24WS0003_-_Rate_Sheet.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 0000031354
- Issued by
- California
About this file
This document is a rate sheet for a solicitation from the California Department of Veterans Affairs (CalVet) for Dental Crown, Bridge, and Denture Services at the Veterans Home of California - West Los Angeles. The solicitation number is 24WS0003. Bidders must provide firm, all-inclusive rates for a variety of dental services including custom trays, partial dentures, full dentures, relines, repairs, and various crown and bridge work. Estimated quantities are provided for each service item. Submission of the completed rate sheet is mandatory, and any alterations to the document may result in bid rejection. The basis of award will be the lowest responsible bid. The state makes no guarantee of the actual service volumes required, but the awarded rates will be binding for the term of the contract, including any extensions.
The pricing terms require a dollar amount to be entered for each service item. Failure to provide a rate may lead to bid rejection. There is no mention of any set-asides, incumbent information, or funding sources. The contract term and renewal options are not specified in this document.
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Rate Sheet
| California Department of Veterans Affairs | Solicitation Number: 24WS0003 |
| Rate Sheet | |
| Dental Lab Services - Dental Crown, Bridge & Dentures |
Submission of this attachment is MANDATORY. Upon award, the bid below will become part of the Agreement in Exhibit B-1, Rate Sheet. The bidder shall enter the rates in the yellow-highlighted section below. An all-inclusive rate is required for the items listed. A zero dollar ($0.00) amount entered for any and all items will be understood by the State that the bidder will perform any such services at no cost to the State. However, failure to indicate a dollar amount in any item may be grounds to reject the entire bid. Altering this document shall result in the bidder's bid being rejected.
The Basis of the Award shall be used to determine the lowest responsible bid. The State makes no guarantee, expressed or implied, on the actual amount of services that shall be required for this Agreement and is subject to change based on the needs of the Home. However, the rates bid by the bidder shall be binding for the term of the Agreement, including any extension of the term through a formal amendment.
| Enter the bid in the yellow-highlighted area. | |||||||
| Description of Denture Services | Estimate Amount of Services | x | Rate Per Service | = | Subtotals | ||
| 1 | Custom Tray | 30 | x | $ - 0 | = | $ - 0 | |
| 2 | Cast Metal Partial (Frame Work only) | 30 | x | $ - 0 | = | $ - 0 | |
| 3 | Cast Metal Partial Complete | 150 | x | $ - 0 | = | $ - 0 | |
| 4 | Bite Block | 30 | x | $ - 0 | = | $ - 0 | |
| 5 | Full Acrylic Denture | 150 | x | $ - 0 | = | $ - 0 | |
| 6 | Stay Plate Up To Six Units Including Clasps | 30 | x | $ - 0 | = | $ - 0 | |
| 7 | Stay Plate More Than Six Units Including Clasps | 30 | x | $ - 0 | = | $ - 0 | |
| 8 | P.D. Attachment | 15 | x | $ - 0 | = | $ - 0 | |
| 9 | Hard Reline Services | 30 | x | $ - 0 | = | $ - 0 | |
| 10 | Partial Metal with Valplast | 15 | x | $ - 0 | = | $ - 0 | |
| 11 | Valplast | 6 | x | $ - 0 | = | $ - 0 | |
| 12 | Repair Services | 90 | x | $ - 0 | = | $ - 0 | |
| 13 | Print Name | 435 | x | $ - 0 | = | $ - 0 | |
| Sub-Total (Sum of All Dental Services) | $ - 0 | ||||||
| 0 | Description of Crown & Bridge Services | Estimate Amount of Services | x | Rate Per Service | = | Subtotals | |
| 1 | PFM with Non-Precious Metals | 30 | x | $ - 0 | = | $ - 0 | |
| 2 | PFM with Semi-Precious Metals | 15 | x | $ - 0 | = | $ - 0 | |
| 3 | PFM with High Noble Metals | 6 | x | $ - 0 | = | $ - 0 | |
| 4 | Porcelain Butt Margins | 15 | x | $ - 0 | = | $ - 0 | |
| 5 | Post & Core | 15 | x | $ - 0 | = | $ - 0 | |
| 6 | Zirconia | 15 | x | $ - 0 | = | $ - 0 | |
| 7 | Veneer | 15 | x | $ - 0 | = | $ - 0 | |
| 8 | Additonal Pontic | 15 | x | $ - 0 | = | $ - 0 | |
| 9 | Additional Wing | 15 | x | $ - 0 | = | $ - 0 | |
| Sub-Total (Sum of All Crown & Bridge Services) | $ - 0 | ||||||
| Basis of Award | |||||||
| Total Amount of Contract | $ - 0 |
Company Name Email address of Representative
Printed Name and Title Signature Date
Address City, State, and ZIP
Telephone Number Fax Number
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