Section_J,_ATTACHMENT_AG_Supplemental_Pricing_Sheet_(Sample).docx

ATTACHMENT AG

SUPPLEMENTAL PRICING WORKSHEET (SAMPLE)

This supplemental pricing worksheet will be used to evaluate realism in accordance with requirements of Section H 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:

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 included in 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.

Professional Pricing: Under additional information, provide an explanation of how proposed compensation will be sufficient in providing uninterrupted, high-quality services as outlined in clause 52.222-46.

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

Option Period Supplemental Pricing Sheets: If applicable, complete supplemental pricing for each option period required under the TOPR.

This is a sample Supplemental Pricing Worksheet:

CLIN 0002

Labor Category: Clinical Psychologist (1 FTE) Location: Naval Medical Center, Portsmouth, VA

(or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

Clinical Psychologist, Naval Medical Center Portsmouth, VA Period of Performance: 01 October 2017 through 30 September 2018

(or Blended, if applicable) Hourly Rate Average (or Blended, if applicable) Hourly Rate

Clinical Psychologist, Naval Medical Center Portsmouth, VA Period of Performance: 01 October 2018 through 30 September 2019

Blended Rate Explanation: (if applicable) ________________________________________________________________________________

Additional Information: _________________________________________________________________

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