Emergency Department Physician Pricing Page.docx

DOCX document 19 KB Posted

Attached to
Cancellation PHYSICIAN SERVICES (ED)
Solicitation number
ARFQ 0512 WEH2500000001 2
Issued by
Marshall County, West Virginia

About this file

This is a pricing page exhibit for emergency department physician services under contract number WEH2500000001. The contract solicitation requests physician services for emergency department physicians with an estimated requirement of 8,760 regular hours annually. Vendors are required to submit pricing on a unit cost per hour basis, with the total contract value calculated by multiplying the estimated hours by the hourly rate. The document specifies that the estimated hours provided are for bidding purposes only, and the selected vendor must be prepared to provide actual quantities as needed, whether higher or lower than the initial estimate.

The pricing page requires vendors to provide unit cost per hour for emergency department physician services classified under line item 4.1.2.1. Bidders must complete the form with their company name, authorized representative signature, purchase order address, remit-to address, contact information including telephone, fax, and email, and years in business. The document does not specify pricing terms, award dates, contract term, renewal options, or funding sources within this exhibit, as it functions solely as the cost submission template for the physician services procurement.

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Text version

Physician Services (Emergency Department Physicians) Pricing Page Exhibit A Page 1

WEH2500000001

LINE #
Classification
Estimated # of Hours
Unit Cost per Hour
Total Cost for Estimated Hours (Estimated # of Hours multiplied by the Unit Cost Per Hour)
1
4.1.2.1 Physician Services (Emergency Department Physicians)
8760

Regular Hours

Grand Total Cost

Estimated number of hours: The estimated numbers of hours listed on the cost sheet are for bidding purposes only. The vendor will be required to provide the actual quantities needed, should the quantities be higher or lower than the estimated number of hours for this bid.

_____________________________________________________________________________________
Vendor Name (Printed)Purchase Order Address

Vendor Remit-To Address:

_____________________________________________________________________________________
Vendor Authorized Representative (Printed)SignatureDate
_______________________________________________________ ______________________________
TelephoneFaxE-mail

Number of Years in Business

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