FILLABLE TABLE - 75H70724Q00015.docx

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Amendment 001 - Two (2) Licensed Clinical Social Workers - Albuquerque Service Unit
Solicitation number
75H70724Q00015
Issued by

About this file

This fillable table is a pricing template for a request for quotation issued by the Indian Health Service seeking licensed clinical social workers. The RFQ seeks pricing for two licensed clinical social workers to provide services from the Albuquerque Service Unit for a base period of April 1, 2024 through March 31, 2025 with four additional one-year option periods extending to March 31, 2029. Pricing is requested as an all-inclusive hourly rate covering costs such as travel expenses, per diem, lodging, taxes, and other miscellaneous costs associated with the required services. Offerors should complete the table with their proposed hourly rates for the base period and each option period to calculate the total pricing over the five-year period.

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Two (2) Licensed Social Workers RFQ No. 75H70724Q00015 Albuquerque Service Unit

Item #
Contract Period
Pricing per Year
Total Amount

CLIN 1

Base Period: 04/01/24 – 03/31/25

2 Licensed Clinical Social Workers x $_________/hour x 40 hours/week x 52 weeks/year =

$___________/year

CLIN 2
1st Option Period: 04/01/25 – 03/31/26

2 Licensed Clinical Social Workers x $_________/hour x 40 hours/week x 52 weeks/year =

$___________/year

CLIN 3
2nd Option Period: 04/01/26 – 03/31/27

2 Licensed Clinical Social Workers x $_________/hour x 40 hours/week x 52 weeks/year =

$___________/year

CLIN 4
3rd Option Period: 04/01/27 – 03/31/28

2 Licensed Clinical Social Workers x $_________/hour x 40 hours/week x 52 weeks/year =

$___________/year

CLIN 5
4th Option Period: 04/01/28 – 03/31/29

2 Licensed Clinical Social Workers x $_________/hour x 40 hours/week x 52 weeks/year =

$___________/year

GRAND TOTAL (base year + option years):
$______________

* - Note: Hourly rate shall be an all-inclusive rate of all other fees including: travel expenses; per diem; lodging; all city, state, federal, and local taxes; and miscellaneous cost associated with the above services.

File details come from the government source that posted it. Updated .