25LS0017_-_Rate_Sheet.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 0000037006
- Issued by
- Los Angeles County, California
About this file
This is a Rate Sheet for pre-employment and annual physicals services submitted by the California Department of Veterans Affairs for the Veterans Home of California - Lancaster (Agreement Number 25LS0017). The solicitation requests pricing for nine categories of medical services to be provided at 45221 30th Street West, Lancaster, CA 93536. Services include basic physicals with employee forms, two-step tuberculosis skin tests, chest X-rays, and five vaccine types (Hepatitis B, Influenza, MMR, Tdap, and Varicella). The contract specifies anticipated service volumes of 450 basic physicals, 300 initial TB skin tests, 75 follow-up TB skin tests and chest X-rays, and 150 doses each of the five vaccines over the contract term. The rate sheet must be completed with unit pricing for each service line item, signed in blue ink by an authorized company representative, and submitted via email in accordance with solicitation instructions.
Proposers are required to provide all labor, licenses, permits, supplies, materials, equipment, and other expenses necessary to deliver the services. The basis of award will be the lowest responsible quote, with the resulting rates becoming binding for the entire contract term. The State does not guarantee the actual volume of services required, which may vary based on the Veterans Home's operational needs. Submission of the completed rate sheet is mandatory, and failure to provide a dollar amount for any line item will be interpreted as the proposer offering that service at no cost. The total contract amount will be determined by multiplying the unit rates by the estimated quantities across all service categories.
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Other files
| File | Type | Posted |
|---|---|---|
| 25LS0017_-_STD_213_SAMPLE.pdf | ||
| 25LS0017_-_All_Attachments.pdf | ||
| 25LS0017_-_All_Exhibits.pdf | ||
| 25LS0017_-_IFB_10.17.25.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
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