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RFQ# F3P4C15076AW01
Attachment 4
PRICE SCHEDULE
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| EST UNIT PRICE |
| AMOUNT |
| 1 |
| Lot |
| $________________ |
| $________________ |
Laundry Services - Medical
FFP
Non-personal Services to provide all supervision, personnel, material, equipment, and transportation (pick-up and delivery) necessary to perform Medical Laundry Services in accordance with the PWS attached and incorporate herein.
PoP: Date of Award to 30 September 2015 FOB: Destination
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| EST UNIT PRICE |
| AMOUNT |
| 1 |
| Lot |
| $________________ |
| $________________ |
Laundry Services - Medical
Non-personal Services to provide all supervision, personnel, material, equipment, and transportation (pick-up and delivery) necessary to perform Medical Laundry Services in accordance with the PWS attached and incorporate herein.
PoP: 1 October 2015 – 30 September 2016
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| EST UNIT PRICE |
| AMOUNT |
| 1 |
| Lot |
| $________________ |
| $________________ |
Laundry Services - Medical
Non-personal Services to provide all supervision, personnel, material, equipment, and transportation (pick-up and delivery) necessary to perform Medical Laundry Services in accordance with the PWS attached and incorporate herein.
1 October 2016 – 30 September 2017
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| EST UNIT PRICE |
| AMOUNT |
| 1 |
| Lot |
| $________________ |
| $________________ |
Laundry Services - Medical
Non-personal Services to provide all supervision, personnel, material, equipment, and transportation (pick-up and delivery) necessary to perform Medical Laundry Services in accordance with the PWS attached and incorporate herein.
PoP 1 October 2017 – 30 September 2018
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| EST UNIT PRICE |
| AMOUNT |
| 1 |
| Lot |
| $________________ |
| $________________ |
Laundry Services - Medical
Non-personal Services to provide all supervision, personnel, material, equipment, and transportation (pick-up and delivery) necessary to perform Medical Laundry Services in accordance with the PWS attached and incorporate herein.
1 October 2018 – 30 September 2019
WORKLOAD PRICING BREAKDOWN
Enter unit and total prices in the blocks below.
CLIN 0101: Date of Award through 30 September 2015:
| ITEM |
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| ESTIMATED TOTAL |
| Clinic Linens (Hand Towels, Sheets, Blankets, Bath Towels) |
| 7103 |
| Pound |
| Coats, Physician |
| 2140 |
| Each |
| Scrubs, Shirts & Pants |
| 8468 |
| Each |
| Curtains, Cubical |
| 126 |
| Each |
CLIN 0201: 1 October 2015 – 30 September 2016
| ITEM |
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| ESTIMATED TOTAL |
| Clinic Linens (Hand Towels, Sheets, Blankets, Bath Towels) |
| 7103 |
| Pound |
| Coats, Physician |
| 2140 |
| Each |
| Scrubs, Shirts & Pants |
| 8468 |
| Each |
| Curtains, Cubical |
| 126 |
| Each |
CLIN 0301: 1 October 2016 – 30 September 2017
| ITEM |
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| ESTIMATED TOTAL |
| Clinic Linens (Hand Towels, Sheets, Blankets, Bath Towels) |
| 7103 |
| Pound |
| Coats, Physician |
| 2140 |
| Each |
| Scrubs, Shirts & Pants |
| 8468 |
| Each |
| Curtains, Cubical |
| 126 |
| Each |
CLIN 0401: 1 October 2017– 30 September 2018
| ITEM |
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| ESTIMATED TOTAL |
| Clinic Linens (Hand Towels, Sheets, Blankets, Bath Towels) |
| 7103 |
| Pound |
| Coats, Physician |
| 2140 |
| Each |
| Scrubs, Shirts & Pants |
| 8468 |
| Each |
| Curtains, Cubical |
| 126 |
| Each |
CLIN 0501: 1 October 2018 – 30 September 2019
| ITEM |
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| ESTIMATED TOTAL |
| Clinic Linens (Hand Towels, Sheets, Blankets, Bath Towels) |
| 7103 |
| Pound |
| Coats, Physician |
| 2140 |
| Each |
| Scrubs, Shirts & Pants |
| 8468 |
| Each |
| Curtains, Cubical |
| 126 |
| Each |
Grand Estimated Total All Five Years: $_____________________________________
