Att D - Cost Proposal (Basic).xlsx
XLSX spreadsheet 97 KB Posted
- Attached to
- ISPHN Mobile Imaging ServicesBid Documents State and local contract opportunity
- Solicitation number
- 26-85126
- Issued by
- Indiana
About this file
This is a cost proposal form for a state contract opportunity with ISPH Mobile Imaging Services for diagnostic imaging services during an initial five-year contract period. The respondent must provide pricing for seven service components measured by individual units: Standard X-ray (320 estimated annual units), STAT X-ray (25 units), Standard Echocardiogram (25 units), Standard EKG (25 units), Standard EKG read only (300 units), Standard Ultrasound (150 units), and Standard Doppler (25 units). The contract includes an optional one-year extension with separate pricing requirements. All pricing cells designated in yellow must be completed by the respondent without altering formatting or adding caveats, as modifications may result in disqualification. The total bid amount will be automatically calculated based on entered unit prices across the five-year initial term and will serve as the basis for cost proposal evaluation.
All listed prices must be all-inclusive with no additional costs accepted by the State. Actual work performed may vary from the estimated usage figures provided for evaluation purposes only. Respondents must submit pricing for all components, and the total bid amount from cell J29 should be used when calculating minority and women-owned business enterprise (MBE/WBE) subcontractor commitment percentages. An optional two-year extension pricing is also required, with estimated usage of 1,280 Standard X-rays, 25 STAT X-rays, 25 Standard Echocardiograms, 600 Standard EKGs, 600 Standard EKG read-only services, 150 Standard Ultrasounds, and 25 Standard Dopplers annually during the extension period.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| RFP Boilerplate Document.pdf | ||
| Att I - Pre-proposal Network Form.docx | DOCX document | |
| Att O - Artificial Intelligence Questions.docx | DOCX document | |
| Att B1 - IOT-IaaS.docx | DOCX document | |
| Att A1 - IVOSB.docx | DOCX document | |
| Att C - Indiana Economic Impact Form.xls | XLS spreadsheet | |
| Att L - Infrastructure Overview.docx | DOCX document | |
| Att B3 - IOT-SaaS.docx | DOCX document | |
| Att M - Resource Usage Template.xlsx | XLSX spreadsheet | |
| Att B2 - IOT-PaaS.docx | DOCX document | |
| Att H - Reference Check Form.docx | DOCX document | |
| Att J - Attestation Form.docx | DOCX document | |
| Att F - Technical Proposal.docx | DOCX document | |
| Att E - Business Proposal.docx | DOCX document | |
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| Att B - Sample Contract.docx | DOCX document | |
| Att K - Cloud Questionnaire.xlsx | XLSX spreadsheet | |
| Att A - MWBE.docx | DOCX document |
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Text version
Cost Proposal
| RESPONDENT NAME |
| ISPH Mobile Imaging Services |
| (Initial 5-year Contract Period) |
| Please populate ALL cells shaded in YELLOW. Please do NOT alter the formatting of the cells or add caveats to your pricing or to the cells -- as this may potentially put your cost score at risk of disqualification. The TOTAL BID AMOUNT will be the sum on which your cost proposal will be evaluated. This amount will be automatically calculated based on the amounts entered in the previous cells. Please do not alter or enter any information on this tab. |
| Prices must be submitted for all components. |
| Estimated Usage provided in Column D are provided for evaluation purposes only. Actual work performed under the resulting contract may be more or less than the provided estimates. |
| Listed prices must be all-inclusive. No additional costs will be accepted by the State. |
| Cost Proposals will be evaluated based on the five-year initial term, or Total Bid Amount. Please also provide pricing for optional one (1) year extension. |
| For MBE/WBE Subcontractor commitments, Respondents should use the Total Bid Amount in cell J29 when figuring the commitment percentage. |
| Respondent Cost Proposal | ||||||||
| Component | Unit of Measurement (UOM) | Estimated Usage | Intitial Year | Second Year | Third Year | Fourth Year | Fifth Year | Total |
| Standard X-ray | Each | 320 | $0.00 |
| STAT X-ray | Each | 25 | $0.00 |
| Standard Echocardiogram | Each | 25 | $0.00 |
| Standard EKG | Each | 25 | $0.00 |
| Standard EKG read only | Each | 300 | $0.00 |
| Standard Ultrasound | Each | 150 | $0.00 |
| Standard Doppler | Each | 25 | $0.00 |
Total Cost Per Year $0.00
TOTAL BID AMOUNT $0.00
Opptional Extension
| Please provide pricing for opptional two (2) year extension | ||||
| Respondent Cost Proposal | ||||
| Component | Unit of Measurement (UOM) | Estimated Usage | Price | Total |
| Standard X-ray | Each | 1280 | $0.00 |
| STAT X-ray | Each | 25 | $0.00 |
| Standard Echocardiogram | Each | 25 | $0.00 |
| Standard EKG | Each | 600 | $0.00 |
| Standard EKG read only | Each | 600 | $0.00 |
| Standard Ultrasound | Each | 150 | $0.00 |
| Standard Doppler | Each | 25 | $0.00 |
Total Cost Per Year $0.00
TOTAL BID AMOUNT $0.00
File details come from the government source that posted it. Updated .