Amendment 5- Attachment III - Pricing Sheet.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- PANDHA26P0000038595
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet for a Request for Quotation (RFQ) for Emergency Medical Services (EMS) ambulatory services at Robins Air Force Base (RAFB), Georgia, issued by the Defense Health Agency under solicitation number PANDHA26P0000038595.
The pricing sheet outlines a firm-fixed-price contract structure with three primary service line items: (1) Emergency Medical Services (EMS) Ambulatory Services, (2) Special Events services in accordance with the Performance Work Statement, and (3) Ambulance Vehicle Fleet non-labor costs. The contract includes a six-month Base Period (November 1, 2026 through April 30, 2027) and four twelve-month Option Periods, with an additional six-month FAR 52.217-8 Option Period (May 1, 2031 through October 31, 2031), extending through October 2031. The Base Period requires 6 months of EMS services, 40 hours of special events support, and 3 ambulance vehicles; Option Periods 1-4 each require 12 months of EMS services, 80 hours of special events support, and 3 ambulance vehicles. All pricing fields in the sheet are currently blank ($0.00), indicating this is a template for vendor completion. This is a Total Small Business Set-Aside (NAICS Code 621910) requiring contractors to provide paramedic-level services with 24/7/365 coverage and a seven-minute response time 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 | Ambulance Vehicle Fleet (Non-Labor Costs) for Robins AFB Period of Performance: 1 November 2026 - 30 April 2027 | 3 | Each | $0.00 | $0.00 |
| Total Base Year | $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 |
| Total Option Period 1 | $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 |
| Total Option Period 2 | $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 |
| Total Option Period 3 | $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 |
| Total Option Period 4 | $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 -8 Option | $0.00 | ||||
| Total Proposed Price | $0.00 |
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