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This is a mandatory Rate Sheet submission form for solicitation 26WS0010 issued by the California Department of Veterans Affairs for Temporary/Relief Physician/Surgeon and Chief Medical Officer Services at the Veterans Home of California—West Los Angeles, located at 11500 Nimitz Avenue, Los Angeles, CA 90049. Bidders are required to submit hourly rate proposals for two service categories: Physician services and Chief Medical Officer services, with alternative options for phone consultations under each category. The rate sheet establishes estimated work parameters of 176 hours per month for primary services and 40 hours per month for phone consultations, with an estimated contract term of 24 months. All bidders must complete both the Physician and Chief Medical Officer categories, and failure to provide dollar amounts for any line item may result in bid rejection. Altering the document will result in automatic rejection.

Pricing for this solicitation is based on an all-inclusive hourly rate model, with bidders required to enter rates in the designated yellow-highlighted sections of the form. The State explicitly reserves the right to award based on the lowest responsible bid and makes no guarantee regarding the actual volume of services required, as demand is subject to change based on the Home's operational needs. All rates submitted become binding for the entire contract term, including any formal extensions or amendments. Bidders must provide all necessary travel, labor, licenses, permits, and certifications as part of their all-inclusive rate proposal. The completed rate sheet must be signed and submitted in accordance with solicitation instructions, along with company contact information and the authorized representative's signature and date.

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Rate Sheet

California Department of Veterans AffairsSolicitation Number: 26WS0010
Rate Sheet
Temporary / Relief Physician/Surgeon and Chief Medical Officer

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 bidder 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 bid. Altering this document shall result in the bidder's bid being rejected. Please be sure to provide a bid for both categories listed below (Physician AND Chief Medical Officer).

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 bid 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 ServicesEstimated Work Hours per MonthxEstimated Months in Contract TermxHourly Rate=Amount
A.Physician176x24x=$ - 0
B.Physician - Phone Consultations40x24x=$ - 0
(Alternative) Description of ServicesEstimated Work Hours per MonthxEstimated Months in Contract TermxHourly Rate=Amount
C.Chief Medical Officer176x24x=$ - 0
D.Chief Medical Officer - Phone Consultations40x24x=$ - 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 located at: 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 .