ESBD_369214_1721682183644_HHS0015212_Exhibit_C_Pricing Sheet.pdf
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- Attached to
- Alchemer Survey Annual Licenses DSHS
- Solicitation number
- HHS0015212
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit C - Pricing Sheet related to a Request for Bid (RFB) for Alchemer Survey Annual Licenses for the Texas Department of State Health Services (DSHS). The RFB, identified as HHS0015212, is seeking to procure 12 full access annual licenses, 60 collaborator annual licenses, 1 bronze full access platform, and 16 professional licenses for the period of 9/19/2024 to 9/18/2025. The response deadline is August 5, 2024, and the anticipated contract start date is September 1, 2024.
The Pricing Sheet details the specific part numbers, quantities, and pricing for the requested Alchemer Survey products and licenses. Bidders must also submit completed Exhibit A - HHS Solicitation Affirmations, Exhibit D - Minimum Experience and Qualifications, and Exhibit E - Bidder Reference and Qualification Form as part of their response. Failure to provide the completed pricing sheet or other required documentation will disqualify the bid response.
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Text version
Exhibit C - Pricing Sheet
Event ID Format Type Round Version Respondent:
HHSTX-HHS0015212 Buy RFx 1 1 Bidder 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: Lyncook,Shawn Patrick
Event Description
General Questions
Attach completed and signed Addendum Acknowledgement Form(s), if issued.
07/22/2024 08/05/2024
Alchemer Surveygizmo Annual Licenses DSHS
Question Response:
Attach completed and signed Exhibit A HHS Solicitation Affirmations, Pages 1-13. Failure to submit will disqualify bid response.
Event Name
Alchemer Survey Annual Licenses DSHS
Due Date
Attach documentation of Minimum Experience and Qualifications, per Section 7.1.5 on Exhibit D.
Attach completed Exhibit C Pricing Sheet. Failure to submit will disqualify bid response.
Attach other information pertinent to demonstrate financial capability, financial solvency and ability to perform and capacity to fulfill the solicitation requirements on Exhibit D.
Attach completed Exhibit E Bidder Reference and Qualification Form.
License - Full Access Annual Survey - Part#: NPN-SURVGIZ- ANNUALFULL QTY: 12 Period: 9/19/2024 to 9/18/2025
License - Collaborator Annual Alchemer Survey - Part#:
NPN-SURVE-COLLA-A QTY: 60 Period: 9/19/2024 to 9/18/2025
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 on Exhibit D.
Platform - Bronze Full Access Alchemer Survey - Part#:
NPN-SURVE-BRONZ QTY: 1 Period: 9/19/2024 to 9/18/2025
Administration - +1 Admin User Alchemer - Part#: NPN- ALCHE-ADMIN QTY: 5 Period: 9/19/2024 to 9/18/2025
License - Professional Alchemer Annual Survey - Part#:
NPN-SURVE-PROFE-B QTY: 16 Period: 9/19/2024 to 9/18/2025
General Details
File details come from the government source that posted it. Updated .