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A B CD E F G H I J K 

Program No 0261S Term 11/01/2013 To 10/31/2014TITLE: Notice of Medicare Premium Payment Due (CMS‐500) English/Spanish Mailing Kits

BASIS OF

Item No. DESCRIPTION AWARD UNIT COST UNIT COST UNIT COST UNIT COST 

COMPLETE PRODUCTION AND DISTRIBUTION:

(a) Producing Premium Bill Mailing Kit........................English...........per 1,000 .................. 7,800 64.54 503,412.00 $ 70 546,000.00 $ 65 507,000.00 $ 65 507,00

$ 

(b) Producing Premium Bill Mailing Kit........................Spanish...........per 1,000 ................. 120 64.54 7,744.80 $ 70 8,400.00 $ 93 11,160.00 $ 65 7,80

$ 

ADDITIONAL OPERATIONS:

© Bill Stuffer (English and Spanish)..........................(one color).........per 1000 kits......... 1,750 15 26,250.00 $ 16 28,000.00 $ 10 17,500.00 $ 14 24,50

$ 

(d) Special Bill Stuffer (English and Spanish).............(two color)........per 1000 kits............ 1,112 15 16,680.00 $ 19 21,128.00 $ 12 13,344.00 $ 19 21,12

$ 

€ Special Bill Stuffer (English and Spanish)............(one color)........per 1000 kits............ 650 15 9,750.00 $ 16 10,400.00 $ 10 6,500.00 $ 14 9,10

$ 

(f) Additional Prior to Production Samples (English)...........................per 1000 samples 1 64.54 64.54 $ 300 300.00 $ 1000 1,000.00 $ 200 20

$ 

(g) Additional Prior to Production Samples (Spanish)..........................per 1000 samples 5 64.54 322.70 $ 300 1,500.00 $ 300 1,500.00 $ 50 25

$ 

CONTRACTOR TOTALS $ 564,224.04 $615,728.00 $558,004.00 $569,97

DISCOUNT 2.00% $11,284.48 2.00% $12,314.56 0.25% $1,395.01 $

DISCOUNTED TOTALS $552,939.56 $603,413.44 $556,608.99 $569,97

Item No. Descriotion UNIT COST UNIT COST

COMPLETE PRODUCTION AND DISTRIBUTION:

(a) Producing Premium Bill Mailing Kit........................English...........per 1,000 .................. 7,800 48.108 375,242.40 $ 80.00 624,000.00 $ 76.5 596,700.00 $

(b) Producing Premium Bill Mailing Kit........................Spanish...........per 1,000 ................. 120 61.441 7,372.92 $ 71.00 8,520.00 $ 120 14,400.00 $

ADDITIONAL OPERATIONS:

© Bill Stuffer (English and Spanish)..........................(one color).........per 1000 kits......... 1,750 10.305 18,033.75 $ 85.00 148,750.00 $  ‐ $

(d) Special Bill Stuffer (English and Spanish).............(two color)........per 1000 kits............ 1,112 18.823 20,931.18 $ 85.00 94,520.00 $ 18 20,016.00 $

€ Special Bill Stuffer (English and Spanish)............(one color)........per 1000 kits............ 650 18.823 12,234.95 $ 85.00 55,250.00 $ 18 11,700.00 $

(f) Additional Prior to Production Samples (English)...........................per 1000 samples 1 NC $ ‐ 275.00 275.00 $ 1000 1,000.00 $

(g) Additional Prior to Production Samples (Spanish)..........................per 1000 samples 5 NC $ ‐ 150.00 750.00 $ 300 1,500.00 $

CONTRACTOR TOTALS $ 433,815.20 $932,065.00 $645,316.00

DISCOUNT 0.00% $0.00 5.00% $46,603.25 0.25% $1,613.29

DISCOUNTED TOTALS $433,815.20 $885,461.75 $643,702.71

ENGLEWOOD, NJ 

ABR SERVICES OUTPUT SERVICES GR

WOODBRIDGE, VA

DATA INTEGRATORS

FREDERICKSBURG, VA

NPC, INC.

CLAYSBURG, PA

Current Contractor

SOURCELINK OHIO, LLC TWIN CITY COURIER, INC NPC, INC

DAYTON, OHIO HILDALE, UTAH CLAYSBURG, VA