OCMP #24-20914 ATTACHMENT B-BID FORM-SAB CREMATION.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
Crematory Services
Solicitation number
BPM041414
Issued by
Maryland

About this file

This document is an Attachment B - Bid Form for a State Anatomy Board (SAB) Cremation Services contract solicitation issued by the Maryland Department of Health (MDH) Office of Contract Management and Procurement (OCMP). The solicitation, OCMP #24-20914, is seeking four contractors to provide cremation services for decedents under the control of the SAB for final disposition. The contract will be for an initial term of one year with four one-year renewal options. The "Estimated # of Cremations" per year ranges from 2,600 to 2,925, but the actual quantities may change during the contract term. The bid form includes pricing for cremation services, excessive volume surcharges, and transportation surcharges. Bidders must complete all shaded pricing boxes on the form to be considered responsive. The "Total Bid Price" will be used for price evaluation, comparison, and award recommendation.

The bid form specifies the firm fixed unit prices (Bid Rate per Cremation) that will be used to calculate the actual payments to the contractor based on the actual number of cremations performed. There are no set-asides or incumbent information provided. Funding requirements and sources are not detailed in this document.

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Other files

File Type Posted
Addendum 1.pdf PDF
OCMP 24-20914 Mins SAB Crematory Services 1-8-2023.pdf PDF
OCMP #24.20914 SAB Crematory IFB.pdf PDF

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Sheet1

ATTACHMENT B
B1-BID FORM
STATE ANATOMY BOARD CREMATION SERVICES
Solicitation No. MDH OCMP 24-20914
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.
The "Total Contract Price" below is based on model quantities and will be used solely for price evaluation, comparison, and selection for recommendation for award. The "Estimated # of Cremations" indicated is 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 this Bid Form (Bid Rate per Cremation) and the actual number of cremations performed by the Contractor.
FILL IN PER CREMATON BID IN ROW C [SHADED BOX] FOR EACH LINE ITEM. DO NOT LEAVE SHADED BOXES BLANK. ONLY BIDS WITH ALL SHADED BOXES COMPLETED WILL BE ACCEPTED.
ESTIMATED # OF SERVICEBID RATE PER SERVICETOTAL (# of SERVICE x BID RATE)
CREMATION SERVICE
YEAR 1-CREMATIONS2,600$ - 0$ - 0(a)

YEAR 2-CREMATIONS 2,675 $ - 0 $ - 0 (b)

YEAR 3-CREMATIONS 2,750 $ - 0 $ - 0 (c)

YEAR 4-CREMATIONS 2,840 $ - 0 $ - 0 (d)

YEAR 5-CREMATIONS 2,925 $ - 0 $ - 0 (e)

SPECIAL CIRCUMSTANCES
EXCESSIVE VOLUME SURCHARGE2,760$ - 0$ - 0(f)

TRANSPORTATION SURCHARGE 6,900 $ - 0 $ - 0 (g)

TOTAL BID PRICE (a)+(b)+(c)+(e)+(f)+(g) =$ - 0
(BASIS FOR AWARD)
Complete all information below to be valid bid
Submitted By:
Authorized SignatureDate:
Printed Name and Title: ____________________________
Offeror Name:
Offeror Address:
Location(s) from which services will be performed:
CITYSTATE
FEIN:
eMM #
Contact Information of Above Authorized Signatory:
Telephone:
Fax:
E-mail:

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