Attachment 3 BH TBI Individual Labor Category Pricing REV1.xlsx

XLSX spreadsheet 327 KB Posted

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Behavioral Health Traumatic Brain Injury -Europe Solicitation
Solicitation number
W9114F23R0002
Issued by

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Written by GovTribe AI ·

This document contains pricing templates for labor categories required to provide behavioral health and traumatic brain injury services to military medical facilities in Europe. The templates include over 130 individual labor categories for positions such as psychiatrists, nurses, social workers, psychologists, and therapists. Pricing is requested for five one-year ordering periods from October 2022 through September 2027. Labor categories are identified by code and include direct labor costs, overhead rates, profit margins, and fully burdened hourly billing rates. Locations of performance include Germany, Belgium, Italy, and the United Kingdom. The federal agency issuing this requirement is the Department of the Army Medical Command in support of the Landstuhl Regional Medical Center and other overseas medical treatment facilities.

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EXHIBIT 8 BH TBI PWS HCW Minimum Qualifications REV 1.docx DOCX document
W9114F23R0002-0001 BH TBI 19Jan2023 Amendment.pdf PDF
EXHIBIT 1 BH TBI PWS HCW -Labor Categories Personal and Non Personal Sevices REV1.docx DOCX document
EXHIBIT 10 BH TBI PWS Contractor Performance Status Report REV 1.docx DOCX document
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Attachment 1_Contractor_ Questions Sheet.xlsx XLSX spreadsheet
Attachment 6-Performance Risk Assessment Questionnaire Cover Letter.docx DOCX document
EXHIBIT 2 BH TBI PWS-LEIE OTSG MEDCOM.pdf PDF
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EXHIBIT 11 BH TBI PWS Contractor Performance Status Excel Sheet.xlsx XLSX spreadsheet
EXHIBIT 3 BH TBI PWS Ordering Locations.docx DOCX document
EXHIBIT 10 BH TBI PWS Contractor Performance Status Report.docx DOCX document
Attachment 8 Non Conformance Report Worksheet.docx DOCX document
Attachment 4 BH TBI Example Comp_Plan_ Composite Rates.xlsx XLSX spreadsheet
W9114F23R0002 BH TBI_15DEC22 SAM.GOV.pdf PDF
Attachment 2_Contractor Information Sheet.xlsx XLSX spreadsheet
Attachment 5 -Performance-Risk-Assessment Questionaire.docx DOCX document
EXHIBIT 12 BH TBI PWS Historical Awarded Data.pdf PDF
EXHIBIT 4 BH TBI PWS HCW Prospective Locations List.docx DOCX document
Attachment 3 BH TBI Individual Labor Category Pricing.xlsx XLSX spreadsheet
EXHIBIT 9 BH TBI PWS Deliverable Schedule.docx DOCX document
EXHIBIT 1 BH TBI PWS HCW -Labor Categories Personal and Non Personal Sevices.docx DOCX document
EXHIBIT 5 BH TBI PWS Performance Requirements Summary.docx DOCX document
EXHIBIT 6 BH TBI PWS Travel Authorization Report.docx DOCX document
EXHIBIT 7 BH TBI PWS - Travel Expense Report.docx DOCX document
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Instructions Instructions:

Fields to be filled in are highlighted in yellow.
Please fill in the "Company Name" and "Date" of your proposal on the tab entitled "Grand Total".
Please fill in the yellow highlighted fields on each tab of each Individual Labor Category Number (ILCN).
Acronyms/Abbreviations:
BH TBIBehavioral Health Trauma Brain Injury
IAWIn Accordance With
ILCNIndividual Labor Category Number
ISOInternational Organization for Standardization
FTEFull Time Equivalent
PTEPart Time Equivalent
Country Codes (IAW ISO 3166-1 alpha2):
DEGermany
BEBelgium
ITItaly
UKUnited Kingdom
Legend:

Grand Total

Ordering Period Summary

ILCNs for FTEs for continental Europe (DE, BE, IT)

ILCNs for PTEs for continental Europe (DE, BE, IT)

ILCNs for the United Kingdom (UK)

Grand Total

Name of Offeror:
Date:
Solicitation Number:W9114F-23-R-0002
Project Title:BH TBI
Ordering Period NumberOrdering PeriodAmount
1st Ordering Period01Oct2022-30Sep2023$ - 0
2nd Ordering Period01Oct2023-30Sep2024$ - 0
3rd Ordering Period01Oct2024-30Sep2025$ - 0
4th Ordering Period01Oct2025-30Sep2026$ - 0
5th Ordering Period01Oct2026-30Sep2027$ - 0

Grand Total $ - 0

ALL PERIOD LABOR RATES

Name of Offeror:Date:Solicitation Number:W9114F-23-R-0002
1st Ordering Period 01Oct2022-30Sep2023Project Title:BH TBI
Contract Lint Item Number (CLIN)Service CategoryIndividual Labor Category Number (ILCN)POSITION TITLEFull/Part Time Equivalent (FTE/PTE)Area (Country Codes IAW ISO 3166-1 alpha2)Quantity of 1TOTAL Billable Amount per Ordering Period 1TOTAL Billable Amount per Ordering Period 2TOTAL Billable Amount per Ordering Period 3TOTAL Billable Amount per Ordering Period 4TOTAL Billable Amount per Ordering Period 5
X001PHYX101Psychiatrist (Child or Adult)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X001PHYX102Psychiatrist (Child or Adult) - Standby HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X001PHYX103Psychiatrist (Child or Adult) - Call Back HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX104Nurse Practitioner, includes Psychiatric & Post Deployment Health Reassessment (PDHRA)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX105Nurse Practitioner, Psychiatric - Standby HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX106Nurse Practitioner, Psychiatric - Call Back HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX107ReservedFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX108Registered Nurse (includes BH/TBI, Psychiatric, BH Care Facilitator)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX109Registered Nurse, Psychiatric - Standby HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX110Registered Nurse, Psychiatric - Call Back HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X002NURX111Registered Nurse - Case ManagerFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX112Psychiatric Technician (Mental Health Technician)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX113Clinical Research Coordinator/DirectorFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX114Early Childhood Special EducatorFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX115Early Intervention Services EDIA CoordinatorFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX116Licensed Clinical Social Worker (includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX117Licensed Clinical Social Worker - Standby HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX118Licensed Clinical Social Worker - Call Back HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX119Social Worker, Medical/Manager/Supervisor (includes ASACS Supervisor)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX120Music TherapistFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX121Neurologist - Board CertifiedFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX122Neurologist - Board Certified - Standby HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX123Neurologist - Board Certified - Call Back HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX124Neuropsychologist (Child or Adult)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX125Occupational Therapist (Child or Adult)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX126Physical Therapist (Child or Adult)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX127Physician AssistantFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX128Psychologist, Clinical (Child or Adult)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX129Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX130Psychologist, Clinical (Child or Adult) - Standby HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX131Psychologist, Clinical (Child or Adult) - Call Back HoursFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX132Speech/Language PathologistFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX133Therapeutic Recreational SpecialistFTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X001PHYX201Psychiatrist (Child or Adult) (Part Time 90 days - 520 hours each)PTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X001PHYX202Psychiatrist (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X001PHYX203Psychiatrist (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX204Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days 520 hours each)PTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX205Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Standby HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX206Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Call Back HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX207Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX208Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX209Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX210Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX211Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Standby HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX212Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Call Back HoursPTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX213Occupational Therapist (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X003ANCX214Early Childhood Special Educator (Part Time 90 days 520 hours each)PTEDE,BE,IT1$0.00$0.00$0.00$0.00$0.00
X001PHYX301Psychiatrist (Child or Adult)FTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX302Early Childhood Special EducatorFTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX303Licensed Clinical Social Worker (includes but not limited to BH/TBI, ASACS Counselors)FTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX304Psychiatric Technician (Mental Health Technician)FTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX305Occupational Therapist (Child or Adult)FTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX306Physical Therapist (Child or Adult)FTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX307Psychologist, Clinical (Child or Adult)FTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX308Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEUK1$0.00$0.00$0.00$0.00$0.00
X003ANCX309Speech/Language PathologistFTEUK1$0.00$0.00$0.00$0.00$0.00

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1ST ORDER PERIOD TOTAL

Name of Offeror:Date:Solicitation Number:W9114F-23-R-0002
1st Ordering Period 01Oct2022-30Sep2023Project Title:BH TBI
Contract Lint Item Number (CLIN)Service CategoryIndividual Labor Category Number (ILCN)POSITION TITLEFull/Part Time Equivalent (FTE/PTE)Area (Country Codes IAW ISO 3166-1 alpha2)Quantity of 1Hours per FTE/PTE Position or annual total Standby/Call Back hoursBillable Hourly Rate per Individual Labor Category Pricing
(ILCN Column D Line 19)TOTAL Billable Amount per Ordering Period
(Column D*E)Estimated number of FTE or PTE PositionsEstimated total number of hours, in case of Standby/Call Back hours the value is "1"
(Column D*G)TOTAL PRICE

(Column E*H)

1001PHY1101Psychiatrist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
1001PHY1102Psychiatrist (Child or Adult) - Standby HoursFTEDE,BE,IT1600$ - 0$ - 01600$ - 0
1001PHY1103Psychiatrist (Child or Adult) - Call Back HoursFTEDE,BE,IT14000$ - 0$ - 014000$ - 0
1002NUR1104Nurse Practitioner, includes Psychiatric & Post Deployment Health Reassessment (PDHRA)FTEDE,BE,IT11912$ - 0$ - 0713384$ - 0
1002NUR1105Nurse Practitioner, Psychiatric - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
1002NUR1106Nurse Practitioner, Psychiatric - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
1002NUR1107ReservedFTEDE,BE,IT11912$ - 0$ - 000$ - 0
1002NUR1108Registered Nurse (includes BH/TBI, Psychiatric, BH Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
1002NUR1109Registered Nurse, Psychiatric - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
1002NUR1110Registered Nurse, Psychiatric - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
1002NUR1111Registered Nurse - Case ManagerFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1112Psychiatric Technician (Mental Health Technician)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1113Clinical Research Coordinator/DirectorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1114Early Childhood Special EducatorFTEDE,BE,IT11912$ - 0$ - 023824$ - 0
1003ANC1115Early Intervention Services EDIA CoordinatorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1116Licensed Clinical Social Worker (includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 01834416$ - 0
1003ANC1117Licensed Clinical Social Worker - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
1003ANC1118Licensed Clinical Social Worker - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
1003ANC1119Social Worker, Medical/Manager/Supervisor (includes ASACS Supervisor)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1120Music TherapistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1121Neurologist - Board CertifiedFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1122Neurologist - Board Certified - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
1003ANC1123Neurologist - Board Certified - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
1003ANC1124Neuropsychologist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1125Occupational Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
1003ANC1126Physical Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 059560$ - 0
1003ANC1127Physician AssistantFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1003ANC1128Psychologist, Clinical (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 01019120$ - 0
1003ANC1129Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
1003ANC1130Psychologist, Clinical (Child or Adult) - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
1003ANC1131Psychologist, Clinical (Child or Adult) - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
1003ANC1132Speech/Language PathologistFTEDE,BE,IT11912$ - 0$ - 047648$ - 0
1003ANC1133Therapeutic Recreational SpecialistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
1001PHY1201Psychiatrist (Child or Adult) (Part Time 90 days - 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
1001PHY1202Psychiatrist (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
1001PHY1203Psychiatrist (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
1003ANC1204Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 052600$ - 0
1003ANC1205Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Standby HoursPTEDE,BE,IT1400$ - 0$ - 01400$ - 0
1003ANC1206Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Call Back HoursPTEDE,BE,IT1100$ - 0$ - 01100$ - 0
1003ANC1207Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
1003ANC1208Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
1003ANC1209Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
1003ANC1210Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
1003ANC1211Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
1003ANC1212Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
1003ANC1213Occupational Therapist (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
1003ANC1214Early Childhood Special Educator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
1001PHY1301Psychiatrist (Child or Adult)FTEUK11912$ - 0$ - 011912$ - 0
1003ANC1302Early Childhood Special EducatorFTEUK11912$ - 0$ - 047648$ - 0
1003ANC1303Licensed Clinical Social Worker (includes but not limited to BH/TBI, ASACS Counselors)FTEUK11912$ - 0$ - 047648$ - 0
1003ANC1304Psychiatric Technician (Mental Health Technician)FTEUK11912$ - 0$ - 011912$ - 0
1003ANC1305Occupational Therapist (Child or Adult)FTEUK11912$ - 0$ - 047648$ - 0
1003ANC1306Physical Therapist (Child or Adult)FTEUK11912$ - 0$ - 035736$ - 0
1003ANC1307Psychologist, Clinical (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
1003ANC1308Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
1003ANC1309Speech/Language PathologistFTEUK11912$ - 0$ - 047648$ - 0

2ND ORDER PERIOD TOTAL

Name of Offeror:Date:Solicitation Number:W9114F-23-R-0002
2nd Ordering Period 01Oct2023-30Sep2024Project Title:BH TBI
Contract Lint Item Number (CLIN)Service CategoryIndividual Labor Category Number (ILCN)POSITION TITLEFull/Part Time Equivalent (FTE/PTE)Area (Country Codes IAW ISO 3166-1 alpha2)Quantity of 1Hours per FTE/PTE Position or annual total Standby/Call Back hoursBillable Hourly Rate per Individual Labor Category Pricing
(ILCN Column E Line 19)TOTAL Billable Amount per Ordering Period
(Column D*E)Estimated number of FTE or PTE PositionsEstimated total number of hours, in case of Standby/Call Back hours the value is "1"
(Column D*G)TOTAL PRICE

(Column E*H)

2001PHY2101Psychiatrist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
2001PHY2102Psychiatrist (Child or Adult) - Standby HoursFTEDE,BE,IT1600$ - 0$ - 01600$ - 0
2001PHY2103Psychiatrist (Child or Adult) - Call Back HoursFTEDE,BE,IT14000$ - 0$ - 014000$ - 0
2002NUR2104Nurse Practitioner, includes Psychiatric & Post Deployment Health Reassessment (PDHRA)FTEDE,BE,IT11912$ - 0$ - 0713384$ - 0
2002NUR2105Nurse Practitioner, Psychiatric - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
2002NUR2106Nurse Practitioner, Psychiatric - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
2002NUR2107ReservedFTEDE,BE,IT11912$ - 0$ - 000$ - 0
2002NUR2108Registered Nurse (includes BH/TBI, Psychiatric, BH Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
2002NUR2109Registered Nurse, Psychiatric - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
2002NUR2110Registered Nurse, Psychiatric - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
2002NUR2111Registered Nurse - Case ManagerFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2112Psychiatric Technician (Mental Health Technician)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2113Clinical Research Coordinator/DirectorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2114Early Childhood Special EducatorFTEDE,BE,IT11912$ - 0$ - 023824$ - 0
2003ANC2115Early Intervention Services EDIA CoordinatorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2116Licensed Clinical Social Worker (includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 01834416$ - 0
2003ANC2117Licensed Clinical Social Worker - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
2003ANC2118Licensed Clinical Social Worker - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
2003ANC2119Social Worker, Medical/Manager/Supervisor (includes ASACS Supervisor)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2120Music TherapistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2121Neurologist - Board CertifiedFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2122Neurologist - Board Certified - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
2003ANC2123Neurologist - Board Certified - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
2003ANC2124Neuropsychologist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2125Occupational Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
2003ANC2126Physical Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 059560$ - 0
2003ANC2127Physician AssistantFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2003ANC2128Psychologist, Clinical (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 01019120$ - 0
2003ANC2129Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
2003ANC2130Psychologist, Clinical (Child or Adult) - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
2003ANC2131Psychologist, Clinical (Child or Adult) - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
2003ANC2132Speech/Language PathologistFTEDE,BE,IT11912$ - 0$ - 047648$ - 0
2003ANC2133Therapeutic Recreational SpecialistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
2001PHY2201Psychiatrist (Child or Adult) (Part Time 90 days - 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
2001PHY2202Psychiatrist (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
2001PHY2203Psychiatrist (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
2003ANC2204Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 052600$ - 0
2003ANC2205Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Standby HoursPTEDE,BE,IT1400$ - 0$ - 01400$ - 0
2003ANC2206Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Call Back HoursPTEDE,BE,IT1100$ - 0$ - 01100$ - 0
2003ANC2207Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
2003ANC2208Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
2003ANC2209Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
2003ANC2210Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
2003ANC2211Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
2003ANC2212Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
2003ANC2213Occupational Therapist (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
2003ANC2214Early Childhood Special Educator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
2001PHY2301Psychiatrist (Child or Adult)FTEUK11912$ - 0$ - 011912$ - 0
2003ANC2302Early Childhood Special EducatorFTEUK11912$ - 0$ - 047648$ - 0
2003ANC2303Licensed Clinical Social Worker (includes but not limited to BH/TBI, ASACS Counselors)FTEUK11912$ - 0$ - 047648$ - 0
2003ANC2304Psychiatric Technician (Mental Health Technician)FTEUK11912$ - 0$ - 011912$ - 0
2003ANC2305Occupational Therapist (Child or Adult)FTEUK11912$ - 0$ - 047648$ - 0
2003ANC2306Physical Therapist (Child or Adult)FTEUK11912$ - 0$ - 035736$ - 0
2003ANC2307Psychologist, Clinical (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
2003ANC2308Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
2003ANC2309Speech/Language PathologistFTEUK11912$ - 0$ - 047648$ - 0

3RD ORDER PERIOD TOTAL

Name of Offeror:Date:Solicitation Number:W9114F-23-R-0002
3rd Ordering Period 01Oct2024-30Sep2025Project Title:BH TBI
Contract Lint Item Number (CLIN)Service CategoryIndividual Labor Category Number (ILCN)POSITION TITLEFull/Part Time Equivalent (FTE/PTE)Area (Country Codes IAW ISO 3166-1 alpha2)Quantity of 1Hours per FTE/PTE Position or annual total Standby/Call Back hoursBillable Hourly Rate per Individual Labor Category Pricing
(ILCN Column F Line 19)TOTAL Billable Amount per Ordering Period
(Column D*E)Estimated number of FTE or PTE PositionsEstimated total number of hours, in case of Standby/Call Back hours the value is "1"
(Column D*G)TOTAL PRICE

(Column E*H)

3001PHY3101Psychiatrist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
3001PHY3102Psychiatrist (Child or Adult) - Standby HoursFTEDE,BE,IT1600$ - 0$ - 01600$ - 0
3001PHY3103Psychiatrist (Child or Adult) - Call Back HoursFTEDE,BE,IT14000$ - 0$ - 014000$ - 0
3002NUR3104Nurse Practitioner, includes Psychiatric & Post Deployment Health Reassessment (PDHRA)FTEDE,BE,IT11912$ - 0$ - 0713384$ - 0
3002NUR3105Nurse Practitioner, Psychiatric - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
3002NUR3106Nurse Practitioner, Psychiatric - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
3002NUR3107ReservedFTEDE,BE,IT11912$ - 0$ - 000$ - 0
3002NUR3108Registered Nurse (includes BH/TBI, Psychiatric, BH Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
3002NUR3109Registered Nurse, Psychiatric - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
3002NUR3110Registered Nurse, Psychiatric - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
3002NUR3111Registered Nurse - Case ManagerFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3112Psychiatric Technician (Mental Health Technician)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3113Clinical Research Coordinator/DirectorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3114Early Childhood Special EducatorFTEDE,BE,IT11912$ - 0$ - 023824$ - 0
3003ANC3115Early Intervention Services EDIA CoordinatorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3116Licensed Clinical Social Worker (includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 01834416$ - 0
3003ANC3117Licensed Clinical Social Worker - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
3003ANC3118Licensed Clinical Social Worker - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
3003ANC3119Social Worker, Medical/Manager/Supervisor (includes ASACS Supervisor)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3120Music TherapistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3121Neurologist - Board CertifiedFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3122Neurologist - Board Certified - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
3003ANC3123Neurologist - Board Certified - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
3003ANC3124Neuropsychologist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3125Occupational Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
3003ANC3126Physical Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 059560$ - 0
3003ANC3127Physician AssistantFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3003ANC3128Psychologist, Clinical (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 01019120$ - 0
3003ANC3129Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
3003ANC3130Psychologist, Clinical (Child or Adult) - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
3003ANC3131Psychologist, Clinical (Child or Adult) - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
3003ANC3132Speech/Language PathologistFTEDE,BE,IT11912$ - 0$ - 047648$ - 0
3003ANC3133Therapeutic Recreational SpecialistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
3001PHY3201Psychiatrist (Child or Adult) (Part Time 90 days - 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
3001PHY3202Psychiatrist (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
3001PHY3203Psychiatrist (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
3003ANC3204Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 052600$ - 0
3003ANC3205Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Standby HoursPTEDE,BE,IT1400$ - 0$ - 01400$ - 0
3003ANC3206Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Call Back HoursPTEDE,BE,IT1100$ - 0$ - 01100$ - 0
3003ANC3207Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
3003ANC3208Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
3003ANC3209Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
3003ANC3210Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
3003ANC3211Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
3003ANC3212Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
3003ANC3213Occupational Therapist (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
3003ANC3214Early Childhood Special Educator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
3001PHY3301Psychiatrist (Child or Adult)FTEUK11912$ - 0$ - 011912$ - 0
3003ANC3302Early Childhood Special EducatorFTEUK11912$ - 0$ - 047648$ - 0
3003ANC3303Licensed Clinical Social Worker (includes but not limited to BH/TBI, ASACS Counselors)FTEUK11912$ - 0$ - 047648$ - 0
3003ANC3304Psychiatric Technician (Mental Health Technician)FTEUK11912$ - 0$ - 011912$ - 0
3003ANC3305Occupational Therapist (Child or Adult)FTEUK11912$ - 0$ - 047648$ - 0
3003ANC3306Physical Therapist (Child or Adult)FTEUK11912$ - 0$ - 035736$ - 0
3003ANC3307Psychologist, Clinical (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
3003ANC3308Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
3003ANC3309Speech/Language PathologistFTEUK11912$ - 0$ - 047648$ - 0

4TH ORDER PERIOD TOTAL

Name of Offeror:Date:Solicitation Number:W9114F-23-R-0002
4th Ordering Period 01Oct2025-30Sep2026Project Title:BH TBI
Contract Lint Item Number (CLIN)Service CategoryIndividual Labor Category Number (ILCN)POSITION TITLEFull/Part Time Equivalent (FTE/PTE)Area (Country Codes IAW ISO 3166-1 alpha2)Quantity of 1Hours per FTE/PTE Position or annual total Standby/Call Back hoursBillable Hourly Rate per Individual Labor Category Pricing
(ILCN Column G Line 19)TOTAL Billable Amount per Ordering Period
(Column D*E)Estimated number of FTE or PTE PositionsEstimated total number of hours, in case of Standby/Call Back hours the value is "1"
(Column D*G)TOTAL PRICE

(Column E*H)

4001PHY4101Psychiatrist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
4001PHY4102Psychiatrist (Child or Adult) - Standby HoursFTEDE,BE,IT1600$ - 0$ - 01600$ - 0
4001PHY4103Psychiatrist (Child or Adult) - Call Back HoursFTEDE,BE,IT14000$ - 0$ - 014000$ - 0
4002NUR4104Nurse Practitioner, includes Psychiatric & Post Deployment Health Reassessment (PDHRA)FTEDE,BE,IT11912$ - 0$ - 0713384$ - 0
4002NUR4105Nurse Practitioner, Psychiatric - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
4002NUR4106Nurse Practitioner, Psychiatric - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
4002NUR4107ReservedFTEDE,BE,IT11912$ - 0$ - 000$ - 0
4002NUR4108Registered Nurse (includes BH/TBI, Psychiatric, BH Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
4002NUR4109Registered Nurse, Psychiatric - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
4002NUR4110Registered Nurse, Psychiatric - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
4002NUR4111Registered Nurse - Case ManagerFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4112Psychiatric Technician (Mental Health Technician)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4113Clinical Research Coordinator/DirectorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4114Early Childhood Special EducatorFTEDE,BE,IT11912$ - 0$ - 023824$ - 0
4003ANC4115Early Intervention Services EDIA CoordinatorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4116Licensed Clinical Social Worker (includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 01834416$ - 0
4003ANC4117Licensed Clinical Social Worker - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
4003ANC4118Licensed Clinical Social Worker - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
4003ANC4119Social Worker, Medical/Manager/Supervisor (includes ASACS Supervisor)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4120Music TherapistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4121Neurologist - Board CertifiedFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4122Neurologist - Board Certified - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
4003ANC4123Neurologist - Board Certified - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
4003ANC4124Neuropsychologist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4125Occupational Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
4003ANC4126Physical Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 059560$ - 0
4003ANC4127Physician AssistantFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4003ANC4128Psychologist, Clinical (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 01019120$ - 0
4003ANC4129Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
4003ANC4130Psychologist, Clinical (Child or Adult) - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
4003ANC4131Psychologist, Clinical (Child or Adult) - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
4003ANC4132Speech/Language PathologistFTEDE,BE,IT11912$ - 0$ - 047648$ - 0
4003ANC4133Therapeutic Recreational SpecialistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
4001PHY4201Psychiatrist (Child or Adult) (Part Time 90 days - 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
4001PHY4202Psychiatrist (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
4001PHY4203Psychiatrist (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
4003ANC4204Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 052600$ - 0
4003ANC4205Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Standby HoursPTEDE,BE,IT1400$ - 0$ - 01400$ - 0
4003ANC4206Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Call Back HoursPTEDE,BE,IT1100$ - 0$ - 01100$ - 0
4003ANC4207Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
4003ANC4208Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
4003ANC4209Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
4003ANC4210Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
4003ANC4211Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
4003ANC4212Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
4003ANC4213Occupational Therapist (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
4003ANC4214Early Childhood Special Educator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
4001PHY4301Psychiatrist (Child or Adult)FTEUK11912$ - 0$ - 011912$ - 0
4003ANC4302Early Childhood Special EducatorFTEUK11912$ - 0$ - 047648$ - 0
4003ANC4303Licensed Clinical Social Worker (includes but not limited to BH/TBI, ASACS Counselors)FTEUK11912$ - 0$ - 047648$ - 0
4003ANC4304Psychiatric Technician (Mental Health Technician)FTEUK11912$ - 0$ - 011912$ - 0
4003ANC4305Occupational Therapist (Child or Adult)FTEUK11912$ - 0$ - 047648$ - 0
4003ANC4306Physical Therapist (Child or Adult)FTEUK11912$ - 0$ - 035736$ - 0
4003ANC4307Psychologist, Clinical (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
4003ANC4308Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
4003ANC4309Speech/Language PathologistFTEUK11912$ - 0$ - 047648$ - 0

5TH ORDER PERIOD TOTAL

Name of Offeror:Date:Solicitation Number:W9114F-23-R-0002
5th Ordering Period 01Oct2026-30Sep2027Project Title:BH TBI
Contract Lint Item Number (CLIN)Service CategoryIndividual Labor Category Number (ILCN)POSITION TITLEFull/Part Time Equivalent (FTE/PTE)Area (Country Codes IAW ISO 3166-1 alpha2)Quantity of 1Hours per FTE/PTE Position or annual total Standby/Call Back hoursBillable Hourly Rate per Individual Labor Category Pricing
(ILCN Column H Line 19)TOTAL Billable Amount per Ordering Period
(Column D*E)Estimated number of FTE or PTE PositionsEstimated total number of hours, in case of Standby/Call Back hours the value is "1"
(Column D*G)TOTAL PRICE

(Column E*H)

5001PHY5101Psychiatrist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
5001PHY5102Psychiatrist (Child or Adult) - Standby HoursFTEDE,BE,IT1600$ - 0$ - 01600$ - 0
5001PHY5103Psychiatrist (Child or Adult) - Call Back HoursFTEDE,BE,IT14000$ - 0$ - 014000$ - 0
5002NUR5104Nurse Practitioner, includes Psychiatric & Post Deployment Health Reassessment (PDHRA)FTEDE,BE,IT11912$ - 0$ - 0713384$ - 0
5002NUR5105Nurse Practitioner, Psychiatric - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
5002NUR5106Nurse Practitioner, Psychiatric - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
5002NUR5107ReservedFTEDE,BE,IT11912$ - 0$ - 000$ - 0
5002NUR5108Registered Nurse (includes BH/TBI, Psychiatric, BH Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
5002NUR5109Registered Nurse, Psychiatric - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
5002NUR5110Registered Nurse, Psychiatric - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
5002NUR5111Registered Nurse - Case ManagerFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5112Psychiatric Technician (Mental Health Technician)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5113Clinical Research Coordinator/DirectorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5114Early Childhood Special EducatorFTEDE,BE,IT11912$ - 0$ - 023824$ - 0
5003ANC5115Early Intervention Services EDIA CoordinatorFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5116Licensed Clinical Social Worker (includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator)FTEDE,BE,IT11912$ - 0$ - 01834416$ - 0
5003ANC5117Licensed Clinical Social Worker - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
5003ANC5118Licensed Clinical Social Worker - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
5003ANC5119Social Worker, Medical/Manager/Supervisor (includes ASACS Supervisor)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5120Music TherapistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5121Neurologist - Board CertifiedFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5122Neurologist - Board Certified - Standby HoursFTEDE,BE,IT11000$ - 0$ - 011000$ - 0
5003ANC5123Neurologist - Board Certified - Call Back HoursFTEDE,BE,IT1200$ - 0$ - 01200$ - 0
5003ANC5124Neuropsychologist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5125Occupational Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
5003ANC5126Physical Therapist (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 059560$ - 0
5003ANC5127Physician AssistantFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5003ANC5128Psychologist, Clinical (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 01019120$ - 0
5003ANC5129Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEDE,BE,IT11912$ - 0$ - 047648$ - 0
5003ANC5130Psychologist, Clinical (Child or Adult) - Standby HoursFTEDE,BE,IT11500$ - 0$ - 011500$ - 0
5003ANC5131Psychologist, Clinical (Child or Adult) - Call Back HoursFTEDE,BE,IT1300$ - 0$ - 01300$ - 0
5003ANC5132Speech/Language PathologistFTEDE,BE,IT11912$ - 0$ - 047648$ - 0
5003ANC5133Therapeutic Recreational SpecialistFTEDE,BE,IT11912$ - 0$ - 011912$ - 0
5001PHY5201Psychiatrist (Child or Adult) (Part Time 90 days - 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
5001PHY5202Psychiatrist (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
5001PHY5203Psychiatrist (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
5003ANC5204Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 052600$ - 0
5003ANC5205Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Standby HoursPTEDE,BE,IT1400$ - 0$ - 01400$ - 0
5003ANC5206Licensed Clinical Social Worker includes ASACS Counselors, Special Needs, BH/TBI, EDIS Integrated Behavioral Health Consultant and Behavioral Health Care Facilitator (Part Time 90 days ) Call Back HoursPTEDE,BE,IT1100$ - 0$ - 01100$ - 0
5003ANC5207Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 031560$ - 0
5003ANC5208Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
5003ANC5209Psychologist, Clinical (BHC/BHOP) (Child or Adult) (Part Time 90 days) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
5003ANC5210Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
5003ANC5211Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Standby HoursPTEDE,BE,IT1200$ - 0$ - 01200$ - 0
5003ANC5212Psychologist, Clinical (Child or Adult) (Part Time 90 days 520 hours each) Call Back HoursPTEDE,BE,IT150$ - 0$ - 0150$ - 0
5003ANC5213Occupational Therapist (Child or Adult) (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
5003ANC5214Early Childhood Special Educator (Part Time 90 days 520 hours each)PTEDE,BE,IT1520$ - 0$ - 021040$ - 0
5001PHY5301Psychiatrist (Child or Adult)FTEUK11912$ - 0$ - 011912$ - 0
5003ANC5302Early Childhood Special EducatorFTEUK11912$ - 0$ - 047648$ - 0
5003ANC5303Licensed Clinical Social Worker (includes but not limited to BH/TBI, ASACS Counselors)FTEUK11912$ - 0$ - 047648$ - 0
5003ANC5304Psychiatric Technician (Mental Health Technician)FTEUK11912$ - 0$ - 011912$ - 0
5003ANC5305Occupational Therapist (Child or Adult)FTEUK11912$ - 0$ - 047648$ - 0
5003ANC5306Physical Therapist (Child or Adult)FTEUK11912$ - 0$ - 035736$ - 0
5003ANC5307Psychologist, Clinical (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
5003ANC5308Psychologist, Clinical (BHC/BHOP) (Child or Adult)FTEUK11912$ - 0$ - 059560$ - 0
5003ANC5309Speech/Language PathologistFTEUK11912$ - 0$ - 047648$ - 0

X101

Individual Labor Category Pricing
Name of Offeror
Solicitation Number:W9114F-23-R-0002
RequirementBH TBI
Labor Category:Psychiatrist (Child or Adult)
Place of Performance:Germany, Belgium, & Italy
DIRECT LABOR COST1st Ordering Period2nd Ordering Period3rd Ordering Period4th Ordering Period5th Ordering Period
01Oct2022-30Sep202301Oct2023-30Sep202401Oct2024-30Sep202501Oct2025-30Sep202601Oct2026-30Sep2027
ANNUAL SALARY
INFLATION RATE PER ORDERING PERIOD%
TOTAL ANNUAL CASH COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
HOURLY RATE2087$ - 0$ - 0$ - 0$ - 0$ - 0
FRINGE HOURLY RATE
TOTAL HOURLY COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
GENERAL AND ADMINISTRATIVE%
TOTAL ALL COSTS$ - 0$ - 0$ - 0$ - 0$ - 0
PROFIT RATE%
BILLABLE HOURLY RATE$ - 0$ - 0$ - 0$ - 0$ - 0
# HOURS:1,9121,9121,9121,9121,912
# FTEs:11111
TOTAL PER PERIOD OF PERFORMANCE$ - 0$ - 0$ - 0$ - 0$ - 0

Grand Total: $ - 0

X102

Individual Labor Category Pricing
Name of Offeror
Solicitation Number:W9114F-23-R-0002
RequirementBH TBI
Labor Category:Psychiatrist (Child or Adult) - Standby Hours
Place of Performance:Germany, Belgium, & Italy
DIRECT LABOR COST1st Ordering Period2nd Ordering Period3rd Ordering Period4th Ordering Period5th Ordering Period
01Oct2022-30Sep202301Oct2023-30Sep202401Oct2024-30Sep202501Oct2025-30Sep202601Oct2026-30Sep2027
ANNUAL SALARY
INFLATION RATE PER ORDERING PERIOD%
TOTAL ANNUAL CASH COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
HOURLY RATE2087$ - 0$ - 0$ - 0$ - 0$ - 0
FRINGE HOURLY RATE
TOTAL HOURLY COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
GENERAL AND ADMINISTRATIVE%
TOTAL ALL COSTS$ - 0$ - 0$ - 0$ - 0$ - 0
PROFIT RATE%
BILLABLE HOURLY RATE$ - 0$ - 0$ - 0$ - 0$ - 0
# HOURS:600600600600600
# FTEs:11111
TOTAL PER PERIOD OF PERFORMANCE$ - 0$ - 0$ - 0$ - 0$ - 0

Grand Total: $ - 0

X103

Individual Labor Category Pricing
Name of Offeror
Solicitation Number:W9114F-23-R-0002
RequirementBH TBI
Labor Category:Psychiatrist (Child or Adult) - Call Back Hours
Place of Performance:Germany, Belgium, & Italy
DIRECT LABOR COST1st Ordering Period2nd Ordering Period3rd Ordering Period4th Ordering Period5th Ordering Period
01Oct2022-30Sep202301Oct2023-30Sep202401Oct2024-30Sep202501Oct2025-30Sep202601Oct2026-30Sep2027
ANNUAL SALARY
INFLATION RATE PER ORDERING PERIOD%
TOTAL ANNUAL CASH COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
HOURLY RATE2087$ - 0$ - 0$ - 0$ - 0$ - 0
FRINGE HOURLY RATE
TOTAL HOURLY COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
GENERAL AND ADMINISTRATIVE%
TOTAL ALL COSTS$ - 0$ - 0$ - 0$ - 0$ - 0
PROFIT RATE%
BILLABLE HOURLY RATE$ - 0$ - 0$ - 0$ - 0$ - 0
# HOURS:4,0004,0004,0004,0004,000
# FTEs:11111
TOTAL PER PERIOD OF PERFORMANCE$ - 0$ - 0$ - 0$ - 0$ - 0

Grand Total: $ - 0

X104

Individual Labor Category Pricing
Name of Offeror
Solicitation Number:W9114F-23-R-0002
RequirementBH TBI
Labor Category:Nurse Practitioner, includes Psychiatric & Post Deployment Health Reassessment (PDHRA)
Place of Performance:Germany, Belgium, & Italy
DIRECT LABOR COST1st Ordering Period2nd Ordering Period3rd Ordering Period4th Ordering Period5th Ordering Period
01Oct2022-30Sep202301Oct2023-30Sep202401Oct2024-30Sep202501Oct2025-30Sep202601Oct2026-30Sep2027
ANNUAL SALARY
INFLATION RATE PER ORDERING PERIOD%
TOTAL ANNUAL CASH COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
HOURLY RATE2087$ - 0$ - 0$ - 0$ - 0$ - 0
FRINGE HOURLY RATE
TOTAL HOURLY COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
GENERAL AND ADMINISTRATIVE%
TOTAL ALL COSTS$ - 0$ - 0$ - 0$ - 0$ - 0
PROFIT RATE%
BILLABLE HOURLY RATE$ - 0$ - 0$ - 0$ - 0$ - 0
# HOURS:1,9121,9121,9121,9121,912
# FTEs:11111
TOTAL PER PERIOD OF PERFORMANCE$ - 0$ - 0$ - 0$ - 0$ - 0

Grand Total: $ - 0

X105

Individual Labor Category Pricing
Name of Offeror
Solicitation Number:W9114F-23-R-0002
RequirementBH TBI
Labor Category:Nurse Practitioner, Psychiatric - Standby Hours
Place of Performance:Germany, Belgium, & Italy
DIRECT LABOR COST1st Ordering Period2nd Ordering Period3rd Ordering Period4th Ordering Period5th Ordering Period
01Oct2022-30Sep202301Oct2023-30Sep202401Oct2024-30Sep202501Oct2025-30Sep202601Oct2026-30Sep2027
ANNUAL SALARY
INFLATION RATE PER ORDERING PERIOD%
TOTAL ANNUAL CASH COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
HOURLY RATE2087$ - 0$ - 0$ - 0$ - 0$ - 0
FRINGE HOURLY RATE
TOTAL HOURLY COMPENSATION$ - 0$ - 0$ - 0$ - 0$ - 0
GENERAL AND ADMINISTRATIVE%
TOTAL ALL COSTS$ - 0$ - 0$ - 0$ - 0$ - 0
PROFIT RATE%
BILLABLE HOURLY RATE$ - 0$ - 0$ - 0$ - 0$ - 0
# HOURS:1,0001,0001,0001,0001,000
# FTEs:11111
TOTAL PER PERIOD OF PERFORMANCE$ - 0$ - 0$ - 0$ - 0$ - 0

Grand Total: $ - 0

X106

Individual Labor Category Pricing
Name of Offeror
Solicitation Number:W9114F-23-R-0002
RequirementBH TBI
Labor Category:Nurse Practitioner, Psychiatric - Call Back Hours
Place of Performance:Germany, Belgium, & Italy

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