Fillable Table - 75H70726Q00055.docx
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- Attached to
- Part-Time Child/Adolescent Psychiatric Services (Psychiatrist/PMHNP) - Ute Mountain Ute Health Center
- Solicitation number
- 75H70726Q00055
About this file
This is a fillable pricing table for Request for Quotation (RFQ) No. 75H70726Q00055 for part-time child/adolescent psychiatric services at the Ute Mountain Ute Health Center in Towaoc, Colorado. The RFQ seeks either a Child/Adolescent Psychiatrist or Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide services under a five-year contract structure consisting of one base year (2026-2027) and four option years (2027-2031). Quoters must provide fully burdened hourly rates that will be multiplied by 16 hours per month for 12 months annually (192 hours maximum per year), with compensation based only on actual hours worked and accepted. The table requires bidders to fill in their proposed hourly rates for each contract period and calculate annual and total pricing across all five potential contract years.
This is a total small business set-aside acquisition conducted by the Department of Health and Human Services Indian Health Service under the Albuquerque Area office. Quotes must be submitted via email to Shandiin.DeWolfe@ihs.gov by 5:30 pm MDT on Wednesday, June 3rd, 2026, with questions due by 5:30 pm MDT on Wednesday, June 26th, 2026. The hourly rate must be fully burdened and include all direct and indirect costs, fringe benefits, overhead, general and administrative expenses, travel, per diem, lodging, and all applicable Federal, State, Tribal, and local taxes. The period of performance start date is contingent upon completion of required background investigations and official government authorization.
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| File | Type | Posted |
|---|---|---|
| RFQ No. 75H70726Q00055.pdf |
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Text version
Fillable Table RFQ No. 75H70726Q00055 Part-Time Child/Adolescent Psychiatrist or Psychiatric Mental Health Nurse Practitioner (PMHNP)
| Item # |
| Contract Period |
| Pricing |
| Total Amount |
CLIN 1
| Base Year: TBD/2026 – TBD/2027 |
| $________/hour x 16 hours/month x 12 months/year = |
| $______________/year |
| CLIN 2 |
| 1st Option Year: TBD/2027 – TBD/2028 |
| $________/hour x 16 hours/month x 12 months/year = |
| $______________/year |
| CLIN 3 |
| 2nd Option Year: TBD/2028 – TBD/2029 |
| $________/hour x 16 hours/month x 12 months/year = |
| $______________/year |
| CLIN 4 |
| 3rd Option Year: TBD/2029 – TBD/2030 |
| $________/hour x 16 hours/month x 12 months/year = |
| $______________/year |
| CLIN 5 |
| 4th Option Year: TBD/2030 – TBD/2031 |
| $________/hour x 16 hours/month x 12 months/year = |
| $______________/year |
| GRAND TOTAL (base year + option years): |
| $__________________ |
Notes:
· The stated quantity of 192 hours per year represents the Government’s anticipated level of effort for each contract period and is derived from approximately two (2) 8-hour shifts per month, totaling up to 192 hours per year. This represents the maximum number of hours anticipated annually. Payment will be made for actual hours worked and accepted.
· The Contractor shall provide services in accordance with the schedule established by the Service Unit and coordinated with the Contracting Officer’s Representative (COR).
· The hourly rate shall be fully burdened and include all direct and indirect costs, including but not limited to labor, fringe benefits, overhead, general and administrative expenses, travel, per diem, lodging, and all applicable Federal, State, Tribal, and local taxes.
· The period of performance (POP) start date is contingent upon completion of all required background investigations and issuance of an official start date.
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