Proposal Pricing Sheet.docx

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OKNG ANNUAL OCCUPATIONAL MEDICAL
Solicitation number
W912L6-20-R-0007
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Scenario Mock Pricing Sheet

2.0 The following mock order will be used as the basis for evaluation. Contractor pricing in the mock order must equal the offerors rates for testing in the proposal. This same scenario will utilize proposed rates for the base year and each option year and the total will be evaluated in the aggregate in accordance with those factors in the performance work statement.

Base Year Rates (2 years):

QTY 100 EA Test Panel 01 X $_______(rate) = $_________ QTY 100 EA Test Panel 02 X $_______(rate) = $_________ QTY 10 EA Test Panel 03 X $_______(rate) = $_________ QTY 30 EA Test Panel 04 X $_______(rate) = $_________ QTY 10 EA Test Panel 05 X $_______(rate) = $_________ QTY 05 EA Complete Blood Count (CBC) X $_______(rate) = $_________ QTY 05 Complete Metabolic Profile (CMP) X $_______(rate) = $_________ QTY 05 Blood Lead / ZPP X $_______(rate) = $_________ QTY 05 EA Blood Cadmium X $_______(rate) = $_________ QTY 05 EA Benzene Clearance X $_______(rate) = $_________ QTY 05 EA Urine Chromium X $_______(rate) = $_________ QTY 05 EA Chext X-Ray X $_______(rate) = $_________ QTY 05 EA Electrocardiogram (EKG) X $_______(rate) = $_________

Total Base Year: $_____________

Option Year 1 Rates:

QTY 100 EA Test Panel 01 X $_______(rate) = $_________ QTY 100 EA Test Panel 02 X $_______(rate) = $_________ QTY 10 EA Test Panel 03 X $_______(rate) = $_________ QTY 30 EA Test Panel 04 X $_______(rate) = $_________ QTY 10 EA Test Panel 05 X $_______(rate) = $_________ QTY 05 EA Complete Blood Count (CBC) X $_______(rate) = $_________ QTY 05 Complete Metabolic Profile (CMP) X $_______(rate) = $_________ QTY 05 Blood Lead / ZPP X $_______(rate) = $_________ QTY 05 EA Blood Cadmium X $_______(rate) = $_________ QTY 05 EA Benzene Clearance X $_______(rate) = $_________ QTY 05 EA Urine Chromium X $_______(rate) = $_________ QTY 05 EA Chext X-Ray X $_______(rate) = $_________

Total Option Year 1: $_____________

Option Year 2 Rates:

QTY 100 EA Test Panel 02 X $_______(rate) = $_________ QTY 10 EA Test Panel 03 X $_______(rate) = $_________ QTY 30 EA Test Panel 04 X $_______(rate) = $_________ QTY 10 EA Test Panel 05 X $_______(rate) = $_________ QTY 05 EA Complete Blood Count (CBC) X $_______(rate) = $_________ QTY 05 Complete Metabolic Profile (CMP) X $_______(rate) = $_________ QTY 05 Blood Lead / ZPP X $_______(rate) = $_________ QTY 05 EA Blood Cadmium X $_______(rate) = $_________ QTY 05 EA Benzene Clearance X $_______(rate) = $_________ QTY 05 EA Urine Chromium X $_______(rate) = $_________ QTY 05 EA Chext X-Ray X $_______(rate) = $_________

Total Option Year 2: $_____________

Option Year 3 Rates:

QTY 100 EA Test Panel 02 X $_______(rate) = $_________ QTY 10 EA Test Panel 03 X $_______(rate) = $_________ QTY 30 EA Test Panel 04 X $_______(rate) = $_________ QTY 10 EA Test Panel 05 X $_______(rate) = $_________ QTY 05 EA Complete Blood Count (CBC) X $_______(rate) = $_________ QTY 05 Complete Metabolic Profile (CMP) X $_______(rate) = $_________ QTY 05 Blood Lead / ZPP X $_______(rate) = $_________ QTY 05 EA Blood Cadmium X $_______(rate) = $_________ QTY 05 EA Benzene Clearance X $_______(rate) = $_________ QTY 05 EA Urine Chromium X $_______(rate) = $_________ QTY 05 EA Chext X-Ray X $_______(rate) = $_________ QTY 05 EA Electrocardiogram (EKG) X $_______(rate) = $_________

Total Option Year 3: $_____________

Scenario Total (Base Year plus the three Option Years): ________________

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