FILLABLE TABLE - 75H70723Q00115.docx
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- Monthly Day-Clinics - Nephrologist, RN, Rheumatologist - Ute Mountain Ute Health Center - Towaoc, CO
- Solicitation number
- 75H70723Q00115
About this file
This fillable table document outlines pricing requirements for a federal contract to provide monthly day clinics with medical professionals at the Ute Mountain Ute Health Center in Towaoc, Colorado. The contract includes five one-year base periods and four one-year option periods for services from a nephrologist, registered nurse, and rheumatologist. Pricing is requested as hourly rates for each provider for 8 hours per day over 12 clinic days annually for the nephrologist and registered nurse, and 6 clinic days annually for the rheumatologist. The soliciting agency is the Indian Health Service within the Department of Health and Human Services. The total contract value will be calculated based on the hourly rates submitted across all years. Unit pricing must be all-inclusive of travel expenses, per diem, lodging, taxes, and other associated costs.
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Other files
| File | Type | Posted |
|---|---|---|
| EVALUATION FACTORS - SPECIALTY SERVICES (UMUHC).pdf | ||
| RFQ 75H70723Q00115.pdf |
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Text version
RFP No. 75H70723Q00115 Monthly Day Clinics – Nephrologist, RN, and Rheumatologist Ute Mountain Ute Health Center
| Item # |
| Contract Period |
| Pricing per Year* |
| Total Amount |
CLIN 1
Base Year: 10/24/2023 – 10/23/2024
1. Nephrologist: $___________/hour x 8 hours/day x 12 clinic days/year =
2. Registered Nurse (RN): $___________/hour x 8 hours/day x 12 clinic days/year =
3. Rheumatologist: $___________/hour x 8 hours/day x 6 clinic days/year =
$____________/year
| CLIN 2 |
| 1st Option Year: 10/24/2024 – 10/23/2025 |
1. Nephrologist: $___________/hour x 8 hours/day x 12 clinic days/year =
2. Registered Nurse (RN): $___________/hour x 8 hours/day x 12 clinic days/year =
3. Rheumatologist: $___________/hour x 8 hours/day x 6 clinic days/year =
$___________/year
| CLIN 3 |
| 2nd Option Year: 10/24/2025 – 10/23/2026 |
1. Nephrologist: $___________/hour x 8 hours/day x 12 clinic days/year =
2. Registered Nurse (RN): $___________/hour x 8 hours/day x 12 clinic days/year =
3. Rheumatologist: $___________/hour x 8 hours/day x 6 clinic days/year =
$___________/year
| CLIN 4 |
| 3rd Option Year: 10/24/2026 – 10/23/2027 |
1. Nephrologist: $___________/hour x 8 hours/day x 12 clinic days/year =
2. Registered Nurse (RN): $___________/hour x 8 hours/day x 12 clinic days/year =
3. Rheumatologist: $___________/hour x 8 hours/day x 6 clinic days/year =
$__________/year
| CLIN 5 |
| 4th Option Year: 10/24/2027 – 10/23/2028 |
1. Nephrologist: $___________/hour x 8 hours/day x 12 clinic days/year =
2. Registered Nurse (RN): $___________/hour x 8 hours/day x 12 clinic days/year =
3. Rheumatologist: $___________/hour x 8 hours/day x 6 clinic days/year =
$__________/year
| GRAND TOTAL (base year + option years): |
| $________________ |
* - Note: Unit price shall be an all-inclusive rate of all other fees including: travel expenses; per diem; lodging; all cities, state, federal, and local taxes; and miscellaneous cost associated with the above services.
** - You may submit pricing in your own format.
File details come from the government source that posted it. Updated .