Price Model Worksheet - MOARNG Non-Clinical Medical Support Services.xlsx

XLSX spreadsheet 42 KB Posted Aug 18, 2021

Attached to: Nonclinical Case Management Services - MO Army National Guard
Solicitation number: W912NS21R2005
Issued by: Department of the Army National Guard

About this file

Written by GovTribe AI · Dec 28, 2023

This document contains a request for proposal for nonclinical medical support services for the Missouri Army National Guard. The solicitation seeks proposals for services including non-clinical medical case management, behavioral health case management, and medical records administration to support over 9,500 service members. Offerors must provide all required personnel, equipment, transportation, and other resources to perform the specified services. The period of performance is one base year with four optional one-year extensions. Proposals are due by August 24, 2021 and the government intends to award a firm-fixed price contract to the responsible offeror whose proposal is most advantageous based on technical, past performance, and price factors. The place of performance is the Missouri Army National Guard offices in Jefferson City, Missouri.

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Other files

File	Type	Posted
B1 - Combined Synopsis Solicitation_Non-Clinical Case Management MOARNG_amended 31 August 2021.docx	DOCX document	Aug 31, 2021
Vendor Questions and Government Answers for W912NS21R2005 - 20 August 2021.docx	DOCX document	Aug 20, 2021
Vendor Questions and Government Answers for W912NS21R2005 - 18 August 2021.docx	DOCX document	Aug 18, 2021
B1 - Combined Synopsis Solicitation_Non-Clinical Case Management MOARNG_amended 18Aug2021.pdf	PDF	Aug 18, 2021
B1 - DOL Wage Determination 2015-5081 Rev 16 dated 21JUL2021.pdf	PDF	Aug 18, 2021
A2 - PWS_Nonclinical Medical Support Services MOARNG_amended 18Aug2021.pdf	PDF	Aug 18, 2021
Wage Determination 2015-5081.pdf	PDF	Jul 23, 2021
B1 - Combined Synopsis Solicitation_Non-Clinical Case Management MOARNG.pdf	PDF	Jul 23, 2021
A2 - PWS_MOARNG Medical Support Services.pdf	PDF	Jul 23, 2021

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I.a.1 - Final Pricing

MOARNG Non-Clinical Medical Support Services

CLIN Type	Description	TO CLIN	QTY	Unit of Measure	Price	Extended Price
FFP	Medical Support Services (Base)	0001	12	Month	$ - 0	$ - 0
Cost	Travel (Cost No Fee) (Base)	0002	1	JOB	$ 10,000.00	$ 10,000.00
FFP	Service Contract Reporting (SCR) (Base)	0003	1	EA	NSP	NSP
FFP	Medical Support Services (1st OY)	1001	12	Month	$ - 0	$ - 0
Cost	Travel (Cost No Fee) (1st OY)	1002	1	JOB	$ 10,000.00	$ 10,000.00
FFP	Service Contract Reporting (SCR) (1st OY)	1003	1	EA	NSP	NSP
FFP	Medical Support Services (2nd OY)	2001	12	Month	$ - 0	$ - 0
Cost	Travel (Cost No Fee) (2nd OY)	2002	1	JOB	$ 10,000.00	$ 10,000.00
FFP	Service Contract Reporting (SCR) (2nd OY)	2003	1	EA	NSP	NSP
FFP	Medical Support Services (3rd OY)	3001	12	Month	$ - 0	$ - 0
Cost	Travel (Cost No Fee) (3rd OY)	3002	1	JOB	$ 10,000.00	$ 10,000.00
FFP	Service Contract Reporting (SCR) (3rd OY)	3003	1	EA	NSP	NSP
FFP	Medical Support Services (4th OY)	4001	12	Month	$ - 0	$ - 0
Cost	Travel (Cost No Fee) (4th OY)	4002	1	JOB	$ 10,000.00	$ 10,000.00
FFP	Service Contract Reporting (SCR) (4th OY)	4003	1	EA	NSP	NSP
FFP	Medical Support Services (52.217-8)	5001	12	Month	$ - 0	$ - 0
Cost	Travel (Cost No Fee) (52.217-8)	5002	1	JOB	$ 5,000.00	$ 5,000.00
FFP	Service Contract Reporting (SCR) (52.217-8)	5003	1	EA	NSP	NSP
Note 1: This woksheet will be populated based on rates and quantities entered into the Pricing Detail Worksheets.

Note 2: Contractor may, on a monthly basis, invoice the lesser of 1/12 the CLIN price or that amount minus any equitable reduction in contract price due in accordance FAR 52.246-4 -- Inspection of Services -- Fixed-Price for all fixed price CLINs.

Note 3: Contractor Manpower Reporting is normally proposed as "Not Seperately Priced" as labor costs associated with the preparation of this report are included in G&A. These CLINs are included per Army policy and the contractor may propose a price if desired or propose this CLIN as NSP.

Base Period	$ 10,000.00
	Option Year 1	$ 10,000.00
	Option Year 2	$ 10,000.00
	Option Year 3	$ 10,000.00
	Option Year 4	$ 10,000.00
	52.217-8 Option	$ 5,000.00
	Total Evaluated Price	$ 55,000.00

I.a.2 - Pricing Detail - Base MOARNG Non-Clinical Medical Support Services - Base Year Pricing Worksheet

		CLIN
Labor Category	Proposed Personnel	0001
		MOARNG Medical Support Services
		Rate	Hours	Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
Other Direct Costs	Description	Price	Quantity	Ext Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
		Total Price:		$ - 0
		Unit Price:		$ - 0

I.a.3 - Pricing Detail - OY1 MOARNG Non-Clinical Medical Support Services - Option Year 1 Pricing Worksheet

		CLIN
Labor Category	Proposed Personnel	1001
		MOARNG Medical Support Services
		Rate	Hours	Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
Other Direct Costs	Description	Price	Quantity	Ext Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
		Total Price:		$ - 0
		Unit Price:		$ - 0

I.a.4 - Pricing Detail - OY2 MOARNG Non-Clinical Medical Support Services - Option Year 2 Pricing Worksheet

		CLIN
Labor Category	Proposed Personnel	2001
		MOARNG Medical Support Services
		Rate	Hours	Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
Other Direct Costs	Description	Price	Quantity	Ext Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
		Total Price:		$ - 0
		Unit Price:		$ - 0

I.a.5 - Pricing Detail - OY3 MOARNG Non-Clinical Medical Support Services - Option Year 3 Pricing Worksheet

		CLIN
Labor Category	Proposed Personnel	3001
		MOARNG Medical Support Services
		Rate	Hours	Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
Other Direct Costs	Description	Price	Quantity	Ext Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
		Total Price:		$ - 0
		Unit Price:		$ - 0

I.a.6 - Pricing Detail - OY4 MOARNG Non-Clinical Medical Support Services - Option Year 4 Pricing Worksheet

		CLIN
Labor Category	Proposed Personnel	4001
		MOARNG Medical Support Services
		Rate	Hours	Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
Other Direct Costs	Description	Price	Quantity	Ext Price
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
				$ - 0
		Total Price:		$ - 0
		Unit Price:		$ - 0

I.a.7 - Rate Buildup MOARNG Non-Clinical Medical Support Services Rate Buildup Worksheet

	Year
	Base	Option Period 1	Option Period 2	Option Period 3	Option Period 4
Rates:		Escalation:	Escalation:	Escalation:	Escalation:
	Fringe:	Fringe:	Fringe:	Fringe:	Fringe:
	Labor O/H:	Labor O/H:	Labor O/H:	Labor O/H:	Labor O/H:
	G&A:	G&A:	G&A:	G&A:	G&A:
	Profit:	Profit:	Profit:	Profit:	Profit:
	G&A Travel:	G&A Travel:	G&A Travel:	G&A Travel:	G&A Travel:

Base Year Labor Rates
Labor Category	Proposed Person	Base Salary	Base Hourly Rate	Fringe	Labor O/H	G&A	Subtotal	Profit	Fully Burdened Rate
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
				$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Option Period 1 Labor Rates
Labor Category	Proposed Person	Base Salary	Base Hourly Rate	Fringe	Labor O/H	G&A	Subtotal	Profit	Fully Burdened Rate
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Option Period 2 Labor Rates
Labor Category	Proposed Person	Base Salary	Base Hourly Rate	Fringe	Labor O/H	G&A	Subtotal	Profit	Fully Burdened Rate
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Option Period 3 Labor Rates
Labor Category	Proposed Person	Base Salary	Base Hourly Rate	Fringe	Labor O/H	G&A	Subtotal	Profit	Fully Burdened Rate
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

Option Period 4 Labor Rates
Labor Category	Proposed Person	Base Salary	Base Hourly Rate	Fringe	Labor O/H	G&A	Subtotal	Profit	Fully Burdened Rate
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0
		$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0

File details come from the government source that posted it. Updated Aug 18, 2021.