Attachment_3_-_Cost_Sheet.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 0000039802
- Issued by
- Alameda County, Alpine County, Amador County, Butte County, Calaveras County, Colusa County, Contra Costa County, Del Norte County, El Dorado County, Fresno County, Glenn County, Humboldt County, Imperial County, Inyo County, Kern County, Kings County, Lake County, Lassen County, Los Angeles County, Madera County, Marin County, Mariposa County, Mendocino County, Merced County, Modoc County, Mono County, Monterey County, Napa County, Nevada County, Orange County, Placer County, Plumas County, Riverside County, Sacramento County, San Benito County, San Bernardino County, San Diego County, San Francisco County, San Joaquin County, San Luis Obispo County, San Mateo County, Santa Barbara County, Santa Clara County, Santa Cruz County, Shasta County, Sierra County, Siskiyou County, Solano County, Sonoma County, Stanislaus County, Sutter County, Tehama County, Trinity County, Tulare County, Tuolumne County, Ventura County, Yolo County, Yuba County, Alameda City, Alpine Village CDP, Amador City, Amador Pines CDP, Sutter Creek City, Butte Creek Canyon CDP, Butte Meadows CDP, Butte Valley CDP, Rancho Calaveras CDP, Colusa City, Contra Costa Centre CDP, Auburn Lake Trails CDP, El Dorado Hills CDP, Placerville City, South Lake Tahoe City, Fresno City, Kingsburg City, Orange Cove City, San Joaquin City, Shaver Lake CDP, Blue Lake City, Humboldt Hill CDP, Imperial City, Alta Sierra CDP, China Lake Acres CDP, Glennville CDP, Inyokern CDP, Kernville CDP, Lake Isabella CDP, Lake of the Woods CDP, Lakeside CDP, Hidden Valley Lake CDP, Lakeport City, Lower Lake CDP, North Lakeport CDP, Upper Lake CDP, East Los Angeles CDP, Elizabeth Lake CDP, Lake Hughes CDP, Lake Los Angeles CDP, Lakewood City, Los Angeles City, Marina Del Rey CDP, Monterey Park City, San Marino City, Sierra Madre City, Bass Lake CDP, Madera City, Madera Acres CDP, Madera Ranchos CDP, Yosemite Lakes CDP, Corte Madera Town, Lucas Valley-Marinwood CDP, Marin City CDP, Lake Don Pedro CDP, Mariposa CDP, Mendocino CDP, Merced City, University of California-Merced CDP, Lake City CDP, Crowley Lake CDP, June Lake CDP, Mammoth Lakes Town, Mono City CDP, Twin Lakes CDP, Virginia Lakes CDP, Marina City, Monterey City, Napa City, Lake of the Pines CDP, Lake Wildwood CDP, Nevada City, Lake Forest City, Orange City, Kings Beach CDP, Bucks Lake CDP, Lake Almanor Country Club CDP, Lake Almanor Peninsula CDP, Lake Almanor West CDP, Lake Davis CDP, Plumas Eureka CDP, Canyon Lake City, Lake Elsinore City, Lakeland Village CDP, Lake Mathews CDP, Lake Riverside CDP, Lakeview CDP, Riverside City, Orangevale CDP, Sacramento City, Big Bear Lake City, Lake Arrowhead CDP, San Bernardino City, Silver Lakes CDP, Spring Valley Lake CDP, Alpine CDP, Imperial Beach City, Lake San Marcos CDP, Rancho San Diego CDP, San Diego City, San Diego Country Estates CDP, San Francisco City, Lake Nacimiento CDP, San Luis Obispo City, Emerald Lake Hills CDP, San Mateo City, South San Francisco City, Santa Barbara City, University of California-Santa Barbara CDP, Santa Clara City, Santa Cruz City, Lakehead CDP, Shasta CDP, Shasta Lake City, Sierra Brooks CDP, Sierra City CDP, Sierraville CDP, Lake Shastina CDP, Mount Shasta City, Sonoma City, Sonoma State University CDP, Monterey Park Tract CDP, Orange Blossom CDP, Sutter CDP, Yuba City, Lake California CDP, Rancho Tehama Reserve CDP, Tehama City, Trinity Center CDP, Trinity Village CDP, East Tulare Villa CDP, Tulare City, Mono Vista CDP, Phoenix Lake CDP, Pine Mountain Lake CDP, Sierra Village CDP, Tuolumne City CDP, Lake Sherwood CDP, West Sacramento City, Yolo CDP, Plumas Lake CDP, California
About this file
This is a cost sheet attachment for the Department of Toxic Substances Control (DTSC) in California, which is seeking bids for biomedical monitoring services to provide occupational medical care for DTSC field staff under IFB No. I-2627-08. The cost sheet requires bidders to submit pricing for a comprehensive array of medical examinations and tests spanning three fiscal years (2026/27, 2027/28, and 2028/29). Required services include complete physical examinations, hearing assessments, visual screening, laboratory work (complete blood count, urinalysis, blood chemistry), specialized testing (blood lead, cholinesterase, spirometry, chest x-rays, EKGs), optional tests for mercury and cadmium exposure, hepatitis B vaccinations, consultation or retainer fees at an hourly rate, and packet labor for preparing medical records.
Bidders must complete all fields in the cost sheet with no blanks, as incomplete submissions may result in bid rejection. Pricing must be provided for each fiscal year, with bidders calculating a three-year average for each line item. Weighted averages are then computed using specified weighting factors that vary by examination type, ranging from 0.001 for consultation fees to 1.0 for most primary examinations. The bid total, derived from the sum of weighted averages for items 1-15, 16c, and 17-19, will be used solely to determine the lowest bidder and will not appear in the final contract. All fields must contain a price, including the packet labor rate, with a minimum entry of $0.01 if no specific rate applies.
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| File | Type | Posted |
|---|---|---|
| IFB_No._I-2627-08_Solicitation_Package.pdf |
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Text version
Attachment 3 - Cost Sheet Contract Reference I.D. in Exhibit A, Section IV Required Examinations 2026/27 PRICE 2027/28 PRICE 2028/29 PRICE 3 Year Avg. Weighting Factor Weighted Avg.
| Each field in the Bidder Cost Sheet must be completed, leaving no blanks. NOTE: Bids may be rejected if the Bidder Cost Sheet is not completed in its entirety. | |||||||||
| 1 | C.6.a.i - C.6.a.xiii | Complete Physical Examination | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 2 | C.6.a.xiv | Hearing (Audiometry) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 3 | C.6.a.xv | Visual screening | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 4 | C.6.a.xvi | Complete blood count | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 5 | C.6.a.xvii | Complete urinalysis | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 6 | C.6.a.xviii | Blood Chemistry | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 7 | C.6.a.xix.1 | Blood Lead | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 9 | C.6.a.xix.2 | Cholinesterase (RBC and plasma, or comparable such as serum) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 10 | C.6.a.xx | Spirometry | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 11 | C.6.a.xxi | Chest x-ray – baseline, exit and when medically necessary | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.1 | $ - 0 | |
| 12 | C.6.a.xxii | Cardiology (Resting EKG) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| 13 | C.6.a.xxiii | Cardiology Consultation | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.1 | $ - 0 | |
| 14 | C.6.a.xxiv | Hernia and Prostate examination. | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.5 | $ - 0 | |
| 15 | C.6.a.xxiv | PSA Lab Test | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.5 | $ - 0 | |
| 16 | C.6.a.xxv | a. Hepatitis B Vaccination - For each vaccination in the series (price per vaccination) – 3 Vaccination Series | $ - 0 | $ - 0 | $ - 0 | ||||
| b. Twinrix – For each vaccination in the series (price per vaccination) – 2 Vaccination Series | $ - 0 | $ - 0 | $ - 0 | ||||||
| c. Bid Amount: divide the sum of lines 16a and 16b by two (2) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |||
| 17 | C.6.a.xxvi | Optional tests as requested by DTSC | |||||||
| a. Mercury, elemental | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.01 | $ - 0 | |||
| b. Mercury, organic | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.01 | $ - 0 | |||
| c. Cadmium and inorganic compounds | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.01 | $ - 0 | |||
| d. Chromium (IV, water soluble fume) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.01 | $ - 0 | |||
| 18 | C.7.i | Consultation or Retainer Fee (hourly rate) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 0.001 | $ - 0 | |
| 19 | C.2.b | *Packet labor (fixed rate per full medical exam record) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 1 | $ - 0 | |
| BID TOTAL | |||||||||
| Instructions – Enter the price for each item for each Fiscal Year. Then average the costs over all 3 years for each item and enter the result in the 3 Year Average column. Multiply the 3 Year Avg column by the Weighting Factor for each item. The BID TOTAL is the sum of the Weighted Average for Items 1 - 15, 16c, and 17 - 19. | $ - 0 |
Note: The columns for 3 Year Average, Weighting Factor, and Weighted Average are for bidding purposes only, and will not appear in the final contract. Additionally, the Bid Total will be used only for determining the lowest bidder and will not appear in the final contract.
* This is the rate for any labor associated with preparing the Medical Report. If there is no rate for this, insert $.01. Do not leave blank.
File details come from the government source that posted it. Updated .