RFP 23-045 Protected Leave - Disability Management System - Exhibit 13 - Price Proposal Form - Final.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- S-KS2410-00008827
- Issued by
- Marion County, Oregon
About this file
This document is the Price Proposal Form for RFP 23-045 Protected Leave / Disability Management System issued by the Salem Area Mass Transit District (SAMTD) in Oregon. The RFP is seeking proposals for a commercial off-the-shelf, configurable, web-based, vendor-hosted Protected Leave / Disability Case Management Software Solution to manage employee protected leave designations, disability accommodations, and records. The price proposal form includes pricing for the required elements of the system such as the software, installation, training, integration with SAMTD's systems, and maintenance support for the initial three-year term. Pricing is requested for the base contract as well as optional years four and five. Respondents must provide an estimated completion timeframe in weeks once a notice to proceed is issued.
The pricing must include all wages, supplies, profit, and overhead. No additional information is provided regarding set asides, incumbents, funding sources, or other salient details. Respondents must certify that the proposal is made without collusion and that the documents enclosed will become part of the contract if awarded.
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Sheet1
EXHIBIT 13
RFP #23-045 - PROTECTED LEAVE / DISABILITY MANAGEMENT SYSTEM
PRICE PROPOSAL FORM
| Instructions: Please complete this form to provide your proposed price for the criteria listed in the specification attachment to this solicitation, in a sealed envelope marked "RFP 23-045 Protected Leave / Disability Management System". Please include all costs, warranty on parts and labor, and maintenance costs for the 1st year after acceptance in the base price of the proposal. |
| Note: Please add additional lines to the Proposal Form as needed. |
**ALL PRICING MUST INCLUDE ALL WAGES, SUPPLIES, PROFIT AND OVERHEAD**
| REQUIRED ELEMENTS | |||
| Description | Unit | Unit Cost | Total Cost |
| PLO / Disability Management System (Includes 1st Year Licensing & Maintneance Support) | LT | $ - 0 | $ - 0 |
| Installation | LT | $ - 0 | $ - 0 |
| Training & Manuals | LT | $ - 0 | $ - 0 |
| Integration with SAMTD Systems | LT | $ - 0 | $ - 0 |
| Software & Associated Licenses - Year 2 | YR | $ - 0 | $ - 0 |
| Software & Associated Licenses - Year 3 | YR | $ - 0 | $ - 0 |
| Maintenance Support - Year 2 | YR | $ - 0 | $ - 0 |
| Maintenance Support - Year 3 | YR | $ - 0 | $ - 0 |
| OTHER - Please Identify | $ - 0 | $ - 0 | |
| OTHER - Please Identify | $ - 0 | $ - 0 | |
| OTHER - Please Identify | $ - 0 | $ - 0 | |
| OTHER - Please Identify | $ - 0 | $ - 0 | |
| Total Base Cost to SAMTD….. | $ - 0 |
OPTION YEARS
| Description | Unit | Quantity | Unit Cost | Total Cost |
| Software & Associated Licenses - Year 4 | $ - 0 | $ - 0 | ||
| Software & Associated Licenses - Year 5 | $ - 0 | $ - 0 | ||
| Maintenance Support - Year 4 | $ - 0 | $ - 0 | ||
| Maintenance Support - Year 5 | $ - 0 | $ - 0 | ||
| Total Option Years Cost to SAMTD….. | $ - 0 |
Delivery: Please provide an estimated completion delivery. Please provide your estimate in weeks, once a Notice to Proceed has been issued: Weeks
Proposer understands and agrees that, by his/her signature, if awarded the contract for the project, he/she is entering into a contract with SAMTD that incorporates the terms and conditions of the entire Request For Proposal package.
The person signing this Proposal Pricing Exhibit in response to the RFP certifies that he/she is authorized by the Proposer to sign on the Proposer's behalf, and that the Proposer shall be bound contractually by that signature.
The documents enclosed with this proposal shall be made a part of the contract if the contract is awarded to this proposer. This proposal is made without connection with any other person, firm, or corporation making a proposal for the same contract, and is in all respects fair and without collusion or fraud.
Contractor Name Fed. ID No.
Signature of Authorized Representative Date
Printed Name
Title / Position
&"Arial,Regular"&9SALEM AREA MASS TRANSIT DISTRICT (SAMTD) Protected Leave / Disability Management System &"Arial,Regular"&9RFP# 23-045
Page &P of &N
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