Fillable Table - 75H70723Q00082.docx
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- Solicitation number
- 75H70723Q00082
About this file
This document is a solicitation for non-personal healthcare services from the Indian Health Service. The solicitation requests proposals by May 12, 2023 to provide four nurse practitioners or physician assistants to the Albuquerque Indian Health Center in Albuquerque, New Mexico from July 1, 2023 through June 30, 2028, consisting of a base year and four option years. Offerors should complete the fillable pricing table provided or submit their own quote including hourly rates for a nurse practitioner or physician assistant, the number of positions offered, applicable past performance, and company information. Awards will be made under the Buy Indian Act set-aside in descending order to Indian small businesses, service-disabled veteran-owned small businesses, HubZone small businesses, and woman-owned small businesses. The selected offeror must comply with standard commercial items terms and conditions and register in the System for Award Management.
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Other files
| File | Type | Posted |
|---|---|---|
| EVALUATION FACTORS - NP - PA.pdf | ||
| SOLICITATION - NP-PA (ASU).pdf |
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Fillable Table Solicitation No. 75H70723Q00082 4 Nurse Practitioners and/or Physician Assistants
| Item # |
| Contract Period* |
| Pricing per Year** |
| Total Amount |
CLIN 1
| Base Year: 07/01/2023 – 06/30/2024 |
| ____ (# 1-4) Nurse Practitioners and/or Physician Assistants x $________/hour x 40 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 2 |
| 1st Option Year: 07/01/2024 – 06/30/2025 |
| ____ (# 1-4) Nurse Practitioners and/or Physician Assistants x $________/hour x 40 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 3 |
| 2nd Option Year: 07/01/2025 – 06/30/2026 |
| ____ (# 1-4) Nurse Practitioners and/or Physician Assistants x $________/hour x 40 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 4 |
| 3rd Option Year: 07/01/2026 – 06/30/2027 |
| ____ (# 1-4) Nurse Practitioners and/or Physician Assistants x $________/hour x 40 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 5 |
| 4th Option Year: 07/01/2027 – 06/30/2028 |
| ____ (# 1-4) Nurse Practitioners and/or Physician Assistants x $________/hour x 40 hours/week x 52 weeks/year = |
| $__________/year |
| GRAND TOTAL (base year + option years): |
| $____________ |
* - Dates to be determined after award is made. These dates are subject to change depending on security clearances, background checks, availability of candidates, etc.
** - Please fill in number 1 – 4 for number of positions that can be filled by your company. These can be Nurse Practitioners or Physician Assistants, which are described in the Statement of Work.
*** - You may submit pricing in your own format. Thank you!
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