Fillable Table - 75H70724Q00048.docx
DOCX document 26 KB Posted
- Attached to
- Remote Medical Credentialing Assistance Services - Ute Mountain Ute Health Center - Towaoc, CO
- Solicitation number
- 75H70724Q00048
About this file
The document is a fillable pricing table for a Request for Quotes (RFQ) solicitation issued by the Indian Health Service (IHS) for Remote Medical Credentialing Assistance Services - Ute Mountain Ute Health Center in Towaoc, CO. The solicitation, number 75H70724Q00048, is for a base year from 05/01/2024 to 04/30/2025 with four one-year option periods. Offerors are required to provide hourly pricing for up to 16 hours per week for each contract year. The NAICS code is 541611 with a $24.5M small business size standard. Proposals are due by 5:30 pm MDT on 04/03/2024 and must be valid for at least 90 calendar days. The selected contractor must comply with the specified commercial item terms and conditions and utilize the Invoice Processing Platform for invoicing.
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| File | Type | Posted |
|---|---|---|
| SOLICITATION NO. 75H70724Q00048.pdf |
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Text version
Solicitation No. 75H70724Q00048
REMOTE MEDICAL CREDENTIALING ASSISTANCE SERVICES
FILLABLE TABLE
*dates are tentative*
| Item # |
| Contract Period |
| Pricing per Year* |
| Total Amount |
CLIN 1
| Base Year: 05/01/2024 – 04/30/2025 |
| $______/hour x 16 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 2 |
| 1st Option Year: 05/01/2025 – 04/30/2026 |
| $______/hour x 16 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 3 |
| 2nd Option Year: 05/01/2026 – 04/30/2027 |
| $______/hour x 16 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 4 |
| 3rd Option Year: 05/01/2027 – 04/30/2028 |
| $______/hour x 16 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 5 |
| 4th Option Year: 05/01/2028 – 04/30/2029 |
| $______/hour x 16 hours/week x 52 weeks/year = |
| $__________/year |
| GRAND TOTAL (base year + option years): |
| $__________/year |
* - Note: The hourly rate shall be an all-inclusive rate of all other fees including: all city, state, federal, and local taxes; and miscellaneous cost associated with the above services.
** - The hours per year will vary, but services will typically be needed for 10-16 hours per week.
*** - Feel free to use a format of your own. Thank you!
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