Pricing Schedule_IMFP rev 1.19.21.pdf

Line Item Description Description Estimated Number of

Hours Unit Price/Hour Extended Price

1.1 All‐Inclusive Regular/Overtime hourly rate

160 hours/month $ $

1.2 Weeknight On‐call rate (flat rate 15.5 hours/shift)

1 shift $ $

1.3 Weekend/Holiday On‐call rate (flat rate 24 hours/shift)

1 shift $ $

2.1 All‐Inclusive Regular/Overtime hourly rate

160 hours/month $ $

2.2 Weeknight On‐call rate (flat rate 15.5 hours/shift)

1 shift $ $

2.3 Weekend/Holiday On‐call rate (flat rate 24 hours/shift)

1 shift $ $

Signature:

Contractor Representative Date

DUNS #:

Note 1

* Non‐COVID Regular Rate will be used when Chinle Service Unit reaches phase 3 reopening, or when a vaccine becomes sufficiently available to population at large. Government reserves the right to make determination.

** COVID Rate will be used when Chinle Service Unit is in phase 0‐2 reopening, or when a vaccine is not yet sufficiently available to population at large. Government reserves the right to make determination.

Chinle Comprehensive Health Care Facility

Pricing Schedule for Nonpersonal Services

The All‐Inclusive rate does not include special pay for Holiday or Ovetime. The rate shall also provide for all labor, fringe benefits transportation, per diem supervision, and all other necessary expense to provide servies. This includes all applicable Federal State and local Taxes.

Non‐COVID Rate*

COVID Rate**

Nonpersonal Services Internal Medicine/Family Practice (IM/FP) Physicians

Nonpersonal Services Internal Medicine/Family Practice (IM/FP) Physicians

Note 2 The hours specified in the pricing schedule are estimates only. If the Governments requirements do not result in orders in the quantities described as estimated in the pricing schedule, that fact shall not constitute the basis for an equitable price adjustment.