FSS-621-I - Xprt Staffing , Inc. - V797P7265A

Department of Veterans Affairs Federal Supply Service Authorized Federal Supply Schedule Price List Effective Date: MA Y 1, 2018 On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage! ™, a menu-driven database system. The Internet address for GSA Advantage! ™ is: www. GSAAdvantage.gov Federal Supply Schedule (FSS) 6211 Professional & Allied Healthcare Staffing Services Product Service Code Q Contract #: V797P- 7265a For more information on ordering from Federal Supply Schedules click on the FSS Schedules at http.//www. fss. gsa. gov

Contract Period: May 1, 2018 through April 30, 2020 Xprt Staffing Inc.

4347 WhitsettAve Studio City, CA 91604 www.xprtmedstaff. com Primary Contact: Haideh Salehi / heidi@xprmedstaff.com Alternative Contact: Cyndi Corpuz / cyndi@xprtmedstaff.com Phone# (818) 380 - 0066 Fax# (818) 380 - 0137 Business Size: Small Woman Owned Data Universal Number System (DUNS) Number: 010622539 Central Contractor Registration (CCR) Cage Code: 5UY99

Customer Information:

1. Table of awarded special item number(s):

SIN 621- Description

2. Maximum order: $1,000,000 per order.

3. Minimum order: 4 Hours

4. Geographic coverage (service area): California

5. Prompt Payment Terms: Net 30 days

6. Government Commercial Credit Card: Government Credit Card accepted up to the micro-purchase threshold* No additional discount applies*

7. Ordering address: 4347 Whitsett Ave, Studio City, CA 91604

8. Payment address: 4335 Van Nuys Blvd, #367, Sherman Oaks, CA 91403

9. Prices shown herein are “net” ceiling prices-not to exceed rates. The net ceiling rates include malpractice insurance for non-personal services task-orders and exclude travel and lodging. Personal Services task-orders will also be accepted. See page 3

10. Minimum Qualifications of Professionals: See pages

11. Medical Liability Insurance Limits: $2 million per occurrence; $4 million aggregate.

12. For services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s), are found in the Federal Acquisition Regulation (FAR) 8.40S-3.

Xprt Staffing Inc.: Not to Exceed Hourly Rates FSS Net

Note: Rates shown are ceiling rates, including malpractice insurance. The rates shown exclude lodging and transportation charges.

Shift Differentials: No Shift Differential

Work Week: Sunday - Saturday Overtime Rate(s): 1.4 x base rate for hours worked in excess of40 hours in accordance with your federal, state and local labor laws.

Holiday Rate(s): 1.4 x the normal hourly rate, such rate applies to recognized federal holiday in which the placement actually works.

On-Call Rate(s): On-Call offered at $10.00 per hour. Provider must carry a cell phone or beeper and provide phone consultation if needed. The individual must remain within 30 minutes or within a 30 mile radius from the facility.

Call Back Rate(s): Call-Back applicable hourly rate applies with 1.4x hourly rate being charge after 40 hours in a week Call-Back applies when physically on site.

Attachment “A” Qualifications of Professionals:

SIN 621- Description

Education: Graduation from an accredited RN program. BSN preferred. Diploma required.

Certification: valid license in at least one U.S state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS Additional requirements: Fire Safety card, Drug Screening Health Screening TB Skin Test, Background Check Reference check

Education: Graduation from an accredited RN program. BSN preferred. Diploma required.

Certification: valid license in at least one U.S state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS, ACLS, PALS Additional requirements: Fire Safety card, Drug Screening Health Screening TB San Test, Background Check Reference check

Education: Graduation from an accredited RN program. BSN preferred. Diploma required Certification: valid license in at least one U.S state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS, ACLS, PALS Additional requirements: Fire Safety card, Drug Screening Health Screening TB Skin Test, Background Check Reference check

Education: Graduation from an accredited RN program. BSN preferred. Diploma required.

Certification: valid license in at least one U.S state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS, ACLS, PALS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Certification: valid license in at least one U.S state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS, ACLS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited RN program.

BSN preferred. Diploma required Certification: valid license in at least one U.S state.

Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS, ACLS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited School of Respiratory therapy.

Certification: valid Certificate of program completion. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS, ACLS, PALS, CRTT, RRT Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited LP/VNprogram. Certification: valid license in at least one US state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited Medical Assistant program.

Certification: valid license in at least one U,S state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited CNA program. Certification: valid license in at least one U.S state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited training program. High School Diploma Certification: valid license in at least one US state. Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited AMA Radiology Technology training program.

Certification: valid license in at least one U.S state. Experience: Minimum I year experience in specialty within the last 36 months.

Licensure: BCLS, CRT, ARRT, Fluoroscopy Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Certification: valid license in at least one U.S state. Experience: Minimum 1 year experience in specialty within the last 36 months.

Licensure: BCLS, CRT, ARRT, Fluoroscopy Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited AMA Ultrasound Technology training program.

Certification: valid license in at least one U.S state.

Experience: Minimum 1 year experience in specialty within the last 36 months.

Licensure: BCLS, RDMS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Certification: valid Certificate of program completion Experience: Minimum 1 year experience in specialty within the last 36 months.

Licensure: BCLS, ACLS, RDMS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Certification: valid Certificate of program completion Experience: Minimum 1 year experience in specialty within the last 36 months.

Licensure: BCLS, CRT, ARRT, Fluoroscopy Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited AMA Radiology Technology training program.

Certification: valid Certificate of program completion Experience: Minimum 1 year experience in specialty within the last 36 months.

Licensure: BCLS, ARRT Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited Nuclear Technologist program.

Certification: valid Certificate of program completion Experience: Minimum 1 year experience in specialty within the last 36 months.

Licensure: BCLS Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

Education: Graduation from an accredited Masters of Nursing program. BSN preferred. Diploma required. Certification: valid license in at least one U.S state.

Certification as a Nurse Practitioner by ANCC.

Experience: Minimum 1 year experience within the last 36 months.

Licensure: BCLS, ACLS, NRP

Additional requirements: Fire Safety card, Drug Screening, Health Screening, TB Skin Test, Background Check, Reference check.

♦Include any other additional minimum qualifications that may apply.

Additional Requirements:

Att employees must provide a resume and fill out an application. The application process includes a skills checklist along the exams such as: HIPPA, Age Specific, Infection Control, and Safety Screening. Att employees must go through the entire Health Screening process which includes: medical evaluation, PPD clearance, immunization records, Hepatitis B vaccination, and 10-panel Drug Screen clearance. All employees must be eligible to work in the United States and complete an 1-9 documentation along with W-4.