Price-Cost Schedule - ALS and BLS Ambulance Transportation.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
V225--AMBULANCE SERVICE - Detroit VAMC
Solicitation number
36C25024R0119
Issued by

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This document is a Price-Cost Schedule for a five-year Indefinite Delivery Indefinite Quantity (IDIQ) contract to provide Basic and Advanced Life Support Ambulance Service for the John D. Dingell VA Medical Center in Detroit, Michigan. The contract period is from July 16, 2024 to July 15, 2029. The estimated total contract value is $81,650. The services required include Advanced Life Support (ALS) emergency transport, Basic Life Support (BLS) non-emergency transport, non-emergent ALS transport, critical care transport, mileage outside the base rate, and waiting time. The unit prices are $1.00 for each service line item. The solicitation number is 36C25024R0119 and is issued by the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 10.

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Item Detail

Item NumberSLINDescriptionContract PeriodPoP BeginPoP EndEstimated QuantityUnit of MeasureUnit PriceExtended Price
1001Provide Basice and Advanced Life Support Ambulance Service for the John D. Dingell VA Medical CenterYear One7/16/247/15/25
1001AA(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles).Year One7/16/247/15/2565TRP$1.00$65.00
1001AB(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include Detroit city limits).Year One7/16/247/15/251145TRP$1.00$1,145.00
1001AC(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include Detroit City limits).Year One7/16/247/15/2535TRP$1.00$35.00
1001AD(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year One7/16/247/15/2535TRP$1.00$35.00
1001AE(A0380) Mileage Trip Outside the Base Rate for ALS and BLS transportationYear One7/16/247/15/2515000MI$1.00$15,000.00
1001AF(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).Year One7/16/247/15/2550EA$1.00$50.00
2001Provide Basice and Advanced Life Support Ambulance Service for the John D. Dingell VA Medical CenterYear Two7/16/257/15/26
2001AA(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles).Year Two7/16/257/15/2665TRP$1.00$65.00
2001AB(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include Detroit city limits).Year Two7/16/257/15/261145TRP$1.00$1,145.00
2001AC(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include Detroit City limits).Year Two7/16/257/15/2635TRP$1.00$35.00
2001AD(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Two7/16/257/15/2635TRP$1.00$35.00
2001AE(A0380) Mileage Trip Outside the Base Rate for ALS and BLS transportationYear Two7/16/257/15/2615000MI$1.00$15,000.00
2001AF(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).Year Two7/16/257/15/2650EA$1.00$50.00
3001Provide Basice and Advanced Life Support Ambulance Service for the John D. Dingell VA Medical CenterYear Three7/16/267/15/27
3001AA(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles).Year Three7/16/267/15/2765TRP$1.00$65.00
3001AB(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include Detroit city limits).Year Three7/16/267/15/271145TRP$1.00$1,145.00
3001AC(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include Detroit City limits).Year Three7/16/267/15/2735TRP$1.00$35.00
3001AD(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Three7/16/267/15/2735TRP$1.00$35.00
3001AE(A0380) Mileage Trip Outside the Base Rate for ALS and BLS transportationYear Three7/16/267/15/2715000MI$1.00$15,000.00
3001AF(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).Year Three7/16/267/15/2750EA$1.00$50.00
4001Provide Basice and Advanced Life Support Ambulance Service for the John D. Dingell VA Medical CenterYear Four7/16/277/15/28
4001AA(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles).Year Four7/16/277/15/2865TRP$1.00$65.00
4001AB(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include Detroit city limits).Year Four7/16/277/15/281145TRP$1.00$1,145.00
4001AC(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include Detroit City limits).Year Four7/16/277/15/2835TRP$1.00$35.00
4001AD(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Four7/16/277/15/2835TRP$1.00$35.00
4001AE(A0380) Mileage Trip Outside the Base Rate for ALS and BLS transportationYear Four7/16/277/15/2815000MI$1.00$15,000.00
4001AF(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).Year Four7/16/277/15/2850EA$1.00$50.00
5001Provide Basice and Advanced Life Support Ambulance Service for the John D. Dingell VA Medical CenterYear Five7/16/287/15/29
5001AA(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles).Year Five7/16/287/15/2965TRP$1.00$65.00
5001AB(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include Detroit city limits).Year Five7/16/287/15/291145TRP$1.00$1,145.00
5001AC(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include Detroit City limits).Year Five7/16/287/15/2935TRP$1.00$35.00
5001AD(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals.Year Five7/16/287/15/2935TRP$1.00$35.00
5001AE(A0380) Mileage Trip Outside the Base Rate for ALS and BLS transportationYear Five7/16/287/15/2915000MI$1.00$15,000.00
5001AF(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).Year Five7/16/287/15/2950EA$1.00$50.00

Annual Totals

Annual Totals
Line Item 1001$16,330.00
Ordering Year One Total$16,330.00
Line Item 2001$16,330.00
Ordering Year Two Total$16,330.00
Line Item 3001$16,330.00
Ordering Year Three Total$16,330.00
Line Item 4001$16,330.00
Ordering Year Four Total$16,330.00
Line Item 5001$16,330.00
Ordering Year Five Total$16,330.00
Total Estimated Contract Value$81,650.00

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