6-Attachment D Cost Proposal Form.xlsx
XLSX spreadsheet 11 KB Posted
- Solicitation number
- JK26-40
- Issued by
- Utah
About this file
This is a Cost Proposal Form for the State of Utah Department of Commerce's Web-based Biological Specimen Monitoring Program (JK26-40), which seeks to establish a single contract award for an electronic health compliance monitoring, tracking, and toxicology testing platform serving probationers and participants. The procurement is anticipated to result in a 5-year contract term with pricing guaranteed for the initial year. The RFP requires vendors to submit detailed cost proposals for specimen collection, laboratory analysis, and related administrative services as outlined in the Scope of Work (Attachment C, Appendix A).
The Cost Proposal Form requires offerors to complete all yellow-highlighted fields specifying fees for: vendor administrative costs per specimen; routine collection site fees per specimen; remote collection options including collection kit costs, return laboratory shipping, and collection/observation fees; and routine laboratory fees per specimen for three distinct toxicology panels—UPHP (D-76404) for Medpro A, ETG, and Fentanyl screening with GCMS confirmation; Naistat 12 Drug Panel with toxicology screening and confirmation; and PEthStat with toxicology screening and confirmation. Vendors may submit additional service fees outside the evaluation formula, which will not be scored for cost points but may be incorporated into executed contracts. The total calculated fee from the standardized format will be used for cost evaluation purposes according to the formula specified in the RFP.
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Other files
| File | Type | Posted |
|---|---|---|
| 7-Attachment E Scoresheet Final.xls | XLS spreadsheet | |
| 3-Att.-B-Agency-IT-Terms-and-Conditions (7).docx | DOCX document | |
| 4-Att.-A-Agency-Terms-and-Conditions-GS (28).docx | DOCX document | |
| 1-Claim of Business Confidentiality Updated.pdf.pdf | ||
| 5-Attachment C Scope of Work Final.docx | DOCX document | |
| 2-Vendor Prerequisites - RFP Agency.pdf |
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Text version
Cost Sheet
| JK26-40 Web-based Biological Specimen Monitoring Program |
| Attachment D: Cost Proposal Form |
| OFFEROR MUST FILL IN ALL YELLOW HIGHLIGHTED FIELDS BELOW. |
| Offeror Name |
| Any deviation from this format may result in a disqualification of proposal |
| Instructions: Your total fee below for the various panels described in Appendix A will be used for cost evaluation purposes using the formula described in the RFP. For more information on the panels, please see Appendix A which is located in Attachment C: Scope of Work in the Buyer Attachments section of the RFP. |
| Web-based biological specimen monitoring program | Cost |
| Vendor's administrative fee per specimen | |
| Routine collection site fee per speciman | |
| For remote collection options, all fees associated wth including cost of collection kit, return laboratory shipping, collection/observation fee and fee per specimen. | |
| Routine laboratory fee per specimen for UPHP (D-76404)-Medpro A + ETG + FEntanyl, as shown in Attachment C: Scope of work - Appendix A, for toxicology screening and GCMS confirmation of any positive values | |
| Routine laboratory fee per specimen for Naistat 12 Drug Panel, as shown in Attachment C: Scope of work - Appendix A, for toxicology screening and confirmation of any positive values | |
| Routine laboratory fee per specimen for PEthStat, as shown in Attachment C: Scope of work - Appendix A, for toxicology screening and confirmation of any positive values | |
| Total Used for Evaluation >>>>>> | $0.00 |
| Additional Service Fees (if any) must be listed below. This section will not be evaluated for purposes of calculating cost points, but may become part of offeror's contract (if awarded). |
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