ESBD_File_347573_HHS0014056 Exhibit H Cost Proposal.pdf
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- Attached to
- HHS0014056 Breast pump contract for WIC
- Solicitation number
- HHS0014056
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit H Cost Proposal for the HHS0014056 solicitation issued by the Texas Health and Human Services Commission (HHSC) for a breast pump contract for the Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The solicitation seeks to establish a contract to provide breast pumps, accessories, and technical support for WIC programs in Travis County and the City of Austin. Respondents are required to provide pricing for new and refurbished multi-user electric pumps, single-user electric and manual pumps, sterile milk collection kits, additional flange sizes, and replacement parts. Pricing is due by 10:30 AM on February 13, 2024.
The pricing sheet includes detailed line items for the various products and accessories required, with respondents instructed to include part numbers and flange sizes as applicable. Respondents may submit bids for one or all of the specified items. No cost information is required for any line items left blank, which will be included at no additional cost. This solicitation does not provide any information regarding set-asides, incumbents, funding sources, or other salient contractual details.
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Text version
HHS0014056
Exhibit H Cost Proposal
Company Name: Respondent’s Name
Please complete and return with a signed copy of the solicitation.
DUE 2-13-24 @ 10:30AM
Respondent shall enter bid prices below.
Pricing sheet: Bid proposals may be submitted for one or all items specified in this IFB.
Breast Pumps/Supplies Unit of
Measure Cost per unit of measure
Descriptions/Comments
Under the Descriptions/Comments – Include Part numbers and flange sizes included with Milk Collection Kit, electric single-user and manual single-user.
New Multi-User Electric Pump Each $ Refurbished Multi-User Electric Pump Each $
Single-User Electric Pump with Milk Collection Accessories Each $
Manual Breast Pump with Milk Collection Accessories
Each $
Sterile Milk Collection Kits: Bidder is to indicate which flange sizes are included with in the preassembled kits Sterile Collection Kit Each $
Additional Sized Breast Flanges different from those packaged in Collection Kits, Single- User Electric Pump or Manual pump: Under the Descriptions/Comments – Include part numbers and flange sizes.
Each $ Each $ Each $ Each $
Replacement and Accessory Parts: Under the Descriptions/Comments – Include part numbers and when applicable, the flange sizes.
Tubing Each $ Standard Sized Flanges Each $ Valves Each $ Diaphragms Each $ Battery Adapters Each $
Coolers Each $ Soft Carrying Cases Each $ Hard Carrying Case Each $ Electric Outlet Adapters Each $ Vehicle Adapter Each $ USB Cord Each $
Note – if no cost is associated, enter $0.00 in the cost column. Any lines left blank will be included at no additional cost
File details come from the government source that posted it. Updated .