FILLABLE TABLE - 75H70723Q00065.docx

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Amendment: 3 Pharmacists - Non-Personal Healthcare Services - Albuquerque Indian Health Center
Solicitation number
75H70723Q00065
Issued by

About this file

This solicitation requests proposals for three pharmacists to provide non-personal healthcare services at the Albuquerque Indian Health Center. Offerors should submit pricing using the fillable table attached or in their own format by May 5, 2023. The pricing should include hourly rates for each contract line item number covering the base year and up to four option years. The Department of Health and Human Services Indian Health Service will evaluate offers under a cascading set-aside prioritizing Indian small businesses, then service-disabled veteran-owned small businesses, certified HUBZone small businesses, small disadvantaged businesses, and other small businesses. To be eligible, vendors must register in the System for Award Management and have an active Unique Entity Identifier. Any resulting contract will require compliance with commercial items terms and conditions and electronic invoicing and payment.

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SOLICITATION 75H70723Q00065.pdf PDF
EVALUATION FACTORS - PHARMACIST (ASU).pdf PDF

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Text version

Pharmacists Solicitation No. 75H70723Q00065 Albuquerque Service Unit

Item #
Contract Period
Pricing per Year
Total Amount

CLIN 1

Base Year: TBD/23 – TBD/24
____ (# 1-3) Pharmacists x $________/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 2
1st Option Year: TBD/24 – TBD/25
____ (# 1-3) Pharmacists x $________/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 3
2nd Option Year: TBD/25 – TBD/26
____ (# 1-3) Pharmacists x $________/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 4
3rd Option Year: TBD/26 – TBD/27
____ (# 1-3) Pharmacists x $________/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 5
4th Option Year: TBD/27 – TBD/28
____ (# 1-3) Pharmacists x $________/hour x 40 hours/week x 52 weeks/year =
$__________/year
GRAND TOTAL (base year + option years):
$____________

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