J.pdf

RFQ 959P0019Q0014

ATTACHMENT 1: PRICING TABLE

Base Year

Contract Line Item Number (CLIN)

Description of Services/Supplies

Quantity

Unit Price

Total Price

Reagents

Cocaine 252,000 $ $

Opiates 252,000 $ $

Heroin 6AM 252,000 $ $

Marijuana 96,000 $ $

Methadone 120,000 $ $

Ethanol 132,000 $ $

Ethyl Glucuronide (EtG) 132,000 $ $

Amphetamine 156,000 $ $

Creatinine 252,000 $ $

Analyzers 3 $ $

Training

Total Price for the Base Year $

Option Year One (1)

Heroin 6AM 252,000 $ $

Marijuana 96,000 $ $

Methadone 120,000 $ $

Ethanol 132,000 $ $

Ethyl Glucuronide (EtG) 132,000 $ $

Amphetamine 156,000 $ $

Creatinine 252,000 $ $

Analyzers 3 $ $

Total Price for Option Year One (1) $

Option Year Two (2)

Heroin 6AM 252,000 $ $

Marijuana 96,000 $ $

Methadone 120,000 $ $

Ethanol 132,000 $ $

Ethyl Glucuronide (EtG) 132,000 $ $

Amphetamine 156,000 $ $

Creatinine 252,000 $ $

Analyzers 3 $ $

Year Two (2) $

Option Year Three (3)

Heroin 6AM 252,000 $ $

Marijuana 96,000 $ $

Methadone 120,000 $ $

Ethanol 132,000 $ $

Ethyl Glucuronide (EtG) 132,000 $ $

Amphetamine 156,000 $ $

Creatinine 252,000 $ $

Analyzers 3 $ $

Year Three (3) $

Option Year Four (4)

Heroin 6AM 252,000 $ $

Marijuana 96,000 $ $

Methadone 120,000 $ $

Ethanol 132,000 $ $

Ethyl Glucuronide (EtG) 132,000 $ $

Amphetamine 156,000 $ $

Creatinine 252,000 $ $

Analyzers 3 $ $

Year Four (4) $

Total Price for Base Period: $_________________________

Total Price for Option Year 1: $_________________________

Total Price for Option Year 2: $_________________________

Total Price for Option Year 3: $_________________________

Total Price for Option Year 4: $_________________________

Total Price for the Base & Option Years: $___________________________

ATTACHMENT 1: Pricing Table