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This is a Rate Sheet for Non-Emergency Ambulance Transportation Services issued by the California Department of Veterans Affairs under Solicitation Number 25WS0005. The services are to be provided at the Veterans Home of California - West Los Angeles, located at 11500 Nimitz Avenue in Los Angeles. The scope includes ground mileage (500 units), Basic Life Support (BLS) services (450 units), and Bariatric BLS services (10 units). The contract term is not specified in the document.

The Rate Sheet requires bidders to submit all-inclusive rates for each service category, with the total contract amount being the sum of all services. Bidders must enter rates in designated yellow-highlighted sections, and zero-dollar amounts are acceptable but must be explicitly stated. The basis of award will be determined by the lowest responsible quote, and while the State makes no guarantee of actual service volumes, the quoted rates will be binding for the entire contract term including any extensions. The sheet must be signed and submitted according to solicitation instructions.

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Rate Sheet

California Department of Veterans AffairsSolicitation Number: 25WS0005
Rate Sheet
NON-EMERGENCY AMBULANCE TRANSPORTATION SERVICES

Submission of this attachment is MANDATORY. Upon award, the quote below will become part of the Agreement in Exhibit B-1, Rate Sheet. The proposer 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 proposer 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 quote. Altering this document shall result in the proposer's quote being rejected.

The Basis of the 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 the needs of the Home. However, the rates quoted by the proposer 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 ServicesNumber of Units to be InstalledxRate Per Service=Subtotals
A.Ground Mileage500x=$ - 0
B.Basic Life Support (BLS)450x=$ - 0
C.Bariatric (BLS)10x=$ - 0
.x=$ - 0
Sub-Total (Sum of A to D)$ - 0
Total Amount of Contract (Sum of A to D)$ - 0
Basis of Award

The undersigned Contractor hereby proposes to furnish all travel, labor, licenses, permits, certifications, and any other item of expense to perform services for the residents at the Veterans Home of California – West Los Angeles 11500 Nimitz Avenue Los Angeles, CA 90049 in accordance with the specifications and provisions stated in the solicitation package.

This Rate Sheet MUST be signed and returned.

The bid must be transmitted in accordance with the solicitation instructions.

Company Name Email address of Representative

Printed Name and Title Signature Date

Address City, State, and ZIP

Telephone Number Fax Number

File details come from the government source that posted it. Updated .