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Bid Instructions
| Attachment B - Price Form |
| Each Bidder shall submit its response via the Price Form in accordance with the instructions specified herein. Do not alter the Price Form; otherwise, the Bid may be determined to be not responsive or the Bid may be determined to be not reasonably susceptible of being selected for award. If the Price Form contains a signature box, it must be signed and dated by an individual who is authorized to bind the Bidder to the prices entered on the Price Form. |
| Follow these instructions carefully when completing your Price Form: |
A) All Unit and Extended Prices must be clearly entered in dollars and cents, e.g., $24.15. Make your decimal points clear and distinct.
B) All Unit Prices must be the actual price per unit the State will pay for the specific item or service identified in this IFB and may not be contingent on any other factor or condition in any manner.
C) All calculations shall be rounded to the nearest cent, e.g., .344 shall be .34 and .345 shall be .35.
D) Any goods or services required through this IFB which are proposed to be provided at No Cost to the State must be clearly entered in the Unit Price, if appropriate, and Extended Price with $0.00.
E) Every editable field in the Price Form shall be completed. Any changes or corrections made to the Price Form by the Bidder prior to submission due date shall be initialed and dated, if required, or submitted as a new Price Form through eMMA. Partial or incomplete Bids will be rejected unless otherwise stated in the solicitation.
F) Except as instructed on the Price Form, nothing shall be entered on or attached to the Price Form that proposes conditions or contingencies on the prices. Conditions may render the Bid not responsive or the Proposal not reasonably susceptible for being selected for award.
G) It is imperative that the prices included on the Price Form have been entered correctly and calculated accurately by the Bidder and that the respective total prices agree with the entries on the Price Form. Any incorrect entries or inaccurate calculations by the Bidder will be treated as provided in COMAR 21.05.02.12 and may cause the Bid to be rejected.
H) All pricing, including labor rates, entered in the Price Form must be fully loaded prices that include all costs/expenses associated with the provision of services required by the IFB. Examples may include all labor, profit/overhead, general operating, administrative, and all other expenses and costs necessary to perform the work set forth in the solicitation. No other amounts will be paid to the Contractor.
I) Unless indicated elsewhere in the IFB, sample amounts used for calculations on the Price Form are typically estimates for evaluation purposes only. Unless stated otherwise in the IFB, a minimum or maximum number of units or usage in the performance of the Contract is not guaranteed.
J) Failure to adhere to any of these instructions may result in the Bid being determined not responsive or the Proposal being determined not reasonably susceptible of being selected for award.
K) Bidder must submit only one (1) Bid Form workbook.
| L) Bidders have the option of bidding on one (1) Area or multiple Areas. However, please note that any participant being transported may not be in transit for more than one hour without an opportunity for a rest stop. Each Area that is being bid on MUST include pricing for all five (5) years for that Area. |
| M) The awarded bidders will invoice MDH for Medical Adult Day Care services provided each month. The invoice amount billed will consist of the Actual Days of Service provided during the month to participants under this contract, multiplied by the bidder's Daily Rate. Each Bid Form tab lists the average number of Days of Service per month during FY27 (July 1, 2026 through June 30, 2027). |
Bid Form Summary
| PROCUREMENT METHOD IFB OCMP # 26-25569 | |
| Medical Adult Day Care Private Pay Subsidy | |
| Bid Proposal Total by Region(s) | Location Total |
| Anne Arundel (21108-1536) | $0.00 |
| Frederick (21702-2824) | $0.00 |
| Howard (21044-1945) | $0.00 |
| Montgomery I (20910-2701) | $0.00 |
| Montgomery II (20832-1515) | $0.00 |
| Prince George's (20774-2122) | $0.00 |
| St. Mary's (20636-2709) | $0.00 |
| Wicomico (21801-7828) | $0.00 |
Bid Proposal Total by Area(s)
TOTAL EVALUATED PROPOSED COST - Summary Total Costs $0.00
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
Anne Arundel 21108-1536
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| ANNE ARUNDEL COUNTY (21108-1536) |
| NOTE: Per Section 2.3.A.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Anne Arundel | $ - 0 | 141 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Anne Arundel | $ - 0 | 141 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Anne Arundel | $ - 0 | 141 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Anne Arundel | $ - 0 | 141 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Anne Arundel | $ - 0 | 141 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $0.00
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
Frederick 21702-2824
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| FREDERICK COUNTY (21702-2824) |
| NOTE: Per Section 2.3.A.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Frederick | $ - 0 | 121 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Frederick | $ - 0 | 121 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Frederick | $ - 0 | 121 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Frederick | $ - 0 | 121 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Frederick | $ - 0 | 121 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $ - 0
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
Howard 21044-1945
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| HOWARD COUNTY (21044-1945) |
| NOTE: Per Section 2.3.A.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Howard | $ - 0 | 135 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Howard | $ - 0 | 135 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.1.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Howard | $ - 0 | 135 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.1.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Howard | $ - 0 | 135 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.1.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Howard | $ - 0 | 135 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $ - 0
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
Montgomery 20910-2701
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| MONTGOMERY COUNTY (20910-2701) |
| NOTE: Per Section 2.3.1.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery I | $ - 0 | 90 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery I | $ - 0 | 90 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery I | $ - 0 | 90 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery I | $ - 0 | 90 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery I | $ - 0 | 90 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $ - 0
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
Montgomery 20832-1515
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| MONTGOMERY COUNTY (20832-1515) |
| NOTE: Per Section 2.3.A.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery II | $ - 0 | 127 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery II | $ - 0 | 127 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery II | $ - 0 | 127 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery II | $ - 0 | 127 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Montgomery II | $ - 0 | 127 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $ - 0
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
Prince Georges 20774-2122
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| PRINCE GEORGE'S COUNTY (20774-2122) |
| NOTE: Per Section 2.3.A.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Prince George's | $ - 0 | 163 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Prince George's | $ - 0 | 163 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Prince George's | $ - 0 | 163 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Prince George's | $ - 0 | 163 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Prince George's | $ - 0 | 163 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $ - 0
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
St Marys 20636-2709
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| ST. MARY'S COUNTY (20636-2709) |
| NOTE: Per Section 2.3.A.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - St. Mary's | $ - 0 | 96 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - St. Mary's | $ - 0 | 96 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - St. Mary's | $ - 0 | 96 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - St. Mary's | $ - 0 | 96 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - St. Mary's | $ - 0 | 96 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $ - 0
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |
Wicomico 21801-7828
| ATTACHMENT B-1 BID FORM PROCUREMENT METHOD IFB # OCMP-26-25569 |
| Medical Adult Day Care Private Pay Subsidy |
| WICOMICO COUNTY (21801-7828) |
| NOTE: Per Section 2.3.A.1 in the IFB, a participant must be present a minimum of four (4) hours to bill for a Day of Service. Keep this in mind when calculating the Bid Price. |
| Base Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Wicomico | $ - 0 | 144 | $0.00 |
| Total | | | $0.00 |
| Base Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Wicomico | $ - 0 | 144 | $0.00 |
| Total | | | $0.00 |
| Base Year Three (3) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Wicomico | $ - 0 | 144 | $0.00 |
| Total | | | $0.00 |
| Option Year One (1) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Wicomico | $ - 0 | 144 | $0.00 |
| Total | | | $0.00 |
| Option Year Two (2) | | | |
| Service Description: Reference Section 2.3.A.1 of the IFB | Daily Rate | Average # of Days of Service Per Month for All Participants (FY26) | Total Price for One (1) - Year |
| Adult Day Care Services - Wicomico | $ - 0 | 144 | $0.00 |
| Total | | | $0.00 |
| 3 Year Base Contract Total | | | $0.00 |
| 3 Year Base + 2 Option Years Contract Total | | | $0.00 |
TOTAL EVALUATED PROPOSED COST $ - 0
| Submitted by: | |
| Signature of Authorized Representative | Date |
| Printed Name and Title: | |
| Telephone: | |
| Email address: | |
| Bidder Company Name: | |
| Bidder Company Address: | |
| Location(s) from which goods/services will be provided/performed (City/State): | |
| FEIN: | |
| eMMA #: | |