Amendment 7- Attachment III - Pricing Sheet.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- PANDHA26P0000038595
- Issued by
-
Defense Health Agency
About this file
This is a pricing sheet for an RFQ solicitation for Emergency Medical Services (EMS) ambulatory services at Robins Air Force Base. The solicitation number is PANDHA26P0000038595, issued by the Defense Health Agency as a firm-fixed-price contract for non-personal, turnkey, paramedic-level EMS delivery. The pricing sheet is structured to capture vendor pricing across multiple service line items and contract periods. The template requires vendors to provide unit prices for three primary service categories: (1) Emergency Medical Services Ambulatory Services measured in monthly increments; (2) Special Events support measured in hours; and (3) Ambulance Vehicle Fleet non-labor costs measured per vehicle. The contract consists of one six-month Base Period running from November 1, 2026 through April 30, 2027, followed by four twelve-month Option Periods extending through April 30, 2031, and a final six-month option period from May 1, 2031 through October 31, 2031. All pricing fields are currently blank, indicating this is a template awaiting vendor completion. This is a 100% Total Small Business Set-Aside under NAICS Code 621910, with all submitted pricing to be evaluated for the procurement of continuous 24/7/365 EMS coverage with a seven-minute response time requirement for primary emergency calls at the installation.
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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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