TRANSCRIPTION_WORKSHEET_RFQ_WORKSHEET.docx
DOCX document 12 KB Posted
- Attached to
- Transcription Services
- Solicitation number
- FA4861-17-R-B001
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RFQ Worksheet
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Other files
| File | Type | Posted |
|---|---|---|
| Q&A_Attachment.pdf | ||
| Attachment_1_Templates.pdf | ||
| Transcription_Services_SOW_120516_Final.pdf | ||
| Attachment_2_Historical_Data.pdf |
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Text version
MEDICAL TRANSCRIPTION SERVICES
RFQ WORKSHEET
CONTRACTOR: _______________________________________ DATE:______________
CAGE CODE:________________
| DUNS # _____________________ | POC NAME: _________________________________ | |
| E-MAIL: _________________________________ | ||
| TAX ID # ____________________ | PHONE # _________________________________ |
CLIN 0001 – TRANSCRIPTION SERVICES (Base Year)
UNIT OF ISSUE – MONTH $_____________
QUANTITY – SIX (6) $_____________
TOTAL $_____________
CLIN 1001 – TRANSCRIPTION SERVICES (Option Year)
UNIT OF ISSUE – MONTH $_____________
QUANTITY – SIX (6) $_____________
TOTAL $_____________
BASE & OPTION YEAR TOTAL $_____________
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