MDH - IFB - BPM053608 - Exhibit B - Financial Proposal - Maryland WIC Investigative Research Subscription.pdf
PDF 137 KB Posted
- Attached to
- MD WIC - Investigative Research Subscription
- Solicitation number
- BPM053608
- Issued by
- Baltimore City, Maryland
About this file
This is a Financial Bid Form (Exhibit B) for Solicitation Number BPM053608 issued by the Maryland Department of Health (MDH) for a WIC Investigative Research Subscription. The solicitation seeks pricing proposals for a subscription-based investigative database tool to support the Maryland WIC Program's regulatory enforcement and fraud prevention efforts. Bidders must submit pricing information in the exact format specified without amendment or alteration, and all sections of the form must be completed. The form requires pricing for a minimum of five users over both annual and five-year periods, with option years included in the solicitation requiring pricing submissions for each option year.
The Financial Bid Form requires bidders to provide pricing per user per month, total monthly cost per user, total annual cost for five users, and total five-year cost for five users. The pricing formula specifies calculation of total yearly cost as price per user multiplied by the number of users (4 additional users beyond the base) multiplied by 12 months, with the five-year total derived by multiplying the yearly cost by five. Bidders must complete all required fields including company information, service location(s), FEIN, eMMA number, contact details, and authorized representative signature. Non-responsive bids that fail to comply with submission instructions or contain blank sections may be rejected by the Department.
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Text version
EXHIBIT B – FINANICAL BID FORM
WIC Investigative Research Subscription
SOLICITATION NUMBER – BPM053608
The bid shall contain all pricing information strictly in the format specified on the provided pages. Bidders must complete the Bid Form exactly as provided, using the specified format without amendment or alteration.
No sections are to be left blank. If option years are included, bidders are required to submit pricing for each option year. Failure to comply with any of these instructions may result in the bid being deemed non-responsive and rejected by the Department.
Description Price
Price per User Cost for 1 User per Month
Total Cost per User per Month Usually same as above unless bundled with other features
Total Cost Per Year for 5 Users Formula: Price per User x 4 Users x 12 Months
Total Cost for 5 Years for 5 Users Formula: Total Yearly Cost x 5
Price is based on Section III at a Total Cost of: $______________.
Printed Name and Title: ___________________________________________________________________________________________________
Company Name: ___________________________________________________________________________________________________________
Company Address: ________________________________________________________________________________________________________
Location(s) from which services will be performed (City/State): _____________________________________________________
FEIN: ________________________________________________________________________________________________________________________ eMMA #: _____________________________________________________________________________________________________________
Telephone: (_______) _______-- _______________________________________________________________________________________________
Fax: (______) _________--______________________________________________________________________________________________________
E-mail: __________________________________________________________________________________________________________________
Submitted by: _____________________________________________________________________________________________________________
Signature of:
Authorized Representative: ______________________________________________________________________ Date: __________________
File details come from the government source that posted it. Updated .