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) issued by the Texas Health and Human Services Commission (HHSTX) for Alchemer Survey Annual Licenses for the Department of State Health Services (DSHS). The RFB, with Event ID HHS0015212, seeks to procure 12 licenses for Alchemer Surveygizmo Full Access Annual, 60 licenses for Alchemer Collaborator Annual, 1 license for Alchemer Bronze Full Access Platform, and 5 additional Alchemer Admin User licenses, all with a term from September 19, 2024 to September 18, 2025. The RFB was posted to the Bid Opportunities website on July 22, 2024, with a response deadline of August 5, 2024 at 10:30 AM Central Time. The anticipated contract start date is September 1, 2024.

The Pricing Sheet requires bidders to submit their pricing for the specified Alchemer products and licenses. Bidders must also provide documentation to demonstrate their minimum experience and qualifications, financial capability, solvency, and ability to perform and fulfill the solicitation requirements outlined in Exhibit D. Bidders are also required to submit a completed Bidder Reference and Qualification Form (Exhibit E).

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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 .