NGFW_PRICING_FILLABLEFORM3.pdf

This is a pricing and bid response form for Hattiesburg Clinic, P.A., a healthcare organization in Mississippi, seeking vendor proposals for a Next-Generation Firewall (NGFW) Perimeter Defense Refresh project. The project involves the replacement of high-availability firewall appliances across two campus locations: the Support Services campus and the Orthopaedics campus, where the clinic's secondary Internet circuit is located. The bid form requests pricing for six line items: NGFW appliances with redundant AC power (quantity 10), 10 GbE SFP+ interconnect cabling (quantity 4), Advanced Threat Prevention subscription (quantity 4), Advanced URL Filtering subscription (quantity 4), Premium 24x7 vendor support (quantity 4), and fixed-fee implementation services for both HA pairs (quantity 1). Vendors must provide unit pricing for each line item, with subscriptions and support services proposed on three-year terms. The form requires vendors to specify their proposed implementation timeline in days from contract execution and confirm the date through which their pricing remains valid.

The bid response form is structured to calculate extended prices, pre-tax subtotal, Mississippi sales tax at 7 percent, and total bid price automatically when completed in Adobe Acrobat or Acrobat Reader. Vendors must complete all required fields including authorized signature, printed name and title, and implementation timeline. The form provides space for vendors to include notes for each line item and allows for flexibility in proposal terms. No specific due date, award date, or budget ceiling is indicated on this pricing form; these details would be contained in the associated solicitation documents or instructions to bidders.