Atch A - Rate Schedule FP Physician HHCC 2022REV1.xls
XLS spreadsheet 64 KB Posted
- Solicitation number
- RFP-22-PHX-08
About this file
This document includes a request for proposal for family practice physician services at the Hopi Health Care Center in Polacca, Arizona. The Indian Health Service seeks a firm fixed price contract to provide non-personal professional family practice physician services from July 15, 2022 through July 14, 2023 with four optional one-year extensions. The rate schedule template in Attachment A lists the contract line items and leaves unit prices blank. Proposals are due electronically by email to Michele.Lodge@ihs.gov and must include the rate schedule, technical proposal, and past performance data. The solicitation is set aside for Native American firms under the Buy Indian Act and does not provide for subcontracting or teaming arrangements.
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| Attachment A - Rate Schedule | ||||||||||||||||||||
| PROJECT TITLE: | Family Practice Physician Services | |||||||||||||||||||
| Detailed Price Summary | ||||||||||||||||||||
| Note: This template can be modified based on the contract type (i.e. Firm Fixed Price, Time and Materials, and Cost Reimburesment) | ||||||||||||||||||||
| Contract Line Item Description | Base Period | Option Year One | Option Year Two | Option Year Three | Option Year Four | |||||||||||||||
| Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | |
| Family Practice Physician | 4368.00 | HR | $ - 0 | $ - 0 | 4368.00 | HR | $ - 0 | $ - 0 | 4368.00 | HR | $ - 0 | $ - 0 | 4368.00 | HR | $ - 0 | $ - 0 | 4,368.00 | HR | $ - 0 | $ - 0 |
| $ - 0 | $ - 0 | $ - 0 | 0.00 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| Line Item Subtotal | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| Intallation Cost | $ - 0 | |||||||||||||||||||
| Travel | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| Shipping | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| Total Cost | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| Total Estimated Yearly Values | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||||||||||||||
| TOTAL ESTIMATED VALUE OF CONTRACT | $ - 0 | |||||||||||||||||||
| Assumptions: | Percent | |||||||||||||||||||
| Inflation Rate Per Year | 2.25% |
&L&F&D&T
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