ESBD_358303_1715100294871_Exhibit D Supplemental Pricing Sheet.pdf
PDF 140 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 D Supplemental Pricing Sheet for IFB No. HHS0014396, a Contingency Contract for Oxygen issued by the Texas Health and Human Services Commission (HHSC). The IFB seeks to establish contingency contracts to provide oxygen cylinders and oxygen refilling services for deployments as needed by the Texas Department of State Health Services (DSHS) State Medical Operations Center (SMOC) in response to any disaster, emergency, or exercise in the State of Texas.
The pricing sheet requests detailed information on the contractor's monthly storage fees for DSHS-owned cylinders, pickup/removal fees, refill costs for various cylinder types, rental rates for contractor-owned cylinders, replacement costs for lost cylinders and regulators, and hourly rates for on-site personnel. The contractor is also asked to provide details on its owned cylinder inventory and operational capabilities, such as 24-hour contact information, disaster support procedures, and ability to service multiple locations.
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Text version
HHSC IFB HHS0014396
IFB No. HHS0014396 Contingency Contract for Oxygen
Exhibit D Supplemental Pricing Sheet
Complete all questions. Failure to submit will disqualify bid response.
What is your monthly fee for storage of DSHS-owned cylinders at Contractor facility?
Please list the price per each type of cylinder if the storage fee is dependent upon cylinder type.
2 What is your average fee for pick-up or removal of oxygen cylinders per truck load?
3 What is your cost to re-fill 1 DSHS owned E-Type Cylinder (25 CF)? $_________
4 What is your cost to re-fill 1 DSHS owned D-Type Cylinder (200
CF)?
5 What is your cost to re-fill 1 DSHS owned 125 Type Cylinder (125 CF)? $_________
6 What is your cost to re-fill 1 DSHS owned H-Type Cylinder (251 CF)? $_________
7 What is your cost to rent 1 Contractor owned Aluminum E-Type Cylinder (25 CF) per week?
8 What is your cost to rent 1 Contractor owned Steel E-Type Cylinder (25 CF) per week?
9 What is your cost to rent 1 Contractor owned D-Type Cylinder (125 CF) per week?
What is your cost to rent 1 Contractor owned 125 Type Cylinder (125)
What is your cost to rent 1 Contractor owned H-Type Cylinder (251 CF)
What is your cost for replacement of 1 lost Aluminum E-Type Cylinder? $_________
What is your cost for replacement of 1 lost Steel E-Type Cylinder? $_________
What is your cost for replacement of 1 lost D-Type Cylinder? $_________
What is your cost for replacement of 1 lost 125 Type Cylinder?
What is your cost for replacement of 1 lost H-Type Cylinder? $_________
17 What is your cost for replacement of lost Regulator(s)?
HHSC IFB HHS0014396
18 What is your cost for replacement of 1 lost H size oxygen cylinder cart?
19 What is your Hourly Rate per person deployed to staging locations as specified in the Scope of Work?
(Rate must be inclusive of travel expenses).
$________/HR
20 Respondent Owned Cylinder Inventory: How many E-Type Cylinders (25 CF, 4.5” Diameter x 26” L) do you have in inventory? What location are they in? (City, State)
21 Respondent Owned Cylinder Inventory: How many D-Type Cylinders (200 CF, 7” Diameter x 43” L) do you have in inventory? What location are they in? (City, State)
22 Respondent Owned Cylinder Inventory: How many H-Type cylinders (251 CF, 9” Diameter x 51.5” L) do you have in inventory? What location
23 Respondent Owned Cylinder Inventory: How many 125 Type Cylinders (125 CF, 7” Diameter x 43” L) do you have in inventory? What location
24 Does your Company have a 24-hour contact telephone line(s)?
25 Does your Company have Standard Operating Procedures that support disasters?
26 Does your Company have sufficient refilling stations throughout the state to minimize travel costs & time?
27 What type of transportation will be used, organic or external?
28 Can your Company support multiple locations?
29 Can your Company stay on site, or is it only capable of delivery?
30 Once on site, how is your Company staff self-supporting?
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