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Sheet1
| Name of the Conference: | Type IV Refresher |
| Date(s) of the Conference: | 5/19/26 |
| Responding Company Name: | |
| USE EXHIBIT C AND EXHIBIT C, SUPPLEMENT 1 AS A REFERENCE WHEN COMPLETING THIS FORM. |
| THIS PRICE SCHEDULE DOES NOT CONTAIN DETAILS AND REQUIREMENTS. |
| Substitutions are NOT allowed unless noted in Exhibit C, Supplement 1 of the Sample Contract and Exhibits. |
| LODGING | | |
| Check-in Date: | 5/18/2026 |
| Check-out Date: | 5/19/2026 |
| Single Occupancy | | | | If you are providing lodging at an alternate location, complete the following information - |
| Number of Rooms | 48 | | |
| | | PRICE | Hotel/Motel |
| Room Charge (per room/night) | | | Address |
| Tax (per room/night) | | | |
| Total Cost (per room/night) | | $0.00 | Ph. Number |
| Double Occupancy | | | |
| Number of Rooms | 0 | |
| | | PRICE |
| Room Charge (per room/night) | | |
| Tax (per room/night) | | |
| Total Cost (per room/night) | | $0.00 |
| SHUTTLE SERVICES | |
| The lodging facility, conference facility, and parking must be within one-tenth (1/10) mile of each other, or the Contractor must be able to provide shuttle services to and from the sites at no additional cost to the State. If shuttle services are required, the State prefers that the Contractor provide shuttles free of charge, but if the Contractor does charge for shuttles, the cost, per attendee, per day, must be listed below. |
| Are Shuttle Services Required? |
| Yes |
| No |
If yes, price per attendee/day
| ADDITIONAL PROPERTIES |
| Please list here the addresses of any additional properties or facilities included in offer. Add additional lines if necessary. |
| PARKING | | | |
| Number of spots/day required | | 88 |
| | Number of spots/day available | |
| | Price per day per car | |
MEETING ROOMS
| Registration Area | | Quantity | Price Per Day | # Days | # Rooms | Extended Price |
| 1 | Tables | 2 | | 1 | 1 | $0.00 |
| 2 | Chairs | 2 | | 1 | 1 | $0.00 |
| 4 | Electrical Access | 1 | | 1 | 1 | $0.00 |
| 5 | Wi-Fi Access | 1 | | 1 | 1 | $0.00 |
| 6 | Room Charge | 1 | | 1 | 1 | $0.00 |
| 7 | Surcharge | 1 | | 1 | 1 | $0.00 |
| 8 | Taxes | 1 | | 1 | 1 | $0.00 |
| | | | | TOTAL | $0.00 |
| General Session Room | | | Quantity | Price Per Day | # Days | # Rooms | Extended Price |
| 1 | Stage | | | | | | $0.00 |
| 2 | Standing Podium | | 1 | | 1 | 1 | $0.00 |
| 3 | Risers for Podium | | | | | | $0.00 |
| 4 | Round Tables/Chairs - Attendees | | 80 | | 1 | 1 | $0.00 |
| 5 | Instructor Table | | 4 | | 1 | 1 | $0.00 |
| 6 | LCD Projector with Wireless Presenter | | 1 | | 1 | 1 | $0.00 |
| 7 | Large Screen | | 1 | | 1 | 1 | $0.00 |
| 8 | Microphone (with Table Stand) | | | | | | $0.00 |
| 9 | Microphone (with Floor Stand) | | | | | | $0.00 |
| 10 | Microphone (Handheld) | | 1 | | 1 | 1 | $0.00 |
| 11 | Microphone (Lavalier) | | | | | | $0.00 |
| 12 | Mixer System | | 1 | | 1 | 1 | $0.00 |
| 13 | Sound Equipment | | 1 | | 1 | 1 | $0.00 |
| 14 | Easel for Signage | | | | | | $0.00 |
| 15 | Electrical Access | | 1 | | 1 | 1 | $0.00 |
| 16 | Wi-Fi Access | | 1 | | 1 | 1 | $0.00 |
| 17 | Room Charge | | 1 | | 1 | 1 | $0.00 |
| 18 | Surcharge | | 1 | | 1 | 1 | $0.00 |
| 19 | Taxes | | 1 | | 1 | 1 | $0.00 |
| | | | | | TOTAL | $0.00 |
| The General Session Room MAY NOT be used towards the total of Breakout Session Room(s) needed. | | | | | | |
| | The General Session Room will count for: | | | | # of Breakout Session Rooms | 0 |
| Breakout Session Room(s) for Exam | | | | Quantity | Price Per Day | # Days | # Rooms | Extended Price |
| 1 | Stage | | | | | | | $0.00 |
| 2 | Standing Podium | | | 1 | | 1 | 1 | $0.00 |
| 3 | Risers for Podium | | | | | | | $0.00 |
| 4 | Round Tables/Chairs - Attendees | | | 20 | | 1 | 1 | $0.00 |
| 5 | Instructor Table | | | 4 | | 1 | 1 | $0.00 |
| 6 | LCD Projector with Wireless Presenter | | | 1 | | 1 | 1 | $0.00 |
| 7 | Large Screen | | | 1 | | 1 | 1 | $0.00 |
| 8 | Microphone (with Table Stand) | | | | | | | $0.00 |
| 9 | Microphone (with Floor Stand) | | | | | | | $0.00 |
| 10 | Microphone (Handheld) | | | 1 | | 1 | 1 | $0.00 |
| 11 | Microphone (Lavalier) | | | | | | | $0.00 |
| 12 | Mixer System | | | 1 | | 1 | 1 | $0.00 |
| 13 | Sound Equipment | | | 1 | | 1 | 1 | $0.00 |
| 14 | Easel for Signage | | | | | | | $0.00 |
| 15 | Electrical Access | | | 1 | | 1 | 1 | $0.00 |
| 16 | Wi-Fi Access | | | 1 | | 1 | 1 | $0.00 |
| 17 | Room Charge | | | 1 | | 1 | 1 | $0.00 |
| 18 | Surcharge | | | 1 | | 1 | 1 | $0.00 |
| 19 | Taxes | | | 1 | | 1 | 1 | $0.00 |
| | | | | | | TOTAL | $0.00 |
| CATERING | | | | | | | | |
| Continental Morning Breakfast | | | | | | | | |
| Number of Attendees | | 88 | | | | | | |
| Number of Days | | 1 | | | | | | |
| | | Per Person | | | | | |
| Food | | | | | | | | |
| Gratuity | | | | | | | | |
| Tax | | | | | | | | |
| Total | | | $0.00 | | | | | |
| Lunch | | | All-Day Beverage Service | | |
| Number of Attendees | 88 | | Number of Attendees | 88 | |
| Number of Days | 1 | | Number of Days | 1 | |
| | Per Person | | | Per Person |
| Food | | | Beverage | | |
| Gratuity | | | Gratuity | | |
| Tax | | | Tax | | |
| Total | | $0.00 | Total | | $0.00 |
All charges must be listed on this spreadsheet. The State will NOT pay for anything that is not included on this spreadsheet. Responder can add lines to this spreadsheet if necessary. Substitutions are not allowed unless noted in Exhibit C, Supplement 1 of the Sample Contract and Exhibits.
CANCELLATION POLICY. Stated below, in dollar amounts, are any charges that could be applied if the conference is cancelled for any reason other than non appropriation. If no charge is indicated below, the State will determine that the Contractor will not charge the cancellation fee.
Any fee stated must be stated in United States currency. The State will realize as a zero amount any fee stated as a formula or percentage or other fee not specifically stated in United States currency.
| Conference Date Cancellation Notice (all services except lodging) | | |
| Received Prior to First Program Dates | Cancellation Fee |
| Between 117 and 60 days | $ |
| Between 59 and 46 days | $ |
| Between 45 and 31 days | $ |
| Between 30 and 15 days | $ |
| Between 14 days and 0 days | $ |
| Lodging Cancellation Notice | | |
| State below your cancellation fee, per reservation, if the conference is cancelled for any reason other than non appropriation. | | |
| Received Prior to First Program Dates | Cancellation Fee |
| Between 30 and 15 days | $ |
| Between 14 and 3 days | $ |
| Between 72 and 48 hours | $ |
| Between 48 and 24 hours | $ |
| Less than 24 hours | $ |
The Contractor agrees that it will not seek any additional costs or fees. The Contractor understands that in the event that the conference is cancelled, the State agency is responsible for paying the cancellation fees.
&"-,Bold"Exhibit D, Price Schedule
&10RFB Exhibit D Price Schedule (Rev. 11.05.2021)