C260597_RFP_Exhibit_B,_Price_Summary_Sheet.pdf

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Attached to
Informal Request for Proposals (RFP) Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 Reporting Services
Solicitation number
260597
Issued by
Orange County, California

About this file

This is an RFP Price Summary Sheet for the Orange County Transportation Authority (OCTA) in California requesting proposals for Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 reporting services. The contract is structured as a firm-fixed price agreement for an initial three-year term with one two-year option period, extending to a maximum of five years total. Bidders must submit pricing for both an all-inclusive pricing option and an implementation plus fixed annual pricing option, with all prices remaining firm throughout the contract duration. The offer must remain valid for a minimum of 120 days from the proposal submission date.

Pricing shall be submitted as firm-fixed prices covering direct costs, indirect costs, and profits for each year of the contract term. The total budget allocated for this effort is $36,000 for the initial three-year period. Proposals must include the offeror's company name, address, telephone number, and email address, along with the signature of an authorized representative and acknowledgment of receipt of the RFP and any addenda. All pricing is subject to the terms, conditions, and requirements outlined in RFP 260597 and supporting documents.

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RFP 260597

EXHIBIT B

PRICE SUMMARY SHEET

REQUEST FOR PROPOSALS (RFP) 260597

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 260597 and the supporting documents for all prices proposed.

1. I acknowledge receipt of RFP 260597 and Addenda No.(s) _____

RFP 260597

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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