Amendment 6- 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 template for a Request for Quotation (RFQ) solicitation (PANDHA26P0000038595) for Emergency Medical Services (EMS) ambulatory services at Robins Air Force Base in Georgia. The Defense Health Agency seeks a firm-fixed-price contract for non-personal, turnkey, paramedic-level EMS services with continuous 24/7/365 coverage and a seven-minute response time requirement for primary emergency calls. The contract structure includes one six-month base period (November 1, 2026 – April 30, 2027) and four twelve-month option periods, with an additional six-month FAR 52.217-8 option period (May 1, 2031 – October 31, 2031).
The pricing sheet requires vendors to provide unit prices and period totals for three service line items in each period: (1) Emergency Medical Services Ambulatory Services (6 months for base period, 12 months for option periods), (2) Special Events services (40 hours for base period, 80 hours for option periods), and (3) Ambulance Vehicle Fleet non-labor costs (3 ambulances per period). The solicitation is a 100% Total Small Business Set-Aside under NAICS Code 621910. Vendor information fields include UEI, CAGE CODE, and Point of Contact details. All pricing entries on this template are currently showing $0.00, indicating this is a blank pricing sheet for contractor completion.
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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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