S-44300-00015445 Attachment D Bid Pricing Form.pdf
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- Solicitation number
- S-44300-00015445
- Issued by
- Marion County, Oregon
About this file
This is a Bid Pricing Form (Attachment D) for an Invitation to Bid issued by the State of Oregon, acting through its Oregon Health Authority at Oregon State Hospital, to establish a Price Agreement for patient mattresses procured on an as-needed basis. The solicitation seeks bids for four mattress sizes with estimated annual quantities: 60 units of 80" X 36" X 3" mattresses, 20 units of 75" X 36" X 6" mattresses, 10 units of 75" X 30" X 6" mattresses, and 300 units of 81" X 36" X 6" mattresses. Bidders are required to provide unit costs and extended costs for each item, along with manufacturer part numbers. The form requires bidder authorization through signature, printed name and title, date, email, and telephone number.
The estimated quantities specified on the pricing form are for evaluation purposes only and do not represent guaranteed quantities or values under the solicitation or resulting Price Agreement. Bidders must complete all pricing fields for each mattress specification to submit a responsive bid. The pricing structure allows the state to evaluate total bid prices across all four mattress categories to determine the most economical award.
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Text version
Attachment D S-44300-00015445
ATTACHMENT D
Bid Pricing Form
Item No.
Mattress Size
*Estimated Quantity
Unit Cost
Extended Cost
Manufacturer Part No.
1 80” X 36” X 3” 60/year $ $ 2 75” X 36” X 6” 20/ year $ $ 3 75” X 30” X 6 10/ year $ $ 4 81” X 36” X 6” 300/ year $ $
TOTAL BID PRICE $
*Estimated Quantities are for evaluation purposes only. There are no guaranteed quantities or values associated with this solicitation or associated Price Agreement.
BIDDER, Authorized Representative
Signature: _______________________________________________________________________
Print Name and Title: _______________________________________________________________
Date: ____________
Email: ________________________
Telephone Number: (______) _________
File details come from the government source that posted it. Updated .