IFB_Bid_Form_On_Site_Mobile (1).xlsx
XLSX spreadsheet 23 KB Posted
- Attached to
- Mobile X-Ray Services
- Solicitation number
- BPM031107
- Issued by
- Maryland
About this file
This document is an Invitation for Bid (IFB) for Mobile X-Ray Services issued by the State of Maryland. The IFB requests bids for mobile x-ray services, including radiography, ultrasound, and other imaging services, to be provided to the Clifton T. Perkins Hospital Center. The IFB provides estimated annual quantities for various test types and requires bidders to submit firm fixed unit prices for each test. The contract will be awarded to a single vendor for an indefinite quantity, with the actual amount paid based on the firm fixed unit prices and the actual number and type of services performed. The contract term is for one year with up to six additional one-year renewal options.
The IFB includes detailed instructions for completing the bid form, which must be adhered to in order for bids to be considered responsive. Pricing must be all-inclusive, covering labor, overhead, and all other expenses. The IFB notes that the estimated quantities are for evaluation purposes only and do not guarantee any minimum or maximum usage under the contract.
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Text version
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 IFB 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 IFB 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 21.05.03.03.F, 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 IFB 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 IFB. 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 IFB, sample amounts used for calculations on the Bid Form are |
| typically estimates for evaluation purposes only. Unless stated otherwise in the IFB, the |
| <<typeofAgency>> 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 1 Clifton T. Perkins Hospital Center Mobile Xray Bid Form The Bid shall contain all price information in the format specified on these pages. Complete the Bid Form only as provided in the Bid Pricing Instructions. Do not amend, alter or leave blank any items on the Bid Form. If option years are included, Bidders must submit Bids for each option year. Failure to adhere to any of these instructions may result in the Bid being determined non-responsive and rejected by the Department.
Bid Page - Year 1
Contract Term: Contract Year 1
Bidder:
| Test Description | Annual Estimated | |
| Number of Tests | Price | |
| Per Test | Total Estimated Price |
(Year 1)
(B) (C) (D) (B x C)
| Group 1 Radiography (X-ray) | ||
| Bone Densitometry | 15 | $ - 0 |
| Bone | 15 | $ - 0 |
| Chest | 50 | $ - 0 |
| Lower GI Tract | 15 | $ - 0 |
| Upper GI Tract | 10 | $ - 0 |
| Group 2 Ultrasound | ||
| Obstetric - Pelvis | 15 | $ - 0 |
| Abdomen | 15 | $ - 0 |
| Breast | 10 | $ - 0 |
| Prostate | 10 | $ - 0 |
| Thyroid | 15 | $ - 0 |
| Vascular Doppler | 15 | $ - 0 |
| Venous (Extremities) | 2 | $ - 0 |
Estimated Test Price Subtotal $ - 0
Estimated Test Price Subtotal (Total for all Tests in Column D) $ - 0
Total Estimated Annual Price $ - 0
Sign NOTE #1: Bidders MUST Bid a price for every test listed on the bid pages. Partial Bids are not permitted. Bids that omit a bid price for any of the tests required shall be rejected as non-responsive.
NOTE #2: The Department intends to make a Single Award as a result of this solicitation. The Contract that results from this IFB shall be an Indefinite Quantity Contract with Firm Fixed Unit Prices in accordance with COMAR 21.06.03.02 & 21.06.03.06.
NOTE #3: The “Total Contract Bid Price” specified above is based on model quantities and will be used solely for price evaluation, comparison and selection for recommendation for award. The “Annual Estimated Number of Tests” indicated are not a guarantee of any maximum or minimum quantities under the Contract and may change at any time during the term of the Contract. The actual amount to be paid to the Contractor shall be calculated using the Firm Fixed Unit Prices specified on the Bid Page (Price Per Test) and the actual number and type of tests performed by the Contractor.
NOTE #4: All Bid prices entered in the bid pages shall include all costs/expenses associated with the provision of services as required by this IFB. The Bid prices shall include, but not be limited to: Labor Profit/Overhead, General Operating and all other expense except as expressly excluded in the IFB specifications. No other amounts will be paid to the Contractor.
Total Bid Price (Total Estimated Annual Price for Yr 1 + Yr 2 + Yr 3 + Yr 4 + Yr 5 + Yr 6 + Yr7) = ERROR:#REF!
Above Prices attested to by:
(Signature) (Date)
| Federal Tax ID # | |
| Submitted By: |
Authorized Signature (Date)
Printed Name and Title
Company Name
Company Address
Location(s) from which services will be performed (City/State)
FEIN eMM #
Telephone Fax
File details come from the government source that posted it. Updated .