Pricing Schedule Midlevel Providers for UC ER.xlsx

XLSX spreadsheet 12 KB Posted Mar 22, 2023

Attached to: (1) NONPSC Urgent Care/Emergency Room FNP or PA for Chinle Hospital, Chinle Arizona
Solicitation number: IHS1467233
Issued by: Department of Health and Human Services Indian Health Service

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File	Type	Posted
52.212-3 Offeror Representations and Certifications—Commercial Products and Commercial Services (Oct 2022).pdf	PDF	Mar 22, 2023
52.212-3 Offeror Representations and Certifications—Commercial Products and Commercial Services.docx	DOCX document	Mar 22, 2023
3 - FNP PA UC PWS (08212022).pdf	PDF	Mar 22, 2023

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Sheet1

	Pricing Schedule
	Chinle Comprehensive Health Care Facility
	Line Item	Service Type	Description	Estimated Quantity	Unit Price	Extended Price
	1.1	Nonpersonal Services
Family Nurse Practitoners & or Physician Assistants for ER/Urgent Care	All-Inclusive
Regular/Overtime/Holiday hourly rate	2087 hours	$	$
	1.2				$	$

Signature:
	Contractor Representative	Date

SAM UEI # : Company Name:___________________________

Note 1	The All-Inclusive rate does not include special pay for Holiday or Ovetime. The rate shall also provide for all labor, fringe benefits transportation, per diem supervision, and all other necessary expense to provide servies. This includes all applicable Federal State and local Taxes.
Note 2	The hours specified in the pricing schedule are estimates only. If the Governments requirements do not result in orders in the quantities described as estimated in the pricing schedule, that fact shall not constitute the basis for an equitable price adjustment.

Sheet2

Sheet3

File details come from the government source that posted it. Updated Mar 22, 2023.