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Table B-2 Sample Order Company _________________________
This is a sample requirement. Although this sample task order is included primarily for initial price evaluation purposes for contract award, the requirements may represent real Government requirements. A task order may be awarded upon initial contract award for some or all requirements listed. Offerors are to complete the below table. Provide both on site and off site total prices for all requirements. Develop your fully burdened hourly rate for each position/location. Proposed prices cannot exceed proposed Not to Exceed rates in Table B-1. Do not alter this table in any way other than inputting company name, on-site and off-site fully burdened hourly rates, calculating the appropriate extended rate, material handling rates, period total and sample task order total.
Base Period
| Description |
| Requirement |
| Level |
| Hours |
| Location |
| On Site Fully Burdened Hourly Rate |
| On Site Extended Rate |
(see Note 1)
| Off Site Fully Burdened Hourly Rate |
| Off Site Extended Rate (see Note 2) |
| Total Extended Amount |
(see Note 3)
| Patient Safety |
| Project Manager |
| II |
| 3840 |
| Keesler AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Patient Safety |
| Data Analyst |
| III |
| 1920 |
| Keesler AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Clinical IT Data Quality |
| SME |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Clinical IT Data Quality |
| Consultant |
| IV |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| SME |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| Instructor |
| III |
| 3840 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Green Environmental Mgmt |
| Engineer |
| III |
| 3840 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| SME |
| II |
| 1920 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| Project Manager |
| III |
| 1920 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| Health Physicist |
| Project Manager |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Human Performance Enhancement |
| Project Manager |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Chief Information Officer |
| Healthcare Administrator |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Project Manager |
| III |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Consultant |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Project Manager |
| II |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Total On-Site and Off-Site Extended Amount |
| $ |
Material Handling
$250,000
Total Material Handling Rate (see Note 4)
Base Period Total (see Note 5)
Note 1 - Multiply the On-Site Rate by Hours to arrive at the On-Site Extended Rate Note 2 - Multiply the Off-Site Rate by Hours to arrive at the Off-Site Extended Rate Note 3 - Add On-Site Extended Rate and Off-Site Extended Rate for Total Extended Amount Note 4 - Multiply Handling Rate by Material handling ($250,000.00) to arrive at the Total Material Handling Rate Note 5 – Add Total Material Handling Rate and Total On-Site and Off-Site Extended Amounts to arrive at the Overall Total
Option Period 1
| Description |
| Requirement |
| Level |
| Hours |
| Location |
| On Site Rate |
| On Site Extended Rate |
(see Note 1)
| Off Site Rate |
| Off Site Extended Rate |
(see Note 2) Total Extended Amount (see Note 3)
| Patient Safety |
| Project Manager |
| II |
| 3840 |
| Keesler AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Patient Safety |
| Data Analyst |
| III |
| 1920 |
| Keesler AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Clinical IT Data Quality |
| SME |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Clinical IT Data Quality |
| Consultant |
| IV |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| SME |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| Instructor |
| III |
| 3840 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Green Environmental Mgmt |
| Engineer |
| III |
| 3840 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| SME |
| II |
| 1920 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| Project Manager |
| III |
| 1920 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| Health Physicist |
| Project Manager |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Human Performance Enhancement |
| Project Manager |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Chief Information Officer |
| Healthcare Administrator |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Project Manager |
| III |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Consultant |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Project Manager |
| II |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Total On-Site and Off-Site Extended Amount |
| $ |
Material Handling
$250,000
Total Material Handling Rate
Option Period 1 Total
Note 1 - Multiply the On-Site Rate by Hours to arrive at the On-Site Extended Rate
Note 3 - Add On-Site Extended Rate and Off-Site Extended Rate for Total Extended Amount Note 4 - Multiply Handling Rate by Material handling ($250,000.00) to arrive at the Total Material Handling Rate Note 5 - Add Total Material Handling Rate and Total On-Site and Off-Site Extended Amounts to arrive at the Overall Total
Option Period 2
| Description |
| Requirement |
| Level |
| Hours |
| Location |
| On Site Rate |
| On Site Extended Rate |
(see Note 1)
| Off Site Rate |
| Off Site Extended Rate |
(see Note 2) Total Extended Amount (see Note 3)
| Patient Safety |
| Project Manager |
| II |
| 3840 |
| Keesler AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Patient Safety |
| Data Analyst |
| III |
| 1920 |
| Keesler AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Clinical IT Data Quality |
| SME |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Clinical IT Data Quality |
| Consultant |
| IV |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| SME |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| Instructor |
| III |
| 3840 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Green Environmental Mgmt |
| Engineer |
| III |
| 3840 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| SME |
| II |
| 1920 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| The Joint Commission |
| Project Manager |
| III |
| 1920 |
| San Antonio, TX |
| $ |
| $ |
| $ |
| $ |
| $ |
| Health Physicist |
| Project Manager |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Human Performance Enhancement |
| Project Manager |
| III |
| 1920 |
| Bolling AFB |
| $ |
| $ |
| $ |
| $ |
| $ |
| Chief Information Officer |
| Healthcare Administrator |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Project Manager |
| III |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Consultant |
| IV |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Acquisition (Requirements) |
| Project Manager |
| II |
| 1920 |
| Falls Church, VA |
| $ |
| $ |
| $ |
| $ |
| $ |
| Total On-Site and Off-Site Extended Amount |
| $ |
Material Handling
$250,000
Total Material Handling Rate
Option Period 2 Total
| Sample Task Order Total Price. (See Note 6) |
| $ |
Note 1 - Multiply the On-Site Rate by Hours to arrive at the On-Site Extended Rate
Note 3 - Add On-Site Extended Rate and Off-Site Extended Rate for Total Extended Amount Note 4 - Multiply Handling Rate by Material handling ($250,000.00) to arrive at the Total Material Handling Rate Note 5- Add Total Travel, Total Material Handling Rate and Total On-Site and Off-Site Extended Amounts to arrive at the Overall Total Note 6 – Add Base Period Total, Option Period 1 Total and Option Period 2 Total