Cost Proposal Form - WSH Dentistry Serrvices (C2303).xlsx

This is a Cost Proposal Form for Western State Hospital Dentistry Services, issued under RFP 729 2100000189. The proposal requests pricing for dental services to be provided during the initial term of Fiscal Year 2022. The scope of work includes two staff positions: a Dentist and a Dental Hygienist. Vendors are required to submit hourly rates for each position along with estimated hours per fiscal year to calculate total annual costs. The form indicates an estimated 250 hours per fiscal year for each position, though the document does not specify additional contract terms, renewal options, award dates, or other project timeline details.

Pricing is structured on an hourly rate basis with vendors submitting their proposed rates for each staff position. Vendors are required to provide supporting documentation with their cost proposals. The form requires signature authorization from an owner, president, or other responsible employee with authority to execute the proposal, confirming the organization's commitment to provide the personnel and services described at the rates indicated. No information regarding set-asides, incumbent contractors, funding sources, or special requirements is included in this cost proposal form.