Attachment_I_Cost_Proposal.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
DPH | As Needed, Non-Emergency Ambulance Services
Solicitation number
SFGOV-0000011781
Issued by
San Francisco County, San Francisco City, California

About this file

This is a Cost Proposal Form (Attachment I) submitted for the San Francisco Department of Public Health's (DPH) solicitation for on-demand, non-emergency ambulance transportation services. The procurement seeks qualified proposers to provide Basic Life Support (BLS), Advanced Life Support (ALS), and Critical Care Transport (CCT) services to DPH facilities including Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and other DPH units. The pre-proposal conference is scheduled for June 8, 2026, with a deadline for questions on June 15, 2026. The estimated question and answer addendum posting is June 22, 2026, and proposals are due by July 20, 2026. The estimated award announcement is August 24, 2026, with an anticipated contract start date of January 1, 2027.

The cost proposal requires all-inclusive, contract-defined per-ride rates that cover transfer base rates, waiting time, specialty care, staff salaries, training, certifications, licensure, and all personnel-related expenses. The proposal structure includes four billing codes: BLS at a proportion measure of 52 percent, ALS at 10 percent, specialty or critical care transport at 19 percent, and mileage charges at 19 percent, with a total estimated proportion measure of 100 percent. The proposer must submit rates for each service category, with the proportion measures provided by the City for evaluation purposes only and not guaranteeing any minimum work volume. The submitted information is used solely for bid comparison and does not determine the final contract value.

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Text version

Cost Proposal Form Attachment I - Cost Proposal

Department:DPH-SFHN
Sourcing Event ID:SFGOV-0000011781
Event TitleOn Demand, Non-Emergency Ambulance Transporation Services
Proposer's Name:
Instructions:The cost proposal rates must be provided in the highlighted cells below:

Proposal rates must be all‑inclusive, contract‑defined per‑ride rates that cover all costs, including the transfer base rate, waiting time, specialty care, staff salaries, training, certifications, licensure, and any other expenses related to the Contractor’s personnel.

Note: The proportion measure provided by the City is for evaluation purposes only and does not guarantee any minimum amount of work. The information submitted by the Proposer is used solely for bid comparison and does not determine the final contract value.

Billing
CodeAmbulance ServicesTotal Portion Measure

All-Inclusive Rate

($ per Ride)Proportion MeasureEstimated Proportion Measure as PercentageTotal Est Proposed Proportion Cost
ParticipationParticipation
per HRC Form 2Aper HRC Form 2A
(% of Contract)(% of Contract)
[A][B][C]D = [C] /Total Proportion Measure[E] = [B] * [C]
A0428Basic Life Support (BLS)800.0052%$0.00
A0426Advanced Life Support (ALS)150.0010%$0.00
A0434Specialty / Critical Care Transport (CCT)300.0019%$0.00
A0425Mileage ($ per mile)300.0019%$0.00
TOTAL1,550.00100%$0.00

File details come from the government source that posted it. Updated .