A-09-03_W81K04-17-R-0004-0002_Conform.doc

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LVN and CNA Services
Solicitation number
W81K04-17-R-0004
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This document is a pre-solicitation notice for licensed vocational nurse and certified nursing assistant services for the San Antonio Military Health System. The anticipated period of performance is from October 2017 through September 2022. Approximately 250 LVNs and CNAs will be required to support a seven day per week, 24-hour operation including holidays across multiple military medical facilities in the San Antonio area. The solicitation will be issued on or around January 19, 2017 solely through the Federal Business Opportunities website. Interested parties should monitor the site for the solicitation and any subsequent amendments. The North American Industry Classification code is 621399 with a small business size standard of $7.5 million. All contractors must be registered in the System for Award Management database. Questions regarding this requirement should be directed to the point of contact provided.

W81K04-17-R-0004-0002 Conformed Solicitation

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A-09-03_W81K04-17-R-0004-0002.pdf PDF
Attachment_10_Price_Matrix_for_LVN-CNA-Rev.xlsx XLSX spreadsheet
A-09-03_W81K04-17-R-0004-0001.pdf PDF
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Section SF 1449 - CONTINUATION SHEET

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

UNDEFINED

LVN/CNA SERVICES

FFP

Personal Services. The Contractor shall provide licensed vocational nurses (LVN) and certified nursing assistants (CNA) nurse services for the SAMHS which includes the San Antonio Military Medical Center (SAMMC), Ft. Sam Houston Primary Care Clinic, and McWethy Troop Medical Clinic (TMC), all located at Ft. Sam Houston; Wilford Hall Ambulatory Surgery Center (WHASC) at Lackland Air Force Base; Taylor Burk Health Clinic (TBHC) at Camp Bullis (TBHC operates as a satellite clinic for SAMMC and WHASC); Randolph AFB Clinic (RAFBC); North Central Federal Clinic at San Antonio, Kelly Clinic at Port San Antonio, and the Community Based Medical Home (CBMH) at Schertz.

Period of Performance: 1 Oct 17 - 30 Sep 18

FOB: Destination

MAX

NET AMT

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AA

41,800
Hours

LVN-Primary Care & Family Pract Clinics

Personal Services of LVN in the SAMMC/WHASC Primary Care and Family

Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

Period of Performance : 1 Oct 17 - 30 Sep 18

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AB

200
Hours

LVN-Primary Care & Family Practice OT

OVERTIME/HOLIDAY. Personal Services of LVN in the SAMMC/WHASC

Primary Care and Family Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AC

17,280
Hours

LVN Emergency Room Department

Personal Services of LVN in the SAMMC/WHASC Emergency Room Department in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AD

1,320
Hours

LVN Emergency Room Department POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Emergency Room Dept in accordance with the Performance Work Statement and Technical Exhibit.

Period of Performance 1 Oct 17 – 30 Sep 18

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AE

504
Hours

LVN Emergency Room Department OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Emergency Room Dept in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AF

11,600
Hours

LVN - Inpatient Pediatrics

Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AG

3,840
Hours

LVN-Inpatient Pediatrics POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AH

1,200
Hours

LVN-Inpatient Pediatrics OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Inpatient Pedtiatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AJ

160,000
Hours

LVN- Medical Surgical Dept of Nursing

Personal Services of LVNs in the SAMMC/WHASC Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AK

42,000
Hours

LVN- Medical Surgical POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of

Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AL

11,000
Hours

LVN Medical Surgical OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AM

40,000
Hours

LVN ISR Burn Unit

Personal Services of LVNs in the SAMMC/WHASC Burn Unit (ISR) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AN

3,000
Hours

LVN - ISR Burn Unit OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Burn Unit (ISR) in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AP

32,098
Hours

LVN - OB GYN/ORTHO/CARDIO CLINIC

Personal Services of LVNs in the SAMMC/WHASC Dept of

OBGYN/ORTHO/CARDIO CLINIC in accordance with the Performance Work

Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AQ

Hours

DELETED CLIN

CLIN WILL NOT BE INCORPORTED INTO THE SOLICITATION AND AWARD

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AR

3,840
Hours

LVN - Dept of Operative & Anesthesia

Personal Services of LVNs (Recovery) in the SAMMC/WHASC Dept of

Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AS

7,680
Hours

LVN - Dermatology Clinic

Personal Services of LVNs in the SAMMC/WHASC Dermatology Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AT

10,360
Hours

LVN - Pediatric Clinic

Personal Services of LVNs in the SAMMC/WHASC Pediatric Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AU

200
Hours

LVN-Dept of Operative & Anesthesia OT/HO

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AV

1,440
Hours

LVN-Dept of Operative & Anesthesia POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of OR

& Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AW

12,480
Hours

CNA-Dept of Obstetrics & Gyno Clinic

Personal Services of CNAs in the SAMMC/WHASC Dept of Obstetrics &

Gynecology Clinic in accordance with the Performance Work Statement and Technical Exhibit .

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AX

62,000
Hours

CNA-Emergency Room Department Srv

Personal Services of CNAs in the SAMMC/WHASC Department of Emergency Room Department Services in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AY

10,142
Hours

CNA Inpatient/Emergency Rm Dept - OT/HOL

OVERTIME/HOLIDAY. Personal Services of CNAs in the SAMMC/WHASC

Inpatient/Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001AZ

115,790
Hours

InPatient, InPatient Psychiatriic & GI

CNA Personal Services in the SAMMC/WHASC InPatient, InPatient Psychiatric and GI Clinic in accordance with the Performace Work Statment and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BA

9,600
Hours

LVN - Allergy Clinic

Personal Services of LVNs in the SAMMC/WHASC Allergy Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BB

Hours

DELETED CLIN

CLIN WILL NOT BE INCORPORATED IN THE SOLICITATION AND AWARD

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BC

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BD

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BE

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BF

2,070
Hours

LVN Deployment Health Assessment Clinic

Personal Services of LVNs in the SAMMC/WHASC Deployment Health Assessment Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BG

2,070
Hours

LVN - Infection Control Clinic

Personal Services of LVNs in the SAMMC/WHASC Infection Control Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BH

17,730
Hours

LVN - Internal Medicine Clinic

Personal Services of LVNs in the SAMMC/WHASC Internal Medicine in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BJ

Hours

CLIN DELETED

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BK

Hours not used

CLIN WILL NOT BE INCORPORATED INTO THE SOLICITATION

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BL

1,920
Hours

LVN - Pulmonary Clinic

Personal Services of LVNs in the SAMMC/WHASC Pulmonary Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BM

1,920
Hours

LVN - Same Day Surgery Clinic

Personal Services of LVNs in the SAMMC/WHASC Same Day Surgery

Clinic in accordance with the Performance Work Statement and Technical

Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BN

11,520
Hours

LVN - Training Health Clinic

Personal Services of LVNs in the SAMMC/WHASC Training Health Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

0001BP

Hours

NOT USED

CLIN WILL NOT BE INCORPORATED INTO THE SOLICITATION

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT
1
Each

Contractor Manpower Report (CMR)

Annual data reporting IAW Performance Work Statement, paragraph 3.12.

Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

Reporting Period: 1 Oct 17 to 30 Sep 18

Report Due: NLT 31 Oct 18

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

UNDEFINED

LVN/CNA SERVICES

Personal Services. The Contractor shall provide licensed vocational nurses (LVN) and certified nursing assistants (CNA) nurse services for the SAMHS which includes the San Antonio Military Medical Center (SAMMC), Ft. Sam Houston Primary Care Clinic, and McWethy Troop Medical Clinic (TMC), all located at Ft. Sam Houston; Wilford Hall Ambulatory Surgery Center (WHASC) at Lackland Air Force Base; Taylor Burk Health Clinic (TBHC) at Camp Bullis (TBHC operates as a satellite clinic for SAMMC and WHASC); Randolph AFB Clinic (RAFBC); North Central Federal Clinic at San Antonio, Kelly Clinic at Port San Antonio, and the Community Based Medical Home (CBMH) at Schertz.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AA

41,800
Hours

LVN-Primary Care & Family Pract Clinics

Personal Services of LVN in the SAMMC/WHASC Primary Care and family

Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

Period of Performance 1 Oct 18 – 30 Sep 19

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AB

200
Hours

LVN-Primary Care & Family Pract Clinics

OVERTIME/HOLIDAY. Personal Services of LVN in the SAMMC/WHASC

Primary Care and Family Clinics in accordance with the Performance Work

Statement and TechnicalExhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AC

17,280
Hours

LVN Emergency Room Department

Personal Services of LVN in the SAMMC/WHASC Emergency Room Department in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AD

1,320
Hours

LVN Emergency Room Department POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Emergency Room Dept in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AE

504
Hours

LVN Emergency Room Department OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Emergency Room Dept in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AF

11,600
Hours

LVN - Inpatient Pediatrics

Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AG

3,840
Hours

LVN - Inpatient Pediatrics Pool

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AH

1,200
Hours

LVN - Inpatient Pediatrics OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AJ

160,000
Hours

LVN- Medical Surgical Dept of Nursing

Personal Services of LVNs in the SAMMC/WHASC Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AK

42,000
Hours

LVN- Medical Surgical POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of

Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AL

11,000
Hours

LVN Medical Surgical OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AM

40,000
Hours

LVN ISR Burn Unit

Personal Services of LVNs in the SAMMC/WHASC Burn Unit (ISR) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AN

3,000
Hours

LVN - ISR Burn Unit OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Burn Unit (ISR) in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AP

32,098
Hours

LVN - OB GYN/ORTHO/CARDIO CLINIC

Personal Services of LVNs in the SAMMC/WHASC Dept of

OBGYN/ORTHO/CARDIO CLINIC in accordance with the Performance Work

Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AQ

Hours

DELETED CLIN

CLIN WILL NOT BE ON THE SOLICITATION AND AWARD

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AR

3,840
Hours

LVN - Dept of Operative & Anesthesia

Personal Services of LVNs (Recovery) in the SAMMC/WHASC Dept of

Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AS

7,680
Hours

LVN - Dermatology Clinic

Personal Services of LVNs in the SAMMC/WHASC Dermatology Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AT

10,360
Hours

LVN - Pediatric Clinic

Personal Services of LVNs in the SAMMC/WHASC Pediatric Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AU

200
Hours

LVN-Dept of Operative & Anesthesia OT/HO

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AV

1,440
Hours

LVN-Dept of Operative & Anesthesia POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of OR

& Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AW

12,480
Hours

CNA-Dept of Obstetrics & Gyno Clinic

Personal Services of CNAs in the SAMMC/WHASC Dept of Obstetrics &

Gynecology Clinic in accordance with the Performance Work Statement and Technical Exhibit .

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AX

62,000
Hours

CNA-Emergency Room Department Srv

Personal Services of CNAs in the SAMMC/WHASC Department of Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AY

10,142
Hours

CNA -Inpatient/Emergency Rm Dept -OT/HOL

OVERTIME/HOLIDAY. Personal Services of CNAs in the SAMMC/WHASC

Inpatient/Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001AZ

115,790
Hours

InPatient, InPatient Psychiatriic & GI

CNA Personal Services in the SAMMC/WHASC InPatient, InPatient Psychiatric and GI Clinic in accordance with the Performace Work Statment and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BA

9,600
Hours

LVN - Allergy Clinic

Personal Services of LVNs in the SAMMC/WHASC Allergy Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BB

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BC

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BD

Hours

DELETED C LIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BE

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BF

2,070
Hours

LVN-Deployment Health Assessment Clinic

Personal Services of LVNs in the SAMMC/WHASC in Deployment Health Assessment Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BG

2,070
Hours

LVN - Infection Control Clinic

Personal Services of LVNs in the SAMMC/WHASC Infection Control Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BH

17,730
Hours

LVN - Internal Medicine Clinic

Personal Services of LVNs in the SAMMC/WHASC Internal Medicine Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BJ

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BK

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BL

1,920
Hours

LVN - Pulmonary Clinic

Personal Services of LVNs in the SAMMC/WHASC Pulmonary Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BM

1,920
Hours

LVN - Same Day Surgery Clinic

Personal Services of LVNs in the SAMMC/WHASC Same Day Surgery

Clinic in accordance with the Performance Work Statement and Technical

Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BN

11,520
Hours

LVN - Training Health Clinic

Personal Services of LVNs in the SAMMC/WHASC Training Health Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

1001BP

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT
1
Each

Contractor Manpower Report (CMR)

Annual data reporting IAW Performance Work Statement, paragraph 3.12.

Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

Reporting Period: 1 Oct 18 to 30 Sep 19

Report Due: NLT 31 Oct 19

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

UNDEFINED

LVN/CNA SERVICES

Personal Services. The Contractor shall provide licensed vocational nurses (LVN) and certified nursing assistants (CNA) nurse services for the SAMHS which includes the San Antonio Military Medical Center (SAMMC), Ft. Sam Houston Primary Care Clinic, and McWethy Troop Medical Clinic (TMC), all located at Ft. Sam Houston; Wilford Hall Ambulatory Surgery Center (WHASC) at Lackland Air Force Base; Taylor Burk Health Clinic (TBHC) at Camp Bullis (TBHC operates as a satellite clinic for SAMMC and WHASC); Randolph AFB Clinic (RAFBC); North Central Federal Clinic at San Antonio, Kelly Clinic at Port San Antonio, and the Community Based Medical Home (CBMH) at Schertz.

Period of Performance 1 Oct 19 – 30 Sep 20

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AA

41,800
Hours

LVN-Primary Care & Family Pract Clinics

Personal Services of LVN in the SAMMC/WHASC Primary Care and Family

Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AB

200
Hours

LVN-Primary Care & Family Pract Clinics

OVERTIME/HOLIDAY. Personal Services of LVN in the SAMMC/WHASC

Primary Care and Family Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AC

17,280
Hours

LVN Emergency Room Department

Personal Services of LVN in the SAMMC/WHASC Emergency Room Department in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AD

1,320
Hours

LVN Emergency Room Department POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Emergency Room Dept in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AE

504
Hours

LVN Emergency Room Department OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Emergency Room Dept in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AF

11,600
Hours

LVN - Inpatient Pediatrics

Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AG

3,840
Hours

LVN - Inpatient Pediatrics Pool

Nurse Pool. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AH

1,200
Hours

LVN-Inpatient Pediatrics OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AJ

160,000
Hours

LVN- Medical Surgical Dept of Nursing

Personal Services of LVNs in the SAMMC/WHASC Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AK

42,000
Hours

LVN- Medical Surgical POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of

Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AL

11,000
Hours

LVN Medical Surgical OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AM

40,000
Hours

LVN ISR Burn Unit

Personal Services of LVNs in the SAMMC/WHASC Burn Unit (ISR) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AN

3,000
Hours

LVN - ISR Burn Unit OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Burn Unit (ISR) in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AP

32,098
Hours

LVN - OB GYN/ORTHO/CARDIO CLINIC

Personal Services of LVNs in the SAMMC/WHASC Dept of

OBGYN/ORTHO/CARDIO CLINIC in accordance with the Performance Work

Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AQ

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AR

3,840
Hours

LVN - Dept of Operative & Anesthesia

Personal Services of LVNs (Recovery) in the SAMMC/WHASC Dept of

Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AS

7,680
Hours

LVN - Dermatology Clinic

Personal Services of LVNs in the SAMMC/WHASC Dermatology Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AT

10,360
Hours

LVN - Pediatric Clinic

Personal Services of LVNs in the SAMMC/WHASC Pediatric Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AU

200
Hours

LVN-Dept of Operative & Anesthesia OT/HO

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AV

1,440
Hours

LVN-Dept of Operative & Anesthesia POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of OR

& Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AW

12,480
Hours

CNA-Dept of Obstetrics & Gyno Clinic

Personal Services of CNAs in the SAMMC/WHASC Dept of Obstetrics &

Gynecology Clinic in accordance with the Performance Work Statement and Technical Exhibit .

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AX

62,000
Hours

CNA-Emergency Room Department Services

Personal Services of CNAs in the SAMMC/WHASC Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AY

10,142
Hours

CNA - Inpatient/Emergency Rm Dept OT/HOL

OVERTIME/HOLIDAY. Personal Services of CNAs in the SAMMC/WHASC

Inpatient/Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001AZ

115,790
Hours

InPatient, InPatient Psychiatriic & GI

CNA Personal Services in the SAMMC/WHASC InPatient, InPatient Psychiatric and GI Clinic in accordance with the Performace Work Statment and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BA

9,600
Hours

LVN - Allergy Clinic

Personal Services of LVNs in the SAMMC/WHASC Allergy Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BB

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BC

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BD

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BE

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BF

2,070
Hours

LVN Deployment Health Assessment Clinic

Personal Services of LVNs in the SAMMC/WHASC Deployment Health Assessment Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BG

2,070
Hours

LVN - Infection Control Clinic

Personal Services of LVNs in the SAMMC/WHASC Infection Control Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BH

17,730
Hours

LVN - Internal Medicine Clinic

Personal Services of LVNs in the SAMMC/WHASC Internal Medicine Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BJ

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BK

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BL

1,920
Hours

LVN - Pulmonary Clinic

Personal Services of LVNs in the SAMMC/WHASC Pulmonary Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BM

1,920
Hours

LVN - Same Day Surgery Clinic

Personal Services of LVNs in the SAMMC/WHASC Same Day Surgery

Clinic in accordance with the Performance Work Statement and Technical

Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BN

11,520
Hours

LVN - Training Health Clinic

Personal Services of LVNs in the SAMMC/WHASC Training Health Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

2001BP

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT
1
Each

Contractor Manpower Report (CMR)

Annual data reporting IAW Performance Work Statement, paragraph 3.12.

Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

Reporting Period: 1 Oct 19 to 30 Sep 20

Report Due: NLT 31 Oct 20

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

UNDEFINED

LVN/CNA SERVICES

Personal Services. The Contractor shall provide licensed vocational nurses (LVN) and certified nursing assistants (CNA) nurse services for the SAMHS which includes the San Antonio Military Medical Center (SAMMC), Ft. Sam Houston Primary Care Clinic, and McWethy Troop Medical Clinic (TMC), all located at Ft. Sam Houston; Wilford Hall Ambulatory Surgery Center (WHASC) at Lackland Air Force Base; Taylor Burk Health Clinic (TBHC) at Camp Bullis (TBHC operates as a satellite clinic for SAMMC and WHASC); Randolph AFB Clinic (RAFBC); North Central Federal Clinic at San Antonio, Kelly Clinic at Port San Antonio, and the Community Based Medical Home (CBMH) at Schertz.

Period of Performance 1 Oct 20 – 30 Sep 21

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AA

41,800
Hours

LVN-Primary Care & Family Pract Clinics

Personal Services of LVN in the SAMMC/WHASC Primary Care and family

Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AB

200
Hours

LVN-Primary Care & Family Pract Clinics

OVERTIME/HOLIDAY. Personal Services of LVN in the SAMMC/WHASC

Primary Care and Family Practice Clinics in accordance with the Performance Work

Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AC

17,280
Hours

LVN Emergency Room Department

Personal Services of LVN in the SAMMC/WHASC Emergency Room Department in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AD

1,320
Hours

LVN Emergency Room Department POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Emergency Room Dept in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AE

504
Hours

LVN Emergency Room Department OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Emergency Room Dept in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AF

11,600
Hours

LVN - Inpatient Pediatrics

Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AG

3,840
Hours

LVN-Inpatient Pediatrics Pool

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AH

1,200
Hours

LVN-Inpatient Pediatrics OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AJ

160,000
Hours

LVN- Medical Surgical Dept of Nursing

Personal Services of LVNs in the SAMMC/WHASC Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AK

42,000
Hours

LVN- Medical Surgical POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of

Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AL

11,000
Hours

LVN Medical Surgical OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement an Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AM

40,000
Hours

LVN ISR Burn Unit

Personal Services of LVNs in the SAMMC/WHASC Burn Unit (ISR) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AN

3,000
Hours

LVN - ISR Burn Unit OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Burn Unit (ISR) in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AP

32,098
Hours

LVN - OB GYN/ORTHO/CARDIO CLINIC

Personal Services of LVNs in the SAMMC/WHASC Dept of

OBGYN/ORTHO/CARDIO in accordance with the Performance Work

Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AQ

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AR

3,840
Hours

LVN - Dept of Operative & Anesthesia

Personal Services of LVNs (Recovery) in the SAMMC/WHASC Dept of

Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AS

7,680
Hours

LVN - Dermatology Clinic

Personal Services of LVNs in the SAMMC/WHASC Dermatology Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AT

10,360
Hours

LVN - Pediatric Clinic

Personal Services of LVNs in the SAMMC/WHASC Pediatric Clinic in accordance with the Performance Work Statement and Technical Exhibit

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AU

200
Hours

LVN-Dept of Operative & Anesthesia OT/HO

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AV

1,440
Hours

LVN-Dept of Operative & Anesthesia POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of OR

& Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AW

12,480
Hours

CNA-Dept of Obstetrics & Gyno Clinic

Personal Services of CNAs in the SAMMC/WHASC Dept of Obstetrics &

Gynecology Clinic in accordance with the Performance Work Statement and Technical Exhibit .

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AX

62,000
Hours

CNA-Emergency Room Department Services

Personal Services of CNAs in the SAMMC/WHASC Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AY

10,142
Hours

CNA - Inpatient/Emergency Rm Dept-OT/HOL

OVERTIME/HOLIDAY. Personal Services of CNAs in the SAMMC/WHASC Inpatient/Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001AZ

115,790
Hours

InPatient, InPatient Psychiatriic & GI

CNA Personal Services in the SAMMC/WHASC InPatient, InPatient Psychiatric and GI Clinic in accordance with the Performace Work Statment and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BA

9,600
Hours

LVN - Allergy Clinic

Personal Services of LVNs in the SAMMC/WHASC Allergy Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BB

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BC

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BD

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BE

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BF

2,070
Hours

LVN Deployment Health Assessment Clinic

Personal Services of LVNs in the SAMMC/WHASC Deployment Health Assessment Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BG

2,070
Hours

LVN - Infection Control Clinic

Personal Services of LVNs in the SAMMC/WHASC Infection Control Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BH

17,730
Hours

LVN - Internal Medicine Clinic

Personal Services of LVNs in the SAMMC/WHASC Internal Medicine Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BJ

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BK

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BL

1,920
Hours

LVN - Pulmonary Clinic

Personal Services of LVNs in the SAMMC/WHASC Pulmonary Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BM

1,920
Hours

LVN - Same Day Surgery Clinic

Personal Services of LVNs in the SAMMC/WHASC Same Day Surgery

Clinic in accordance with the Performance Work Statement and Technical

Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BN

11,520
Hours

LVN - Training Health Clinic

Personal Services of LVNs in the SAMMC/WHASC Training Health Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

3001BP

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT
1
Each

Contractor Manpower Report (CMR)

Annual data reporting IAW Performance Work Statement, paragraph 3.12.

Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

Reporting Period: 1 Oct 20 to 30 Sep 21

Report Due: NLT 31 Oct 21

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

UNDEFINED

LVN/CNA SERVICES

Personal Services. The Contractor shall provide licensed vocational nurses (LVN) and certified nursing assistants (CNA) nurse services for the SAMHS which includes the San Antonio Military Medical Center (SAMMC), Ft. Sam Houston Primary Care Clinic, and McWethy Troop Medical Clinic (TMC), all located at Ft. Sam Houston; Wilford Hall Ambulatory Surgery Center (WHASC) at Lackland Air Force Base; Taylor Burk Health Clinic (TBHC) at Camp Bullis (TBHC operates as a satellite clinic for SAMMC and WHASC); Randolph AFB Clinic (RAFBC); North Central Federal Clinic at San Antonio, Kelly Clinic at Port San Antonio, and the Community Based Medical Home (CBMH) at Schertz.

Period of Performance 1 Oct 21 – 30 Sep 22

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AA

41,800
Hours

LVN-Primary Care & Family Pract Clinics

Personal Services of LVN in the SAMMC/WHASC Primary Care and family

Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AB

200
Hours

LVN-Primary Care & Family Pract Clinics

OVERTIME/HOLIDAY. Personal Services of LVN in the SAMMC/WHASC

Primary Care and Family Practice Clinics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AC

17,280
Hours

LVN Emergency Room Department

Personal Services of LVN in the SAMMC/WHASC Emergency Room Department in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AD

1,320
Hours

LVN Emergency Room Department POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Emergency Room Dept in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AE

504
Hours

LVN Emergency Room Department OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Emergency Room Dept in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AF

11,600
Hours

LVN - Inpatient Pediatrics

Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AG

3,840
Hours

LVN-Inpatient Pediatrics Pool

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AH

1,200
Hours

LVN-Inpatient Pediatrics OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC Inpatient Pediatrics in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AJ

160,000
Hours

LVN- Medical Surgical Dept of Nursing

Personal Services of LVNs in the SAMMC/WHASC Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AK

42,000
Hours

LVN- Medical Surgical POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of

Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AL

11,000
Hours

LVN Medical Surgical OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Nursing (Med/Surg) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AM

40,000
Hours

LVN ISR Burn Unit

Personal Services of LVNs in the SAMMC/WHASC Burn Unit (ISR) in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AN

3,000
Hours

LVN - ISR Burn Unit OT/HOL

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Burn Unit (ISR) in accordance with the Performance Work Statement and

Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AP

32,098
Hours

LVN - OB GYN/ORTHO/CARDIO CLINIC

Personal Services of LVNs in the SAMMC/WHASC Dept of

OBGYN/ORTHO/CARDIO CLINIC in accordance with the Performance Work

Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AQ

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AR

3,840
Hours

LVN - Dept of Operative & Anesthesia

Personal Services of LVNs (Recovery) in the SAMMC/WHASC Dept of

Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AS

7,680
Hours

LVN - Dermatology Clinic

Personal Services of LVNs in the SAMMC/WHASC Dermatology Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AT

10,360
Hours

LVN - Pediatric Clinic

Personal Services of LVNs in the SAMMC/WHASC Pediatric Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AU

200
Hours

LVN-Dept of Operative & Anesthesia OT/HO

OVERTIME/HOLIDAY. Personal Services of LVNs in the SAMMC/WHASC

Dept of Operative & Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AV

1,440
Hours

LVN-Dept of Operative & Anesthesia POOL

NURSE POOL. Personal Services of LVNs in the SAMMC/WHASC Dept of OR

& Anesthesia in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AW

12,480
Hours

CNA-Dept of Obstetrics & Gyno

Personal Services of CNAs in the SAMMC/WHASC Dept of Obstetrics &

Gynecology Clinic in accordance with the Performance Work Statement and Technical Exhibit .

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AX

62,000
Hours

CNA-Emergency Room Department Srv

Personal Services of CNAs in the SAMMC/WHASC Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AY

10,142
Hours

CNA - Inpatient/Emergency Rm Dept OT/HOL

OVERTIME/HOLIDAY. Personal Services of CNAs in the SAMMC/WHASC

Inpatient/Emergency Room Department Services in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001AZ

115,790
Hours

InPatient, InPatient Psychiatriic & GI

CNA Personal Services in the SAMMC/WHASC InPatient, InPatient Psychiatric and GI Clinic in accordance with the Performace Work Statment and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BA

9,600
Hours

LVN - Allergy Clinic

Personal Services of LVNs in the SAMMC/WHASC Allergy Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BB

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BC

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BD

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BE

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BF

2,070
Hours

LVN Deployment Health Assessment Clinic

Personal Services of LVNs in the SAMMC/WHASC Deployment Health Assessment Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BG

2,070
Hours

LVN - Infection Control Clinic

Personal Services of LVNs in the SAMMC/WHASC Infection Control Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BH

17,730
Hours

LVN - Internal Medicine Clinic

Personal Services of LVNs in the SAMMC/WHASC Internal Medicine Clinic in accordance with the Performance Work Statement and Technical Exhibit.

Period of Performance: 1 Oct 21 - 30 Sep 22

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BJ

Hours

CLIN DELETED

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BK

Hours

DELETED CLIN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BL

1,920
Hours

LVN - Pulmonary Clinic

Personal Services of LVNs in the SAMMC/WHASC Pulmonary Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BM

1,920
Hours

LVN - Same Day Surgery Clinic

Personal Services of LVNs in the SAMMC/WHASC Same Day Surgery

Clinic in accordance with the Performance Work Statement and Technical

Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BN

11,520
Hours

LVN - Training Health Clinic

Personal Services of LVNs in the SAMMC/WHASC Training Health Clinic in accordance with the Performance Work Statement and Technical Exhibit.

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT

4001BP

Hours

DELETED CLN

MAX

ITEM NO
SUPPLIES/SERVICES
MAX QUANTITY
UNIT
UNIT PRICE
MAX AMOUNT
1
Each

Contractor Manpower Report (CMR)

Annual data reporting IAW Performance Work Statement, paragraph 3.12.

Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

Reporting Period: 1 Oct 21 to 30 Sep 22

Report Due: NLT 31 Oct 22

MAX

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN
INSPECT AT
INSPECT BY
ACCEPT AT
ACCEPT BY
0001
Destination
Government
Destination
Government
0001AA
Destination
Government
Destination
Government
0001AB
Destination
Government
Destination
Government
0001AC
Destination
Government
Destination
Government
0001AD
Destination
Government
Destination
Government
0001AE
Destination
Government
Destination
Government
0001AF
Destination
Government
Destination
Government
0001AG
Destination
Government
Destination
Government
0001AH
Destination
Government
Destination
Government
0001AJ
Destination
Government
Destination
Government
0001AK
Destination
Government
Destination
Government
0001AL
Destination
Government
Destination
Government
0001AM
Destination
Government
Destination
Government
0001AN
Destination
Government
Destination
Government
0001AP
Destination
Government
Destination
Government
0001AQ
Destination
Government
Destination
Government
0001AR
Destination
Government
Destination
Government
0001AS
Destination
Government
Destination
Government
0001AT
Destination
Government
Destination
Government
0001AU
Destination
Government

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