Amendment 3- Attachment III - Pricing Sheet 23 June.xlsx
XLSX spreadsheet 20 KB Posted
- Solicitation number
- PANDHA26P0000038595
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet template for an RFQ solicitation (PANDHA26P0000038595) for Emergency Medical Services (EMS) ambulatory services at Robins Air Force Base. The sheet outlines the pricing structure for three service line items (SLINs) across a base period and four option periods, with an additional FAR 52.217-8 option period. The base period runs from November 1, 2026, through April 30, 2027 (6 months), followed by four 12-month option periods extending through April 30, 2031, and a final 6-month option period concluding October 31, 2031. Each period requires vendors to provide pricing for: (1) Emergency Medical Services ambulatory services on a per-month basis, (2) special events support measured in hours per period, and (3) supply of ambulance services measured per unit. All price fields are currently blank ($0.00), indicating this is a blank template awaiting vendor completion. The template requires vendors to complete standard contracting information fields including UEI, CAGE code, and point of contact details. This 100% small business set-aside (NAICS 621910) solicitation is managed by the Defense Health Agency and seeks a firm-fixed-price contract for paramedic-level EMS with 24/7/365 coverage and a seven-minute response time requirement for primary emergency calls.
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Text version
PANDHA26P0000038595(RFQ)
Price Sheet- Emergency Medical Services (EMS) Ambulatory Services 78th Medical Group- Robins Air Force Base (AFB)
PANDHA26P0000038595 (RFQ)
| Vendor: | |||||
| UEI: | |||||
| CAGE CODE: | |||||
| POC: | |||||
| SLIN | Description | Quantity | |||
| Unit of Issue | Unit Price | Period Total Price | |||
| BASE PERIOD - | |||||
| 0001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 November 2026-30 April 2027 | 6 | Months | $0.00 | $0.00 |
| 0002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 November 2026-30 April 2027 | 40 | Hours | $0.00 | $0.00 |
| 0003 | Supply of Ambulance Services for Robins AFB Period of Performance: 1 November 2026 - 30 April 2027 | 3 | Each | $0.00 | $0.00 |
| OPTION PERIOD 1 - | |||||
| 1001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2027- 30 April 2028 | 12 | Months | $0.00 | $0.00 |
| 1002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2027- 30 April 2028 | 80 | Hours | $0.00 | $0.00 |
| 1003 | Supply of Ambulance Services for Robins AFB Period of Performance: 1 May 2027- 30 April 2028 | 3 | Each | $0.00 | $0.00 |
| OPTION PERIOD 2 - | |||||
| 2001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2028- 30 April 2029 | 12 | Months | $0.00 | $0.00 |
| 2002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2028- 30 April 2029 | 80 | Hours | $0.00 | $0.00 |
| 2003 | Supply of Ambulance Services for Robins AFB Period of Performance: 1 May 2028- 30 April 2029 | 3 | Each | $0.00 | $0.00 |
| OPTION PERIOD 3 - | |||||
| 3001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2029- 30 April 2030 | 12 | Months | $0.00 | $0.00 |
| 3002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2029- 30 April 2030 | 80 | Hours | $0.00 | $0.00 |
| 3003 | Supply of Ambulance Services for Robins AFB Period of Performance: 1 May 2029- 30 April 2030 | 3 | Each | $0.00 | $0.00 |
| OPTION PERIOD 4 - | |||||
| 4001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2030- 30 April 2031 | 12 | Months | $0.00 | $0.00 |
| 4002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2030- 30 April 2031 | 80 | Hours | $0.00 | $0.00 |
| 4003 | Supply of Ambulance Services for Robins AFB Period of Performance: 1 May 2030- 30 April 2031 | 3 | Each | $0.00 | $0.00 |
| FAR 52.217-8 OPTION PERIOD - | |||||
| 5001 | Emergency Medical Services (EMS) Ambulatory Services for Robins AFB Period of Performance: 1 May 2031- 31 Oct 2031 | 6 | Months | $0.00 | $0.00 |
| 5002 | Special Events IAW PWS for Robins AFB Period of Performance: 1 May 2031- 31 Oct 2031 | 40 | Hours | $0.00 | $0.00 |
| 5003 | Supply of Ambulance Services for Robins AFB Period of Performance: 1 May 2031- 31 Oct 2031 | 3 | Each | $0.00 | $0.00 |
| Total Proposed Price | $0.00 |
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