ESBD_367190_1720469651175_Exhibit C Pricingsheet.pdf
PDF 83 KB Posted
- Attached to
- FY25 Ambulance services
- Solicitation number
- HHS0015058
- Issued by
- Fort Bend County, Texas
About this file
This document is an Exhibit C Pricing Sheet for a Request for Proposal (RFP) issued by the Texas Health and Human Services Commission (HHSC) to establish contract(s) for Ambulance services for the Richmond State Supported Living Center. The RFP requires bidders to submit completed and signed Exhibit A Affirmations, Exhibit D Bidder Reference Qualifications, and Exhibit C Pricing Sheet. Bidders must also provide documentation of minimum experience and qualifications, financial capability, and ability to perform the required services. The service period is for Fiscal Year 2025, with a bid due date of July 22, 2024.
The RFP specifies that the awarded contractor(s) must accept Medicaid/Medicare rates. Bidders are required to attach proof of their Texas EMS Provider License, Texas Certified EMT License, Texas Certified EMT-Paramedic License, and Texas Ambulance provider licensure. The contract will be awarded to the responsible bidder(s) whose proposal is most advantageous to the state, considering price and other evaluation factors.
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Exhibit C Pricingsheet
Event ID Format Type Round Version Respondent:
HHSTX-HHS0015058 Sell 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: Johnson,Ja'Vorashay D
Event Description
General Questions
FY25 Ambulance services
Due Date
07/08/2024 07/22/2024
HHSC PCS is seeking competitive bids to establish Contract(s) for Ambulance services for Richmond State Supported Living Center.
Question Response:
Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.
Attach completed and signed Addendum Acknowledgement Form(s), if issued.
Attach completed Exhibit D Bidder Reference Qualifications Form.
Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response. Attach completed exhibit C pricing sheet with your bid.
Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements.
Attach documentation of Minimum Experience and Qualifications, per Section 7.1.5.
Attach demonstration of the ability to perform by a written description of the size and scope of all operations, including the number of years the Bidder has been in business and the number of employees available to provide customer service, order fulfillment, safe shipping and handling of product and the number of supervisors for each location, as applicable.
Attach Public Information Act copy of bid response, if applicable.
Can you perform all of the services as described in section 7 of the PCS 137 solicitation document?
Contractor accepts Medicaid/Medicare rates? Yes or No.
Please attach a copy of proof of your Texas EMS Provider License Texas Certified Emergency Medical Technician (EMT) License, Texas Certified Emergency Medical Technician - Paramedic (EMT - P) License, and Texas Ambulance provider licensure.
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