HC_EMAILAI_ATTACHMENT_B_PRICING_FORM3.pdf
PDF 99 KB Posted
- Attached to
- 4618-20261013152929 Hattiesburg
- Solicitation number
- 3170036837
- Issued by
- Greene County, Mississippi
About this file
This is a Pricing Form for Hattiesburg Clinic's Request for Proposal (RFP No. HC-RTG-2026-EMAIL) to procure AI-Driven Email & Web-Browser Threat Detection for Microsoft 365. The solicitation seeks pricing for artificial intelligence-based email threat detection utilizing Microsoft 365 API with post-delivery capabilities, web-browser protection, support services, and other recurring or one-time costs as applicable. The pricing form requests bidders to provide unit pricing for 2,001 users in Year 1, with calculations for subscription costs, onboarding and implementation assistance, training and knowledge transfer, and any additional one-time expenses. Optional renewal pricing is requested for Years 2 and 3, though the Clinic is not obligated to renew. Bidders must also provide unit rates for additional users and professional services on an hourly basis, along with terms regarding annual price escalation caps and minimum user count or true-up provisions.
The pricing structure requires all costs to be presented in U.S. dollars excluding sales tax, with separate line items for Year 1 subscription costs (Subtotal A), one-time implementation costs (Subtotal B), and the Year 1 Grand Total including applicable sales tax (C3). Bidders must establish a proposal validity date and certify that quoted prices are complete, independently arrived at, and firm through the validity period. The form includes a certification requirement whereby the authorized signatory attests that all requirements of the Scope of Work are covered and that any unlisted costs will not be paid by the Clinic. No set-asides, incumbent information, or specific funding sources are identified in this pricing form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4618-20261013152929 HATTIESBURG CLINIC.pdf | ||
| HC_EMAILAI_NONCOLLUSION_AFFIDAVIT2.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment B — Pricing Form Hattiesburg Clinic RFP No. [HC-RTG-2026-EMAIL] | AI-Driven Email & Web-Browser Threat Detection for Microsoft 365
Bidder Information
Company (legal name): UEI (SAM.gov):
Contact name / title: Email:
Phone: Manufacturer / product:
Enter amounts in U.S. dollars, excluding sales tax. Gray fields calculate automatically. Enter 0 for any line not applicable.
A. Year 1 Subscription (12 mo.) Unit price / user / yr Users Extended (USD)
A1 AI email threat detection Microsoft 365 API, post-delivery
A2 Web-browser protection Enter 0 if included in A1
A3 Support (if not included above)
A4 Other recurring costs (describe in Notes)
Subtotal A — Year 1 Subscription
B. One-Time Costs Amount (USD)
B1 Onboarding / implementation assistance
B2 Training / knowledge transfer
B3 Other one-time costs (describe in Notes)
Subtotal B — One-Time Costs
C. Year 1 Total Amount (USD)
C1 Year 1 Total, pre-tax (Subtotal A + Subtotal B)
C2 Applicable sales tax (if any) Identify basis / rate in Notes
C3 YEAR 1 GRAND TOTAL (C1 + C2)
Attachment B — Pricing Form Hattiesburg Clinic RFP No. [HC-RTG-2026-EMAIL] | AI-Driven Email & Web-Browser Threat Detection for Microsoft 365
D. Optional Renewal Years (pre-tax, 2,001 users; Clinic not obligated to renew) Amount (USD)
D1 Year 2 — total annual subscription
D2 Year 3 — total annual subscription
Three-Year Total, pre-tax (C1 + D1 + D2)
E. Unit Rates Amount (USD)
E1 Additional user — price per user per year
E2 Professional services — hourly rate
F. Terms
Annual price escalation cap for renewal years (%):
Minimum user count / true-up terms:
Proposal valid through (date):
G. Pricing Notes, Assumptions and Exclusions
H. Certification The undersigned certifies that the prices above are complete for all requirements of the Scope of Work, were arrived at independently, and will remain firm for the validity period stated. Any cost not listed will not be paid by the Clinic.
Authorized signature:
Printed name / title:
Date:
Signature may be applied digitally, or the completed form may be printed, signed and scanned.
Supplemental vendor quotes may be attached but do not replace this form.
| bidder_name: |
| bidder_uei: |
| bidder_contact: |
| bidder_email: |
| bidder_phone: |
| product: |
| a1_unit: |
| a1_qty: 2001 |
| a1_ext: |
| a2_unit: |
| a2_qty: 2001 |
| a2_ext: |
| a3: |
| a4: |
| sub_a: |
| b1: |
| b2: |
| b3: |
| sub_b: |
| c1: |
| c2: |
| c3: |
| d1: |
| d2: |
| d_total: |
| e1: |
| e2: |
| escalation: |
| trueup: |
| valid_thru: |
| notes: |
| sig: |
| sig_name: |
| sig_date: |
File details come from the government source that posted it. Updated .