of Height, Weight, Blood Pressure, and medical history)	EA	63		0.00 €
3002	Medical Examination (Non in-person, non-face-to-face documented review of results from any applicable exams performed under CLINs 3003-3015)	EA	216		0.00 €
3003	Audiogram	EA	279		0.00 €
3004	BUN and Creatinine	EA	63		0.00 €
3005	CBC with Diff	EA	44		0.00 €
3006	Confrontational Fields	EA	63		0.00 €
3007	Electrocardiogram	EA	44		0.00 €
3008	Fecal Occult Blood	EA	44		0.00 €
3009	Lipid Panel	EA	44		0.00 €
3010	Liver Function Panel	EA	44		0.00 €
3011	Prostate Exam	EA	5		0.00 €
3012	Spirometry	EA	63		0.00 €
3013	Urine Glucose	EA	44		0.00 €
3014	Urine Microalbumin	EA	44		0.00 €
3015	Visual acuity	EA	63		0.00 €
Option Year 3 Total					0.00 €

Option Year 4 (1 August 2023 - 31 July 2024)
Line Item	Description	Unit of Issue	Quantity	Unit Price	Total Price
4001	Physical Examination (To include in-person/face to face exam, documented review of results from any applicable exams performed under CLINs 4003-4016, plus exam and documentation of Height, Weight, Blood Pressure, and medical history)	EA	63		0.00 €
4002	Medical Examination (Non in-person, non-face-to-face documented review of results from any applicable exams performed under CLINs 4003-4016)	EA	216		0.00 €
4003	Audiogram	EA	279		0.00 €
4004	BUN and Creatinine	EA	63		0.00 €
4005	CBC with Diff	EA	63		0.00 €
4006	Confrontational Fields	EA	63		0.00 €
4007	Electrocardiogram	EA	63		0.00 €
4008	Fecal Occult Blood	EA	63		0.00 €
4009	Lipid Panel	EA	63		0.00 €
4010	Liver Function Panel	EA	28		0.00 €
4011	Prostate Exam	EA	63		0.00 €
4012	Spirometry	EA	7		0.00 €
4013	Urine Glucose	EA	63		0.00 €
4014	Urine Microalbumin	EA	63		0.00 €
4015	Visual acuity	EA	63		0.00 €
4016	Chest X-ray	EA	63		0.00 €
Option Year 4 Total					0.00 €

Total Contract Cost (Base Year & All Option Years) 0.00 €

Base Refuse - Bid Schedule FA462518R0002

Attachment 2 version 7 Feb 2018

File details come from the government source that posted it.