35712 Ex. E_ Price Proposal.xlsx
XLSX spreadsheet 20 KB Posted
- Attached to
- Audiometric Testing Services
- Solicitation number
- S-73000-00007348
- Issued by
- Clackamas County, Oregon
About this file
This document is a Price Proposal Form for Audiometric Testing Services RFP #S-73000-00006970 issued by the State of Oregon. The RFP is seeking to provide mobile audiometric testing, mobile otoscopic evaluation, counseling, earplug fitting, and audiometric review of audiograms for approximately 1,000 employees per year across the state, including Marion County and the City of Salem. The proposal form includes line items for minimum site visit charges, additional hourly rates, and one-time data transfer and review services. The contract term and any renewal options are not specified.
The pricing structure includes unit costs for the required services, with an option to provide hearing tests at the contractor's facility. The RFP allows for a Buy Oregon Preference, where proposers can identify goods and services that are fabricated or processed entirely within Oregon. Travel costs are anticipated to be reimbursed up to a not-to-exceed amount, as detailed in the Sample Contract.
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Other files
| File | Type | Posted |
|---|---|---|
| 35712 Att-D_References.doc | DOC document | |
| 35712 AttA Sample Contract.doc | DOC document | |
| 35712 AttC_Proposer Information and Certification Sheet.doc | DOC document | |
| 35712 AttB_ Disclosure Exemption Certification.doc | DOC document | |
| 35712 AttF_Certified Disadvantaged Business Outreach Plan.doc | DOC document | |
| 35712_RFP~1.doc | DOC document | |
| Notice of Intent to Award-All - RFP 23-119-PSC Commercial Insurance Broker Services.pdf |
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Text version
Sheet1 Attachment E - Price Proposal Form RFP #S-73000-00006970(PCMS #35548) Audiometric Testing Services (Statewide) Name of Firm:_______________________ Pricing must be based on meeting the Delivery Requirements stated in RFP.
Proposer offers to furnish all Goods and Services in strict accordance with the RFP and its attached Specifications on the basis of the total cost proposal amount and/or unit prices as follows:
| Description | Total # of Units | Minimum Site Visit Charge. Includes first hour of testing | Charge for each additional hour | # of Employees Contractor Can Test Per Hour | Extended Cost for Total Units |
| Provide mobile audiometric testing, mobile otoscopic evaluation, counseling, earplug fitting, audiometric review of audiogram (includes cost of reports, data management, and other associated costs to perform the Work required that is not specified in a separate line item) | Approximately 1000 per year | $ - 0 | $ - 0 | 0 |
| Description | Total # of Units | ||
| Cost per record for data record entry and conversion of past hearing test results. | One time data transfer available in Microsoft Excel format | $ - 0 | $0.00 |
| Cost to record and review hearing test results obtained from outside services. | Approximately 350 per year | $ - 0 | $0.00 |
| TOTAL COST | $0.00 |
| Optional Services (not included in Price Points) | ||
| Price per test for hearing tests performed at Contractor's Facility. | $ - 0 | Location of Contractor's testing facility: |
| Annual audiologist oversight for ODOT's conducted hearing exams | $ - 0 | |
| Audiologist hearing test records review per test | $ - 0 |
Note to Proposers: Travel costs are anticipated to be on a reimbursement basis NTE, see Attachement A - 'Sample Contract for Details.'
Proposer Instructions: Click on the checkboxes in sections A and B below that apply to your Bid items, and provide additional information if applicable in section B.
| A. BUY OREGON PREFERENCE: All Proposed Goods and Services fabricated or processed entirely in Oregon. By checking "Yes" below, Proposer certifies the entire cost proposal qualifies for the Buy Oregon Preference provided in the Preferences section of the RFP. |
| Check one: |
| B. BUY OREGON PREFERENCE: Some individual Goods and Services fabricated or processed entirely in Oregon. By checking "Yes" below, Proposer certifies the items indentified below qualify for the Buy Oregon Preference provided in the Preferences section of the RFP. |
| Check one: |
If "Yes", list below the Proposal line-items that are fabricated or processed entirely in Oregon:
Yes No Yes No
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