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) | Signature | Date |
| _____________________________ | __________________________ ______________________________ | ||
| Telephone | Fax |
Number of Years in Business
File details come from the government source that posted it. Updated .