FILLABLE TABLE - RFQ_23_ASU_004.docx

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Two (2) Psychiatric Nurse Practitioners - Albuquerque Service Unit
Solicitation number
RFQ_23_ASU_004
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This solicitation requests proposals for two psychiatric nurse practitioners to provide non-personal healthcare services at the Albuquerque Indian Health Center located in Albuquerque, New Mexico. Offerors are invited to submit pricing using the provided fillable table or in their own format by June 28, 2023. The acquisition will be set aside first for Indian small business economic enterprises, then other small businesses, and will result in a firm-fixed price purchase order with a base year plus four option years starting on October 1, 2023. The selected offeror must comply with commercial items terms and conditions and utilize the Invoice Processing Platform for invoicing with all payments made via electronic funds transfer. Proposals should include pricing, candidate profiles, past performance, and vendor information.

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SOLICITATION RFQ_23_ASU_004.pdf PDF
EVALUATION FACTORS - PSYCH NP.pdf PDF

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-Fillable Table_ Solicitation No. RFQ_23_ASU_004 2 Psychiatric Nurse Practitioners Albuquerque Service Unit

Item #
Contract Period
Pricing per Year*
Total Amount

CLIN 1

Base Year: 10/01/2023 – 09/30/2024
2 Psychiatric Nurse Practitioners x $______/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 2
1st Option Year: 10/01/2024 – 09/30/2025
2 Psychiatric Nurse Practitioners x $______/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 3
2nd Option Year: 10/01/2025 – 09/30/2026
2 Psychiatric Nurse Practitioners x $______/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 4
3rd Option Year: 10/01/2026 – 09/30/2027
2 Psychiatric Nurse Practitioners x $______/hour x 40 hours/week x 52 weeks/year =
$__________/year
CLIN 5
4th Option Year: 10/01/2027 – 09/30/2028
2 Psychiatric Nurse Practitioners x $______/hour x 40 hours/week x 52 weeks/year =
$__________/year
GRAND TOTAL (base year + option years):
$_____________

* - Please include travel, lodging, and per diem in the pricing, as necessary.

** - You may use this fillable table or a format of your own. Thank you!

File details come from the government source that posted it. Updated .