25LS0017_-_Rate_Sheet.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 0000036489
- Issued by
- Los Angeles County, California
About this file
This is a Rate Sheet for Pre-Employment/Annual Physicals Services issued by the California Department of Veterans Affairs for the Veterans Home of California - Lancaster, located at 45221 30th Street West, Lancaster, CA 93536. The document outlines a contract opportunity for medical services with a comprehensive list of specific medical procedures and vaccinations, including basic physical examinations, TB skin tests, chest X-rays, and various vaccines. The contract anticipates 450 basic physical examinations, 300 TB skin test step 1 procedures, 75 TB skin test step 2 procedures, 75 chest X-rays, and 150 each of Hepatitis B, Influenza, MMR, Tdap, and Varicella vaccines.
The rate sheet is structured for proposers to quote pricing for each specific service, with a total contract amount to be determined based on the submitted rates. The State makes no guarantee of the exact volume of services required and reserves the right to adjust needs accordingly. The rates quoted by the successful proposer will be binding for the entire contract term. The document emphasizes that submission of this rate sheet is mandatory, and failure to indicate a dollar amount for any item will be interpreted as the proposer offering that service at no cost. The final contract award will be based on the lowest responsible quote, with the agreement number designated as 25LS0017 TBD.
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Other files
| File | Type | Posted |
|---|---|---|
| 25LS0017_-_STD_213_SAMPLE.pdf | ||
| 25LS0017_-_All_Exhibits.pdf | ||
| 25LS0017_-_SB_SFQ.pdf | ||
| 25LS0017_-_All_Attachments.pdf |
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Text version
Sheet1
| PRE-EMPLOYMENT/ANNUAL PHYSICALS SERVICES |
| RATE SHEET |
Submission of this attachment is MANDATORY. Upon award, quotes below will become part of the Agreement in Exhibit B, Attachment 1 Rate Sheet. The Proposer shall set forth the rates in the space provided. Failure to indicate a dollar amount for any item will be understood by the State that the Proposer will provide the item at no cost.
The undersigned Contractor hereby proposes to furnish all labor, licenses, permits, supplies, materials, parts, equipment, and any other item of expense to perform Pre-Employment/Annual Physicals Services at the Veterans Home of California – Lancaster located at 45221 30th Street West, Lancaster, CA 93536 in accordance with the specifications and provisions stated in the SFQ package.
| Description of Service | Number of Services for Contract Term | Rate | Totals | |||
| A. | Basic Physical with Employee Form (LIC 503) | 450 | x | = | $ - 0 | |
| B. | TB Skin Test- Step 1 | 300 | x | = | $ - 0 | |
| C. | TB Skin Test- Step 2 | 75 | x | = | $ - 0 | |
| D. | Chest X-Ray 1 View | 75 | x | = | $ - 0 | |
| E. | Vaccine-Hepatitis B | 150 | x | = | $ - 0 | |
| F. | Vaccine-Influenza | 150 | x | = | $ - 0 | |
| G. | Vaccine-MMR (measles, mumps, and rubella) | 150 | x | = | $ - 0 | |
| H. | Vaccine-Tdap (tetanus, diphtheria, and pertussis) | 150 | x | = | $ - 0 | |
| I. | Vaccine-Varicella | 150 | x | = | $ - 0 | |
| J. | Total Lines A - I | $ - 0 | ||||
| K. | Total (Basis of Award and Total Contract Amount): | $ - 0 |
The Basis of Award shall be used to determine the lowest responsible quote. 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 needs of the Home. However, the rates quoted by proposer shall be binding for the term of the Agreement.
This Rate Sheet MUST be signed and returned (please use Blue ink when signing). The quote must be transmitted via email in accordance with solicitation instructions.
| Company Name: |
| Company Representative's Name (Printed): |
| Company Representative's Signature: |
| Date: |
&"Arial,Regular"California Department of Veterans Affairs Rate Sheet &"Arial,Regular"Agreement Number: 25LS0017
TBD
Sheet2
Sheet3
File details come from the government source that posted it. Updated .