Tab D - Pricing Schedule.xlsx

XLSX spreadsheet 33 KB Posted Apr 10, 2025

Attached to: Non-Personal Healthcare Services for Emergency Department at the Gallup Indian Medical Center
Solicitation number: 75H71025Q00131
Issued by: Department of Health and Human Services Indian Health Service

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Written by GovTribe AI · Apr 10, 2025

The document is a Pricing Schedule for Registered Nursing Services for the Gallup Indian Medical Center and Tohatchi Health Center in New Mexico, covering three option periods from July 2020 to December 2025. The solicitation (75H71025Q00131) is for a Non-Personal Healthcare Service Contract specifically for 40 Registered Nurses in the Emergency Department, issued by the Department of Health and Human Services Indian Health Service.

The pricing schedule details 17 distinct nursing positions across multiple clinical areas, including Internal Medicine, Family Medicine, Pediatrics, Med Surg, Perioperative, ICU, Women's Health, and specialized roles like Case Manager and Nurse Educator. Each position has specific certification requirements, shift schedules, and estimated hours per pay period. The contract is unrestricted but reserves 20 small business slots (10 ISBEE and 10 Small Businesses), with the potential for multiple awards. Certification requirements vary by role and include credentials such as BLS, ACLS, PALS, NRP, TNCC, and specialized monitoring certifications. The contract allows for flexible scheduling, including day, evening, and night shifts, with some positions requiring weekend and holiday coverage.

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Other files

File	Type	Posted
Solicitation - 75H71025Q00131 - Amendment 001.pdf	PDF	Apr 22, 2025
Attachment E - Nurse Profile Checklist.xlsx	XLSX spreadsheet	Apr 10, 2025
75H71025Q00131 - Solicitation.pdf	PDF	Apr 10, 2025
Attachment B - Statement of Duties_ED.pdf	PDF	Apr 10, 2025
Attachment C - Department of Labor Wage Determination.pdf	PDF	Apr 10, 2025
Attachment A - Performance Work Statement.pdf	PDF	Apr 10, 2025

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FY24 Pricing Schedule

Line Item	Registered Nurse Position	Estimated Quantity	Certification Requirements	Shift	Estimated Hours	Hourly Rate (all inclusive)	Period of Performance		Total Line Item Pricing
							Beginning	Ending
LOCATION: Gallup Indian Medical Center, Gallup, NM

	GIMC	ED RN	40	BLS,ACLS,PALS,NRP,ENPC/TNCC		84 Hrs Per Pay Period
12 Hr D/Eve/N Rotating/Including Wknds/Holidays		77400		7.01.25	12.31.25

Total contracts 40 TOTAL AMT. X 3 QTRS 0

Date: Signature: FSS Contract No.

Vendor:
NOTE 1	FAR 52.222-41 Service Contract Act of 1965, as Amended (July 2005) shall apply to this RFQ.
NOTE 2	The hours specified in the priicng schedule are estimates only. If the Government requirements do not result in the quantities described as estimated in the pricing schedule, that fact shall not constitute the basis for an equitable price adjustment.

&"-,Bold"&16Pricing Schedule Registered Nursing Services July 01,2025 THRU DECEMBER 31,2025

Sample

	Line Item	Registered Nurse Position	Estimated Quantity	Certification Requirements	Shift	Estimated Hours	Hourly Rate (all inclusive)	Period of Performance		Total Line Item Pricing
								Beginning	Ending
	LOCATION: Gallup Indian Medical Center, Gallup, NM
	1	Internal Medicine Clinic (IMC) RN	4	BLS, ACLS	80 Hrs Per Pay Period/Flex Day shift
Mon- Fri/No Wknds/No Holidays			7/1/20	9/30/20
	2	Family Medicine Clinic (FMC) RN	4	BLS,ACLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon- Fri/No Wknds/No			7/1/20	9/30/20
	3	Walk-In Primary Care Clinic RN	1	BLS	80 Hrs Per Pay Period / 10 Hr Day Shifts Mon Fri/ Includes Wknds and Holidays			7/1/20	9/30/20
	4	Pediatric Clinic RN	5	BLS, PALS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon- Fri/No Wknds/No			7/1/20	9/30/20
	5	Med Surg RN	14	ACLS, BLS	84 Hrs Per Pay Period
12 Hr D/N Rotating/Wknds/Holidays			7/1/20	9/30/20
	6	Perioperative - OR RN	7	ACLS, BLS,PALS,TNCC	80 Hrs Per Pay Period / 8/10 Hr Day Shifts Mon Fri/ includes Wknds and Holidays, Stand by Call rotation			7/1/20	9/30/20
	7	PACU RN	3	ACLS, BLS	80 Hrs Per Pay Period 8/10Hr Day Shift Monday-Friday Includes Weekends/Holidays On-call			7/1/20	9/30/20
	8	Perioperative - Scrub Tech	4	BLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon - Fri/ includes Wknds and Holidays, Stand by Call rotation			7/1/20	9/30/20
	9	Infusion Nurse RN	2	BLS, ACLS	80 Hrs Per Pay Period/Flex Day shift
Mon- Fri/No Wknds/No Holidays			7/1/20	9/30/20
	10	In Patient Pediatrics RN	9	BLS,NRP,PALS,ACLS	80-84 Hrs Per Pay Period / 12 Hr Days/night shifts, includes Wknds and Holidays			7/1/20	9/30/20
	11	Intensive Care Unit (ICU) RN	7	ACLS, BLS,TNCC	84 Hrs Per Pay Period
12 Hr D/N Rotating/Wknds/Holidays			7/1/20	9/30/20
	12	Women's Health Unit - RN	5	BLS, NRP, Intermediate or Advances Fetal Monitor Course, ACLS	80-84 Hrs Per Pay Period / 12 Hr Day/night rotating Shifts /includes, Wkends and Holidays			7/1/20	9/30/20
	13	Women's Health - Scrub Tech	2	BLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon - Fri/ includes Wknds and Holidays, Stand by Call rotation			7/1/20	9/30/20
	14	Case Manager	5	BLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts
Mon- Fri/No wknds/No Holidays or Wknds			7/1/20	9/30/20
	15	Flu Clinic RN	2	BLS	80 Hrs Per Pay Period / 8/10 Hr Flex Day Shifts
Mon- Sat/No Sunday/No Holidays			7/1/20	9/30/20
	16	Nurse Educator	3	BLS, ACLS, TNCC	80 Hrs Per Pay Period / 8/10 Hr Day Shifts / Occasional Evenings, Nights, Wkends Mon‐Fri/No Holidays			7/1/20	9/30/20
	LOCATION: Tohatchi Health Center, Tohatchi, NM
	1	Out Patient Clinics RN	3	BLS, ACLS, PALS	80 Hrs Per Pay Period/Monday to Friday/
Flex Days/Occasional Saturday/No Holidays			7/1/20	9/30/20
	Date:			Signature:			FSS Contract No.

Vendor:
NOTE 1	FAR 52.222-41 Service Contract Act of 1965, as Amended (July 2005) shall apply to this RFQ.
NOTE 2	The hours specified in the priicng schedule are estimates only. If the Government requirements do not result in the quantities described as estimated in the pricing schedule, that fact shall not constitute the basis for an equitable price adjustment.

&K05-0231st Option Period: July 1, 2020 through September 30, 2020

Pricing Schedule sample

	Line Item	Registered Nurse Position	Estimated Quantity	Certification Requirements	Shift	Estimated Hours	Hourly Rate (all inclusive)	Period of Performance		Total Line Item Pricing
								Beginning	Ending
	LOCATION: Gallup Indian Medical Center, Gallup, NM
	1	Internal Medicine Clinic (IMC) RN	4	BLS, ACLS	80 Hrs Per Pay Period/Flex Day shift
Mon- Fri/No Wknds/No Holidays			10/1/20	12/31/20
	2	Family Medicine Clinic (FMC) RN	4	BLS,ACLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon- Fri/No Wknds/No			10/1/20	12/31/20
	3	Walk-In Primary Care Clinic RN	1	BLS	80 Hrs Per Pay Period / 10 Hr Day Shifts Mon Fri/ Includes Wknds and Holidays			10/1/20	12/31/20
	4	Pediatric Clinic RN	5	BLS, PALS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon- Fri/No Wknds/No			10/1/20	12/31/20
	5	Med Surg RN	14	ACLS, BLS	84 Hrs Per Pay Period
12 Hr D/N Rotating/Wknds/Holidays			10/1/20	12/31/20
	6	Perioperative - OR RN	7	ACLS, BLS,PALS,TNCC	80 Hrs Per Pay Period / 8/10 Hr Day Shifts Mon Fri/ includes Wknds and Holidays, Stand by Call rotation			10/1/20	12/31/20
	7	PACU RN	3	ACLS, BLS	80 Hrs Per Pay Period 8/10Hr Day Shift Monday-Friday Includes Weekends/Holidays On-call			10/1/20	12/31/20
	8	Perioperative - Scrub Tech	4	BLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon - Fri/ includes Wknds and Holidays, Stand by Call rotation			10/1/20	12/31/20
	9	Infusion Nurse RN	2	BLS, ACLS	80 Hrs Per Pay Period/Flex Day shift
Mon- Fri/No Wknds/No Holidays			10/1/20	12/31/20
	10	In Patient Pediatrics RN	9	BLS,NRP,PALS,ACLS	80-84 Hrs Per Pay Period / 12 Hr Days/night shifts, includes Wknds and Holidays			10/1/20	12/31/20
	11	Intensive Care Unit (ICU) RN	7	ACLS, BLS,TNCC	84 Hrs Per Pay Period
12 Hr D/N Rotating/Wknds/Holidays			10/1/20	12/31/20
	12	Women's Health Unit - RN	5	BLS, NRP, Intermediate or Advances Fetal Monitor Course, ACLS	80-84 Hrs Per Pay Period / 12 Hr Day/night rotating Shifts /includes, Wkends and Holidays			10/1/20	12/31/20
	13	Women's Health - Scrub Tech	2	BLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts Mon - Fri/ includes Wknds and Holidays, Stand by Call rotation			10/1/20	12/31/20
	14	Case Manager	5	BLS	80 Hrs Per Pay Period / 8 Hr Flex Day Shifts
Mon- Fri/No wknds/No Holidays or Wknds			10/1/20	12/31/20
	15	Flu Clinic RN	2	BLS	80 Hrs Per Pay Period / 8/10 Hr Flex Day Shifts
Mon- Sat/No Sunday/No Holidays			10/1/20	12/31/20
	16	Nurse Educator	3	BLS, ACLS, TNCC	80 Hrs Per Pay Period / 8/10 Hr Day Shifts / Occasional Evenings, Nights, Wkends Mon‐Fri/No Holidays			10/1/20	12/31/20
	LOCATION: Tohatchi Health Center, Tohatchi, NM
	1	Out Patient Clinics RN	3	BLS, ACLS, PALS	80 Hrs Per Pay Period/Monday to Friday/
Flex Days/Occasional Saturday/No Holidays			10/1/20	12/31/20
	Date:			Signature:			FSS Contract No.

Vendor:
NOTE 1	FAR 52.222-41 Service Contract Act of 1965, as Amended (July 2005) shall apply to this RFQ.
NOTE 2	The hours specified in the priicng schedule are estimates only. If the Government requirements do not result in the quantities described as estimated in the pricing schedule, that fact shall not constitute the basis for an equitable price adjustment.

&K05-0222nd Option Period: October 1, 2020 through December 31, 2020

File details come from the government source that posted it. Updated Apr 10, 2025.