Exhibit A S-0916_DMS-21 Price_Sheet_FINAL.pdf

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Attached to
Medical Transcription Services for DHS / DDB
Contract number
435400-O21-916MEDTRANS-00
Issued by
Wisconsin

About this file

This document is an Attachment A – Cost Sheet for Medical Transcription Bid S-0916 DMS-21, submitted by Mediscribes Inc. with Vatsal Ghiya serving as President & CEO. The cost sheet was signed and dated September 22, 2020, and appears to be part of a state procurement process, though the specific state agency is not explicitly identified in this attachment.

The contract involves medical transcription services with pricing based on a fixed rate per transcription line of seventy-two (72) characters. Mediscribes Inc. has bid $0.0675 per transcription line, with this price being inclusive of all associated costs including personnel, fringe benefits, travel, equipment, supplies, operating costs, and other incidental expenses. The document emphasizes that no additional costs beyond this fixed per-line rate may be charged to the state, and vendors are prohibited from altering the cost sheet format or providing alternate pricing structures, with violations potentially resulting in bid disqualification.

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MEDICAL TRANSCRIPTION BID

S-0916 DMS-21

S-0916 DMS-21 Attachment A – Cost Sheet

ATTACHMENT A– COST SHEET

Vendor must quote a price per line that is inclusive of all costs associated with provision of the services described in RFB S-0916 DMS-21. This includes, but is not limited to, personnel and fringe benefits, travel, equipment and supplies, operating costs, and any other incidental costs. No other costs may be charged to the State.

Please enter the Fixed price per transcription line of Seventy Two (72) characters. This amount is your

Bid amount.

FIXED PRICE PER TRANSCRIPTION LINE OF Seventy Two (72) CHARACTERS

Attachment A – Cost Sheet must be completed in full, signed and returned at the time of bid. Vendors may not alter the Cost Sheet in any manner. Alternate pricing formats will not be accepted and may result in disqualification of the Bid.

Signature of Authorized Preparer:

Date: 22 September, 2020

Printed Name: Vatsal Ghiya

Title/Role: President & CEO

Company Name: Mediscribes Inc.

$ 0.0675

DocuSign Envelope ID: A086DF2E-4A76-424B-8321-411DD668AB88

ATTACHMENT A– Cost Sheet

2021-02-22T11:23:11-0800
Digitally verifiable PDF exported from www.docusign.com

File details come from the government source that posted it. Updated .