Attachment_IV_Pricing_Schedule.pdf

ATTACHMENT IV

Pricing Schedule Radiological Equipment Safety Surveys and

Radiology Monitoring Services Federal Bureau of Prisons

The Federal Bureau of Prisons (BOP), Health Services Division, has a requirement for radiological equipment safety surveys and radiation monitoring services, using evaluations for all medical and dental facilities, utilizing diagnostic radiologic equipment and operation procedures. Market research has determined that a viable commercial market exists for this requirement.

Prospective contractors shall fill out this form completely and may submit other methods of pricing along with this form. Physically visiting a BOP institution to conduct the survey/monitoring constitutes a visit. The proposal accepted will be the most advantageous to the Government.

Base Year Performance Period:

Date of Award through 12 Months Estimate of 60 Equipment Surveys/Radiology Monitoring Visits Price per visit: $ _____________________________________ X 60 = $___________________

Option Period One:

13 months through 24 months

Price per visit: $ _____________________ X 60 = $

Option Period Two:

25 months through 36 months

Price per visit: $ ______________________ X 60 = $_____________________

Option Period Three:

37 months through 48 months

Price per visit: $ ______________________ X 60 = $_____________________

Option Period Four:

49 months through 60 months

Price per visit: $ _____________________ X 60 = $_____________________

Total estimated contract price for 5 years $_____________________