FILLABLE PRICING TABLE - 75H70723Q00053.docx
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- Solicitation number
- 75H70723Q00053
About this file
This solicitation requests proposals for specialty medical services clinics. The Indian Health Service seeks rheumatology, nephrology, OB-GYN including colposcopy and LEEP procedures, and dermatology services to be provided in recurring day clinics at the Albuquerque Indian Health Center in Albuquerque, New Mexico. Offerors should complete the fillable pricing table provided or submit pricing in their own format. The base period of performance is one year with four one-year option periods. Proposals are due by March 20, 2023. Award will be made to the offer representing the best value based on technical qualifications and past performance being more important than price.
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| File | Type | Posted |
|---|---|---|
| SF-1449 - 75H70723Q00053.pdf |
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FILLABLE PRICING TABLE: SPECIALTY SERVICES CLINICS
| Item # |
| Contract Period* |
| Pricing per Clinic** |
| Total Amount |
CLIN 1
| Base Year: 04/01/23 – 03/31/24 |
| 1.) Rheumatology Services: $________/hour x 12 hours/week x 52 weeks/year = $__________/year |
2.) Nephrology Services: $________/hour x 8 hours/day x 48 clinic days/year = $__________/year 3.) OB/GYN Services: $________/hour x 4 hours/day x 96 clinic days/year = $__________/year 4.) Dermatology Services: $________/hour x 4 hours/day x 24 clinic days/year = $__________/year
$___________/year (total for all four clinics)
| CLIN 2 |
| 1st Option Year: 04/01/24 – 03/31/25 |
| 1.) Rheumatology Services: $________/hour x 12 hours/week x 52 weeks/year = $__________/year |
2.) Nephrology Services: $________/hour x 8 hours/day x 48 clinic days/year = $__________/year
CLIN 3
| 2nd Option Year: 04/01/25 – 03/31/26 |
| 1.) Rheumatology Services: $________/hour x 12 hours/week x 52 weeks/year = $__________/year |
2.) Nephrology Services: $________/hour x 8 hours/day x 48 clinic days/year = $__________/year
CLIN 4
| 3rd Option Year: 04/01/26 – 03/31/27 |
| 1.) Rheumatology Services: $________/hour x 12 hours/week x 52 weeks/year = $__________/year |
2.) Nephrology Services: $________/hour x 8 hours/day x 48 clinic days/year = $__________/year
CLIN 5
| 4th Option Year: 04/01/27 – 03/31/28 |
| 1.) Rheumatology Services: $________/hour x 12 hours/week x 52 weeks/year = $__________/year |
2.) Nephrology Services: $________/hour x 8 hours/day x 48 clinic days/year = $__________/year
| GRAND TOTAL: |
| $_________________ |
*DATES ARE SUBJECT TO CHANGE DEPENDING ON BACKGROUND INVESTIGATIONS, ETC.
**Rate should be all-inclusive, including travel costs, etc.
All evaluation factors other than price, when combined, are significantly more important than price.
“Factor 1: Technical Qualifications” is more important than “Factor 2: Past Performance”. Factors 1 and 2, when combined, are more important than price. Selection of the Vendor to perform this Contract will be based on IHS' assessment of the best value to the Government.
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