Attachment_8_-_Pricing_Workbook_for_N62645-19-Q-0016.xlsx

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Teleradiology Services for Navy MTFs Federal contract opportunity
Solicitation number
N62645-19-Q-0016
Issued by
Department of the Navy Naval Supply Systems Command

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Attachment 8 - Pricing Workbook for N62645-19-Q-0016

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N62645-19-Q-0016_0002.docx DOCX document
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Attachment_10_-_Initial_Requirement_PWSs_0001.docx DOCX document
Attachment_8_-_Pricing_Workbook_for_N62645-19-Q-0016_Amendment_0001.xlsx XLSX spreadsheet
N62645-19-Q-0016_0001.docx DOCX document
Attachment_2_-_Acceptable_Documents_to_Establish_U.S._Citizenship.docx DOCX document
Attachment_3_-_DoDI_8582.01,_June_6,_2012,_Incorporating_Change_1_on_October_27,_2017.pdf PDF
Attachment_9_-_Contract_Administration_Plan.docx DOCX document
Attachment_1_-_QASP.docx DOCX document
Attachment_5_-_Past_Performance_Information_Sheet.docx DOCX document
Attachment_10_-_Initial_Requirement_PWSs_-_final.docx DOCX document
Attachment_4_-_Malpractice_Insurance_Certification_Form.docx DOCX document
N62645-19-Q-0016_-_final.docx DOCX document
Attachment_6_-_SAM_Certification_Sheet.docx DOCX document
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Instructions Teleradiology Services N62645-19-Q-0016

Instructions to Offerors:
1The Pricing Workbook includes proposed unit prices for each type of study and all initial requirements (A, B, and C) that will be issued as task orders after contract award. The proposed unit prices for each type of study will be incoporated in the base contract.
2The offeror shall fill out the Proposed Prices Per Study Tab for CONUS and OCONUS locations. Blue boxes designate those fields into which the offeror can enter values/information. The offeror shall only enter values/information in the blue boxes.
3The Tabs calculate the total proposed price for the base and option years based on the unit price proposed in the Prices Per Study Tab. The offeror shall not fill out these tabs.
4The Summary Tab calculates the grand total price for all intitial requirements. The offeror shall not fill out this tab.
5Billing will occur on a monthly basis based on the actual number of studies performed.

Prices Per Study

Proposed Unit Price for CONUS MTFs
Base YearOption Year 1Option Year 2Option Year 3Option Year 4
Type of Study01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Computed Tomography$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine$ - 0$ - 0$ - 0$ - 0$ - 0
Proposed Unit Price for OCONUS MTFs
Base YearOption Year 1Option Year 2Option Year 3Option Year 4
Type of Study01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Computed Tomography$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine$ - 0$ - 0$ - 0$ - 0$ - 0

Requirement A

Requirement A
Naval Hospital Jacksonville (SLINS 0001AA, 1001AA, 2001AA, 3001AA, and 4001AA)
Type of StudyNumber of Studies Per YearSLIN 0001AASLIN 1001AASLIN 2001AASLIN 3001AASLIN 4001AA
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography2922$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound1117$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film44$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging1872$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0

Total Proposed Price for SLINS 0001AA, 1001AA, 2001AA, 3001AA, and 4001AA: $ - 0

Naval Hospital Pensacola (SLINS 0001AB, 1001AB, 2001AB, 3001AB, and 4001AB)
Type of StudyNumber of Studies Per YearSLIN 0001ABSLIN 1001ABSLIN 2001ABSLIN 3001ABSLIN 4001AB
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography1000$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound200$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film1000$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging1000$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0

Total Proposed Price for SLINS 0001AB, 1001AB, 2001AB, 3001AB, and 4001AB: $ - 0

Naval Medical Center Camp Lejeune (SLINS 0001AC, 1001AC, 2001AC, 3001AC, and 4001AC)
Type of StudyNumber of Studies Per YearSLIN 0001ACSLIN 1001ACSLIN 2001ACSLIN 3001ACSLIN 4001AC
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography2500$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound1000$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film500$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine10$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0

Total Proposed Price for SLINS 0001AC, 1001AC, 2001AC, 3001AC, and 4001AC: $ - 0

Naval Medical Health Clinic Charleston (SLINS 0001AD, 1001AD, 2001AD, 3001AD, and 4001AD)
Type of StudyNumber of Studies Per YearSLIN 0001ADSLIN 1001ADSLIN 2001ADSLIN 3001ADSLIN 4001AD
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography104$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound104$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film200$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging780$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Price Per CLIN:$ - 0$ - 0$ - 0$ - 0$ - 0

Total Proposed Price for SLINS 0001AD, 1001AD, 2001AD, 3001AD, and 4001AD: $ - 0

Naval Health Clinic Corpus Christi (SLINS 0001AE, 1001AE, 2001AE, 3001AE, and 4001AE)
Type of StudyNumber of Studies Per YearSLIN 0001AESLIN 1001AESLIN 2001AESLIN 3001AESLIN 4001AE
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound160$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film800$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Price Per CLIN:$ - 0$ - 0$ - 0$ - 0$ - 0
Total Proposed Price for SLINS 0001AE, 1001AE, 2001AE, 3001AE, and 4001AE:$ - 0
Total Proposed Price for Lot A:$ - 0

Requirement B

Requirement B
Naval Health Clinic Lemoore (SLINS 0001BA, 1001BA, 2001BA, 3001BA, and 4001BA)
Type of StudyNumber of Studies Per YearSLIN 0001BASLIN 1001BASLIN 2001BASLIN 3001BASLIN 4001BA
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film1200$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging40$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0
Total Proposed Price for SLINS 0001BA, 1001BA, 2001BA, 3001BA, and 4001BA:$ - 0
Naval Hospital Bremerton (SLINS 0001BB, 1001BB, 2001BB, 3001BB, and 4001BB)
Type of StudyNumber of Studies Per YearSLIN 0001BBSLIN 1001BBSLIN 2001BBSLIN 3001BBSLIN 4001BB
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography1620$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound353$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film36$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging60$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine12$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0
Total Proposed Price for SLINS 0001BA, 1001BB, 2001BB, 3001BB, and 4001BB:$ - 0
Naval Hospital Camp Pendleton (SLINS 0001BC, 1001BC, 2001BC, 3001BC, and 4001BC)
Type of StudyNumber of Studies Per YearSLIN 0001BCSLIN 1001BCSLIN 2001BCSLIN 3001BCSLIN 4001BC
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography3354$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound1122$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging55$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine10$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0
Total Proposed Price for SLINS 0001BC, 1001BC, 2001BC, 3001BC, and 4001BC:$ - 0
Naval Hospital Twentynine Palms (SLINS 0001BD, 1001BD, 2001BD, 3001BD, and 4001BD)
Type of StudyNumber of Studies Per YearSLIN 0001BDSLIN 1001BDSLIN 2001BDSLIN 3001BDSLIN 4001BD
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography1242$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound894$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film2500$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging545$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0
Total Proposed Price for SLINS 0001BD, 1001BD, 2001BD, 3001BD, and 4001BD:$ - 0
Total Proposed Price for Lot B:$ - 0

Requirement C

Requirement C
U.S. Naval Hospital Rota (SLINS 0001CA, 1001CA, 2001CA, 3001CA, and 4001CA)
Type of StudyNumber of Studies Per YearSLIN 0001CASLIN 1001CASLIN 2001CASLIN 3001CASLIN 4001CA
01 DEC 19 - 30 NOV 2001 DEC 20 - 30 NOV 2101 DEC 21 - 30 NOV 2201 DEC 22 - 30 NOV 2301 DEC 23 - 30 NOV 24
Unit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal PriceUnit PriceTotal Price
Computed Tomography$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultrasound$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Plain Film$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Magnetic Resonance Imaging$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Nuclear Medicine$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Totals:$ - 0$ - 0$ - 0$ - 0$ - 0
Total Proposed Price for SLINS 0001CA, 1001CA, 2001CA, 3001CA, and 4001CA:$ - 0
Total Proposed Price for Lot C:$ - 0

Summary

Total Proposed Prices
Requirement A$ - 0
Requirement B$ - 0
Requirement C$ - 0
Grand Total Price for Intitial Requirements :$ - 0

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