NNMS_RFP_Attachment 6_NNMS_Pricing Template.xlsx

XLSX spreadsheet 21 KB Posted

Attached to
TSA Nationwide Network of Medical Services (NNMS)
Solicitation number
70T01023R7663N001
Issued by

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Other files

File Type Posted
NNMS_RFP_Amendment_A00001.pdf PDF
NNMS_RFP (dated 07312023).pdf PDF
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NNMS_RFP_Attachment 2_SOW (dated 07312023).pdf PDF
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NNMS_RFP_Attachment 4_NNMS_DHS Form 11000-6 NDA.pdf PDF
NNMS_RFP_Attachment 3_Questions and Answers.xlsx XLSX spreadsheet
NNMS_RFP_Attachment 7_NNMS_H_H_H - RTM.pdf PDF
NNMS_RFP_Attachment 2_Statement of Work (SOW).pdf PDF
NNMS_RFP_Attachment 8_NNMS_Past Performance Questionnaire.xlsx XLSX spreadsheet
NNMS_RFP_05112023.pdf PDF
NNMS_RFP_Attachment 1_SF1449.pdf PDF
NNMS_RFP_Attachment 5_NNMS_TSA Form 2815-Terms and Conditions for Access to Sensitive Security Info NDA.pdf PDF
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Summary

NNMS MEDICAL - ATTACHMENT 6 - PRICING SHEET
RFP: 70T01023R7663N001
PRICING SUMMARY
PERIOD OF PERFORMANCETOTAL PERIOD PRICE
BASE$ - 0

OPTION PERIOD 1 $ - 0

OPTION PERIOD 2 $ - 0

OPTION PERIOD 3 $ - 0

OPTION PERIOD 4 $ - 0

TOTAL CONTRACT PRICE $ - 0

Base

NNMS Medical
RFP: 70T01023R7663N001
BASE PERIOD
CLINDESCRIPTIONTYPEQTYUNIT TYPEUNIT PRICETOTAL PRICE
0001Authority To Operate (ATO) (SOW Appendix 1) and Transition-In (Three Months) (SOW Sec. 10)FFP1JOB$ - 0$ - 0
0002OPTIONAL - USA Staffing Integration (SOW Sec. 15)**FFP1JOB$ - 0$ - 0
TOTAL BASE PRICE$ - 0
** This Optional CLIN may be exercised any time during the contract period of performance pending TSA’s need.

Option 1

NNMS Medical
RFP: 70T01023R7663N001
OPTION PERIOD 1
CLINDESCRIPTIONTYPEQTYUNIT TYPEUNIT PRICETOTAL PRICE
1001TSO Medical Evaluations (Option Period 1)
1001AATSO Medical EvaluationsFFP20,000Each$ - 0$ - 0
1001ABOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
1001ACOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
1001ADOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
1001AEOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
1001AFOPTIONAL - TSO Medical EvaluationsFFP2,358Each$ - 0$ - 0
1002FAMS Medical Evaluations (Option Period 1)
1002AAFAMS Medical EvaluationsFFP2,000Each$ - 0$ - 0
1002ABOPTIONAL - FAMS Medical EvaluationsFFP541Each$ - 0$ - 0
1003TSS-EDCH Medical Evaluations (Option Period 1)
1003AATSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
1003ABOPTIONAL - TSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
1004TSS-E Medical Evaluations (Option Period 1)
1004AATSS-E Medical EvaluationsFFP20Each$ - 0$ - 0
1004ABOPTIONAL - TSS-E Medical EvaluationsFFP17Each$ - 0$ - 0
1005Criminal Investigator Medical Evaluations (Option Period 1)
1005AACriminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
1005ABOPTIONAL - Criminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
1006Mobile Medical and Drug Testing Evaluation Unit
1006AAMobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
1006ABOPTIONAL - Mobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
1007Program Management & Quality ControlFFP12Month$ - 0$ - 0
1008System Sustainment and ATO Re-validation (O&M)FFP12Month$ - 0$ - 0
TOTAL OPTION PERIOD 1 PRICE$ - 0

Option 2

NNMS Medical
RFP: 70T01023R7663N001
OPTION PERIOD 2
CLINDESCRIPTIONTYPEQTYUNIT TYPEUNIT PRICETOTAL PRICE
2001TSO Medical Evaluations (Option Period 2)
2001AATSO Medical EvaluationsFFP20,000Each$ - 0$ - 0
2001ABOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
2001ACOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
2001ADOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
2001AEOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
2001AFOPTIONAL - TSO Medical EvaluationsFFP2,358Each$ - 0$ - 0
2002FAMS Medical Evaluations (Option Period 2)
2002AAFAMS Medical EvaluationsFFP2,000Each$ - 0$ - 0
2002ABOPTIONAL - FAMS Medical EvaluationsFFP541Each$ - 0$ - 0
2003TSS-EDCH Medical Evaluations (Option Period 2)
2003AATSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
2003ABOPTIONAL - TSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
2004TSS-E Medical Evaluations (Option Period 2)
2004AATSS-E Medical EvaluationsFFP20Each$ - 0$ - 0
2004ABOPTIONAL - TSS-E Medical EvaluationsFFP17Each$ - 0$ - 0
2005Criminal Investigator Medical Evaluations (Option Period 2)
2005AACriminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
2005ABOPTIONAL - Criminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
2006Mobile Medical and Drug Testing Evaluation Unit
2006AAMobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
2006ABOPTIONAL - Mobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
2007Program Management & Quality ControlFFP12Month$ - 0$ - 0
2008System Sustainment and ATO Re-validation (O&M)FFP12Month$ - 0$ - 0
TOTAL OPTION PERIOD 2 PRICE$ - 0

Option 3

NNMS Medical
RFP: 70T01023R7663N001
OPTION PERIOD 3
CLINDESCRIPTIONTYPEQTYUNIT TYPEUNIT PRICETOTAL PRICE
3001TSO Medical Evaluations (Option Period 3)
3001AATSO Medical EvaluationsFFP20,000Each$ - 0$ - 0
3001ABOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
3001ACOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
3001ADOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
3001AEOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
3001AFOPTIONAL - TSO Medical EvaluationsFFP2,358Each$ - 0$ - 0
3002FAMS Medical Evaluations (Option Period 3)
3002AAFAMS Medical EvaluationsFFP2,000Each$ - 0$ - 0
3002ABOPTIONAL - FAMS Medical EvaluationsFFP541Each$ - 0$ - 0
3003TSS-EDCH Medical Evaluations (Option Period 3)
3003AATSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
3003ABOPTIONAL - TSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
3004TSS-E Medical Evaluations (Option Period 3)
3004AATSS-E Medical EvaluationsFFP20Each$ - 0$ - 0
3004ABOPTIONAL - TSS-E Medical EvaluationsFFP17Each$ - 0$ - 0
3005Criminal Investigator Medical Evaluations (Option Period 3)
3005AACriminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
3005ABOPTIONAL - Criminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
3006Mobile Medical and Drug Testing Evaluation Unit
3006AAMobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
3006ABOPTIONAL - Mobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
3007Program Management & Quality ControlFFP12Month$ - 0$ - 0
3008System Sustainment and ATO Re-validation (O&M)FFP12Month$ - 0$ - 0
TOTAL OPTION PERIOD 3 PRICE$ - 0

Option 4

NNMS Medical
RFP: 70T01023R7663N001
OPTION PERIOD 4
CLINDESCRIPTIONTYPEQTYUNIT TYPEUNIT PRICETOTAL PRICE
4001TSO Medical Evaluations (Option Period 4)
4001AATSO Medical EvaluationsFFP20,000Each$ - 0$ - 0
4001ABOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
4001ACOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
4001ADOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
4001AEOPTIONAL - TSO Medical EvaluationsFFP5,000Each$ - 0$ - 0
4001AFOPTIONAL - TSO Medical EvaluationsFFP2,358Each$ - 0$ - 0
4002FAMS Medical Evaluations (Option Period 4)
4002AAFAMS Medical EvaluationsFFP2,000Each$ - 0$ - 0
4002ABOPTIONAL - FAMS Medical EvaluationsFFP541Each$ - 0$ - 0
4003TSS-EDCH Medical Evaluations (Option Period 4)
4003AATSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
4003ABOPTIONAL - TSS-EDCH Medical EvaluationsFFP27Each$ - 0$ - 0
4004TSS-E Medical Evaluations (Option Period 4)
4004AATSS-E Medical EvaluationsFFP20Each$ - 0$ - 0
4004ABOPTIONAL - TSS-E Medical EvaluationsFFP17Each$ - 0$ - 0
4005Criminal Investigator Medical Evaluations (Option Period 4)
4005AACriminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
4005ABOPTIONAL - Criminal Investigator Medical EvaluationsFFP5Each$ - 0$ - 0
4006Mobile Medical and Drug Testing Evaluation Unit
4006AAMobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
4006ABOPTIONAL - Mobile Medical and Drug Testing Evaluation UnitFFP12Each$ - 0$ - 0
4007Program Management & Quality ControlFFP12Month$ - 0$ - 0
4008System Sustainment and ATO Re-validation (O&M)FFP12Month$ - 0$ - 0
TOTAL OPTION PERIOD 4 PRICE$ - 0

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