Fillable Table - 75H70726Q00107.docx
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- Solicitation number
- 75H70726Q00107
About this file
This is a fillable pricing table for Request for Quotation (RFQ) No. 75H70726Q00107 for a Nurse Practitioner position at the Ute Mountain Ute Health Center in Towaoc, Colorado. The solicitation is set aside for Indian Small Business Economic Enterprise (ISBEE) concerns and is being conducted by the Department of Health and Human Services Indian Health Service. The contract structure consists of a one-year base period (TBD/2026 – TBD/2027) with four one-year option periods extending through TBD/2030 – TBD/2031. Quoters must submit fully burdened hourly rates that include all direct and indirect costs such as labor, fringe benefits, overhead, general and administrative expenses, travel, per diem, lodging, and applicable Federal, State, Tribal, and local taxes. The government estimates a maximum annual level of effort of 2,080 hours per year (40 hours per week for 52 weeks), though actual scheduled hours may be lower based on federal holidays and facility requirements.
Quotes must be submitted via email to Shandiin.DeWolfe@ihs.gov by 5:00 p.m. Mountain Time on Friday, November 6, 2026, with the solicitation number included in the email subject line. Questions must be submitted to the same email address by 5:00 p.m. Mountain Time on Friday, October 30, 2026. The Nurse Practitioner will provide non-personal outpatient primary care services at the Ute Mountain Ute Health Center located at 232 Rustling Willow Street, Towaoc, Colorado 81334. Payment will be made in accordance with invoicing procedures outlined in the RFQ, and the work schedule will be established per Section 9 of the complete solicitation document.
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Text version
Fillable Table RFQ No. 75H70726Q00107 Nurse Practitioner – Ute Mountain Ute Health Center (UMUHC)
| Item # |
| Contract Period |
| Pricing |
| Total Amount |
CLIN 1
Base Year: TBD/2026 – TBD/2027
$________/hour x 40 hours/week x 52 weeks/year =
$______________/year
| CLIN 2 |
| 1st Option Year: TBD/2027 – TBD/2028 |
$________/hour x 40 hours/week x 52 weeks/year =
$______________/year
| CLIN 3 |
| 2nd Option Year: TBD/2028 – TBD/2029 |
$________/hour x 40 hours/week x 52 weeks/year =
$______________/year
| CLIN 4 |
| 3rd Option Year: TBD/2029 – TBD/2030 |
$________/hour x 40 hours/week x 52 weeks/year = $______________/year
| CLIN 5 |
| 4th Option Year: TBD/2030 – TBD/2031 |
$________/hour x 40 hours/week x 52 weeks/year = $______________/year
GRAND TOTAL (base year + option years):
Notes:
· The quantity of 2,080 hours per year represents the Government’s estimated maximum annual level of effort for pricing and evaluation purposes. Actual scheduled hours may be lower based on Federal holidays and Service Unit requirements. Services shall be scheduled in accordance with Section 9, Work Schedule and Availability. Payment shall be made in accordance with Section 8, Invoicing and Payment.
· Hourly rates shall be fully burdened and include all direct and indirect costs, including labor, fringe benefits, overhead, general and administrative expenses, travel, per diem, lodging, and all applicable Federal, State, Tribal, and local taxes.
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