Fillable Table - 75H70723Q00023.docx
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- Solicitation number
- 75H70723Q00023
About this file
This solicitation requests proposals for physician non-personal healthcare services at the Albuquerque Indian Health Center in Albuquerque, New Mexico. The Department of Health and Human Services Indian Health Service seeks to award at least one firm-fixed price purchase order for up to seven physicians between June 2023 and June 2028. Offerors should submit pricing using the fillable table provided or in their own format, applicable past performance, and vendor information including a UEI number. Proposals will initially be solicited from Indian small business economic enterprises and then considered from other small businesses if not enough qualified offers are received. The solicitation is a cascading set-aside open to small disadvantaged, HUBZone, service-disabled veteran-owned, and other small businesses if no offers are acceptable from the priority tiers. The proposal acceptance period closes May 1st, 2023.
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Other files
| File | Type | Posted |
|---|---|---|
| SF-1449 - 75H70723Q00023.pdf |
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Fillable Table * Solicitation No. 75H70723Q00023 Physician Non-Personal Healthcare Services
| Item # |
| Contract Period** |
| Pricing per Year*** |
| Total Amount |
CLIN 1
| Base Year: 06/23/23 – 06/22/24 |
| _______(# of physicians, specify 1-7) $__________/hour x 40 hours/week x 50 weeks/year = |
| $_____________ |
| CLIN 2 |
| 1st Option Year: 06/23/24 – 06/22/25 |
| _______(# of physicians, specify 1-7) $__________/hour x 40 hours/week x 50 weeks/year = |
| $_____________ |
CLIN 3
| 1st Option Year: 06/23/25 – 06/22/26 |
| _______(# of physicians, specify 1-7) $__________/hour x 40 hours/week x 50 weeks/year = |
| $_____________ |
CLIN 4
| 1st Option Year: 06/23/26 – 06/22/27 |
| _______(# of physicians, specify 1-7) $__________/hour x 40 hours/week x 50 weeks/year = |
| $_____________ |
CLIN 5
| 1st Option Year: 06/23/27 – 06/22/28 |
| _______(# of physicians, specify 1-7) $__________/hour x 40 hours/week x 50 weeks/year = |
| $_____________ |
| GRAND TOTAL (base year + option years): |
| $_______________ |
* - This is a fillable table for your use, or you may utilize a table or other format of your choice to submit the pricing, but please include base year and four option years.
** - Dates are subject to change due to background checks, security clearances, etc.
*** - Pricing should include travel, per diem, etc. as necessary.
Please also be sure to submit any candidate profiles, applicable past performance, vendor information including UEI number, and any other information deemed relevant to this RFQ/Solicitation. Thank you for your interest!
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