NHARNG Behavioral Health Services_PRICING SHEET.docx

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NHARNG Behavioral Health Services
Solicitation number
W912TF22Q0015
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NHARNG Behavioral Health Services

PRICING SHEET

CLIN
DESCRIPTION
Pricing Structure
Extended Price

The contractor shall perform initial/intake assessments on service members who are self-referred, command-directed, or are returning from deployment. The contractor shall screen for individuals with potential mental health problems and make initial diagnoses, formulate treatment plans, and provide follow up as needed. In the process, the Contractor shall keep NHARNG leadership apprised of all mental health issues and trends that have the potential to impact mission readiness. The contractor will also enter clinical documentation and paper into appropriate systems and online portals as required. See the attached performance work statement (PWS) for a complete description of this requirement.

Firm Fixed Price

The contractor will also be expected travel to various locations throughout the State of New Hampshire at the Government’s request. Given the close proximity of these installation travel shall not exceed 2000 miles, nor exceed $1500, during the performance period. When invoicing, the Contractor shall provide all documentation needed to support a full cost accounting of the trip. In no case will the contractor travel unless directed by the Government in advance. See paragraph 1.4.12, paragraph 5.5, and Technical Exhibit #3 of the PWS for a complete description of this requirement.

Cost Reimbursement

TOTAL PRICE

***ALL pricing should reflect total extended pricing for the full 12 month performance period

Signature Date

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