Market Research Questionnaire-Mobile Diagnostics.pdf

Market Survey Questionnaire Mobile Diagnostic Services

United States Penitentiary Waymart, PA

RFI 21504-0009

1. Please indicate which Mobile Diagnostic services your firm would be able to provide.

MRI Services CT Services Echocardiograms

_____Ultrasound Services _____Non-nuclear Stress Tests

2. If your firm is capable of providing Mobile Diagnostic services, would you provide them as a prime contractor or as a subcontractor?

3. What is your business size? The North American Industrial Classification System (NAICS) code is based on NAICS 621512 (A small business = $12.5 million or less, average annual receipts).

_______Small _______Large

4. If you are a small business, what level of subcontracting, if any, would be available for these services?

5. Can your firm provide firm-fixed unit prices for future contract periods (example:

contract with a base year and four option years - - total five years)? If so, please indicate the total number of years below.

5 years 4 years 3 years 2 years 1 year only

6. How are these services typically billed in the community?

A flat fee rate per hour/day

Per procedure rate

Other

4. What is the most common amount of medical liability insurance applicable to the services listed in Item #1 within the community?

7. Does your firm have access to the Internet to download solicitation materials?

Yes No

8. If awarded a contract, how many calendar days after the award could you begin providing services? Please note that all individuals providing services at the institution must undergo a security clearance investigation. This investigation may take 60 calendar days or longer to complete.

calendar days after receipt of the necessary security clearances.

9. What specific type(s) of licenses and certifications would be required to perform these services in the Commonwealth of Pennsylvania?

Please list:

10. Please furnish the following information in reference to your firm:

Name:

Address:

Point of Contact:

Telephone Number:

E-mail Address:

This questionnaire may be returned by April 11, 2008, by e-mail to Don Miller at dlmiller@bop.gov or faxed to 972-352-4545.

Thank you for responding to this request for information.

mailto:dlmiller@bop.gov