The file's text, extracted by GovTribe without its formatting.
INSTRUCTIONS
| Medical Support Services for TNARNG |
| 1. Fill in only the highlighted cells. |
| 2. Number of hours for each contract employee historically is 1,920 hours. |
| 3. Travel and Contractor Manpower Reporting (CMR) will be priced separately. Travel is a cost price. Estimated amount is $23,000 per year. CMR will be priced per option year. |
| 4. Include breakdowns of the Overhead Category, Labor Burden Description and rates, Fringe Benefits Category and so on. We need the information and rates used for each category to understand your company's needs. |
| U.S. Department of Labor - Wage and Hour Division (WHD) - McNamara-O-Hara Service Contract Act (SCA) |
| 5. Once the contract is negotiated, typically resumes are forwarded to begin the process (if we have candidates). |
| 6. It is the contractors responsibility to ensure a security clearance and fingerprinting is accomplished per contract employee |
| 7. Once the contract is awarded, a manadatory briefing will be conducted by the Contracting Office called "Contractors in the Workplace" to discuss other requirements. This briefing is mandatory for the Contracting Officer Represenative (COR), contractor and contract employees. |
| These procedures are typical; however, the Government reserves the right to acquire additional information or change the procedures based on requirements. |
| NOTE: The offeror must provide to the Government what occupation code/tittle in the wage determination they are using for the computation. |
http://www.dol.gov/whd/contracts/sca.htm
FILL-IN
| Tennessee Army National Guard Medical Support Services |
| W912L720R0005 |
| ODC includes: e.g., incidental services for which there is not a labor category specified in the contract, travel, computer usage charges, etc |
| Fringe includes: Vacation/Holiday/Paid Leave; Payroll Taxes; Medical Insurance (Family); Health & Welfare; Workers Compensation Insurance; and Retirement plan (SEP/IRA) contributions |
| OH includes: OH labor; Professional Liability Insurance; Personnel Supervision. explanation of contractor's computation; |
| G&A includes: Amortization/Interest; G&A Labor; Accounting/Legal fees. |
| Fee =Profit; |
Estimated Hours is 1920 per year; Travel CLIN is COST. Estimated amount per year is $23,000.00
| Offerors please fill-in the highlighted cells only |
| Company Name |
| Cage Code |
| DUNS No. |
| Tax ID No. |
| POC Name |
| Tel: Number |
| E-mail |
| SUMMARY OF PROPOSAL | Item Description | Base Year | Option 1 | Option 2 | Option 3 | Option 4 | Total |
| Medical Management Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Behavioral Health Mgmt (Smyrna, TN) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Behavioral Health Mgmt (Nashville, TN) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Behavioral Health Mgmt (Jackson, TN) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Behavioral Health Mgmt (Louisville, TN) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Medical Credentialing | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Travel | $23,000.00 | $23,000.00 | $23,000.00 | $23,000.00 | $23,000.00 | $115,000.00 |
| CMR | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL | $23,000.00 | $23,000.00 | $23,000.00 | $23,000.00 | $23,000.00 | $115,000.00 |
PERCENTAGE CHANGE PER OPTION 0.00% 0.00% 0.00% 0.00%
| BASE YEAR | | | | | | | | | | | | | |
| | | | | | | ODC % | Fringe % | OH % | G&A % | Fee % | | |
| Productive | | | | | | | | | | | | | |
| Line Item No. | Description | WD Occupation Code No. | No. of Contract Employees | Hourly Rate | Annual Hours | Annual Base Labor | ODC | Fringe | OH | G&A | Fee | Total | Burden Rate |
| 0001 | Medical Management Services (Care Coordinators/ Case Manager) Smyrna, TN | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0002 | Behavioral Health Mgmt (Smyrna, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0003 | Behavioral Health Mgmt (Nashville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0004 | Behavioral Health Mgmt (Jackson, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0005 | Behavioral Health Mgmt (Louisville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0006 | Medical Credentialing (Not full year POP 2/22/2021 - 8/31/2021) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0007 | Travel | $23,000 | | | | | | | | | | $23,000 | $0.00 |
| 0008 | Base CMR | | | | | | | | | | | $0.00 | |
| BASE YEAR TOTAL | | | | | | | | | | | | $23,000.00 | |
| OPTION YEAR 1 | | | | | | | | | | | | | |
| | | | | | | ODC % | Fringe % | OH % | G&A % | Fee % | | |
| Productive | | | | | | | | | | | | | |
| Line Item No. | Description | WD Occupation Code No. | No. of Contract Employees | Hourly Rate | Annual Hours | Annual Base Labor | ODC | Fringe | OH | G&A | Fee | Total | Burden Rate |
| 1001 | Medical Management Services (Care Coordinators/ Case Manager) Smyrna, TN | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 1002 | Behavioral Health Mgmt (Smyrna, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 1003 | Behavioral Health Mgmt (Nashville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 1004 | Behavioral Health Mgmt (Jackson, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 1005 | Behavioral Health Mgmt (Louisville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 1006 | Medical Credentialing | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 1007 | Travel | $23,000.00 | | | | | | | | | | $23,000.00 | $0.00 |
| 1008 | CMR | | | | | | | | | | | $0.00 | |
| OPTION YEAR 1 TOTAL | | | | | | | | | | | | $23,000.00 | |
| OPTION YEAR 2 | | | | | | | | | | | | | |
| | | | | | | ODC % | Fringe % | OH % | G&A % | Fee % | | |
| Productive | | | | | | | | | | | | | |
| Line Item No. | Description | WD Occupation Code No. | No. of Contract Employees | Hourly Rate | Annual Hours | Annual Base Labor | ODC | Fringe | OH | G&A | Fee | Total | Burden Rate |
| 2001 | Medical Management Services (Care Coordinators/ Case Manager) Smyrna, TN | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2002 | Behavioral Health Mgmt (Smyrna, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2003 | Behavioral Health Mgmt (Nashville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2004 | Behavioral Health Mgmt (Jackson, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2005 | Behavioral Health Mgmt (Louisville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2006 | Medical Credentialing | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 2007 | Travel | $23,000 | | | | | | | | | | $23,000 | $0.00 |
| 2008 | Base CMR | | | | | | | | | | | $0.00 | |
| OPTION YEAR 2 TOTAL | | | | | | | | | | | $23,000.00 | |
| OPTION YEAR 3 | | | | | | | | | | | | | |
| | | | | | | ODC % | Fringe % | OH % | G&A % | Fee % | | |
| Productive | | | | | | | | | | | | | |
| Line Item No. | Description | WD Occupation Code No. | No. of Contract Employees | Hourly Rate | Annual Hours | Annual Base Labor | ODC | Fringe | OH | G&A | Fee | Total | Burden Rate |
| 3001 | Medical Management Services (Care Coordinators/ Case Manager) Smyrna, TN | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3002 | Behavioral Health Mgmt (Smyrna, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3003 | Behavioral Health Mgmt (Nashville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3004 | Behavioral Health Mgmt (Jackson, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3005 | Behavioral Health Mgmt (Louisville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3006 | Medical Credentialing | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 3007 | Travel | $23,000 | | | | | | | | | | $23,000 | $0.00 |
| 3008 | Base CMR | | | | | | | | | | | $0.00 | |
| OPTION YEAR 3 TOTAL | | | | | | | | | | | | $23,000.00 | |
| OPTION YEAR 4 | | | | | | | | | | | | | |
| | | | | | | ODC % | Fringe % | OH % | G&A % | Fee % | | |
| Productive | | | | | | | | | | | | | |
| Line Item No. | Description | WD Occupation Code No. | No. of Contract Employees | Hourly Rate | Annual Hours | Annual Base Labor | ODC | Fringe | OH | G&A | Fee | Total | Burden Rate |
| 4001 | Medical Management Services (Care Coordinators/ Case Manager) Smyrna, TN | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4002 | Behavioral Health Mgmt (Smyrna, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4003 | Behavioral Health Mgmt (Nashville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4004 | Behavioral Health Mgmt (Jackson, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4005 | Behavioral Health Mgmt (Louisville, TN) | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4006 | Medical Credentialing | | | | 1920 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 4007 | Travel | $23,000 | | | | | | | | | | $23,000 | $0.00 |
| 4008 | Base CMR | | | | | | | | | | | $0.00 | |
| OPTION YEAR 4 TOTAL | | | | | | | | | | | | $23,000.00 | |
Please use this section for any remarks.
