Attachment 2 - Schedule of Supplies and Services 10-03-2010.xls

XLS spreadsheet 1 MB Posted Oct 3, 2010

Attached to: Medical, Psychological, Fitness, and Drug Testing Services
Solicitation number: HSCESS-10-R-00001
Issued by: Immigration and Customs Enforcement

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Other files

File	Type	Posted
Solicitation Questions and Answers 9-20-2010.doc	DOC document	Sep 20, 2010
Attachment 2 - Schedule of Supplies and Services 9-20-2010.xls	XLS spreadsheet	Sep 20, 2010
Attachment 4 - Submission Instructions to Offerors and Evaluation Procedures 09-20-2010.pdf	PDF	Sep 20, 2010
Attachment 1 - Statement of Work Part 1 of 2 09-20-2010.pdf	PDF	Sep 20, 2010
Appendix XI Definitions 09-20-2010.doc	DOC document	Sep 20, 2010
Attachment 6 - Past Performance Questionnaire 09-20-2010.doc	DOC document	Sep 20, 2010
Attachment 1 - Statement of Work Part 2 of 2 09-20-2010.pdf	PDF	Sep 20, 2010
Attachment 6 - Past Performance Questionnaire 08-06-2010	—	Aug 6, 2010
Appendix II - HHS Speciment Collection Handbook.pdf	PDF	Jul 14, 2010
Appendix III - 2000 Labor Agreement.pdf	PDF	Jul 14, 2010
Appendix IX - Consent for Fitness - Performance Test	—	Jul 14, 2010
Attachment 1 - Statement of Work 07-12-2010 TO BE RELEASED.pdf	PDF	Jul 14, 2010
Appendix V - Duty Locations.pdf	PDF	Jul 14, 2010
Appendix IX - Medical Examination and History Report	—	Jul 14, 2010
Attachment 5 - - Sample Subcontracting Plan 07-12-2010.doc	DOC document	Jul 14, 2010
Appendix VII - Instructional Handsheet for Physical Examination and Scoresheet	—	Jul 14, 2010
Appendix I - Legacy INS Drug-Free Workplace Program.pdf	PDF	Jul 14, 2010
Appendix VIII - Statement of Employment Responsibility for Maintenance of Physical Conditioning.pdf	PDF	Jul 14, 2010
Attachment 4 - Submission Instructions to Offerors and Evaluation Procedures 07-12-2010.pdf	PDF	Jul 14, 2010
Attachment 3 Additional Provisions Clauses Terms and Conditins in Full Text Including Ordering Guide 07-12-2010.pdf	PDF	Jul 14, 2010
Appendix IV - Weapons Carrying Positions	—	Jul 14, 2010
Appendix X - Federal Protective Service Medical Standards	—	Jul 14, 2010
Appendix VII - Instructional Handsheet for Physical Examination and Scoresheet	—	Jul 14, 2010
Appendix VI - Cities Requiring Collection Facilities within 60 mile-mile radious.pdf	PDF	Jul 14, 2010
Appendix IV - Weapons Carrying Positions	—	Jul 14, 2010
Attachment 2 - Schedule of Supplies and Services.xls	XLS spreadsheet	Jul 14, 2010
Attachment 6 - Past Performance Questionnaire 07-12-2010.doc	DOC document	Jul 14, 2010

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Summary

SCHEDULE OF SUPPLIES/SERVICES
SUMMARY
	Total
Base Period	$ 15,000.00
Option Period I	$ 15,000.00
Option Period II	$ 15,000.00
Option Period III	$ 15,000.00
Option Period IV	$ 15,000.00
Grand Total	$ 75,000.00
Do not alter the formulas on the spreadsheet.

&C&A

Base Period

Item No.	Supplies/Services	Qty	Unit	Unit Price	Amount
0001	Pre-Employment
0001AA	Pre-Employment Medical Examination includes scheduling fees, ancillary tests listed in Section III, para C and Primary Reviewing Physician Report Sec III, para D	14000	Each		$ - 0
0001AB	Pre-Employment Physical Fitness Test	3500	Each		$ - 0
0001AC	Pre-Employment Specialty Consultant Examination includes ancillary tests	200	Each		$ - 0
0002	Exit Examination
0002AA	Exit Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C as requested	150	Each		$ - 0
0002AB	Exit Examination Specialty Consultant Examination includes ancillary tests	15	Each		$ - 0
0003	Fitness For Duty/Return To Duty
0003AA	Fitness For Duty Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C and Primary Reviewing Physician Report Sec III, para D	1100	Each		$ - 0
0003AB	Fitness For Duty Specialty Consultant Examination includes ancillary tests	100	Each		$ - 0
0003AC	Independent Medical Evaluation with report	50	Each		$ - 0
0003AD	CDL Medical Examination includes scheduling fees, ancillary tests, non-evidential breath test and Examining Physician annotate State DOT forms as necessary	500	Each		$ - 0
0003AE	Hazardous Material Examination includes scheduling fees, ancillary tests listed in Section IX, para A and Primary Reviewing Physician Report Sec III, para D	100	Each		$ - 0
0004	Drug Testing
0004AA	Pre-Employment Drug Test Urinalysis Collection	22000	Each		$ - 0
0004AB	Random Drug Test Urinalysis Collection	22000	Each		$ - 0
0004AC	Post-Accident Drug Test Urinalysis Collection	30	Each		$ - 0
0004AD	Reasonable Suspicion Drug Test Urinalysis Collection	20	Each		$ - 0
0004AE	DOT Drug Test Urinalysis Collection	10	Each		$ - 0
0004AF	Expediting Fee upon request of Agency	1	Each		$ - 0
0004AG	Statistician for Random Drug Test	12	MO		$ - 0
0005	Wellness Annual Screening
0005AA	Wellness Annual Screening Level I (age less than 40) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
0005AB	Wellness Annual Screening Level II (age 40 and above) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
0006	Legal Expenses
0006AA	Expert Witness fees including case preparation and testimony	300	Hours		$ - 0
0007	Travel and Legal Expenses
0007AA	Travel IAW Federal Travel Regulations and Section X	1	Lot	$ 15,000.00	$ 15,000.00
0008	Transitioning
0008AA	Transition in	1	MO		$ - 0
	Grand Total
	Grand Total				$ 15,000.00

&C&A &LAttachment 2&CSchedule of Supplies/Services&RHSCESS-10-R-00001

Option I

Item No.	Supplies/Services	Qty	Unit	Unit Price	Amount
1001	Pre-Employment
1001AA	Pre-Employment Medical Examination includes scheduling fees, ancillary tests listed in Section III, para C and Primary Reviewing Physician Report Sec III, para D	14000	Each		$ - 0
1001AB	Pre-Employment Physical Fitness Test	3500	Each		$ - 0
1001AC	Pre-Employment Specialty Consultant Examination includes ancillary tests	200	Each		$ - 0
1002	Exit Examination
1002AA	Exit Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C as requested	150	Each		$ - 0
1002AB	Exit Examination Specialty Consultant Examination includes ancillary tests	15	Each		$ - 0
1003	Fitness For Duty/Return To Duty
1003AA	Fitness For Duty Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C and Primary Reviewing Physician Report Sec III, para D	1100	Each		$ - 0
1003AB	Fitness For Duty Specialty Consultant Examination includes ancillary tests	100	Each		$ - 0
1003AC	Independent Medical Evaluation with report	50	Each		$ - 0
1003AD	CDL Medical Examination includes scheduling fees, ancillary tests, non-evidential breath test and Examining Physician annotate State DOT forms as necessary	500	Each		$ - 0
1003AE	Hazardous Material Examination includes scheduling fees, ancillary tests listed in Section IX, para A and Primary Reviewing Physician Report Sec III, para D	100	Each		$ - 0
1004	Drug Testing
1004AA	Pre-Employment Drug Test Urinalysis Collection	32000	Each		$ - 0
1004AB	Random Drug Test Urinalysis Collection	22000	Each		$ - 0
1004AC	Post-Accident Drug Test Urinalysis Collection	30	Each		$ - 0
1004AD	Reasonable Suspicion Drug Test Urinalysis Collection	20	Each		$ - 0
1004AE	DOT Drug Test Urinalysis Collection	10	Each		$ - 0
1004AF	Expediting Fee upon request of Agency	1	Each		$ - 0
1004AG	Statistician for Random Drug Test	12	MO		$ - 0
1005	Wellness Annual Screening
1005AA	Wellness Annual Screening Level I (age less than 40) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
1005AB	Wellness Annual Screening Level II (age 40 and above) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
1006	Legal Expenses
1006AA	Expert Witness fees including case preparation and testimony	300	Hours		$ - 0
1007	Travel and Legal Expenses
1007AA	Travel IAW Federal Travel Regulations and Section X	1	Lot	$ 15,000.00	$ 15,000.00
	Grand Total
	Grand Total				$ 15,000.00

&C&A &LAttachment 2&CSchedule of Supplies/Services&RHSCESS-10-R-00001

Option II

Item No.	Supplies/Services	Qty	Unit	Unit Price	Amount
2001	Pre-Employment
2001AA	Pre-Employment Medical Examination includes scheduling fees, ancillary tests listed in Section III, para C and Primary Reviewing Physician Report Sec III, para D	14000	Each		$ - 0
2001AB	Pre-Employment Physical Fitness Test	3500	Each		$ - 0
2001AC	Pre-Employment Specialty Consultant Examination includes ancillary tests	200	Each		$ - 0
2002	Exit Examination
2002AA	Exit Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C as requested	150	Each		$ - 0
2002AB	Exit Examination Specialty Consultant Examination includes ancillary tests	15	Each		$ - 0
2003	Fitness For Duty/Return To Duty
2003AA	Fitness For Duty Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C and Primary Reviewing Physician Report Sec III, para D	1100	Each		$ - 0
2003AB	Fitness For Duty Specialty Consultant Examination includes ancillary tests	100	Each		$ - 0
2003AC	Independent Medical Evaluation with report	50	Each		$ - 0
2003AD	CDL Medical Examination includes scheduling fees, ancillary tests, non-evidential breath test and Examining Physician annotate State DOT forms as necessary	500	Each		$ - 0
2003AE	Hazardous Material Examination includes scheduling fees, ancillary tests listed in Section IX, para A and Primary Reviewing Physician Report Sec III, para D	100	Each		$ - 0
2004	Drug Testing
2004AA	Pre-Employment Drug Test Urinalysis Collection	28000	Each		$ - 0
2004AB	Random Drug Test Urinalysis Collection	22000	Each		$ - 0
2004AC	Post-Accident Drug Test Urinalysis Collection	30	Each		$ - 0
2004AD	Reasonable Suspicion Drug Test Urinalysis Collection	20	Each		$ - 0
2004AE	DOT Drug Test Urinalysis Collection	10	Each		$ - 0
2004AF	Expediting Fee upon request of Agency	1	Each		$ - 0
2004AG	Statistician for Random Drug Test	12	MO		$ - 0
2005	Wellness Annual Screening
2005AA	Wellness Annual Screening Level I (age less than 40) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
2005AB	Wellness Annual Screening Level II (age 40 and above) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
2006	Legal Expenses
2006AA	Expert Witness fees including case preparation and testimony	300	Hours		$ - 0
2007	Travel and Legal Expenses
2007AA	Travel IAW Federal Travel Regulations and Section X	1	Lot	$ 15,000.00	$ 15,000.00
	Grand Total
	Grand Total				$ 15,000.00

&C&A &LAttachment 2&CSchedule of Supplies/Sevices&RHSCESS-10-R-00001

Option III

Item No.	Supplies/Services	Qty	Unit	Unit Price	Amount
3001	Pre-Employment
3001AA	Pre-Employment Medical Examination includes scheduling fees, ancillary tests listed in Section III, para C and Primary Reviewing Physician Report Sec III, para D	14000	Each		$ - 0
3001AB	Pre-Employment Physical Fitness Test	3500	Each		$ - 0
3001AC	Pre-Employment Specialty Consultant Examination includes ancillary tests	200	Each		$ - 0
3002	Exit Examination
3002AA	Exit Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C as requested	150	Each		$ - 0
3002AB	Exit Examination Specialty Consultant Examination includes ancillary tests	15	Each		$ - 0
3003	Fitness For Duty/Return To Duty
3003AA	Fitness For Duty Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C and Primary Reviewing Physician Report Sec III, para D	1100	Each		$ - 0
3003AB	Fitness For Duty Specialty Consultant Examination includes ancillary tests	100	Each		$ - 0
3003AC	Independent Medical Evaluation with report	50	Each		$ - 0
3003AD	CDL Medical Examination includes scheduling fees, ancillary tests, non-evidential breath test and Examining Physician annotate State DOT forms as necessary	500	Each		$ - 0
3003AE	Hazardous Material Examination includes scheduling fees, ancillary tests listed in Section IX, para A and Primary Reviewing Physician Report Sec III, para D	100	Each		$ - 0
3004	Drug Testing
3004AA	Pre-Employment Drug Test Urinalysis Collection	28000	Each		$ - 0
3004AB	Random Drug Test Urinalysis Collection	22000	Each		$ - 0
3004AC	Post-Accident Drug Test Urinalysis Collection	30	Each		$ - 0
3004AD	Reasonable Suspicion Drug Test Urinalysis Collection	20	Each		$ - 0
3004AE	DOT Drug Test Urinalysis Collection	10	Each		$ - 0
3004AF	Expediting Fee upon request of Agency	1	Each		$ - 0
3004AG	Statistician for Random Drug Test	12	MO		$ - 0
3005	Wellness Annual Screening
3005AA	Wellness Annual Screening Level I (age less than 40) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
3005AB	Wellness Annual Screening Level II (age 40 and above) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
3006	Legal Expenses
3006AA	Expert Witness fees including case preparation and testimony	300	Hours		$ - 0
3007	Travel and Legal Expenses
3007AA	Travel IAW Federal Travel Regulations and Section X	1	Lot	$ 15,000.00	$ 15,000.00
	Grand Total
	Grand Total				$ 15,000.00

&C&A &LAttachment 2&CSchedule of Supplies/Services&RHSCESS-10-R-00001

Option IV

Item No.	Supplies/Services	Qty	Unit	Unit Price	Amount
4001	Pre-Employment
4001AA	Pre-Employment Medical Examination includes scheduling fees, ancillary tests listed in Section III, para C and Primary Reviewing Physician Report Sec III, para D	14000	Each		$ - 0
4001AB	Pre-Employment Physical Fitness Test	3500	Each		$ - 0
4001AC	Pre-Employment Specialty Consultant Examination includes ancillary tests	200	Each		$ - 0
4002	Exit Examination
4002AA	Exit Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C as requested	150	Each		$ - 0
4001AB	Exit Examination Specialty Consultant Examination includes ancillary tests	15	Each		$ - 0
4003	Fitness For Duty/Return To Duty
4003AA	Fitness For Duty Medical Examination includes scheduling fees, ancillary tests listed in Section IV, paras B & C and Primary Reviewing Physician Report Sec III, para D	1100	Each		$ - 0
4003AB	Fitness For Duty Specialty Consultant Examination includes ancillary tests	100	Each		$ - 0
4003AC	Independent Medical Evaluation with report	50	Each		$ - 0
4003AD	CDL Medical Examination includes scheduling fees, ancillary tests, non-evidential breath test and Examining Physician annotate State DOT forms as necessary	500	Each		$ - 0
4003AE	Hazardous Material Examination includes scheduling fees, ancillary tests listed in Section IX, para A and Primary Reviewing Physician Report Sec III, para D	100	Each		$ - 0
4004	Drug Testing
4004AA	Pre-Employment Drug Test Urinalysis Collection	28000	Each		$ - 0
4004AB	Random Drug Test Urinalysis Collection	22000	Each		$ - 0
4004AC	Post-Accident Drug Test Urinalysis Collection	30	Each		$ - 0
4004AD	Reasonable Suspicion Drug Test Urinalysis Collection	20	Each		$ - 0
4004AE	DOT Drug Test Urinalysis Collection	10	Each		$ - 0
4004AF	Expediting Fee upon request of Agency	1	Each		$ - 0
4004AG	Statistician for Random Drug Test	12	MO		$ - 0
4005	Wellness Annual Screening
4005AA	Wellness Annual Screening Level I (age less than 40) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
4005AB	Wellness Annual Screening Level II (age 40 and above) includes scheduling fees, ancillary tests listed in Section IX, para B and Primary Reviewing Physician Report	140	Each		$ - 0
4006	Legal Expenses
4006AA	Expert Witness fees including case preparation and testimony	300	Hours		$ - 0
4007	Travel and Legal Expenses
4007AA	Travel IAW Federal Travel Regulations and Section X	1	Lot	$ 15,000.00	$ 15,000.00
	Grand Total
	Grand Total				$ 15,000.00

&C&A &LAttachment 2&CSchedule of Supplies/Schedules&RHSCESS-10-R-00001

File details come from the government source that posted it. Updated Nov 14, 2017.