Attachemnt_3 _Medical_Examination_Price_List.pdf

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Medical Surviellance Examination Services
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FA6703-13-T-0007
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Medical Exam Price List

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ATTACHMENT 3

MEDICAL SURVEILLANCE EXAMINATION

PRICE LISTING

BASE YEAR

(CLIN 0001)

DESCRIPTION UNIT

ESTIMATED

QUANTITY

UNIT

PRICE

TOTAL

COST

Pre-Placement Each 20 Periodic Each 95

Special Purpose Each 5 Terminations Each 5

Fitness-for-Duty Each 5 Audiograms Each 10 Respirators Each 10

GRAND TOTAL

CLIN 0001

OPTION 1

(CLIN 1001)

DESCRIPTION UNIT

ESTIMATED

QUANTITY

UNIT

PRICE

TOTAL

COST

Pre-Placement Each 20 Periodic Each 95

Special Purpose Each 5 Terminations Each 5

Fitness-for-Duty Each 5 Audiograms Each 10 Respirators Each 10

CLIN 1001

OPTION TWO

(CLIN 2001)

DESCRIPTION UNIT

ESTIMATED

QUANTITY

UNIT

PRICE

TOTAL

COST

Pre-Placement Each 20 Periodic Each 95

Special Purpose Each 5 Terminations Each 5

Fitness-for-Duty Each 5 Audiograms Each 10 Respirators Each 10

CLIN 2001

ATTACHMENT 3

MEDICAL SURVEILLANCE EXAMINATION

PRICE LISTING

OPTION THREE

(CLIN 3001)

DESCRIPTION UNIT

ESTIMATED

QUANTITY

UNIT

PRICE

TOTAL

COST

Pre-Placement Each 20 Periodic Each 95

Special Purpose Each 5 Terminations Each 5

Fitness-for-Duty Each 5 Audiograms Each 10 Respirators Each 10

CLIN 3001

OPTION FOUR

(CLIN 4001)

DESCRIPTION UNIT

ESTIMATED

QUANTITY

UNIT

PRICE

TOTAL

COST

Pre-Placement Each 20 Periodic Each 95

Special Purpose Each 5 Terminations Each 5

Fitness-for-Duty Each 5 Audiograms Each 10 Respirators Each 10

CLIN 4001

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