01. W912LP26Q4003_Attch_01_Contractor Information and Pricing Table.pdf

This is a Request for Quote (RFQ) attachment for medical surveillance examination services in Waterloo, Iowa, issued by the contracting office with RFQ number W912LP-26-Q-4003. The document serves as a template for contractors to submit their official quotes and must be completed and included with all bid submissions.

The pricing table specifies seven line items for occupational health services totaling 23 employees for most services and 19 for specialized blood level tests. Required services include: Physical/Dermatological Exam (23 units), Complete Lab Draw (23 units), Vision Screening (23 units), Chromium Blood Level (19 units), Lead Blood Level (23 units), Cadmium Blood Level (19 units), and Zinc Protoporphyrin (23 units). Contractors must complete the Contractor Information Table with company details, point of contact information, CAGE Code, SAM Unique Entity ID, Tax ID Number, payment terms, business size/socio-economic classification, and period of performance. All pricing must be entered in the unit price column with extended prices calculated accordingly. The default payment term is Net 30 unless otherwise specified by the contractor.