Exhibit A for Medical Services 9-6-2024.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Cadet Medical Services MCAS 24MCAS-031
- Solicitation number
- CRFQ 0603 ADJ2500000026 2
- Issued by
- Monongalia County, West Virginia
About this file
This is a pricing exhibit (Exhibit A) for a Comprehensive Requisition for Quote (CRFQ) medical services contract numbered ADJ25*26, likely issued by a military or cadet academy institution. The contract encompasses eight bid items covering medical services for insured cadets and staff, including physical exams for approximately 250 cadets, immunizations and screenings (Diphtheria-Tetanus, Tuberculosis, and Meningococcal), and ongoing medical support services. Additional services include sick call and triage coordination requiring an estimated five nurse hours per week, care and medication management requiring 15 technician/assistant hours per week, and opening day registration coordination services estimated at 12 hours per employee. The pricing page requests vendor information including Oasis number, name, address, phone, email, and authorized signature.
The exhibit presents a blank pricing template with all line items currently showing $0.00 unit prices and extended totals, indicating this is a form to be completed by prospective vendors during the bidding process. Vendors must submit pricing for nurse hours, doctor hours, and associated rates for the various service categories. The contract specifies billing arrangements on a monthly arrears basis with quarter-hour increment increments for certain services. The form explicitly states that failure to use this provided pricing form will result in vendor disqualification, emphasizing the mandatory nature of submission compliance.
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Text version
Sheet1
| CRFQ ADJ25*26 - PRICING PAGE - EXHIBIT A | ||||||
| ITEM NO. | DESCRIPTION | EST QTY | UNIT PRICE | EXT TOTAL | ||
| Item No. 4.1.1 (Bid Item #1) | Physical Exams (Est. Qty per Class - 125) (Insured Cadets) | 250 | $ - 0 | $0.00 | ||
| Item No. 4.1.2 (Bid Item #2) | Immunization / Screening Diphtheria - Tetanus Immunization (Insured Cadets) | 125 | $ - 0 | $0.00 | ||
| Item No. 4.1.3 (Bid Item #3) | Tuberculosis Screening (Insured Cadets) | 125 | $ - 0 | $0.00 | ||
| Item No. 4.1.4 (Bid Item #4) | Meningococal Immunization (Insured Cadets) | 125 | $ - 0 | $0.00 | ||
| Item No. 4.1.5 (Bid Item #5) | Tuberculosis Screening (MCA Staff) (to be billed to MCA) | 75 | $ - 0 | $0.00 | ||
| Nurse Hours | Nurse Rate | Doctor Hours | Doctor Rate | Total | ||
| Item No. 4.1.6 (Bid Item #6) | Sick Call/Triage (Bill Monthly in Arrears / Quarter-Hour Increments) On-Site Sick Coordinator (Est. Hours per Week) | 5 | $0.00 | 5 | $0.00 | $0.00 |
| Item No. 4.1.7 (Bid Item #7) | Care & Medication Management (Bill Monthly in Arrears / Quarter-Hour Increments) Technician / Assistant (Est. Hours per Week) | 15 | $0.00 | 15 | $0.00 | $0.00 |
| Item No. 4.1.8 (Bid Item #8) | Opening Day Registration Opening Day Registration Coordination (Est. Hours per Employee for this Event) | 12 | $0.00 | 12 | $0.00 | $0.00 |
| TOTAL | $0.00 | $0.00 | ||||
| Failure to use this form WILL result in disqualification | ||||||
| Vendor Information: | Oasis # | |||||
| Name: | ||||||
| Address: | ||||||
| City, State, Zip: | ||||||
| Phone: | ||||||
| Email: | ||||||
| Authorized Signature: |
&"-,Bold"REVISED&"-,Regular" - Medical MCAS Exhibit A - Pricing Page
File details come from the government source that posted it. Updated .