26CRW011_-_Rate_Sheet.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 0000040741
- Issued by
- Los Angeles County, Orange County, Riverside County, San Bernardino County, San Diego County, Orange Cove City, East Los Angeles CDP, Lake Los Angeles CDP, Los Angeles City, Orange City, Lake Riverside CDP, Riverside City, Orangevale CDP, San Bernardino City, Rancho San Diego CDP, San Diego City, San Diego Country Estates CDP, Orange Blossom CDP, California
About this file
This is a rate sheet for the California Department of Veterans Affairs solicitation 26CRW011 for multi-award non-emergency ambulance transportation services at the Veterans Home of California - West Los Angeles located at 11500 Nimitz Avenue, Los Angeles, CA 90049. The solicitation requires bidders to submit all-inclusive rates for five service categories: Basic Life Support (BLS) Medical Transport (500 units), Bariatric Basic Life Support Medical Transport with wait and return services (450 units), Basic Life Support Bariatric Gurney services (50 units), Non-Emergent Medical Transport with wait and return (250 units), and Non-Emergent Medical Transport ground mileage services (50 units). Bidders must complete the mandatory rate sheet by entering rates in the designated yellow-highlighted sections, and failure to provide a dollar amount for any item may result in rejection of the entire quote. The document specifies that alteration of the form will result in rejection, and that the lowest responsible bid will determine the award.
Rates submitted by the selected bidder or bidders will be binding for the entire contract term, including any extensions executed through formal amendment, though the State makes no guarantee regarding the actual volume of services required. A zero dollar amount entered for any service line indicates the bidder will perform those services at no cost to the State. The solicitation is structured as a multiple-award contract with no DVBE sub-contractor goal requirement. Bidders must submit the completed and signed rate sheet in accordance with solicitation instructions, providing company name, representative contact information, printed name and title of authorized signatory, signature, date, address, telephone number, and fax number.
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Other files
| File | Type | Posted |
|---|---|---|
| 26CRW011_-_Exhibits_A-E.pdf | ||
| 26CRW011_-_IFB_NOTICE_TO_BIDDERS_No_Goal.pdf | ||
| 26CRW011_-_IFB_-_Additional_Forms.pdf |
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Rate Sheet
| California Department of Veterans Affairs | Solicitation Number: 26CRW011 |
| Rate Sheet | |
| MULTI-AWARD NON-EMERGENCY AMBULANCE TRANSPORTATION SERVICES |
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 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 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 bided 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 Services | Number of Units to be Installed | x | Rate Per Service | = | Subtotals | |
| A. | Basic Life Support (BLS) Medical Transport; | 500 | x | = | $ - 0 | |
| B. | Bariatric Basic Life Support Medical Transport to appointments including Wait and Return | 450 | x | = | $ - 0 | |
| C. | Basic Life Support - Bariatric Gurney | 50 | x | = | $ - 0 | |
| D. | Non-Emergent Medical Transport - Wait and Return | 250 | x | = | $ - 0 | |
| E. | Non-Emergent Medical Transport - Ground Mileage to and from the facility | 50 | x | = | $ - 0 | |
| Sub-Total (Sum of A to E) | $ - 0 |
| Total Amount of Contract (Sum of A to E) | $ - 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
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