Att 2 - DAD-MA PSP Price Sheet REV 3.xlsx

XLSX spreadsheet 29 KB Posted Sep 11, 2024

Attached to: DHA DAD-MA Patient Safety Program for Military Medical Treatment Facilities
Solicitation number: HT001124R0080
Issued by: Defense Health Agency

About this file

Written by GovTribe AI · Sep 11, 2024

This document is a pricing sheet for a Request for Proposal (RFP) for the Defense Health Agency (DHA) DAD-MA Enterprise-Wide Patient Safety Program for Military Medical Treatment Facilities (MTFs). The RFP seeks commercial services to provide expertise and experience required by Patient Safety Specialists, Consultants, Coordinators, and Data Analysts at both inpatient and outpatient MTFs. The services are intended to promote safety and prevent harm, as mandated by National Defense Authorization Act and Department of Defense Instruction.

The pricing sheet includes a base period and four option years, with optional CLINs for additional DHA Patient Safety Program services. Pricing is provided for labor, travel, and permanent change of station (PCS) costs. The RFP is a 100% Small Business Set-Aside, with a NAICS code of 541611 for Administrative Management and General Management Consulting Services. Proposals are due by the posted deadline, and the Government reserves the right to hold discussions or make award without discussions.

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Other files

File	Type	Posted
Att 2 - DAD-MA PSP Price Sheet REV 2.xlsx	XLSX spreadsheet	Sep 10, 2024
HT001124R0080-0002 DAD-MA PSP for MTFs Amd 0002.pdf	PDF	Sep 10, 2024
Att 1 - DAD-MA PSP PWS Final Revised.pdf	PDF	Sep 6, 2024
Att 2 - DAD-MA PSP Price Sheet Revised.xlsx	XLSX spreadsheet	Sep 6, 2024
Att 15 - DAD-MA PSP FOR MTFs Q and A List Final.pdf	PDF	Sep 6, 2024
HT001124R0080-0001 DAD-MA PSP for MTFs Amd 0001.pdf	PDF	Sep 6, 2024
Att 6 - PWS 7.1.2 - DHA Annual Mandatory KTR Training List.pdf	PDF	Aug 15, 2024
Att 9 - PWS App A - BAA.docx	DOCX document	Aug 15, 2024
Att 11 - SOFAs.pdf	PDF	Aug 15, 2024
Att 5 - PWS 7.1.1 - DMDC TASS Application Spreadsheet.xlsx	XLSX spreadsheet	Aug 15, 2024
Att 7 - PWS 7.2 - DHA Form 49 for KTR.pdf	PDF	Aug 15, 2024
Att 14 - OCI Contract List.xlsx	XLSX spreadsheet	Aug 15, 2024
Att 13 - Sample Consent Letter.docx	DOCX document	Aug 15, 2024
HT001124R0080 DAD-MA PSP for MTFs RFP Final.pdf	PDF	Aug 15, 2024
Att 1 - DAD-MA PSP PWS final 20240815.pdf	PDF	Aug 15, 2024
Att 12 - Past Performance Questionnaire.docx	DOCX document	Aug 15, 2024
Att 4 - PWS 7.1.1 - CAC Req Process.pdf	PDF	Aug 15, 2024
Att 8 - PII-PHI-Fed Info Rqmts.pdf	PDF	Aug 15, 2024
Att 2 - DAD-MA PSP Price Sheet.xlsx	XLSX spreadsheet	Aug 15, 2024
Att 10 - CDRL Portfolio PSP.pdf	PDF	Aug 15, 2024
Att 3 - QASP Final.docx	DOCX document	Aug 15, 2024

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PRICING SUMMARY SHEET

HT001124R0080 - DHA DAD-MA ENTERPRISE-WIDE PATIENT SAFETY PROGRAM FOR MILITARY MEDICAL TREATMENT FACILITIES (MTFs)
					ATTACHMENT 2 - PRICE SHEET
Base Period
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
0001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 1 BELOW	NTE			$ 85,000.00	$ 85,000.00
	0001 CLIN TOTAL	FFP	12	Months	$ 85,000.00	$ 85,000.00
0002	PCS RELOCATION - ODC NOT TO EXCEED (NTE) - SEE NOTE 3 BELOW
	PCS RELOCATION - ODC NOT TO EXCEED (NTE)	NTE			$ 24,000.00	$ 24,000.00
	0002 CLIN TOTAL	NTE			$ 24,000.00	$ 24,000.00
	BASE TOTAL				$ 109,000.00	$ 109,000.00
Option Year One
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
1001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 1 BELOW	NTE			$ 85,000.00	$ 85,000.00
	1001 CLIN TOTAL	FFP	12	Months	$ 85,000.00	$ 85,000.00
1002	DHA Patient Safety Program Services - OPTIONAL - SEE NOTE 2 BELOW
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 2 BELOW	NTE			$ 15,000.00	$ 15,000.00
	1002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ 15,000.00	$ 15,000.00
				OPTION ONE TOTAL		$ 85,000.00
				OPTION ONE TOTAL W/OPT CLIN 1002		$ 100,000.00
Option Year Two
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
2001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 1 BELOW	NTE			$ 85,000.00	$ 85,000.00
	2001 CLIN TOTAL	FFP	12	Months	$ 85,000.00	$ 85,000.00
2002	DHA Patient Safety Program Services - OPTIONAL - SEE NOTE 2 BELOW
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 2 BELOW	NTE			$ 15,000.00	$ 15,000.00
	2002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ 15,000.00	$ 15,000.00
				OPTION TWO TOTAL		$ 85,000.00
				OPTION TWO TOTAL W/OPTIONAL CLIN 2002		$ 100,000.00
Option Year Three
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
3001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 1 BELOW	NTE			$ 85,000.00	$ 85,000.00
	3001 CLIN TOTAL	FFP	12	Months	$ 85,000.00	$ 85,000.00
3002	DHA Patient Safety Program Services - OPTIONAL - SEE NOTE 2 BELOW
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 2 BELOW	NTE			$ 15,000.00	$ 15,000.00
	3002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ 15,000.00	$ 15,000.00
				OPTION THREE TOTAL		$ 85,000.00
				OPTION THREE TOTAL W/OPTIONAL CLIN 3002		$ 100,000.00
Option Year Four
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
4001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 1 BELOW	NTE			$ 85,000.00	$ 85,000.00
	4001 CLIN TOTAL	FFP	12	Months	$ 85,000.00	$ 85,000.00
4002	DHA Patient Safety Program Services - OPTIONAL - SEE NOTE 2 BELOW
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 2 BELOW	NTE			$ 15,000.00	$ 15,000.00
	4002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ 15,000.00	$ 15,000.00
				OPTION FOUR TOTAL		$ 85,000.00
				OPTION FOUR TOTAL W/OPTIONAL CLIN 4002		$ 100,000.00
				BASE & OPTS 1-4 TOTAL		$ 449,000.00
				OPTIONAL CLINS 1002-4002		$ 60,000.00
				BASE-OPTIONAL CLINS TOTAL		$ 509,000.00
Extension of Svcs Option
CLIN NO.	SUPPLIES/SERVICES	TYPE	QUANTITY	UNIT	UNIT PRICE	TOTAL PRICE
E001	Patient Safety Program Services for MTFs
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 1 BELOW	NTE			$ 42,500.00	$ 42,500.00
	E001 CLIN TOTAL	FFP	12	Months	$ 42,500.00	$ 42,500.00
E002	DHA Patient Safety Program Services - OPTIONAL - SEE NOTE 2 BELOW
	LABOR	FFP	12	Months	$ - 0	$ - 0
	TRAVEL - SEE NOTE 2 BELOW	NTE			$ 7,500.00	$ 7,500.00
	E002 CLIN TOTAL - OPTIONAL	FFP	12	Months	$ 7,500.00	$ 7,500.00
				EXTENSION OF SERVICES OPTION TOTAL		$ 42,500.00
				EXTENSION OF SERVICES DHA OPTIONAL CLIN E002 TOTAL		$ 7,500.00
				GRAND TOTAL W/EOS & W/OUT OPTIONAL CLINS		$ 491,500.00
				GRAND TOTAL W/EOS & OPTIONAL CLINS		$ 559,000.00

NOTE 1:	Travel is required for contractor personnel to attend patient safety conferences at approximately $3K per person per year. Each attendee prepares back-briefs to DHA's Patient Safety Professional Community of Practice. The locations and dates of the patient safety conferences are not known at this time. The Travel NTE is being rolled up into the FFP Services CLINs 0001-5001. The NTE Travel amount provided is for evaluation purposes only and shall not be deviated from.
NOTE 2:	DHA CLINS (1002, 2002, 3002, 4002, 5002) are optional and will only be exercised if funding becomes available in the option years. Travel is required for contractor personnel to attend patient safety conferences at approximately $3K per person. Each attendee prepares back-briefs to DHA's Patient Safety Professional Community of Practice. The locations and dates of the patient safety conferences are not known at this time. The Travel NTE is being rolled up into the FFP Services CLINs 1002-5002. The NTE Travel amount provided is for evaluation purposes only and shall not be deviated from.
NOTE 3:	PCS CLIN 0002 is a one-time ODC NTE amount and shall not be exceeded. This ODC NTE amount is for the 3 PSAC OCONUS staff only for Permance Change of Station (PCS) costs. The PCS ODC NTE is for evaluation purposes only and shall not be deviated from.
NOTE 4:	All Unit Prices shall be included for Labor for each year to include the DHA Optional Labor CLINs 1002-E002.

CLIN BREAKDOWN

HT001124R0080 - DHA DAD-MA ENTERPRISE-WIDE PATIENT SAFETY PROGRAM FOR MILITARY MEDICAL TREATMENT FACILITIES (MTFs)

CLIN NO

LABOR CATEGORY (LCAT) AS LISTED IN PWS, ESTIMATED WORKLOAD TABLE

CORRESPONDING LABOR CATEGORY THAT MAPS TO PWS LCATs

KEY PERSONNEL (Y/N)

PRIME CONTRACTOR NAME

SUB-CONTRACTOR NAME

PLACE "P" FOR PRIME OR "S' FOR SUB

FOR EACH ROW THAT IS "P" IN COLUMN G - ENTER NAICS, FOR EACH ROW THAT IS "S" IN COLUMN G- ENTER NAICS CODE ASSIGNED TO THAT SUBCONTRACTOR

FOR EACH ROW THAT HAS "P" IN COLUMN G - ENTER SB SIZE STANDARD, FOR EACH ROW THAT HAS A NAICS CODE IN COLUMN G - ENTER TYPE OF SB BUSINESS, FOR EACH ROW THAT IS "S" IN COLUMN G - ENTER "L" OR "S" AND IF "S" ENTER TYPE OF SB

PROPOSED LABOR HOURS

PROPOSED FULLY BURDENED LABOR RATES (FBLRs)

TOTAL (PROPOSED LABOR HOURS x PROPOSED FBLRs)

PERCENTAGE DISCOUNT FROM FBLRs

DISCOUNTED PROPOSED FBLRs

TOTAL (PRPOSED LABOR HOURS x DISCOUNTED PROPOSED FBLRs)

0001

0001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
BASE YEAR LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
1001
1001
1001
1001
1001

1001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
1002 - DHA OPT
1002 - DHA OPT
1002 - DHA OPT

1002 - DHA OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY1 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
2001
2001
2001
2001
2001

2001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
2002 - DHA OPT
2002 - DHA OPT
2002 - DHA OPT

2002 - DHA OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY2 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
3001
3001
3001
3001
3001

3001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
3002 - DHA OPT
3002 - DHA OPT
3002 - DHA OPT

3002 - DHA OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY3 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
4001
4001
4001
4001
4001

4001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
4002 - DHA OPT
4002 - DHA OPT
4002 - DHA OPT

4002 - DHA OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
OY4 LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
BASE - OYS 1-4 CLINs 0001, 1001-4001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
DHA OPTIONAL CLINS 1002-4002 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
TOTAL W/OPT CLINS	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
EXT OF SVCS OPT
E001
E001
E001
E001
E001

E001 TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
E002 -DHA OPT
E002 -DHA OPT
E002 -DHA OPT

E002 - DHA OPT TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
EOS LABOR W/OUT DHA OPT	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
EOS LABOR TOTAL	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
GRAND TOTAL W/EOS & W/OUT OPT CLINS	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
GRAND TOTAL W/ EOS & OPT CLINS	0.00	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
NOTE 1: ALL YEARS SHOULD INCLUDE A ROW REFLECTING THE TOTALS FOR PROPOSED LABOR HOURS, TOTAL LABOR AND TOTAL LABOR W/DISCOUNTS.
NOTE 2: All LABOR HOURS, LABOR RATES, PERCENTAGES, AND TOTALS SHOULD BE ROUNDED OUT TO 2 DECIMAL PLACES ONLY.
NOTE 3: SHOW ALL FORMULAS, DO NOT JUST INPUT NUMBERS [I.E., LHs x DISCOUNTED FBLRs = $]

Sheet1

File details come from the government source that posted it. Updated Feb 26, 2026.