Pricing_Sheet_for_N62645-13-R-0011.xlsx

Instruction Page

SE Nursing MATO N62645-13-R-0011 Instructions Page

This pricing worksheet will be used to evaluate reasonableness and realism in accordance with requirements of Sections H, L, and M of the basic contract. It is not considered cost or pricing data in accordance with FAR Subpart 15.402(a)(3) or other than cost and pricing data in accordance with FAR Subpart 15.402(a)(2).

NOTE: If awarded this requirement, contractors will be required to pay at least the minimum compensation rate proposed below to each HCW.

DEFINITIONS/INSTRUCTIONS:

Unit Price: This is the hourly rate paid directly to the contractor for providing the service.

Hourly Rate: This is the hourly compensation paid directly to the HCW. Do NOT include any fringe benefits or mandated taxes in this rate.

Minimum Hourly Rate: This is the minimum hourly compensation to be paid to each HCW. As noted above, if awarded this requirement, contractors will be required to pay at the least the minimum compensation proposed. This amount will be evaluated in accordance with Section H of the basic contract.

Average Hourly Rate: This is the average hourly compensation estimated to be paid for the labor category, considering all HCWs to be utilized and all hours of service to be performed. This amount will be evaluated in accordance with Section H of the basic contract.

Blended Rate: If overtime, shift differential, or other additional direct compensation is necessary due to the nature of the requirement, it should be added to minimum and average hourly rates and provided as a blended rate. Additionally, an explanation of a blended rate shall be cited under “Blended Rate Explanation.” Do NOT include any fringe benefits or mandated taxes in this rate.

Blended Rate Explanation: The contractor shall explain how the blended hourly rate was derived if additional, direct compensation is necessary due to the nature of the requirement. The contractor shall include the minimum or average hourly rate plus any additional compensation that contributed to the blended hourly rate. For example, if a blended rate of $20.00/hour is proposed and shift differential and overtime are necessary due to the requirement, the explanation shall state: “the $20.00/hour is made up of a minimum hourly rate of $15.00/hour plus $3.00/hour for overtime and $2.00/hour for shift differential.” Mark “N/A” if a blended rate does not apply.

Health and Welfare: This includes non-cash compensation provided to the employee necessary to comply with Department of Labor requirements. For the purposes of this contract in accordance with 29 CFR 4.171, fringe benefits required by law are not considered a part of health and welfare rates for service contract act wage determination (SCA WD) positions. FICA, FUTA, SUTA, and workers’ compensation amounts should not be reported.

Additional Information: Provide any additional information deemed necessary to explain HCW compensation.

Option Period Pricing Sheets: Complete pricing for each option period.

Lot A

N62645-13-R-0011 SE Nursing MATO Lot A

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0004AA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Licensed Practical Nurse - Naval Hospital Pensacola, FL Base Period: 4 May 2014 through 30 September 2014 856 $0.00 $0.00 $0.00 $0.00

1004AA Licensed Practical Nurse - Naval Hospital Pensacola, FL Option Period 1: 1 October 2014 through 30 September 2015 2,088 $0.00 $0.00 $0.00 $0.00

2004AA Licensed Practical Nurse - Naval Hospital Pensacola, FL Option Period 2: 1 October 2015 through 30 September 2016 2,096 $0.00 $0.00 $0.00 $0.00

3004AA Licensed Practical Nurse - Naval Hospital Pensacola, FL Option Period 3: 1 October 2016 through 30 September 2017 2,080 $0.00 $0.00 $0.00 $0.00

4004AA Licensed Practical Nurse - Naval Hospital Pensacola, FL Option Period 4: 1 October 2017 through 30 September 2018 2,080 $0.00 $0.00 $0.00 $0.00

5004AA Licensed Practical Nurse - Naval Hospital Pensacola, FL Option Period 5: 1 October 2018 through 3 May 2019 1,240 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0004AA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

pankaj.mistry: pankaj.mistry:

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: This position is subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Lot B

N62645-13-R-0011 SE Nursing MATO Lot B

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0004BA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Registered Nurse - Naval Hospital Pensacola, FL Base Period: 4 May 2014 through 30 September 2014 1,712 $0.00 $0.00 $0.00 $0.00

1004BA Registered Nurse - Naval Hospital Pensacola, FL Option Period 1: 1 October 2014 through 30 September 2015 4,176 $0.00 $0.00 $0.00 $0.00

2004BA Registered Nurse - Naval Hospital Pensacola, FL Option Period 2: 1 October 2015 through 30 September 2016 4,192 $0.00 $0.00 $0.00 $0.00

3004BA Registered Nurse - Naval Hospital Pensacola, FL Option Period 3: 1 October 2016 through 30 September 2017 4,160 $0.00 $0.00 $0.00 $0.00

4004BA Registered Nurse - Naval Hospital Pensacola, FL Option Period 4: 1 October 2017 through 30 September 2018 4,160 $0.00 $0.00 $0.00 $0.00

5004BA Registered Nurse - Naval Hospital Pensacola, FL Option Period 5: 1 October 2018 through 3 May 2019 2,480 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0004BA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: These positions are subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Lot C

N62645-13-R-0011 SE Nursing MATO Lot C

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0004CA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Registered Nurse Case Manager - Naval Hospital Pensacola, FL Base Period: 4 May 2014 through 30 September 2014 856 $0.00 $0.00 $0.00 $0.00

1004CA Registered Nurse Case Manager - Naval Hospital Pensacola, FL Option Period 1: 1 October 2014 through 30 September 2015 2,088 $0.00 $0.00 $0.00 $0.00

2004CA Registered Nurse Case Manager - Naval Hospital Pensacola, FL Option Period 2: 1 October 2015 through 30 September 2016 2,096 $0.00 $0.00 $0.00 $0.00

3004CA Registered Nurse Case Manager - Naval Hospital Pensacola, FL Option Period 3: 1 October 2016 through 30 September 2017 2,080 $0.00 $0.00 $0.00 $0.00

4004CA Registered Nurse Case Manager - Naval Hospital Pensacola, FL Option Period 4: 1 October 2017 through 30 September 2018 2,080 $0.00 $0.00 $0.00 $0.00

5004CA Registered Nurse Case Manager - Naval Hospital Pensacola, FL Option Period 5: 1 October 2018 through 3 May 2019 1,240 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0004CA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: This position is subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Lot D

N62645-13-R-0011 SE Nursing MATO Lot D

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0004DA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Licensed Practical Nurse - Naval Hospital Corpus Christi, TX Base Period: 4 May 2014 through 30 September 2014 856 $0.00 $0.00 $0.00 $0.00

1004DA Licensed Practical Nurse - Naval Hospital Corpus Christi, TX Option Period 1: 1 October 2014 through 30 September 2015 2,088 $0.00 $0.00 $0.00 $0.00

2004DA Licensed Practical Nurse - Naval Hospital Corpus Christi, TX Option Period 2: 1 October 2015 through 30 September 2016 2,096 $0.00 $0.00 $0.00 $0.00

3004DA Licensed Practical Nurse - Naval Hospital Corpus Christi, TX Option Period 3: 1 October 2016 through 30 September 2017 2,080 $0.00 $0.00 $0.00 $0.00

4004DA Licensed Practical Nurse - Naval Hospital Corpus Christi, TX Option Period 4: 1 October 2017 through 30 September 2018 2,080 $0.00 $0.00 $0.00 $0.00

5004DA Licensed Practical Nurse - Naval Hospital Corpus Christi, TX Option Period 5: 1 October 2018 through 3 May 2019 1,240 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0004DA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: This position is subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Lot E

N62645-13-R-0011 SE Nursing MATO Lot E

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0004EA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Registered Nurse - Naval Hospital Corpus Christi, TX Base Period: 4 May 2014 through 30 September 2014 856 $0.00 $0.00 $0.00 $0.00

1004EA Registered Nurse - Naval Hospital Corpus Christi, TX Option Period 1: 1 October 2014 through 30 September 2015 2,088 $0.00 $0.00 $0.00 $0.00

2004EA Registered Nurse - Naval Hospital Corpus Christi, TX Option Period 2: 1 October 2015 through 30 September 2016 2,096 $0.00 $0.00 $0.00 $0.00

3004EA Registered Nurse - Naval Hospital Corpus Christi, TX Option Period 3: 1 October 2016 through 30 September 2017 2,080 $0.00 $0.00 $0.00 $0.00

4004EA Registered Nurse - Naval Hospital Corpus Christi, TX Option Period 4: 1 October 2017 through 30 September 2018 2,080 $0.00 $0.00 $0.00 $0.00

5004EA Registered Nurse - Naval Hospital Corpus Christi, TX Option Period 5: 1 October 2018 through 3 May 2019 1,240 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0004EA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: This position is subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Lot F

N62645-13-R-0011 SE Nursing MATO Lot F

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0003FA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Certified Nurse Midwife - Naval Hospital Jacksonville, FL Base Period: 4 May 2014 through 30 September 2014 856 $0.00 $0.00 $0.00 $0.00

1003FA Certified Nurse Midwife - Naval Hospital Jacksonville, FL Option Period 1: 1 October 2014 through 30 September 2015 2,088 $0.00 $0.00 $0.00 $0.00

2003FA Certified Nurse Midwife - Naval Hospital Jacksonville, FL Option Period 2: 1 October 2015 through 30 September 2016 2,096 $0.00 $0.00 $0.00 $0.00

3003FA Certified Nurse Midwife - Naval Hospital Jacksonville, FL Option Period 3: 1 October 2016 through 30 September 2017 2,080 $0.00 $0.00 $0.00 $0.00

4003FA Certified Nurse Midwife - Naval Hospital Jacksonville, FL Option Period 4: 1 October 2017 through 30 September 2018 2,080 $0.00 $0.00 $0.00 $0.00

5003FA Certified Nurse Midwife - Naval Hospital Jacksonville, FL Option Period 5: 1 October 2018 through 3 May 2019 1,240 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0003FA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: This position is subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Lot G

N62645-13-R-0011 SE Nursing MATO Lot G

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0004GA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Registered Nurse - Naval Hospital Jacksonville, FL Base Period: 4 May 2014 through 30 September 2014 856 $0.00 $0.00 $0.00 $0.00

1004GA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 1: 1 October 2014 through 30 September 2015 2,088 $0.00 $0.00 $0.00 $0.00

2004GA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 2: 1 October 2015 through 30 September 2016 2,096 $0.00 $0.00 $0.00 $0.00

3004GA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 3: 1 October 2016 through 30 September 2017 2,080 $0.00 $0.00 $0.00 $0.00

4004GA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 4: 1 October 2017 through 30 September 2018 2,080 $0.00 $0.00 $0.00 $0.00

5004GA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 5: 1 October 2018 through 3 May 2019 1,240 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0004GA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: This position is subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Lot H

N62645-13-R-0011 SE Nursing MATO Lot H

CLIN Description Quantity (Hours) Unit Price Total Price Minimun (or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

0004HA

pankaj.mistry: pankaj.mistry:

CLIN_BEGIN Registered Nurse - Naval Hospital Jacksonville, FL Base Period: 4 May 2014 through 30 September 2014 856 $0.00 $0.00 $0.00 $0.00

1004HA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 1: 1 October 2014 through 30 September 2015 2,088 $0.00 $0.00 $0.00 $0.00

2004HA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 2: 1 October 2015 through 30 September 2016 2,096 $0.00 $0.00 $0.00 $0.00

3004HA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 3: 1 October 2016 through 30 September 2017 2,080 $0.00 $0.00 $0.00 $0.00

4004HA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 4: 1 October 2017 through 30 September 2018 2,080 $0.00 $0.00 $0.00 $0.00

5004HA Registered Nurse - Naval Hospital Jacksonville, FL Option Period 5: 1 October 2018 through 3 May 2019 1,240 $0.00 $0.00 $0.00 $0.00

Total Price for CLIN 0004HA and all Options pankaj.mistry: pankaj.mistry:

CLIN_1_TOTAL $0.00

Total Lot Price pankaj.mistry: pankaj.mistry:

LOT_TOTAL

CLIN_END $0.00

Blended Rate Explanation (if applicable):

NOTE: This position is subject to the Service Contract Act. The U. S. Department of Labor (DOL) mandates a minimum Health and Welfare benefit as well as a minimum hourly compensation rate.

Summary Page

N62645-13-R-0011 SE Nursing MATO Total Price Summary

Lot # Total Lot Price

A $ - 0

B $ - 0

C $ - 0

D $ - 0

E $ - 0

F $ - 0

G $ - 0

H $ - 0

Grand Total Price for all Lots $ - 0