Attachment 2 - Schedule of Supplies and Services.xls
XLS spreadsheet 12 MB Posted
- Solicitation number
- HSCESS-10-R-00001
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Immigration and Customs Enforcement
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Summary
| SCHEDULE OF SUPPLIES/SERVICES | |
| SUMMARY | |
| Total | |
| Base Period | $ 243,524.92 |
| Option Period I | $ 272,582.24 |
| Option Period II | $ 305,727.78 |
| Option Period III | $ 321,650.40 |
| Option Period IV | $ 359,151.82 |
| Grand Total | $ 1,502,637.16 |
| Do not alter the formulas on the spreadsheet. |
&C&"Arial,Bold"&12&A &LSchedule of Supplies/Services&C&N Attachment 2&RHSCESS-10-R-00001
Base Period
| Item No. | Supplies/Services | Qty | Unit | Unit Price | Amount |
| 0001 | Pre-Employment | ||||
| 0001AA | Urinalysis Collection Services | 11,500 | EA | $ - 0 | |
| 0001AB | Medical Examination Services | 4,000 | EA | $ - 0 | |
| 0001AC | Fitness Services | 3,450 | EA | $ - 0 | |
| 0001AD | Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 200,974.92 | $ 200,974.92 |
| 0001AE | Special Physicians Advisory Processing Fee | 575 | EA | $ - 0 | |
| 0001AF | Medical Review and Report | 345 | EA | $ - 0 | |
| 0001AG | IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 14,250.00 | $ 14,250.00 |
| 0001AH | IME/Physician Review Processing Fee | 57 | EA | $ - 0 | |
| 0001AJ | Scheduling Fee | 11,500 | EA | $ - 0 | |
| 0001AK | Rescheduling Fee | 177 | EA | $ - 0 | |
| 0001AL | Expediting Fee (Process shall be complete within five (5) working days) / Urinalysis Collection Services | 150 | EA | $ - 0 | |
| 0001AM | Expediting Fee (Process shall be complete within five (5) working days) / Medical Examination Services | 20 | EA | $ - 0 | |
| 0001AN | Expediting Fee (Process shall be complete within five (5) working days) / Fitness Services | 20 | EA | $ - 0 | |
| 0001AO | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 14,375.00 | $ 14,375.00 |
| 0001AP | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Processing Fee | 5 | EA | $ - 0 | |
| 0001AQ | Expediting Fee (Process shall be complete within five (5) working days) / Medical Review and Report | 5 | EA | $ - 0 | |
| 0001AR | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 1,425.00 | $ 1,425.00 |
| 0001AS | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review Processing Fee | 5 | EA | $ - 0 | |
| 0002 | Exit Clearance | ||||
| 0002AA | Exit Exam | 150 | EA | $ - 0 | |
| 0002AB | Physician Advisory Services | 23 | EA | $ - 0 | |
| 0002AC | Expediting Fee (Process shall be complete within five (5) working days) -- Exit Exam | 18 | EA | $ - 0 | |
| 0002AD | Expediting Fee (Process shall be complete within five (5) working days) -- Physician Advisory Services | 2 | EA | $ - 0 | |
| 0003 | Exigent Circumstances | ||||
| 0003AA | Post Accident | 278 | EA | $ - 0 | |
| 0003AB | Reasonable Suspicion | 230 | EA | $ - 0 | |
| 0003AC | Expediting Fee (Process shall be complete within five (5) working days) -- Post Accident | 10 | EA | $ - 0 | |
| 0003AD | Expediting Fee (Process shall be complete within five (5) working days) -- Reasonable Suspicion | 10 | EA | $ - 0 | |
| 0004 | Return to Duty | ||||
| 0004AA | Return to Duty Report | 34 | EA | $ - 0 | |
| 0004AB | FFDE/Physician Review | 132 | EA | $ - 0 | |
| 0004AC | Expediting Fee (Process shall be complete within five (5) working days) -- Return to Duty Report | 1 | EA | $ - 0 | |
| 0004AD | Expediting Fee (Process shall be complete within five (5) working days) -- FFDE/Physician Review | 7 | EA | $ - 0 | |
| 0005 | Drug Testing | ||||
| 0005AA | Random (On Site) | 3,800 | EA | $ - 0 | |
| 0005AB | Random Network | 431 | EA | $ - 0 | |
| 0005AC | DOT Drug (Urinalysis) | 633 | EA | $ - 0 | |
| 0005AD | DOT Drug (Alcohol) | 334 | EA | $ - 0 | |
| 0005AE | Expediting Fee (Process shall be complete within five (5) working days) -- Random (On Site) | 70 | EA | $ - 0 | |
| 0005AF | Expediting Fee (Process shall be complete within five (5) working days) -- Random Network | 10 | EA | $ - 0 | |
| 0005AG | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Urinalysis) | 15 | EA | $ - 0 | |
| 0005AH | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Alcohol) | 5 | EA | $ - 0 | |
| 0006 | Fitness/Wellness Annual Screenings and Periodic Reviews | ||||
| 0006AA | Level I (under 40) | 141 | EA | $ - 0 | |
| 0006AB | Level II (40 plus) | 137 | EA | $ - 0 | |
| 0006AC | Periodic Medical Examination / Physician Review | 278 | EA | $ - 0 | |
| 0006AD | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (under 40) | 13 | EA | $ - 0 | |
| 0006AE | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (40 plus) | 12 | EA | $ - 0 | |
| 0006AF | Expediting Fee (Process shall be complete within five (5) working days) -- Periodic Medical Examination / Physician Review | 25 | EA | $ - 0 | |
| 0007 | Travel | ||||
| 0007AA | Travel IAW the Federal Travel Regulations -- Not-to-Exceed (NTE) | 1 | LOT | $ 12,500.00 | |
| 0008 | Transitioning | ||||
| 0008AA | Transition In | 1 | MO | $ - 0 | |
| $ 243,524.92 | |||||
| Do not alter the formulas on the spreadsheet. |
&C&"Arial,Bold"&12&A &LSchedule of Supplies/Services&C&N Attachment 2&RHSCESS-10-R-00001
Option I
| Item No. | Supplies/Services | Qty | Unit | Unit Price | Amount |
| 1001 | Pre-Employment | ||||
| 1001AA | Urinalysis Collection Services | 12,765 | EA | $ - 0 | |
| 1001AB | Medical Examination Services | 4,440 | EA | $ - 0 | |
| 1001AC | Fitness Services | 3,830 | EA | $ - 0 | |
| 1001AD | Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 223,081.24 | $ 223,081.24 |
| 1001AE | Special Physicians Advisory Processing Fee | 638 | EA | $ - 0 | |
| 1001AF | Medical Review and Report | 383 | EA | $ - 0 | |
| 1001AG | IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 17,514.00 | $ 17,514.00 |
| 1001AH | IME/Physician Review Processing Fee | 63 | EA | $ - 0 | |
| 1001AJ | Scheduling Fee | 12,765 | EA | $ - 0 | |
| 1001AK | Rescheduling Fee | 196 | EA | $ - 0 | |
| 1001AL | Expediting Fee (Process shall be complete within five (5) working days) / Urinalysis Collection Services | 167 | EA | $ - 0 | |
| 1001AM | Expediting Fee (Process shall be complete within five (5) working days) / Medical Examination Services | 23 | EA | $ - 0 | |
| 1001AN | Expediting Fee (Process shall be complete within five (5) working days) / Fitness Services | 23 | EA | $ - 0 | |
| 1001AO | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 17,736.00 | $ 17,736.00 |
| 1001AP | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Processing Fee | 5 | EA | $ - 0 | |
| 1001AQ | Expediting Fee (Process shall be complete within five (5) working days) / Medical Review and Report | 5 | EA | $ - 0 | |
| 1001AR | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 1,751.00 | $ 1,751.00 |
| 1001AS | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review Processing Fee | 5 | EA | $ - 0 | |
| 1002 | Exit Clearance | ||||
| 1002AA | Exit Exam | 167 | EA | $ - 0 | |
| 1002AB | Physician Advisory Services | 26 | EA | $ - 0 | |
| 1002AC | Expediting Fee (Process shall be complete within five (5) working days) -- Exit Exam | 20 | EA | $ - 0 | |
| 1002AD | Expediting Fee (Process shall be complete within five (5) working days) -- Physician Advisory Services | 2 | EA | $ - 0 | |
| 1003 | Exigent Circumstances | ||||
| 1003AA | Post Accident | 309 | EA | $ - 0 | |
| 1003AB | Reasonable Suspicion | 255 | EA | $ - 0 | |
| 1003AC | Expediting Fee (Process shall be complete within five (5) working days) -- Post Accident | 11 | EA | $ - 0 | |
| 1003AD | Expediting Fee (Process shall be complete within five (5) working days) -- Reasonable Suspicion | 11 | EA | $ - 0 | |
| 1004 | Return to Duty | ||||
| 1004AA | Return to Duty Report | 38 | EA | $ - 0 | |
| 1004AB | FFDE/Physician Review | 147 | EA | $ - 0 | |
| 1004AC | Expediting Fee (Process shall be complete within five (5) working days) -- Return to Duty Report | 1 | EA | $ - 0 | |
| 1004AD | Expediting Fee (Process shall be complete within five (5) working days) -- FFDE/Physician Review | 8 | EA | $ - 0 | |
| 1005 | Drug Testing | ||||
| 1005AA | Random (On Site) | 4,218 | EA | $ - 0 | |
| 1005AB | Random Network | 478 | EA | $ - 0 | |
| 1005AC | DOT Drug (Urinalysis) | 703 | EA | $ - 0 | |
| 1005AD | DOT Drug (Alcohol) | 371 | EA | $ - 0 | |
| 1005AE | Expediting Fee (Process shall be complete within five (5) working days) -- Random (On Site) | 78 | EA | $ - 0 | |
| 1005AF | Expediting Fee (Process shall be complete within five (5) working days) -- Random Network | 11 | EA | $ - 0 | |
| 1005AG | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Urinalysis) | 16 | EA | $ - 0 | |
| 1005AH | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Alcohol) | 5 | EA | $ - 0 | |
| 1006 | Fitness/Wellness Annual Screenings and Periodic Reviews | ||||
| 1006AA | Level I (under 40) | 157 | EA | $ - 0 | |
| 1006AB | Level II (40 plus) | 152 | EA | $ - 0 | |
| 1006AC | Periodic Medical Examination / Physician Review | 309 | EA | $ - 0 | |
| 1006AD | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (under 40) | 14 | EA | $ - 0 | |
| 1006AE | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (40 plus) | 12 | EA | $ - 0 | |
| 1006AF | Expediting Fee (Process shall be complete within five (5) working days) -- Periodic Medical Examination / Physician Review | 28 | EA | $ - 0 | |
| 1007 | Travel | ||||
| 1007AA | Travel IAW the Federal Travel Regulations -- Not-to-Exceed (NTE) | 1 | LOT | $ 12,500.00 | |
| $ 272,582.24 | |||||
| Do not alter the formulas on the spreadsheet. |
&C&A &LSchedule of Supplies/Services&C&N Attachment 2&RHSCESS-10-R-00001
Option II
| Item No. | Supplies/Services | Qty | Unit | Unit Price | Amount |
| 2001 | Pre-Employment | ||||
| 2001AA | Urinalysis Collection Services | 14,169 | EA | $ - 0 | |
| 2001AB | Medical Examination Services | 4,928 | EA | $ - 0 | |
| 2001AC | Fitness Services | 4,251 | EA | $ - 0 | |
| 2001AD | Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 247,620.18 | $ 247,620.18 |
| 2001AE | Special Physicians Advisory Processing Fee | 708 | $ - 0 | ||
| 2001AF | Medical Review and Report | 425 | EA | $ - 0 | |
| 2001AG | IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 21,600.60 | $ 21,600.60 |
| 2001AH | IME/Physician Review Processing Fee | 70 | EA | $ - 0 | |
| 2001AJ | Scheduling Fee | 14,169 | EA | $ - 0 | |
| 2001AK | Rescheduling Fee | 188 | EA | $ - 0 | |
| 2001AL | Expediting Fee (Process shall be complete within five (5) working days) / Urinalysis Collection Services | 185 | EA | $ - 0 | |
| 2001AM | Expediting Fee (Process shall be complete within five (5) working days) / Medical Examination Services | 26 | EA | $ - 0 | |
| 2001AN | Expediting Fee (Process shall be complete within five (5) working days) / Fitness Services | 26 | EA | $ - 0 | |
| 2001AO | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 21,847.00 | $ 21,847.00 |
| 2001AP | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Processing Fee | 6 | EA | $ - 0 | |
| 2001AQ | Expediting Fee (Process shall be complete within five (5) working days) / Medical Review and Report | 6 | EA | $ - 0 | |
| 2001AR | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 2,160.00 | $ 2,160.00 |
| 2001AS | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review Processing Fee | 7 | EA | $ - 0 | |
| 2002 | Exit Clearance | ||||
| 2002AA | Exit Exam | 185 | EA | $ - 0 | |
| 2002AB | Physician Advisory Services | 29 | EA | $ - 0 | |
| 2002AC | Expediting Fee (Process shall be complete within five (5) working days) -- Exit Exam | 22 | EA | $ - 0 | |
| 2002AD | Expediting Fee (Process shall be complete within five (5) working days) -- Physician Advisory Services | 3 | EA | $ - 0 | |
| 2003 | Exigent Circumstances | ||||
| 2003AA | Post Accident | 343 | EA | $ - 0 | |
| 2003AB | Reasonable Suspicion | 283 | EA | $ - 0 | |
| 2003AC | Expediting Fee (Process shall be complete within five (5) working days) -- Post Accident | 12 | EA | $ - 0 | |
| 2003AD | Expediting Fee (Process shall be complete within five (5) working days) -- Reasonable Suspicion | 12 | EA | $ - 0 | |
| 2004 | Return to Duty | ||||
| 2004AA | Return to Duty Report | 42 | EA | $ - 0 | |
| 2004AB | FFDE/Physician Review | 163 | EA | $ - 0 | |
| 2004AC | Expediting Fee (Process shall be complete within five (5) working days) -- Return to Duty Report | 5 | EA | $ - 0 | |
| 2004AD | Expediting Fee (Process shall be complete within five (5) working days) -- FFDE/Physician Review | 9 | EA | $ - 0 | |
| 2005 | Drug Testing | ||||
| 2005AA | Random (On Site) | 4,682 | EA | $ - 0 | |
| 2005AB | Random Network | 531 | EA | $ - 0 | |
| 2005AC | DOT Drug (Urinalysis) | 780 | EA | $ - 0 | |
| 2005AD | DOT Drug (Alcohol) | 412 | EA | $ - 0 | |
| 2005AE | Expediting Fee (Process shall be complete within five (5) working days) -- Random (On Site) | 87 | EA | $ - 0 | |
| 2005AF | Expediting Fee (Process shall be complete within five (5) working days) -- Random Network | 12 | EA | $ - 0 | |
| 2005AG | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Urinalysis) | 18 | EA | $ - 0 | |
| 2005AH | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Alcohol) | 6 | EA | $ - 0 | |
| 2006 | Fitness/Wellness Annual Screenings and Periodic Reviews | ||||
| 2006AA | Level I (under 40) | 174 | EA | $ - 0 | |
| 2006AB | Level II (40 plus) | 169 | EA | $ - 0 | |
| 2006AC | Periodic Medical Examination / Physician Review | 343 | EA | $ - 0 | |
| 2006AD | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (under 40) | 16 | EA | $ - 0 | |
| 2006AE | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (40 plus) | 13 | EA | $ - 0 | |
| 2006AF | Expediting Fee (Process shall be complete within five (5) working days) -- Periodic Medical Examination / Physician Review | 31 | EA | $ - 0 | |
| 2007 | Travel | ||||
| 2007AA | Travel IAW the Federal Travel Regulations -- Not-to-Exceed (NTE) | 1 | LOT | $ 12,500.00 | |
| $ 305,727.78 | |||||
| Do not alter the formulas on the spreadsheet. |
&C&A &LSchedule of Supplies/Services&C&N Attachment 2&RHSCESS-10-R-00001
Option III
| Item No. | Supplies/Services | Qty | Unit | Unit Price | Amount |
| 3001 | Pre-Employment | ||||
| 3001AA | Urinalysis Collection Services | 15,727 | EA | $ - 0 | |
| 3001AB | Medical Examination Services | 5,470 | EA | $ - 0 | |
| 3001AC | Fitness Services | 4,719 | EA | $ - 0 | |
| 3001AD | Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 252,858.40 | $ 252,858.40 |
| 3001AE | Special Physicians Advisory Processing Fee | 788 | $ - 0 | ||
| 3001AF | Medical Review and Report | 472 | EA | $ - 0 | |
| 3001AG | IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 26,676.00 | $ 26,676.00 |
| 3001AH | IME/Physician Review Processing Fee | 78 | EA | $ - 0 | |
| 3001AJ | Scheduling Fee | 15,727 | EA | $ - 0 | |
| 3001AK | Rescheduling Fee | 209 | EA | $ - 0 | |
| 3001AL | Expediting Fee (Process shall be complete within five (5) working days) / Urinalysis Collection Services | 205 | EA | $ - 0 | |
| 3001AM | Expediting Fee (Process shall be complete within five (5) working days) / Medical Examination Services | 29 | EA | $ - 0 | |
| 3001AN | Expediting Fee (Process shall be complete within five (5) working days) / Fitness Services | 29 | EA | $ - 0 | |
| 3001AO | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 26,949.00 | $ 26,949.00 |
| 3001AP | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Processing Fee | 7 | EA | $ - 0 | |
| 3001AQ | Expediting Fee (Process shall be complete within five (5) working days) / Medical Review and Report | 6 | EA | $ - 0 | |
| 3001AR | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 2,667.00 | $ 2,667.00 |
| 3001AS | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review Processing Fee | 7 | EA | $ - 0 | |
| 3002 | Exit Clearance | ||||
| 3002AA | Exit Exam | 205 | EA | $ - 0 | |
| 3002AB | Physician Advisory Services | 32 | EA | $ - 0 | |
| 3002AC | Expediting Fee (Process shall be complete within five (5) working days) -- Exit Exam | 24 | EA | $ - 0 | |
| 3002AD | Expediting Fee (Process shall be complete within five (5) working days) -- Physician Advisory Services | 5 | EA | $ - 0 | |
| 3003 | Exigent Circumstances | ||||
| 3003AA | Post Accident | 381 | EA | $ - 0 | |
| 3003AB | Reasonable Suspicion | 314 | EA | $ - 0 | |
| 3003AC | Expediting Fee (Process shall be complete within five (5) working days) -- Post Accident | 13 | EA | $ - 0 | |
| 3003AD | Expediting Fee (Process shall be complete within five (5) working days) -- Reasonable Suspicion | 13 | EA | $ - 0 | |
| 3004 | Return to Duty | ||||
| 3004AA | Return to Duty Report | 47 | EA | $ - 0 | |
| 3004AB | FFDE/Physician Review | 181 | EA | $ - 0 | |
| 3004AC | Expediting Fee (Process shall be complete within five (5) working days) -- Return to Duty Report | 6 | EA | $ - 0 | |
| 3004AD | Expediting Fee (Process shall be complete within five (5) working days) -- FFDE/Physician Review | 10 | EA | $ - 0 | |
| 3005 | Drug Testing | ||||
| 3005AA | Random (On Site) | 5,377 | EA | $ - 0 | |
| 3005AB | Random Network | 589 | EA | $ - 0 | |
| 3005AC | DOT Drug (Urinalysis) | 866 | EA | $ - 0 | |
| 3005AD | DOT Drug (Alcohol) | 457 | EA | $ - 0 | |
| 3005AE | Expediting Fee (Process shall be complete within five (5) working days) -- Random (On Site) | 97 | EA | $ - 0 | |
| 3005AF | Expediting Fee (Process shall be complete within five (5) working days) -- Random Network | 13 | EA | $ - 0 | |
| 3005AG | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Urinalysis) | 20 | EA | $ - 0 | |
| 3005AH | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Alcohol) | 7 | EA | $ - 0 | |
| 3006 | Fitness/Wellness Annual Screenings and Periodic Reviews | ||||
| 3006AA | Level I (under 40) | 193 | EA | $ - 0 | |
| 3006AB | Level II (40 plus) | 188 | EA | $ - 0 | |
| 3006AC | Periodic Medical Examination / Physician Review | 381 | EA | $ - 0 | |
| 3006AD | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (under 40) | 18 | EA | $ - 0 | |
| 3006AE | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (40 plus) | 14 | EA | $ - 0 | |
| 3006AF | Expediting Fee (Process shall be complete within five (5) working days) -- Periodic Medical Examination / Physician Review | 34 | EA | $ - 0 | |
| 3007 | Travel | ||||
| 3007AA | Travel IAW the Federal Travel Regulations -- Not-to-Exceed (NTE) | 1 | LOT | $ 12,500.00 | |
| $ 321,650.40 | |||||
| Do not alter the formulas on the spreadsheet. |
&C&A &LSchedule of Supplies/Services&C&N Attachment 2&RHSCESS-10-R-00001
Option IV
| Item No. | Supplies/Services | Qty | Unit | Unit Price | Amount |
| 4001 | Pre-Employment | ||||
| 4001AA | Urinalysis Collection Services | 17,457 | EA | $ - 0 | |
| 4001AB | Medical Examination Services | 6,072 | EA | $ - 0 | |
| 4001AC | Fitness Services | 5,289 | EA | $ - 0 | |
| 4001AD | Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 280,672.82 | $ 280,672.82 |
| 4001AE | Special Physicians Advisory Processing Fee | 875 | $ - 0 | ||
| 4001AF | Medical Review and Report | 524 | EA | $ - 0 | |
| 4001AG | IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 29,754.00 | $ 29,754.00 |
| 4001AH | IME/Physician Review Processing Fee | 87 | EA | $ - 0 | |
| 4001AJ | Scheduling Fee | 17,457 | EA | $ - 0 | |
| 4001AK | Rescheduling Fee | 232 | EA | $ - 0 | |
| 4001AL | Expediting Fee (Process shall be complete within five (5) working days) / Urinalysis Collection Services | 228 | EA | $ - 0 | |
| 4001AM | Expediting Fee (Process shall be complete within five (5) working days) / Medical Examination Services | 32 | EA | $ - 0 | |
| 4001AN | Expediting Fee (Process shall be complete within five (5) working days) / Fitness Services | 32 | EA | $ - 0 | |
| 4001AO | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Services --Not to Exceed (NTE) | 1 | LOT | $ 33,250.00 | $ 33,250.00 |
| 4001AP | Expediting Fee (Process shall be complete within five (5) working days) / Special Physicians Advisory Processing Fee | 8 | EA | $ - 0 | |
| 4001AQ | Expediting Fee (Process shall be complete within five (5) working days) / Medical Review and Report | 7 | EA | $ - 0 | |
| 4001AR | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review -- Not to Exceed (NTE) | 1 | LOT | $ 2,975.00 | $ 2,975.00 |
| 4001AS | Expediting Fee (Process shall be complete within five (5) working days) / IME/Physician Review Processing Fee | 8 | EA | $ - 0 | |
| 4002 | Exit Clearance | ||||
| 4002AA | Exit Exam | 228 | EA | $ - 0 | |
| 4002AB | Physician Advisory Services | 36 | EA | $ - 0 | |
| 4002AC | Expediting Fee (Process shall be complete within five (5) working days) -- Exit Exam | 27 | EA | $ - 0 | |
| 4002AD | Expediting Fee (Process shall be complete within five (5) working days) -- Physician Advisory Services | 6 | EA | $ - 0 | |
| 4003 | Exigent Circumstances | ||||
| 4003AA | Post Accident | 423 | EA | $ - 0 | |
| 4003AB | Reasonable Suspicion | 349 | EA | $ - 0 | |
| 4003AC | Expediting Fee (Process shall be complete within five (5) working days) -- Post Accident | 14 | EA | $ - 0 | |
| 4003AD | Expediting Fee (Process shall be complete within five (5) working days) -- Reasonable Suspicion | 14 | EA | $ - 0 | |
| 4004 | Return to Duty | ||||
| 4004AA | Return to Duty Report | 52 | EA | $ - 0 | |
| 4004AB | FFDE/Physician Review | 201 | EA | $ - 0 | |
| 4004AC | Expediting Fee (Process shall be complete within five (5) working days) -- Return to Duty Report | 6 | EA | $ - 0 | |
| 4004AD | Expediting Fee (Process shall be complete within five (5) working days) -- FFDE/Physician Review | 11 | EA | $ - 0 | |
| 4005 | Drug Testing | ||||
| 4005AA | Random (On Site) | 5,968 | EA | $ - 0 | |
| 4005AB | Random Network | 654 | EA | $ - 0 | |
| 4005AC | DOT Drug (Urinalysis) | 961 | EA | $ - 0 | |
| 4005AD | DOT (Alcohol) | 507 | EA | $ - 0 | |
| 4005AE | Expediting Fee (Process shall be complete within five (5) working days) -- Random (On Site) | 108 | EA | $ - 0 | |
| 4005AF | Expediting Fee (Process shall be complete within five (5) working days) -- Random Network | 14 | EA | $ - 0 | |
| 4005AG | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Urinalysis) | 22 | EA | $ - 0 | |
| 4005AH | Expediting Fee (Process shall be complete within five (5) working days) -- DOT Drug (Alcohol) | 8 | EA | $ - 0 | |
| 4006 | Fitness/Wellness Annual Screenings and Periodic Reviews | ||||
| 4006AA | Level I (under 40) | 214 | EA | $ - 0 | |
| 4006AB | Level II (40 plus) | 209 | EA | $ - 0 | |
| 4006AC | Periodic Medical Examination / Physician Review | 423 | EA | $ - 0 | |
| 4006AD | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (under 40) | 20 | EA | $ - 0 | |
| 4006AE | Expediting Fee (Process shall be complete within five (5) working days) -- Level I (40 plus) | 16 | EA | $ - 0 | |
| 4006AF | Expediting Fee (Process shall be complete within five (5) working days) -- Periodic Medical Examination / Physician Review | 38 | EA | $ - 0 | |
| 4007 | Travel | ||||
| 4007AA | Travel IAW the Federal Travel Regulations -- Not-to-Exceed (NTE) | 1 | LOT | $ 12,500.00 | |
| $ 359,151.82 | |||||
| Do not alter the formulas on the spreadsheet. |
&C&A &LSchedule of Supplies/Services&C&N Attachment 2&RHSCESS-10-R-00001
File details come from the government source that posted it. Updated .