09 - Attachment I - RFP 1433 Cost Proposal Response Sheet.xlsx
XLSX spreadsheet 307 KB Posted
- Attached to
- Medical Supplies, Consumables & Equipment
- Solicitation number
- 1433
- Issued by
- Ada County, Idaho
About this file
RFP 1433 Cost Proposal Response Sheet Summary
This Cost Proposal Response Sheet is a standardized submission form for RFP 1433, a NASPO ValuePoint medical supplies and equipment contract issued by the State of Idaho. The RFP solicits pricing for two categories: Category 1 encompasses 100 line items of medical supplies and consumables including adhesive dressings, surgical instruments, personal protective equipment, diagnostic testing materials, and incontinence products; Category 2 covers 20 line items of medical equipment such as respiratory protection equipment, cardiovascular instrumentation, hospital furniture, monitoring systems, and examination room equipment. Bidders are not required to submit proposals for both categories but must complete all required fields for categories in which they are offering products. The submission must be completed in Microsoft Excel format through the IPRO Powered by Luma system using the file naming convention "Form B - Insert Bidder Name," with a placeholder cost of $0.01 entered in the system and actual pricing provided in the completed form.
All proposed costs must be fully burdened and inclusive of all fees, charges, shipping, delivery, credit card processing, personnel costs, and the NASPO ValuePoint administrative fee. Pricing is evaluated through Table 1 (item-level pricing for reasonableness validation) and Table 2 (category-level discount evaluation), with contract awards made to the responsive and responsible offeror presenting the highest average category discount percentage. Submission of Annual Volume Bonus Rebates is optional; any discounts submitted become binding and enforceable in the final contract. The Lead State reserves the right to conduct independent reasonableness and best-value reviews of all cost proposals, and costs determined to be unreasonable or not representing best value may result in rejection of all or part of a proposal. Participating entities may add administrative fees to Master Agreement pricing, with adjustments not exceeding the participating entity's fee and having no effect on NASPO ValuePoint administrative fees or pricing offered to purchasing entities outside the jurisdiction.
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Attachment I - Cost Proposal RFP 1433 Medical Supplies & Equipment
Submittal Instructions
| RFP 1433 - Medical Supplies & Equipment |
| Attachment I.1 - Cost Proposal Categories 1 & 2 |
| INSTRUCTIONS |
| Submission |
| This completed Cost Proposal must be submitted in Microsoft Excel format through IPRO Powered by Luma, following the file naming convention: "Form B - Insert Bidder Name." Offeror's must not alter the format of, or any parts contained in, this document. Altering the format may result in a finding that your Cost Proposal is non-responsive. When submitting through IPRO, enter "$0.01" as a placeholder cost in the system; actual pricing must be provided in this form. |
| Fully Burdened Costs |
| Offeror’s Cost Proposal must be inclusive of all fees and charges |
| Cost Proposal Entry Instructions |
| Offerors are not required to submit Cost Proposals for both categories. Offers must, however, fill out all required fields on both Tables for the categories they are offering; this includes all highlighted cells. Failure to price any line item may result in the Offeror being deemed non-responsive. The Offeror's Catalog Number/SKU must correspond with the identifier/SKU listed in the Offeror's full-line catalog/price sheet. Offeror is wholly responsible for ensuring figures and calculations submitted in Offeror’s completed Cost Proposal are accurate, even if formulas have been provided by the Lead State as a courtesy. |
| Annual Volume Discounts |
| Submission of Annual Volume Discounts is optional for this RFP. Offerors are not required to provide Volume Discounts for either category. Submitted discounts will not be evaluated as part of the Cost Proposal. However, if an Offeror elects to submit Volume Discounts, those discounts will be incorporated into the final Contract and will become binding and enforceable. |
| Evaluation and Award |
| For both Categories, Table 1 item-level pricing will be used to assess price reasonableness and validate the discount structures proposed. Table 1 will not be part of the overall cost evaluation, however the Total Average Discount Percentage will be used in the Stage 4 - Cost Evaluation. The Cost Proposal award will be made to the responsive and responsible Offeror with the highest average category discount percentage on Table 2 for both Category 1 – Supplies and Category 2 – Equipment. |
| Offeror Company Name: |
| Company Address: |
| Offeror Contact Name: |
| Contact Phone Number: |
| Contact Email: |
Category 1 - Supplies
| RFP2026#### |
| Attachment I - Category 1 Supplies & Consumables Cost Exhibit & Market Basket Discounts |
| Table 1 - Supplies and Consumables | |||||||||
| No. | Item | Offeror's Catalog Number/SKU | Manufacturer's Part Number | Offeror's Package UOM | Offeror's Package MSRP/List Price | Discount % Off MSRP/List Price | Final Contract Price | Notes | Owned/In-House Brand? Y/N |
| Example | Glove Liners | 1234ABCD | ABCD1234 | EA/BOX/CASE | $ 30.00 | 10% | $ 27.00 | Gloves are packaged by size | Y |
| 1 | Adhesive Dressings | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 2 | Adhesive Tapes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 3 | Allergy Tests | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 4 | Antibiotic Ointment | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 5 | Antiseptic Products | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 6 | Arm Slings | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 7 | Back Supports | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 8 | Bandages | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 9 | Bedpans | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 11 | Biohazard Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 12 | Blood Collection Kit (Tubes, Tube-Holders, and Needles) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 13 | Blood Pressure Cuffs | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 14 | Body Wash Soap | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 15 | Briefs | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 16 | Cadaver Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 17 | Catheters | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 18 | Cotton and/or Rayon Surgical Applicators - Dry | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 19 | Cotton and/or Rayon Surgical Applicators with Germicide | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 20 | Decontamination Wipes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 21 | Defibrillator Pads | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 22 | Diapers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 23 | Drug Test and Screening Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 24 | Ear Probe Tips | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 25 | Ear Protection | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 26 | Ear Specula | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 27 | ECG Electrodes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 28 | ECG Gel | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 29 | ECG Leads | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 30 | ECG recording paper | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 49 | Ensure Supplement | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 31 | Exam Table Paper | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 32 | Finger Cots | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 33 | Formula/Solutions/Supplements | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 34 | Gloves - Latex LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 35 | Gloves - Liners LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 36 | Gloves - Neoprene LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 37 | Gloves - Rubber LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 38 | Glucose Test Strips | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 39 | Hematology Reagents | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 40 | Hospital Wear, Professional | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 41 | Hydrogen Peroxide | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 42 | Ice Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 43 | Identification Bands | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 44 | Intubation Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 45 | Irrigation Solutions | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 46 | Irrigation Tray | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 47 | Isopropyl Alcohol Bottles | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 48 | Isopropyl Alcohol Prep Pads | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 50 | Laboratory Clothing | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 51 | Lancets | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 52 | Medical Tape | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 53 | N95, N99, N100, P95, P99, P100, R95, R100 Respirators | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 54 | Nasal Cannulas | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 55 | Nasal Speculums | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 56 | Neck Braces | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 57 | Needles - Spinal Type | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 58 | Needles -Amniocentesis Type | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 59 | Operating/Exam Caps | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 60 | Operating/Exam Eye Protection | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 61 | Operating/Exam Face Shield | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 62 | Operating/Exam Gowns | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 63 | Operating/Exam Masks | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 64 | Paramedic Life Support Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 10 | Pediatric Supplement | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 65 | Pillow Cases | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 66 | Plaster of Paris | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 67 | Privacy Screens/Curtains | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 68 | Scalpels | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 69 | Scissors - Paramedic | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 70 | Scrubs | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 71 | Sharps Disposable Containers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 72 | Sheets | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 73 | Shoe Covers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 74 | Sickness Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 75 | Skin Staplers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 76 | Soap - Antibacterial Benzethonium | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 77 | Spill Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 78 | Splints | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 79 | Staple and Suture Removal Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 80 | Sterile Gauze Pads - Dry | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 81 | Sterile Gauze Pads - Impregnated for Topical Applications | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 82 | Surgical Caps | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 83 | Surgical Drapes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 84 | Surgical Gauze | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 85 | Sutures | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 86 | Suturing Needles | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 87 | Syringes - Hypodermic | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 88 | Syringes - Irrigation | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 89 | Thermometer Sheath Dispenser | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 90 | Thermometer Sheaths | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 91 | Thermometers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 92 | Tongue Depressors | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 93 | Torso Supports | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 94 | Tourniquets | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 95 | Tracheal Tubes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 96 | Trauma Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 97 | Urinalysis Strips | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 98 | Urine Cups | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 99 | Waste Containers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 100 | Wound Clips (non-auto suturing instruments) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| Total Average % | |||||||||
| Table 2: Evaluation Plan - Category Discounts | |||||||||
| No. | Category | Discount Percentage | |||||||
| Example | Diagnostic | 20% | |||||||
| 1 | Apparel | 0% | |||||||
| 2 | Diagnostic | 0% | |||||||
| 3 | Feeding Supplies | 0% | |||||||
| 4 | Gloves | 0% | |||||||
| 5 | Incontinence | 0% | |||||||
| 6 | IV & Infusion | 0% | |||||||
| 7 | Needles & Syringes | 0% | |||||||
| 8 | Nutritional Supplements | 0% | |||||||
| 9 | Obstetrics & Gynecology | 0% | |||||||
| 10 | Orthopedic, Therapy & Support Products | 0% | |||||||
| 11 | Ostomy & Urology | 0% | |||||||
| 12 | Respiratory | 0% | |||||||
| 13 | Surgical Instruments | 0% | |||||||
| 14 | Wound Care | 0% | |||||||
| Total Average % | 0% | ||||||||
| Table 3 - OPTIONAL: Annual Volume Bonus Rebates | |||||||||
| No. | Annual $ Volume Range | Annual Rebate % | |||||||
| Example | $100,001 - $200,000 | 5% | |||||||
| 1 | 0% | ||||||||
| 2 | 0% | ||||||||
| 3 | 0% | ||||||||
| 4 | 0% | ||||||||
| 5 | 0% |
Category 2 - Equipment Attachment I - Category 2 Medical Equipment Cost Exhibit & Market Basket Discounts
| Table 1 - Medical Equipment | ||||||||
| No. | Item | Offeror's Catalog Number/SKU | Manufacturer's Part Number | Offeror's Package MSRP/List Price | Discount % Off MSRP/List Price | Final Contract Price | Notes | Owned/In-House Brand? Y/N |
| Example | Exam Table | 1234 | ABCD | $ 1,500.00 | 5% | $ 1,425.00 | Exam Tables Have Multiple Height and Length Options | Y |
| 1 | Respiratory Protection Equipment And Parts (Including Cpap Equipment And Parts) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 2 | Resuscitators And Parts (Including Portable Rescue Units) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 3 | Recovery And Treatment Room Furniture: Reclining Chairs, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 4 | Cardiovascular Instrumentation: Defibrillators, Heart Pumps, Monitoring Equipment, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 5 | Operating And Examination Room Furniture | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 6 | Analyzer Equipment, Medical (Not Otherwise Classified) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 7 | Carts: Dressing, Laboratory, Medication, Patient Tray, Resuscitation And Utility | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 8 | Cardiac Pacemakers, Heart Valves, Stints, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 9 | Medical Examination Equipment And Supplies (Not Otherwise Classified) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 10 | Wheelchairs (Including Mobile Treatment Chairs) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 11 | Blood Pressure And Blood Flow Detection Equipment: Dopplers, Sphygmomanometers, Stethoscopes, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 12 | Clinical Forensic And Postmortem Equipment And Supplies (Not Otherwise Classified) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 13 | Furniture, Health Care (Custom Made) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 14 | Monitoring Systems, All Types (Hospital And Patient) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 15 | Ambulance Cots And Stretchers (Incl. Shifting Boards) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 16 | Beds And Mattresses, Hospital Specialized: Air Beds, Intensive Care, Orthopedic, Waterbeds, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 17 | Height Measurement Devices | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 18 | Restraint And Protection Items: Crib Nets, Foam Helmets, Jackets, Mittens, Wristlets, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 19 | Vaporizers, Humidifiers, And Nebulizers (Including Room Size) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 20 | Tables, Examination, Including Parts and Accessories | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| Total Average % |
| Table 2: Evaluation Plan - Category Discounts | ||
| No. | Category | Discount Percentage |
| Example | Diagnostic | 20% |
| 1 | Ambulatory | 0% |
| 2 | Anesthesia Equipment | 0% |
| 3 | Appliances (Durable Goods) | 0% |
| 4 | Cardiology | 0% |
| 5 | Examination Equipment | 0% |
| 6 | Feeding Equipment | 0% |
| 7 | Indicators & Signage | 0% |
| 8 | IV & Infusion Equipment | 0% |
| 9 | Medical Imaging | 0% |
| 10 | Monitoring Equipment | 0% |
| 11 | Operating & Exam Room Furniture | 0% |
| 12 | Respiratory | 0% |
| 13 | Sterilization | 0% |
| 14 | Transfer Equipment | 0% |
| Total Average % | 0% | |
| Table 3 - OPTIONAL: Annual Volume Bonus Rebates | ||
| No. | Annual $ Volume Range | Annual Rebate % |
| Example | $100,001 - $200,000 | 5% |
| 1 | 0% | |
| 2 | 0% | |
| 3 | 0% | |
| 4 | 0% | |
| 5 | 0% |
Microsoft_Word_Document.docx Request for Proposals for
[PORTFOLIO NAME]
Issued by the State of [Lead State]
Solicitation Number: [#######]
Request for Proposals for
MEDICAL SUPPLIES
Issued by the State of Idaho
Solicitation Number RFP 1433
Attachment I
COST PROPOSAL
Offeror must complete all required elements of this Cost Proposal. The format and structure of the Cost Proposal is intended to allow for a fair evaluation of like costs among Offerors. Deviation from the format or structure of this Cost Proposal may result in the Offeror’s proposal being deemed non-responsive.
Offeror is wholly responsible for ensuring figures and calculations submitted in Offeror’s completed Cost Proposal are accurate, even if formulas have been provided by the Lead State as a courtesy.
Inclusion of cost or pricing information in any document other than this Cost Proposal may result in Offeror’s proposal being deemed non-responsive.
Proposed Costs and Discounts
Offeror’s Cost and Category Discounts must be inclusive of all fees and charges, including but not limited to fees or charges for shipping, delivery, credit card payments, and personnel. All costs proposed by Offeror must also be inclusive of the NASPO ValuePoint administrative fee. Proposed costs incorporated into a Master Agreement resulting from this RFP represent not-to-exceed pricing and minimum discounts, where applicable. Except as permitted below, pricing offered to Participating Entities and Purchasing Entities must be no higher than pricing set forth in the Master Agreement.
A Participating Addendum may also require payment of an additional administrative fee by Contractors to a Participating Entity based on sales to Purchasing Entities within the jurisdiction of the Participating Entity. Unless otherwise negotiated by the Participating Entity, Contractor may adjust the Master Agreement pricing incorporated into the Participating Entity’s Participating Addendum by an amount not to exceed the Participating Entity’s fee. Such adjustments will have no effect on the NASPO ValuePoint administrative fee, pricing in the Master Agreement, or pricing offered to Purchasing Entities outside the jurisdiction of the Participating Entity.
In addition to the Cost Proposal evaluation described in this RFP, Cost Proposals may also be subject to an independent review for reasonableness and best value by the Lead State. Costs determined not to be reasonable or best-value by the Lead State, including any cost to which Offeror’s proposed markup or discount is to be applied, may result in all or part of Offeror’s proposal being rejected, notwithstanding the results of the Cost Proposal evaluation.
Page 2 of 9 – Attachment [X], RFP TERMS AND CONDITIONS
Attachment I, COST PROPOSAL image1.png image2.png image1.emf
File details come from the government source that posted it. Updated .