FILLABLE TABLE FOR PRICING PROPOSAL - 75H70723Q00045.docx

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24/7 NURSE ADVICE TOLL-FREE PHONE LINE - ALBUQUERQUE INDIAN HEALTH CENTER - ALBUQUERQUE, NM
Solicitation number
75H70723Q00045
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SOLICITATION 75H70723Q00045.pdf PDF

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PROPOSAL FOR SOLICITATION NO. 7570723Q00045

Item #
Dates
Description of Cost*
Total Amount
CLIN 1
Base Year:

04/01/23 – 03/31/24

$__________/month x 12 months =
$__________/year
CLIN 2
1ST Option Year:

04/01/24 – 03/31/25

$__________/month x 12 months =
$__________/year
CLIN 3
2nd Option Year:

04/01/25 – 03/31/26

$__________/month x 12 months =
$__________/year
CLIN 4
3rd Option Year:

04/01/26 – 03/31/27

$__________/month x 12 months =
$__________/year
CLIN 5
4th Option Year:

04/01/27 – 03/31/28

$__________/month x 12 months =
$__________/year

GRAND TOTAL:

* - Units may be adjusted or changed to suit the proposal/quote (see attachments for fillable table) or feel free to submit pricing in your own format.

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