APPENDIX C - Pricing Spreadsheet.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
O'Conus Dental Services
Solicitation number
W9114F22R0003
Issued by

About this file

This document contains a pricing spreadsheet template for a federal contract solicitation seeking overseas dental services. The solicitation seeks dental services in Germany, Italy, Korea, and Belgium over a potential five-year period from October 2022 through September 2027. Services include general dentistry, orthodontics, pediatric dentistry, and dental hygiene. The solicitation also includes pricing for transportation and relocation services, as well as dependent schooling. The solicitation number is W9114F-22-R-0003 and was issued by the Department of the Army Medical Command. The pricing spreadsheet template requires offerors to provide unit prices and extended prices for the base year and four one-year options.

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Base Yr

Name of company
Solicitation Number: W9114F-22-R-0003
OCONUS Dental Services
Period of Performance: 1 Oct 2022 through 30 Sep 2023
ITEM NOSUPPLIES/SERVICEESTIMATED
QUANTITYUNITUNIT
PRICEESTIMATED

AMOUNT

Base Ordering Period (1 Oct 2022-30 Sep 2023)
0001AAGeneral Dentist (Germany)1912Hours$$
0001ABGeneral Dentist Call-Back (Germany)10Hours$$
0001ACOrthodontist (Germany)3824Hours$$
0001ADOrthodontist Call-Back (Germany)20Hours$$
0001AEPediatric Dentist (Germany)5736Hours$$
0001AFPediatric Dentist Call-Back (Germany)30Hours$$
0001AGDental Hygienist (Germany)42064Hours$$
0002AAGeneral Dentist (Italy)1912Hours$$
0002ABGeneral Dentist Call-Back (Italy)10Hours$$
0002ACDental Hygienist (Italy)5736Hours$$
0003AAGeneral Dentist (Korea)3824Hours$$
0003ABGeneral Dentist Call-Back (Korea)20Hours$$

0004AA Dental Hygienist (Belgium) 1912 Hours $ $

0005AATransporation Relocation (Europe)1Job$$
0005ABTransporation Relocation (Korea)1Job$$
0006AADependent Schooling (Europe)1Job$$
0006ABDependent Schooling (Korea)1Job$$
0007Contract Manpower Reporting1
Total Base Ordering Period$

FOR OFFICIAL USE ONLY

Source Selection Information (See FAR 2.101 and 3.104-4)

Opt Yr (1)

Name of company
Solicitation Number: W9114F-22-R-0003
OCONUS Dental Services
Period of Performance: 1 Oct 2023 through 30 Sep 2024
ITEM NOSUPPLIES/SERVICEESTIMATED
QUANTITYUNITUNIT
PRICEESTIMATED

AMOUNT

Option Year 1 (1 Oct 2023-30 Sep 2024)
1001AAGeneral Dentist (Germany)1912Hours$$
1001ABGeneral Dentist Call-Back (Germany)10Hours$$
1001ACOrthodontist (Germany)3824Hours$$
1001ADOrthodontist Call-Back (Germany)20Hours$$
1001AEPediatric Dentist (Germany)5736Hours$$
1001AFPediatric Dentist Call-Back (Germany)30Hours$$
1001AGDental Hygienist (Germany)42064Hours$$
1002AAGeneral Dentist (Italy)1912Hours$$
1002ABGeneral Dentist Call-Back (Italy)10Hours$$
1002ACDental Hygienist (Italy)5736Hours$$
1003AAGeneral Dentist (Korea)3824Hours$$
1003ABGeneral Dentist Call-Back (Korea)20Hours$$

1004AA Dental Hygienist (Belgium) 1912 Hours $ $

1005AATransporation Relocation (Europe)1Job$$
1005ABTransporation Relocation (Korea)1Job
1006AADependent Schooling (Europe)1Job$$
1006ABDependent Schooling (Korea)1Job$$
1007Contract Manpower Reporting1
Total Option Year (1)$

Opt Yr (2)

Name of company
Solicitation Number: W9114F-22-R-0003
OCONUS Dental Services
Period of Performance: 1 Oct 2024 through 30 Sep 2025
ITEM NOSUPPLIES/SERVICEESTIMATED
QUANTITYUNITUNIT
PRICEESTIMATED

AMOUNT

Option Year 2 (1 Oct 2024-30 Sep 2025)
2001AAGeneral Dentist (Germany)1912Hours$$
2001ABGeneral Dentist Call-Back (Germany)10Hours$$
2001ACOrthodontist (Germany)3824Hours$$
2001ADOrthodontist Call-Back (Germany)20Hours$$
2001AEPediatric Dentist (Germany)5736Hours$$
2001AFPediatric Dentist Call-Back (Germany)30Hours$$
2001AGDental Hygienist (Germany)42064Hours$$
2002AAGeneral Dentist (Italy)1912Hours$$
2002ABGeneral Dentist Call-Back (Italy)10Hours$$
2002ACDental Hygienist (Italy)5736Hours$$
2003AAGeneral Dentist (Korea)3824Hours$$
2003ABGeneral Dentist Call-Back (Korea)20Hours$$

2004AA Dental Hygienist (Belgium) 1912 Hours $ $

2005AATransporation Relocation (Europe)1Job$$
2005ABTransporation Relocation (Korea)1Job$$
2006AADependent Schooling (Europe)1Job$$
2006AADependent Schooling (Korea)1Job$$
2007Contract Manpower Reporting1
Total Option Year (2)$

Opt Yr (3)

Name of company
Solicitation Number: W9114F-22-R-0003
OCONUS Dental Services
Period of Performance: 1 Oct 2025 through 30 Sep 2026
ITEM NOSUPPLIES/SERVICEESTIMATED
QUANTITYUNITUNIT
PRICEESTIMATED

AMOUNT

Option Year 3 (1 Oct 2025-30 Sep 2026)
3001AAGeneral Dentist (Germany)1912Hours$$
3001ABGeneral Dentist Call-Back (Germany)10Hours$$
3001ACOrthodontist (Germany)3824Hours$$
3001ADOrthodontist Call-Back (Germany)20Hours$$
3001AEPediatric Dentist (Germany)5736Hours$$
3001AFPediatric Dentist Call-Back (Germany)30Hours$$
3001AGDental Hygienist (Germany)42064Hours$$
3002AAGeneral Dentist (Italy)1912Hours$$
3002ABGeneral Dentist Call-Back (Italy)10Hours$$
3002ACDental Hygienist (Italy)5736Hours$$
3003AAGeneral Dentist (Korea)3824Hours$$
3003ABGeneral Dentist Call-Back (Korea)20Hours$$

3004AA Dental Hygienist (Belgium) 1912 Hours $ $

3005AATransportation Relocation (Europe)1Job$$
3005ABTransportation Relocation (Korea)1Job$$
3006AADependent Schooling (Europe)1Job$$
3006ABDependent Schooling (Korea)1Job$$
3007Contract Manpower Reporting1
Total Option Year (3)$

Opt Yr (4)

Name of company
Solicitation Number: W9114F-22-R-0003
OCONUS Dental Services
Period of Performance: 1 Oct 2026 through 30 Sep 2027
ITEM NOSUPPLIES/SERVICEESTIMATED
QUANTITYUNITUNIT
PRICEESTIMATED

AMOUNT

Option Year 4 (1 Oct 2026-30 Sep 2027)
4001AAGeneral Dentist (Germany)1912Hours$$
4001ABGeneral Dentist Call-Back (Germany)10Hours$$
4001ACOrthodontist (Germany)3824Hours$$
4001ADOrthodontist Call-Back (Germany)20Hours$$
4001AEPediatric Dentist (Germany)5736Hours$$
4001AFPediatric Dentist Call-Back (Germany)30Hours$$
4001AGDental Hygienist (Germany)42064Hours$$
4002AAGeneral Dentist (Italy)1912Hours$$
4002ABGeneral Dentist Call-Back (Italy)10Hours$$
4002ACDental Hygienist (Italy)5736Hours$$
4003AAGeneral Dentist (Korea)3824Hours$$
4003ABGeneral Dentist Call-Back (Korea)20Hours$$

4004AA Dental Hygienist (Belgium) 1912 Hours $ $

4005AATransportation Relocation (Europe)1Job$$
4005ABTransportation Relocation (Korea)1Job$$
4006AADependent Schooling (Europe)1Job$$
4006ABDependent Schooling (Korea)1Job$$
4007Contract Manpower Reporting1
Total Option Year (4)

Grand Total

Name of company
Solicitation Number: W9114F-22-R-0003
OCONUS Dental Services
Period of Performance: 1 Oct 2022 through 30 Sep 2027
PRICE SUMMARY
Total Base Year$
Total Opt Yr (1)$
Total Opt Yr (2)$
Total Opt Yr (3)$
Total Opt Yr 4)$
Grand Total$

Sheet8

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