5-DHHS26051 Cost Proposal Form.doc
DOC document 23 KB Posted
- Attached to
- Optometry Services at USH
- Solicitation number
- DHHS26051
- Issued by
- Utah
About this file
This is a cost proposal form for DHHS26051 Optometry Services at Utah State Hospital, issued by the State of Utah's Department of Human and Health Services. The contract's general purpose is to provide optometry services to patients at Utah State Hospital. The cost proposal form requires providers to submit pricing information structured around a per-patient service rate and discounts applied to various optometric products and services.
Pricing for this contract is to be submitted based on a provider's rate per patient visit, with vendors also required to specify percentage discounts from published prices for glasses, frames, contact lenses, repairs, and warranties. This tiered pricing structure allows the state to evaluate vendor proposals across both direct service costs and ancillary product discounts, enabling comprehensive cost comparison among bidders.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3-Form 1 IRS Form W-9.pdf | ||
| 6-Form 2a Conflict of Interest Disclosure Statement.pdf | ||
| 1-DHHS26051 IFB Optometry Services at USH.docx | DOCX document | |
| 2-DHHS26051 Optometry Services SOW Final.docx | DOCX document | |
| 8-DHHS26051 Submission Instructions.docx | DOCX document | |
| 4-Form 2b Conflict of Interest Certification UGE.pdf | ||
| 7-DHHS Client Service Terms.docx | DOCX document |
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Text version
DHHS26051 Optometry Services at Utah State Hospital
COST PROPOSAL FORM
Optometric Services Cost is to be submitted based on the following:
Provider will offer services at rate per patient % discount from published price on glasses
% discount from published price on frames
% discount from published price on contacts
% discount from published price on repairs
% discount from published on warranties
File details come from the government source that posted it. Updated .