Bid Page Mobile X-ray & Vascular Access Service one year (1).docx
DOCX document 20 KB Posted
- Attached to
- WMHC Mobile X-Ray Services
- Solicitation number
- BPM035380
- Issued by
- Washington County, Maryland
About this file
This document is a Bid Form for a one-year mobile imaging and vascular access services contract for the Western Maryland Hospital Center in Maryland. The contract is for the period of February 6, 2023 to February 28, 2024 and covers various imaging services including x-ray, ultrasound, vascular access, DEXA scans, PICC line insertion, mid-line placement, venous Doppler, and echocardiogram. The Bid Form specifies estimated annual quantities for each service and requires bidders to provide a rate per service. The total bid price will be calculated based on the provided rates and the estimated quantities. The contract does not guarantee any minimum or maximum quantities, and the actual amount invoiced will be based on the services performed.
The pricing for this contract must be fully-loaded, including labor, profit/overtime, operating costs, and all incidental costs. No additional amounts will be paid to the contractor. The contract opportunity is located in Washington County, Maryland. Bidders must provide their company information, authorized signature, and contact details as part of the bid submission.
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Other files
| File | Type | Posted |
|---|---|---|
| 22Small_Procurement_ContractMobileXray.doc | DOC document | |
| 22X-RaySCOPE_OF_WORK.docx | DOCX document |
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Text version
ATTACHMENT B – BID FORM
BID FORM
Mobile Imaging and Vascular Access Services for Western Maryland Hospital Center One (1) Year Contract February 6, 2023 – February 28, 2024 Estimated Images
| Line # |
| Service |
| # Per Year |
| Rate per Service |
| Total # * Rate |
| 1. |
| Image |
| 250 |
| 0 |
| 0 |
| 2. |
| Ultrasound |
| 30 |
| 0 |
| 0 |
| 3. |
| Vascular Access |
| 25 |
| 0 |
| 0 |
| 4. |
| Dexascan |
| 25 |
| 0 |
| 0 |
| 5. |
| Picc Line Insertion |
| 10 |
| 0 |
| 0 |
| 6. |
| Mid-Line Placement |
| 10 |
| 0 |
| 0 |
| 7. |
| Venous Doppler |
| 10 |
| 0 |
| 0 |
| 8. |
| Echocardiogram |
| 10 |
| 0 |
| 0 |
| 9. |
| General Care Visit |
| 10 |
| 0 |
| 0 |
| Total Bid Price (Add Lines 1 through 9) |
| 0 |
Update the Rate per Service. Highlight the total column and select F9 to update formulas (repeat for any changes to rate).
Based on actuals from FY 2022 for Western Maryland Hospital Office, adjusted for anticipated increases in FY 2023-2024.
Note:
1. The department does not guarantee any maximum or minimum amount of Imaging Services would be performed by the Contractor under this Contract. The actual amount to be invoiced by the Contractor shall be calculated based on the per image/service rate multiplied by the number of Images taken as specified in the Bid Form.
2. All bid prices are to be fully-loaded prices and include but not limited to: Labor, Profit/Overtime Operating Cost, and all incidental cost to this service. No other amount will be paid to the Contractor
Submitted By:
Authorized Signature: _____________________________________________ Date: ___________________ Printed Name and Title: ____________________________________________________________________ Bidder Name: ____________________________________________________________________________ Bidder Address: __________________________________________________________________________ Location(s) from which services will be performed (City/State): ____________________________________ FEIN: ___________________________________ eMMA BPM035380____________________________ Contract Information of Bidder’s Authorized Signatory:
Telephone: ___________________ Fax: ______________________ Email: ___________________________
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