Fillable Table - 75H71524Q00003.docx
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- Solicitation number
- 75H71524Q00003
About this file
This document is a solicitation (Request for Quotes) for One (1) Dental Hygienist to provide services at the Catawba Service Unit in Rock Hill, SC. The contract period is for a base year from TBD/2024 to TBD/2025, with two 1-year option periods. The solicitation is set aside for Indian Small Business Economic Enterprises (ISBEEs) under the Buy Indian Act, with a cascading set-aside to other small businesses if insufficient competition is received from ISBEEs. Offerors must submit a technical proposal, past performance information, and a signed pricing quote/SF-1449. Proposals are due by 5:30pm MDT on May 29, 2024. The pricing is to be an all-inclusive hourly rate for 24 hours per week, 52 weeks per year. The agency issuing the solicitation is the Indian Health Service.
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Text version
Solicitation No. 75H71524Q00003 One (1) Dental Hygienist Catawba Service Unit
| Item # |
| Contract Period |
| Pricing per Year* |
| Total Amount |
CLIN 1
| Base Year: TBD/2024 – TBD/2025 |
| 1 Dental Hygienist x $______/hour x 24 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 2 |
| 1st Option Year: TBD/2025 – TBD/2026 |
| 1 Dental Hygienist x $______/hour x 24 hours/week x 52 weeks/year = |
| $__________/year |
| CLIN 3 |
| 2nd Option Year: TBD/2026 – TBD/2027 |
| 1 Dental Hygienist x $______/hour x 24 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: travel expenses; per diem; lodging; all cities, state, federal, and local taxes; and miscellaneous cost associated with the above services.
** - There is a fillable table attached for your usage or you may use a format of your own. Thank you!
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