Page 1 of 2

Program: 572-S

Term: 05/15/2019 to June 30, 2020

Title: Income Related Monthly Adjusted Amount (IRMAA) Notices One Lot

BASIS OF

ITEM NO. DESCRIPTION AWARD UNIT RATE COST UNIT RATE COST UNIT RATE COST

I. COMPOSITION:

 (a) Envelopes....................................................per envelope............................ 9 No Charge $0.00 No Charge $0.00 $45.00 $405.00

II. PROCESS/FORMATTING FILES:

 (a) Processing/Formatting Files..............................per mailer....................... 3 No Charge $0.00 No Charge $0.00 $250.00 $750.00

III. PREPRODUCTION TESTS:

 (a) Transmission Test.........................................per test.......................... 1 No Charge $0.00 No Charge $0.00 No Charge $0.00

 (b) Preproduction Validation Test..............................per test........................ 1 No Charge $0.00 No Charge $0.00 No Charge $0.00

IV. PRINTING/IMAGING, BINDING, AND CONSTRUCTION:

 (a) *Per Makeready/setup charge............................................................... 3 No Charge $0.00 $266.00 $798.00 $200.00 $600.00

 (b) Notices: Printing/imaging in black, including binding.............per 1,000

printed pages.................. 16,800 $10.00 $168,000.00 $6.00 $100,800.00 $7.00 $117,600.00

 (c) Envelopes: Printing in black, including construction..............per 1,000

envelopes.................. 2,100 No Charge $0.00 $16.06 $33,726.00 $9.53 $20,013.00

V. PAPER:

 (a) White Offset Book (50-lb.): or at contractor's option, White Writing (20-

lb.).............................per 1,000 leaves.............................. 8,400 $6.50 $54,600.00 $9.84 $82,656.00 $7.40 $62,160.00

 (b) White Writing Envelope (24-lb.): or at contractor's option, White Offset 

Book (60-lb.).............................per 1,000 leaves.............................. 2,100 $22.00 $46,200.00 $16.06 $33,726.00 $6.35 $13,335.00

VI. INSERTING AND DISTRIBUTION:

 (a) Mailers..................................per 1,000 mailers......................................... 2,100 15.00 $31,500.00 17.96 $37,716.00 30.00 $63,000.00

CONTRACTOR SUBTOTALS $300,300.00 $289,422.00 $277,863.00

DISCOUNT 1.00% $3,003.00 0.25% $723.56 0.00% $0.00

DISCOUNTED TOTALS $297,297.00 $288,698.44 $277,863.00

CURRENT 

PINNACLE DATA SYSTEMS NPC., INC. CONTRACTOR

SUWANEE, GA CLAYSBURG, PA Sourcelink, OH., LLC
Page 2 of 2

Program: 572-S

Term: Date of Award to June 30, 2020

Title: Income Related Monthly Adjusted Amount (IRMAA) Notices

Two Lots

BASIS OF

ITEM NO. DESCRIPTION AWARD UNIT RATE COST UNIT RATE COST UNIT RATE COST UNIT RATE COST

I. COMPOSITION:

 (a) Envelopes....................................................per envelope............................ 9 No Charge $0.00 No Charge $0.00 $50.00 $450.00 $50.00 $450.00

II. PROCESSING/FORMATTING FILES

 (a) Processing/Formatting Files..............................per mailer....................... 3 No Charge $0.00 No Charge $0.00 $1,650.00 $4,950.00 $500.00 $1,500.00

III. PREPRODUCTION TESTS:

 (a) Transmission Test.........................................per test.......................... 1 $500.00 $500.00 No Charge $0.00 $0.00 $0.00 No Charge $0.00

 (b) Preproduction Validation Test..............................per test........................ 1 No Charge $0.00 No Charge $0.00 $5,000.00 $5,000.00 No Charge $0.00

IV. PRINTING/IMAGING, BINDING, AND CONSTRUCTION:

 (a) *Per Makeready/setup charge............................................................... 3 No Charge $0.00 $292.00 $876.00 $250.00 $750.00 $1,500.00 $4,500.00

 (b) Notices: Printing/imaging in black, including binding.............per 1,000

printed pages.................. 33,600 $15.00 $504,000.00 $6.04 $202,944.00 $12.00 $403,200.00 $7.00 $235,200.00

 (c) Envelopes: Printing in black, including construction..............per 1,000

envelopes.................. 4,200 No Charge $0.00 $13.93 $58,506.00 $23.10 $97,020.00 $12.15 $51,030.00

V. PAPER:

 (a) White Writing Envelope (50-lb.): or at contractor's option, White Writing 

(20-lb.).............................per 1,000 leaves.............................. 16,800 $7.00 $117,600.00 $9.01 $151,368.00 $9.50 $159,600.00 $9.60 $161,280.00

 (b) White Writing Envelope (24-lb.): or at contractor's option, White Offset 

Book (60-lb.).............................per 1,000 leaves.............................. 4,200 $22.50 $94,500.00 $13.93 $58,506.00 $9.50 $39,900.00 $12.30 $51,660.00

VI. INSERTING AND DISTRIBUTION:

 (a) Mailers..................................per 1,000 mailers......................................... 4,200 19.00 $79,800.00 16.41 $68,922.00 35.00 $147,000.00 33.00 $138,600.00

CONTRACTOR SUBTOTALS $796,400.00 $541,122.00 $857,870.00 $644,220.00

DISCOUNT 1.00% $7,964.00 0.25% $1,352.81 0.00% $0.00 0.25% $1,610.55

DISCOUNTED TOTALS $788,436.00 $539,769.19 $857,870.00 $642,609.45

CONTRACTOR

SUWANEE, GA CLAYSBURG, PA DETRIOT, MI NPC., INC, Claysburg PA

WOLVERINE SOLUTIONS 

CURRENT 

PINNACLE DATA SYSTEMS NPC., INC.