Exhibit B-1 Bid Form.BPM058246.xlsx

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Attached to
Temporary Dental Services at Clifton T. Perkins Hospital Center
Solicitation number
BPM058246
Issued by
Maryland

About this file

This is a Bid Form document for Temporary Dental Services at Clifton T. Perkins Hospital Center, a Maryland state facility. The solicitation seeks a contractor to provide dental services including dentist and dental assistant coverage when the current staff is unavailable due to vacation or other absences. Bidders must submit pricing for both a Dentist position and a Dental Assistant position on an hourly rate basis. The contract award shall be determined based on the average of the combined hourly rates for these two positions. No specific quantities, response dates, site visits, or bidder conferences are referenced in this bid form document.

Pricing must be submitted as all-inclusive hourly rates that encompass all labor, profit, overhead, administrative costs, and expenses necessary to perform the work. Bidders are required to enter pricing for both the Dentist and Dental Assistant positions, with the total contract award not to exceed $50,000. The bid form requires completion of all fields without alteration or omission, with authorized representative signature, company information, FEIN, eMMA number, CSB number, and any applicable MBE/DBE or VSBE certifications. All calculations must be rounded to the nearest cent, and any corrections must be initialed and dated by the bidder prior to submission. Failure to adhere to the specified bid instructions may result in the bid being determined non-responsive.

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Instructions

Bid Instructions
In order to assist each Bidder in the preparation of its Bid and to comply with the requirements of this solicitation, Bid Instructions and a Bid Form have been prepared. Each Bidder shall submit its Bid on the Bid Form in accordance with the instructions on the Bid Form and as specified herein. Do not alter the Bid Form or the Bid may be determined to be not responsive. The Bid Form is to be signed and dated, where requested, by an individual who is authorized to bind the Bidder to the prices entered on the Bid Form.
The Bid Form is used to calculate the Bidder’s TOTAL BID PRICE. Follow these instructions carefully when completing your Bid Form:
A) All Unit and Extended Prices must be clearly entered in dollars and cents, e.g., $24.15. Make your decimal points clear and distinct.

B) All Unit Prices must be the actual price per unit the State will pay for the specific item or service identified in this RFB and may not be contingent on any other factor or condition in any manner.

C) All calculations shall be rounded to the nearest cent, e.g., .344 shall be .34 and .345 shall be .35.

D) Any goods or services required through this RFB and proposed by the vendor at No Cost to the State must be clearly entered in the Unit Price, if appropriate, and Extended Price with $0.00.

E) Every blank in every Bid Form shall be filled in. Any changes or corrections made to the Bid Form by the Bidder prior to submission shall be initialed and dated.

F) Except as instructed on the Bid Form, nothing shall be entered on or attached to the Bid Form that alters or proposes conditions or contingencies on the prices. Alterations and/or conditions may render the Bid not responsive.

G) It is imperative that the prices included on the Bid Form have been entered correctly and calculated accurately by the Bidder and that the respective total prices agree with the entries on the Bid Form. Any incorrect entries or inaccurate calculations by the Bidder will be treated as provided in COMAR 21.05.02.12 and may cause the Bid to be rejected.

H) If option years are included, Bidders must submit pricing for each option year. Any option to renew will be exercised at the sole discretion of the State and comply with all terms and conditions in force at the time the option is exercised. If exercised, the option period shall be for a period identified in the RFB at the prices entered in the Bid Form.

I) All Bid prices entered below are to be fully loaded prices that include all costs/expenses associated with the provision of services as required by the RFB. The Bid price shall include, but is not limited to, all: labor, profit/overhead, general operating, administrative, and all other expenses and costs necessary to perform the work set forth in the solicitation. No other amounts will be paid to the Contractor. If labor rates are requested, those amounts shall be fully loaded rates; no overtime amounts will be paid.

J) Unless indicated elsewhere in the RFB, sample amounts used for calculations on the Bid Form are typically estimates for evaluation purposes only. Unless stated otherwise in the RFB, the Department does not guarantee a minimum or maximum number of units or usage in the performance of the Contract.

K) Failure to adhere to any of these instructions may result in the Bid being determined not responsive.

Bid Form

Exhibit B.1 – BID FORM
Temporary Dental Services at Clifton T. Perkins Hospital Center
The Bid Form shall contain an all inclusive price and information in the format specified on these pages including all surcharges (ex: fuel, travel, technician rate etc.) as well as all administrative costs. Complete the Bid Form only as provided in the Bid Instructions. Do not amend, alter or leave blank any items on the Bid Form. Failure to adhere to any of these instructions may result in the Bid being determined not responsive.
Bid award shall be determined based on the average of the combined hourly rates. The total Contract award shall not exceed $50,000.
DELIVERABLEHOURLY RATE
4.A. Dentist$ - 0
4.B. Dental Assistant$ - 0
AVERAGE OF RATES =$ - 0
Signature of Authorized Representative:
Printed Name and Title:
Telephone:
Email address:
Bidder Company Name:
Bidder Company Address:
City/State:
Date:
FEIN:
eMMA #:
CSB #:
MBE/DBE #:
VSBE #:

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