Attachment 3 - Quote Sheet.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- Medical Courier Services-Andersen AFB, Guam
- Solicitation number
- HT941025Q2006
- Issued by
-
Defense Health Agency
About this file
This is a pricing quote sheet template for solicitation HT941025Q2006 for Medical Courier Services at Andersen AFB, Guam. The Defense Health Agency's Healthcare Contracting Division - West requires quotes to be submitted by 9:00 am PST on February 10, 2025.
The template includes Contract Line Item Numbers (CLINs) for a base year (April 1, 2025 - March 31, 2026) and four option years extending through March 31, 2030. Offerors must provide monthly unit prices and total prices for each period, with spaces to include company information (name, address, Unique Entity ID, CAGE code, business size), point of contact details, amendment acknowledgments, and payment terms. Quotes must remain valid for 30 calendar days from the submission deadline.
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Other files
| File | Type | Posted |
|---|---|---|
| Questions and Answers.docx | DOCX document | |
| Attachment 2 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment 1-PWS Medical Courier Final FY25..pdf | ||
| Combined Synopsis Solicitation - HT941025Q2006..pdf |
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Text version
Quote Sheet
| Attachment 2 - Quote Sheet | |
| Solicitation Number: | HT941025Q2006 |
| Requirement: | Medical Courier Services |
| Period of Performance (POP): | 1 April 2025 to 31 March 2026 |
| Contracting Office: | DHA Healthcare Contracting Division – West |
| Quotations must be received by: | no later than 9:00 am PST Monday February 10, 2025 |
| CLIN | Description of Services | Quantity | Unit of Issue | POP | Unit Price | Total Price |
| 0001 | Medical Courier Services-Base Year | 12 | Month | 1 April 2025 –31 March 2026 | $ - 0 | $ - 0 |
| 1001 | Medical Courier Services-Option Year 1 | 12 | Month | 1 April 2026 – 31 March 2027 | $ - 0 | $ - 0 |
| 2001 | Medical Courier Services-Option Year 2 | 12 | Month | 1 April 2027 – 31 March 2028 | $ - 0 | $ - 0 |
| 3001 | Medical Courier Services-Option Year 3 | 12 | Month | 1 April 2028 – 31 March 2029 | $ - 0 | $ - 0 |
| 4001 | Medical Courier Services-Option Year 4 | 12 | Month | 1 April 2029 – 31 March 2030 | $ - 0 | $ - 0 |
| TOTAL EVALUATED PRICE | $0.00 |
| Offeror Name: |
| Street Address: |
| City, State, ZIP: |
| Unique Entity ID: |
| CAGE Code: |
| Business Size: |
| Point of Contact: |
| Phone Number: |
| Email Address: |
| The Offeror acknowledges receipt of the following amendments to the solicitation: | |||
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
| Amendment No.: | Date: | Amendment No.: | Date: |
The Offeror agrees with all terms, conditions, and provisions included in the solicitation and agrees to furnish any or all items set forth or otherwise identified above subject to the terms and conditions specified in the solicitation.
The Offeror agrees to hold the prices in its quote firm for 30 calendar days from the date specified for receipt of quotes.
| Person Authorized to Sign Quote: |
| Signature: |
| Date: |
Payment Terms:
GSA Contract Number, if applicable:
File details come from the government source that posted it. Updated .