Fillable Table - Registered Nurse - NSRTC.docx
DOCX document 17 KB Posted
- Solicitation number
- 75H70726Q00053
About this file
This is a pricing template for a Request for Quotation (RFQ) soliciting one Registered Nurse (RN) to provide non-personal health care services at the New Sunrise Regional Treatment Center (NSRTC) in Pueblo of Acoma, New Mexico. The contract structure includes a base year (June 1, 2026 – May 31, 2027) and four option years extending through May 31, 2031, with each year estimating 2,080 hours of work (40 hours per week). Contractors 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 all applicable Federal, State, Tribal, and local taxes. Payment will be made based on actual hours worked, though the quoted rate cannot be exceeded without prior written approval from the Contracting Officer.
This is a total Indian Small Business Economic Enterprise (ISBEE) set-aside solicitation issued by the Department of Health and Human Services Indian Health Service (IHS). Quotes must be submitted via email to Shandiin.DeWolfe@ihs.gov by 5:30 p.m. MDT on Monday, April 20, 2026, with questions due by 5:30 p.m. MDT on Wednesday, April 15, 2026. The period of performance start date is contingent upon completion of all required background investigations and issuance of an official start date. Contractors may submit quotes in their own format if preferred. The total contract value represents the maximum payable amount, with actual hours varying based on Federal holidays, clinic closures, and operational requirements.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Fillable Table RFQ No. 75H70726Q00053 Registered Nurse (RN) – New Sunrise Regional Treatment Center (NSRTC) – Pueblo of Acoma, NM
| Item # |
| Contract Period |
| Pricing |
| Total Amount |
CLIN 1
| Base Year: 06/01/2026 – 05/31/2027 |
| 1 RN x $________/hour x 2,080 estimated hours/year = |
| $______________/year |
| CLIN 2 |
| 1st Option Year: 06/01/2027 – 05/31/2028 |
| 1 RN x $________/hour x 2,080 estimated hours/year = |
| $______________/year |
| CLIN 3 |
| 2nd Option Year: 06/01/2028 – 05/31/2029 |
| 1 RN x $________/hour x 2,080 estimated hours/year = |
| $______________/year |
| CLIN 4 |
| 3rd Option Year: 06/01/2029 – 05/31/2030 |
| 1 RN x $________/hour x 2,080 estimated hours/year = |
| $______________/year |
| CLIN 5 |
| 4th Option Year: 06/01/2030 – 05/31/2031 |
| 1 RN x $________/hour x 2,080 estimated hours/year = |
| $______________/year |
| GRAND TOTAL (base year + option years): |
| $__________________ |
Notes: continued on next page
• The total estimated level of effort is 2,080 hours per year (40 hours per week). Actual hours worked may vary based on Federal holidays, clinic closures, and operational requirements.
• Payment will be made based on actual hours worked at the Contractor’s quoted fully burdened hourly rate.
• The hourly rate shall be all-inclusive 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 total contract value represents the maximum amount payable under the contract. The Contractor shall not exceed this amount without prior written approval from the Contracting Officer.
• The period of performance start date is contingent upon completion of all required background investigations and issuance of an official start date.
• You may submit quote in your own format, if preferred. Thank you!
File details come from the government source that posted it. Updated .