Fillable Pricing Table - 75H70723Q00063.docx
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- Solicitation number
- 75H70723Q00063
About this file
This document contains a solicitation for pharmacy services and a fillable pricing table template. The Indian Health Service is seeking proposals for one pharmacist working on an as-needed basis not to exceed 30 hours per week at the Ute Mountain Ute Health Center in Towaoc, Colorado. The period of performance is one base year starting June 1, 2023 through May 30, 2024, with four optional one-year extensions. Offerors should complete the pricing table with hourly rates and total annual pricing for the base year and all option periods. Proposals are due by May 8, 2023 and must remain valid for 90 days. The acquisition will be conducted using simplified acquisition procedures and will be set aside first for Indian small businesses before consideration of other small business categories.
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Other files
| File | Type | Posted |
|---|---|---|
| EVALUATION FACTORS - PHARMACIST (UMUHC).pdf | ||
| SOLICITATION - PHARMACIST (UMUHC).pdf |
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Text version
Pharmacist Solicitation No. 75H70723Q00063 Pricing Table
| Item # |
| Contract Period* |
| Pricing per Year** |
| Total Amount*** |
CLIN 1
| Base Year: 06/01/2023 – 05/30/2024 |
| 1 Pharmacists x $________/hour x NTE 30 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 2 |
| 1st Option Year: 06/01/2024 – 05/31/2025 |
| 1 Pharmacists x $________/hour x NTE 30 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 3 |
| 2nd Option Year: 06/01/2025 – 05/31/2026 |
| 1 Pharmacists x $________/hour x NTE 30 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 4 |
| 3rd Option Year: 06/01/2026 – 05/31/2027 |
| 1 Pharmacists x $________/hour x NTE 30 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 5 |
| 4th Option Year: 06/01/2027 – 05/31/2028 |
| 1 Pharmacists x $________/hour x NTE 30 hours/week x 52 weeks/year = |
| $__________/year |
| GRAND TOTAL (base year + option years): |
| $____________ |
* - Dates to be determined after selection is made. These dates are subject to change depending on security clearances, background checks, availability of candidate, etc.
** - These services are being requested on an “as-needed basis” and hours will vary and will not exceed 30 hours per week.
*** - Please include travel, per diem, etc. in pricing.
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