ESBD_358303_1715100244990_Exhibit C Pricing Sheet_HHS0014396.pdf
PDF 83 KB Posted
- Attached to
- Contingency Contract(s) for Oxygen
- Solicitation number
- HHS0014396
- Issued by
- Bexar County, Texas
About this file
This document is an Exhibit C - Pricing Sheet for a contingency contract to provide oxygen cylinders and oxygen refilling services for the Department of State Health Services (DSHS) State Medical Operations Center (SMOC) in Texas. The contract is to be used in response to any disaster, emergency, or exercise in the state. The contract includes the acceptance, storage, and maintenance of DSHS's current oxygen cylinder inventory. Responses are due by 06/30/2024, and the contract period is from 5/7/2024 to an unspecified end date. Bidders must submit a completed and signed Exhibit A HHS Solicitation Affirmations, Exhibit C Pricing Sheet, Exhibit D Supplemental Pricing Sheet, Exhibit E Bidder Reference and Contractor Qualifications Form, and Exhibit G HUB Subcontracting Plan. Failure to submit any of these forms will disqualify the bid response.
The Pricing Sheet requires bidders to provide pricing for various oxygen cylinder sizes and oxygen refilling services. No other pricing information or additional documentation can be included, and bids are only allowed in U.S. Dollars. The contract will be awarded on a contingency basis to provide oxygen services as needed by DSHS SMOC for disasters, emergencies, or exercises in Texas.
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Text version
Exhibit C - Pricing Sheet
Event ID Format Type Round Version Respondent:
HHSTX-HHS0014396 Buy RFx 1 1 Bidder Name
Event Name Tin
Address
Post Date Phone
Fax
Event Currency: US Dollar Email
Bids Allowed in Other Currency: No Submit To: HHS Purchasing
See solicitation for submission instructions
United States
Contact: Graham,Mary Ann
General Comments
Event Description
Attach Public Information Act copy of bid response, if applicable.
Attach completed and signed Addendum Acknowledgement Form(s), if issued.
Attach completed Exhibit E Bidder Reference and Contractor Qualifications Form.
Attach completed and signed Exhibit G HUB Subcontracting Plan (HSP). Failure to submit will disqualify bid response.
Attach completed Exhibit D Supplemental Pricing Sheet.
Failure to submit will disqualify bid response.
Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.
Contingency contract to provide oxygen cylinders and oxygen refilling for deployments as needed by the Department of State Health Services (DSHS) State Medical Operations Center (SMOC) in response to any disaster, emergency, or exercise in the State of Texas. Contract shall include, but is not limited to, the acceptance, storage, and maintenance of current DSHS owned oxygen cylinder inventory.
Question Response:
Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.
5/7/2024 06/30/2024
Please DO NOT alter the Pricing Sheet. If you have additional documentation or pricing that you would like to include in your bid response, add it as a separate document on your company letterhead. Instructions for submittal are provided in the Appendix A of the IFB bid solicitation document.
Contingency Contract for Oxygen
Due Date
General Details
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