HSFE20-15-R-0012_B.2_Cost_Price_Schedule.docx
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B.2 Cost/Price Schedule
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B.2 COST/PRICE SCHEDULE
The anticipated price/cost Contract Line Item Numbers (CLINs) are set forth below. Firm-Fixed-Priced (FFP) CLINs below will be paid on a monthly basis in equal monthly installments based on the schedule shown below. The Phase-In Transition period will be Firm Fixed Price (FFP) and will be paid as a single installment for the entire phase-in period. The other direct costs (ODCs) not-to-exceed amounts (CLINs 0002, 0004, 1002, 2002, 3002 and 4002) are plug-in numbers provided by the Government and includes the contractor’s Handling Fee or General & Administrative (G&A) cost.
| CLIN |
| Price/Cost Type |
| Description |
| Unit |
| Qty |
| Unit Price |
| Total Price/Cost |
PHASE-IN TRANSITION (1 Month)
| 0001 |
| Firm Fixed Price (FFP) |
| Phase-In |
Medical Support Services in accordance with (IAW) PWS
| Month |
| 1 |
| $ |
| $ |
| 0002 |
| Cost Reimbursable (CR) [Not-to-Exceed (NTE)] |
| Other Direct Costs to include Supplies, Equipment, Medical Liability Insurance, Emergency After Hours Care and G&A or Handling Fee |
| Lot |
| 1 |
| $20,000.00 |
| $20,000.00 |
TOTAL AMOUNT FOR PHASE-IN
BASE PERIOD (11 MONTHS)
| 0003 |
| FFP |
| Base Period |
Medical Support Services with (IAW) PWS
| Month |
| 11 |
| $ |
| $ |
| 0004 |
| CR [NTE] |
| Other Direct Costs to include Supplies, Equipment, Medical Liability Insurance, Emergency After Hours Care and G&A or Handling Fee |
| Lot |
| 1 |
| $170,000.00 |
| $170,000.00 |
TOTAL AMOUNT FOR BASE PERIOD (11 MONTHS)
OPTION PERIOD 1 (12 MONTHS)
| 1001 |
| FFP |
| Option Period 1 |
Medical Support Services with (IAW) PWS
| Month |
| 12 |
| $ |
| $ |
| 1002 |
| CR [NTE] |
| Other Direct Costs to include Supplies, Equipment, Medical Liability Insurance, Emergency After Hours Care and G&A or Handling Fee |
| Lot |
| 1 |
| $175,950.00 |
| $175,950.00 |
TOTAL AMOUNT FOR OPTION PERIOD 1
OPTION PERIOD 2 (12 MONTHS)
| 2001 |
| FFP |
| Option Period 2 |
Medical Support Services with (IAW) PWS
| Month |
| 12 |
| $ |
| $ |
| 2002 |
| CR [NTE] |
| Other Direct Costs to include Supplies, Equipment, Medical Liability Insurance, Emergency After Hours Care and G&A or Handling Fee |
| Lot |
| 1 |
| $182,108.25 |
| $182,108.25 |
TOTAL AMOUNT FOR OPTION PERIOD 2
OPTION PERIOD 3 (12 MONTHS)
| 3001 |
| FFP |
| Option Period 3 |
Medical Support Services with (IAW) PWS
| Month |
| 12 |
| $ |
| $ |
| 3002 |
| CR [NTE] |
| Other Direct Costs to include Supplies, Equipment, Medical Liability Insurance, Emergency After Hours Care and G&A or Handling Fee |
| Lot |
| 1 |
| $188,482.04 |
| $188,482.04 |
TOTAL AMOUNT FOR OPTION PERIOD 3
OPTION PERIOD 4 (12 MONTHS)
| 4001 |
| FFP |
| Option Period 4 |
Medical Support Services with (IAW) PWS
| Month |
| 12 |
| $ |
| $ |
| 4002 |
| CR [NTE] |
| Other Direct Costs to include Supplies, Equipment, Medical Liability Insurance, Emergency After Hours Care and G&A or Handling Fee |
| Lot |
| 1 |
| $195,078.91 |
| $195,078.91 |
TOTAL AMOUNT FOR OPTION PERIOD 4
| TOTAL AMOUNT FOR PHASE-IN, BASE PERIOD AND ALL OPTION PERIODS |
| $ |
| TOTAL AMOUNT FOR BASE PERIOD AND ALL OPTION PERIODS (EXCLUDING PHASE –IN; THIS IS THE TOTAL EVALUATED PRICE) |
| $ |
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