PR_10845965_-_AMS_704B_-_Quote_Worksheet_-_Attachment_2.pdf

PDF 182 KB Posted May 8, 2026

Attached to: PR 10845965 BEHAVIORIAL HEALTH BEDS
Solicitation number: 0000039211
Issued by: San Joaquin County, Santa Monica City, California

About this file

Written by GovTribe AI · May 13, 2026

This is a Quote Worksheet (AMS 704B) issued by the California Department of Corrections and Rehabilitation (CDCR), California Correctional Health Care Services (CCHCS), for the procurement of behavioral health beds and mattresses. The solicitation (Number 10845965) seeks 50 behavioral health beds measuring 35 inches wide by 80 inches long, equipped with head-end and foot-end side rails and an 8-foot detachable power cord. The procurement also includes 50 NP Trio BH mattresses with specifications of 35 inches wide by 7 inches high by 82 inches long, rated for a maximum patient weight of 500 pounds. The quote worksheet was issued with a response date of May 8, 2026, and the equipment is designated for delivery to the California Health Care Facility in Stockton, California. The requestor is Ayisha Coleman from CCHCS, contactable at 916-691-2131.

The quote worksheet establishes a payment term of Net 45 days and explicitly excludes sales tax from vendor quotes, noting that applicable sales tax will be added to the resulting purchase order. Vendors are permitted to offer equivalent items meeting the same specifications and quality standards as those described, with any substitutions requiring notation on the quote worksheet and approval of substitute part numbers and manufacturer information. The worksheet provides space for detailed line-item pricing, including unit prices and subtotals for each component, with a merchandise subtotal section for the overall quote amount. No specific funding source, contract term, or renewal options are detailed on this worksheet, which serves as a pricing instrument to be completed by responding vendors.

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Other files

File	Type	Posted
PR_10845965_-_BID_PACKAGE___FORMS__IFB__-_Attachment_3.pdf	PDF	May 8, 2026
PR_10845965_-_AMS_703D_-_Invitation_for_Bid_-_Attachment_1.pdf	PDF	May 8, 2026

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STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

CCHCS ACQUISITIONS QUOTE WORKSHEET

AMS 704B (10/2022)

Page | 1

SOLICITATION #

PAYMENT TERMS: NET 45

**discounts notated in Request for Quotation form

DATE

REQUESTOR DEPARTMENT PHONE/EMAIL

VENDOR INFORMATION

COMPANY NAME PERSON PROVIDING QUOTE SIGNATURE / DATE

Contract Number (must be included if providing State Contracted Pricing):

# QTY UOM QTY PER

UOM

UNSPSC ITEM DESCRIPTION, PRODUCT

SPECIFICATION

ITEM

NUMBER

PRICE

PER UNIT

SUBTOTAL

Any reference to the brand names and/or model numbers on this Worksheet is intended to be descriptive, but not restrictive. Supplier may offer equivalent items meeting the same specifications and standards of quality. Please note any substitutions on this quote worksheet.

Part numbers are for reference only. Like items may be accepted upon review and approval. If substituting, please provide substitute part numbers and manufacturer information.

Do not include sales tax. If awarded, applicable sales tax will be added to the resulting purchase order.

MERCHANDISE

STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

CCHCS ACQUISITIONS QUOTE WORKSHEET

AMS 704B (10/2022)

Page | 2

SOLICITATION # REQUESTOR DATE

VENDOR INFORMATION

COMPANY NAME PERSON PROVIDING QUOTE SIGNATURE / DATE

# QTY UOM QTY PER

UOM

UNSPSC ITEM DESCRIPTION, PRODUCT

SPECIFICATION

ITEM

NUMBER

PRICE

PER UNIT

Row1_2:

QTYRow1_2:

UOMRow1_2:

QTY PER UOMRow1_2:

UNSPSCRow1_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow1_2:

ITEM NUMBERRow1_2:

PRICE PER UNITRow1_2:

SUBTOTALRow1_2:

Row2_2:

QTYRow2_2:

UOMRow2_2:

QTY PER UOMRow2_2:

UNSPSCRow2_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow2_2:

ITEM NUMBERRow2_2:

PRICE PER UNITRow2_2:

SUBTOTALRow2_2:

Row3_2:

QTYRow3_2:

UOMRow3_2:

QTY PER UOMRow3_2:

UNSPSCRow3_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow3_2:

ITEM NUMBERRow3_2:

PRICE PER UNITRow3_2:

SUBTOTALRow3_2:

Row4_2:

QTYRow4_2:

UOMRow4_2:

QTY PER UOMRow4_2:

UNSPSCRow4_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow4_2:

ITEM NUMBERRow4_2:

PRICE PER UNITRow4_2:

SUBTOTALRow4_2:

Row5_2:

QTYRow5_2:

UOMRow5_2:

QTY PER UOMRow5_2:

UNSPSCRow5_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow5_2:

ITEM NUMBERRow5_2:

PRICE PER UNITRow5_2:

SUBTOTALRow5_2:

Row6_2:

QTYRow6_2:

UOMRow6_2:

QTY PER UOMRow6_2:

UNSPSCRow6_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow6_2:

ITEM NUMBERRow6_2:

PRICE PER UNITRow6_2:

SUBTOTALRow6_2:

Row7_2:

QTYRow7_2:

UOMRow7_2:

QTY PER UOMRow7_2:

UNSPSCRow7_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow7_2:

ITEM NUMBERRow7_2:

PRICE PER UNITRow7_2:

SUBTOTALRow7_2:

Row8_2:

QTYRow8_2:

UOMRow8_2:

QTY PER UOMRow8_2:

UNSPSCRow8_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow8_2:

ITEM NUMBERRow8_2:

PRICE PER UNITRow8_2:

SUBTOTALRow8_2:

Row9_2:

QTYRow9_2:

UOMRow9_2:

QTY PER UOMRow9_2:

UNSPSCRow9_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow9_2:

ITEM NUMBERRow9_2:

PRICE PER UNITRow9_2:

SUBTOTALRow9_2:

Row10_2:

QTYRow10_2:

UOMRow10_2:

QTY PER UOMRow10_2:

UNSPSCRow10_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow10_2:

ITEM NUMBERRow10_2:

PRICE PER UNITRow10_2:

SUBTOTALRow10_2:

Row11_2:

QTYRow11_2:

UOMRow11_2:

QTY PER UOMRow11_2:

UNSPSCRow11_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow11_2:

ITEM NUMBERRow11_2:

PRICE PER UNITRow11_2:

SUBTOTALRow11_2:

Row12_2:

QTYRow12_2:

UOMRow12_2:

QTY PER UOMRow12_2:

UNSPSCRow12_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow12_2:

ITEM NUMBERRow12_2:

PRICE PER UNITRow12_2:

SUBTOTALRow12_2:

Row13_2:

QTYRow13_2:

UOMRow13_2:

QTY PER UOMRow13_2:

UNSPSCRow13_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow13_2:

ITEM NUMBERRow13_2:

PRICE PER UNITRow13_2:

SUBTOTALRow13_2:

Row14_2:

QTYRow14_2:

UOMRow14_2:

QTY PER UOMRow14_2:

UNSPSCRow14_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow14_2:

ITEM NUMBERRow14_2:

PRICE PER UNITRow14_2:

SUBTOTALRow14_2:

Row15_2:

QTYRow15_2:

UOMRow15_2:

QTY PER UOMRow15_2:

UNSPSCRow15_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow15_2:

ITEM NUMBERRow15_2:

PRICE PER UNITRow15_2:

SUBTOTALRow15_2:

Row16_2:

QTYRow16_2:

UOMRow16_2:

QTY PER UOMRow16_2:

UNSPSCRow16_2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow16_2:

ITEM NUMBERRow16_2:

PRICE PER UNITRow16_2:

SUBTOTALRow16_2:

Row17:

QTYRow17:

UOMRow17:

QTY PER UOMRow17:

UNSPSCRow17:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow17:

ITEM NUMBERRow17:

PRICE PER UNITRow17:

SUBTOTALRow17:

Row18:

QTYRow18:

UOMRow18:

QTY PER UOMRow18:

UNSPSCRow18:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow18:

ITEM NUMBERRow18:

PRICE PER UNITRow18:

SUBTOTALRow18:

Row19:

QTYRow19:

UOMRow19:

QTY PER UOMRow19:

UNSPSCRow19:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow19:

ITEM NUMBERRow19:

PRICE PER UNITRow19:

SUBTOTALRow19:

Row20:

QTYRow20:

UOMRow20:

QTY PER UOMRow20:

UNSPSCRow20:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow20:

ITEM NUMBERRow20:

PRICE PER UNITRow20:

SUBTOTALRow20:

Row21:

QTYRow21:

UOMRow21:

QTY PER UOMRow21:

UNSPSCRow21:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow21:

ITEM NUMBERRow21:

PRICE PER UNITRow21:

SUBTOTALRow21:

Row22:

QTYRow22:

UOMRow22:

QTY PER UOMRow22:

UNSPSCRow22:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow22:

ITEM NUMBERRow22:

PRICE PER UNITRow22:

SUBTOTALRow22:

Row23:

QTYRow23:

UOMRow23:

QTY PER UOMRow23:

UNSPSCRow23:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow23:

ITEM NUMBERRow23:

PRICE PER UNITRow23:

SUBTOTALRow23:

Row24:

QTYRow24:

UOMRow24:

QTY PER UOMRow24:

UNSPSCRow24:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow24:

ITEM NUMBERRow24:

PRICE PER UNITRow24:

SUBTOTALRow24:

Date1_af_date: 5/8/26

SOLICITATION: 10845965

REQUESTOR: Ayisha Coleman

COMPANY NAME:

PERSON PROVIDING QUOTE:

DEPARTMENT: CCHCS

PHONEEMAIL: 916-691-2131

Contract_Number:

Row1: 1

QTYRow1: 50

UOMRow1: EA

QTY PER UOMRow1:

UNSPSCRow1:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow1: BED, BEHAVIORAL HEALTH

ITEM NUMBERRow1: 99120652

PRICE PER UNITRow1:

SUBTOTALRow1:

Row2:

QTYRow2:

UOMRow2:

QTY PER UOMRow2:

UNSPSCRow2:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow2: 35" WIDE X 80" LONG

ITEM NUMBERRow2:

PRICE PER UNITRow2:

SUBTOTALRow2:

Row3:

QTYRow3:

UOMRow3:

QTY PER UOMRow3:

UNSPSCRow3:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow3: BED OPTIONS SELECTED:

ITEM NUMBERRow3:

PRICE PER UNITRow3:

SUBTOTALRow3:

Row4:

QTYRow4:

UOMRow4:

QTY PER UOMRow4:

UNSPSCRow4:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow4: HEAD-END SIDE RAILS

ITEM NUMBERRow4:

PRICE PER UNITRow4:

SUBTOTALRow4:

Row5:

QTYRow5:

UOMRow5:

QTY PER UOMRow5:

UNSPSCRow5:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow5: FOOT-END SIDE RAILS

ITEM NUMBERRow5:

PRICE PER UNITRow5:

SUBTOTALRow5:

Row6:

QTYRow6:

UOMRow6:

QTY PER UOMRow6:

UNSPSCRow6:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow6: 8' DETACHABLE POWER CORD

ITEM NUMBERRow6:

PRICE PER UNITRow6:

SUBTOTALRow6:

Row7: 2

QTYRow7: 50

UOMRow7: EA

QTY PER UOMRow7:

UNSPSCRow7:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow7: MATTRESS, NP TRIO BH

ITEM NUMBERRow7: NP TRIO BH

PRICE PER UNITRow7:

SUBTOTALRow7:

Row8:

QTYRow8:

UOMRow8:

QTY PER UOMRow8:

UNSPSCRow8:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow8: 35" W (89CM) X 7"H X 82" L (17.5CM x 208CM)

ITEM NUMBERRow8:

PRICE PER UNITRow8:

SUBTOTALRow8:

Row9:

QTYRow9:

UOMRow9:

QTY PER UOMRow9:

UNSPSCRow9:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow9: MAX PATIENT WEIGHT - 500 LB (227 KG)

ITEM NUMBERRow9:

PRICE PER UNITRow9:

SUBTOTALRow9:

Row10:

QTYRow10:

UOMRow10:

QTY PER UOMRow10:

UNSPSCRow10:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow10: REF: IFU0000090

ITEM NUMBERRow10:

PRICE PER UNITRow10:

SUBTOTALRow10:

Row11:

QTYRow11:

UOMRow11:

QTY PER UOMRow11:

UNSPSCRow11:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow11:

ITEM NUMBERRow11:

PRICE PER UNITRow11:

SUBTOTALRow11:

Row12:

QTYRow12:

UOMRow12:

QTY PER UOMRow12:

UNSPSCRow12:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow12:

ITEM NUMBERRow12:

PRICE PER UNITRow12:

SUBTOTALRow12:

Row13:

QTYRow13:

UOMRow13:

QTY PER UOMRow13:

UNSPSCRow13:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow13:

ITEM NUMBERRow13:

PRICE PER UNITRow13:

SUBTOTALRow13:

Row14:

QTYRow14:

UOMRow14:

QTY PER UOMRow14:

UNSPSCRow14:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow14:

ITEM NUMBERRow14:

PRICE PER UNITRow14:

SUBTOTALRow14:

Row15:

QTYRow15:

UOMRow15:

QTY PER UOMRow15:

UNSPSCRow15:

ITEM DESCRIPTION PRODUCT SPECIFICATIONRow15:

ITEM NUMBERRow15:

PRICE PER UNITRow15:

SUBTOTALRow15:

fill_154:

File details come from the government source that posted it. Updated May 13, 2026.