Amendment 4- Attachment III - Pricing Sheet.xlsx
XLSX spreadsheet 20 KB Posted
- Solicitation number
- PANDHA26P0000038595
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet template for RFQ PANDHA26P0000038595 for Emergency Medical Services (EMS) Ambulatory Services at Robins Air Force Base in Georgia. The pricing sheet is structured for vendors to provide unit prices and period totals across multiple service line items (SLINs) organized by contract period.
The contract consists of a six-month Base Period (1 November 2026 – 30 April 2027) and four twelve-month Option Periods (1 May 2027 – 30 April 2031), followed by a final six-month option period (1 May 2031 – 31 October 2031). For each period, vendors must price three SLINs: (1) Emergency Medical Services Ambulatory Services (priced per 6-month or 12-month period), (2) Special Events in accordance with the Performance Work Statement (priced per hour at 40 hours for the Base Period and 80 hours for Option Periods), and (3) Ambulance Vehicle Fleet Non-Labor Costs (priced per each, with 3 ambulances required for each period). The template requires vendors to complete their UEI, CAGE code, and point of contact information, then calculate period totals for each SLIN and a total proposed price across all periods. All pricing fields are currently blank, indicating this is an unfilled template awaiting vendor submission.
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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 | Ambulance Vehicle Fleet (Non-Labor Costs) 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 | Ambulance Vehicle Fleet (Non-Labor Costs) 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 | Ambulance Vehicle Fleet (Non-Labor Costs) 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 | Ambulance Vehicle Fleet (Non-Labor Costs)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 | Ambulance Vehicle Fleet (Non-Labor Costs) 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 | Ambulance Vehicle Fleet (Non-Labor Costs) 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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