C260493_RFP_Exhibit_B,_Price_Summary_Sheet.pdf

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Attached to
Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 Reporting Services
Solicitation number
260493
Issued by
Orange County, California

About this file

This is an RFP Price Summary Sheet for the Orange County Transportation Authority (OCTA) in California soliciting proposals for Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 reporting services. The contract is structured as a firm-fixed price award for an initial three-year term with one two-year option period, extending the potential contract duration to five years total. Bidders must submit pricing for all years of the proposed contract term, with prices remaining firm-fixed throughout the entire contract period. The Authority has established a budget of $36,000 for the initial three-year term of this effort.

Proposers must complete two pricing options: Pricing Option A requests an all-inclusive price for each contract year, while Pricing Option B separates implementation costs from fixed annual pricing for Years 1 through 5. All proposed prices must include direct costs, indirect costs, and profits. Offerors are required to acknowledge receipt of RFP 260493 and any addenda issued, provide company information and contact details, and have an authorized representative sign and date the submission. Offers must remain firm for a minimum of 120 days from the proposal date. The submission must include the signature, printed name and title of the person authorized to bind the offeror to the proposed terms and conditions outlined in the RFP and supporting documents.

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RFP 260493

EXHIBIT B

PRICE SUMMARY SHEET

REQUEST FOR PROPOSALS (RFP) 260493

Complete Pricing Option A and Pricing Option B for the services described in Exhibit A – Scope of Work. Prices shall include direct costs, indirect costs, and profits. The Authority’s intention is to award a firm-fixed price contract for an initial three (3)-year term with one, two (2)-year option. All prices shall be firm-fixed for the duration of the contract.

Pricing Option A: All-Inclusive Price

Year Firm-Fixed Price

Initial Year 1 $ _______________

Initial Year 2 $ _______________

Initial Year 3 $ _______________

Option Year 4 $ _______________

Option Year 5 $ _______________

Total Firm-Fixed Price $ _______________

Pricing Option B: Implementation Plus Fixed Annual Price

Item Firm-Fixed Price

Implementation $ _______________

Initial Year 1 $ _______________

Initial Year 2 $ _______________

Initial Year 3 $ _______________

Option Year 4 $ _______________

Option Year 5 $ _______________

Total Firm-Fixed Price $ _______________

The undersigned, upon acceptance, agrees to provide the service in accordance with the terms, conditions, and requirements as contained in RFP 260493 and the supporting documents for all prices proposed.

1. I acknowledge receipt of RFP 260493 and Addenda No.(s) _____

RFP 260493

EXHIBIT B

2. This offer shall remain firm for ____________ days from the date of proposal (Minimum 120)

COMPANY NAME _______________________________

ADDRESS _______________________________

TELEPHONE _______________________________

EMAIL ADDRESS _______________________________

SIGNATURE OF PERSON

AUTHORIZED TO BIND OFFEROR _______________________________

NAME AND TITLE OF PERSON

AUTHORIZED TO BIND OFFEROR _______________________________

DATE SIGNED _______________________________

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