Specimen Collection Attachment_B_-_Bid_Form_and_Instructions Final 2024-12-2024.xlsx
XLSX spreadsheet 62 KB Posted
- Attached to
- DBM Specimens Collection Contract
- Solicitation number
- BPM036960
- Issued by
- Maryland
About this file
This document is the Bid Form and Instructions (Attachment B) for a Specimen Collection Invitation for Bids (IFB) issued by the Maryland Department of Budget and Management (DBM). The IFB is requesting bids to administer a centralized drug testing program for the collection of urine specimens from State of Maryland applicants and employees. The Bid Form provides a detailed breakdown of the estimated quantities of specimen collections across three different regions and five contract years, including regular, block time, and emergency collections. Bidders must provide their per-unit pricing for each collection type and region, as well as an hourly rate for testimony and preparation. The Total 5-Year Bid Price will be used to determine the most favorable bid.
The pricing structure requires bidders to provide fully loaded rates that include all associated labor, profit/overhead, general operating, administrative, and other expenses. No other costs will be paid to the contractor. The estimated quantities provided are for bidding purposes only and do not represent guaranteed minimums or maximums. This is an open competitive bid, and no incumbent information or set-asides are provided.
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Bid Instructions
| B-1 Bid Instructions |
| In order to assist each Bidder in the preparation of its Bid and to comply with the requirements of this solicitation, Bid Instructions and a Bid Form have been prepared. Each Bidder shall submit its Bid on the Bid Form in accordance with the instructions on the Bid Form and as specified herein. Do not alter the Bid Form or the Bid may be determined to be not responsive. The Bid Form is to be signed and dated, where requested, by an individual who is authorized to bind the Bidder to the prices entered on the Bid Form. |
| The Bid Form is used to calculate the Bidder’s TOTAL BID PRICE. Follow these instructions carefully when completing your Bid Form: |
| A) All Unit and Extended Prices must be clearly entered in dollars and cents, e.g., $24.15. Make your decimal points clear and distinct. |
| B) All Unit Prices must be the actual price per unit the State will pay for the specific item or service identified in this IFB and may not be contingent on any other factor or condition in any manner. |
| C) All calculations shall be rounded to the nearest cent, e.g., .344 shall be .34 and .345 shall be .35. |
| D) Any goods or services required through this IFB and proposed by the vendor at No Cost to the State must be clearly entered in the Unit Price, if appropriate, and Extended Price with $0.00. |
| E) Every blank in every Bid Form shall be filled in. Any changes or corrections made to the Bid Form by the Bidder prior to submission shall be initialed and dated. |
| F) Except as instructed on the Bid Form, nothing shall be entered on or attached to the Bid Form that alters or proposes conditions or contingencies on the prices. Alterations and/or conditions may render the Bid not responsive. |
| G) It is imperative that the prices included on the Bid Form have been entered correctly and calculated accurately by the Bidder and that the respective total prices agree with the entries on the Bid Form. Any incorrect entries or inaccurate calculations by the h)Bidder will be treated as described in COMAR 21.05.02.12 and may cause the Bid to be rejected. |
| H) If option years are included, Bidders must submit pricing for each option year. Any option to renew will be exercised at the sole discretion of the State and comply with all terms and conditions in force at the time the option is exercised. If exercised, the option period shall be for a period identified in the IFB at the prices entered in the Bid Form. |
| I) All Bid prices entered below are to be fully loaded prices that include all costs/expenses associated with the provision of services as required by the IFB. The Bid price shall include, but is not limited to, all: labor, profit/overhead, general operating, administrative, and all other expenses and costs necessary to perform the work set forth in the solicitation. No other amounts will be paid to the Contractor. If labor rates are requested, those amounts shall be fully loaded rates; no overtime amounts will be paid. |
| J) Unless indicated elsewhere in the IFB, sample amounts used for calculations on the Bid Form are typically estimates for evaluation purposes only. Unless stated otherwise in the IFB, the Department does not guarantee a minimum or maximum number of units or usage in the performance of the Contract. |
| K) Failure to adhere to any of these instructions may result in the Bid being determined not responsive. |
&"Times New Roman,Bold"SPECIMEN COLLECTIONS IFB
ATTACHMENT B
BID FORM AND INSTRUCTIONS
&"Times New Roman,Bold"&12Specimen Collection &P &"Times New Roman,Bold"&12Department Of Budget and Management Office of Personnel Services and Benefits
Atch B-Spec Collection-Year 1
| ATTACHMENT B: SPECIMEN COLLECTIONS | |||
| Column A | Column B | Column C | Column D |
| Description of Services Year 1 --Region I | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 124 | $0.00 | |
| [A2] Regular Collections (4-9) | 307 | $0.00 | |
| [A3] Regular Collections (10+) | 86 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 64 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 41 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 3 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region I Total | 625 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 1 --Region II | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 10 | $0.00 | |
| [A2] Regular Collections (4-9) | 25 | $0.00 | |
| [A3] Regular Collections (10+) | 7 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 5 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 3 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 0 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region II Total | 50 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 1 --Region III | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 12 | $0.00 | |
| [A2] Regular Collections (4-9) | 29 | $0.00 | |
| [A3] Regular Collections (10+) | 8 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 6 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 4 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 1 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region III Total | 60 | $0.00 | |
| Statewide Total |
[F2] Sum of Column D, Row E for Regions I,II and III, Year 1 735 $0.00
Note: This is the price that will be compared among urine specimen collection Bidders in making the most favorable bid price determination.
&"Times New Roman,Bold"&12Specimen Collection &P &"Times New Roman,Bold"&12Department Of Budget and Management
Atch B-Spec Collection-Year 2
| ATTACHMENT B: SPECIMEN COLLECTIONS | |||
| Column A | Column B | Column C | Column D |
| Description of Services Year 2 --Region I | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 124 | $0.00 | |
| [A2] Regular Collections (4-9) | 307 | $0.00 | |
| [A3] Regular Collections (10+) | 86 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 64 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 41 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 3 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region I Total | 625 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 2 --Region II | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 10 | $0.00 | |
| [A2] Regular Collections (4-9) | 25 | $0.00 | |
| [A3] Regular Collections (10+) | 7 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 5 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 3 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 0 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region II Total | 50 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 2 --Region III | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 12 | $0.00 | |
| [A2] Regular Collections (4-9) | 29 | $0.00 | |
| [A3] Regular Collections (10+) | 8 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 6 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 4 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 1 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region III Total | 60 | $0.00 | |
| Statewide Total |
[F2] Sum of Column D, Row E for Regions I,II and III, Year 2 735 $0.00
Note: This is the price that will be compared among urine specimen collection Bidders in making the most favorable bid price determination.
&"Times New Roman,Bold"&12Specimen Collection &P &"Times New Roman,Bold"&12Department Of Budget and Management
Atch B-Spec Collection-Year 3
| ATTACHMENT B: SPECIMEN COLLECTIONS | |||
| Column A | Column B | Column C | Column D |
| Description of Services Year 3 --Region I | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 124 | $0.00 | |
| [A2] Regular Collections (4-9) | 307 | $0.00 | |
| [A3] Regular Collections (10+) | 86 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 64 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 41 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 3 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region I Total | 625 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 3 --Region II | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 10 | $0.00 | |
| [A2] Regular Collections (4-9) | 25 | $0.00 | |
| [A3] Regular Collections (10+) | 7 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 5 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 3 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 0 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region II Total | 50 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 3 --Region III | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 12 | $0.00 | |
| [A2] Regular Collections (4-9) | 29 | $0.00 | |
| [A3] Regular Collections (10+) | 8 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 6 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 4 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 1 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region III Total | 60 | $0.00 | |
| Statewide Total |
[F2] Sum of Column D, Row E for Regions I,II and III, Year 3 735 $0.00
Note: This is the price that will be compared among urine specimen collection Bidders in making the most favorable bid price determination.
&"Times New Roman,Bold"&12Specimen Collection &P &"Times New Roman,Bold"&12Department Of Budget and Management
Atch B-Spec Collection-Year 4
| ATTACHMENT B: SPECIMEN COLLECTIONS | |||
| Column A | Column B | Column C | Column D |
| Description of Services Year 4 --Region I | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 124 | $0.00 | |
| [A2] Regular Collections (4-9) | 307 | $0.00 | |
| [A3] Regular Collections (10+) | 86 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 64 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 41 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 3 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region I Total | 625 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 4 --Region II | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 10 | $0.00 | |
| [A2] Regular Collections (4-9) | 25 | $0.00 | |
| [A3] Regular Collections (10+) | 7 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 5 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 3 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 0 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region II Total | 50 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 4 --Region III | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 12 | $0.00 | |
| [A2] Regular Collections (4-9) | 29 | $0.00 | |
| [A3] Regular Collections (10+) | 8 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 6 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 4 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 1 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region III Total | 60 | $0.00 | |
| Statewide Total |
[F2] Sum of Column D, Row E for Regions I,II and III, Year 4 735 $0.00
Note: This is the price that will be compared among urine specimen collection Bidders in making the most favorable bid price determination.
&"Times New Roman,Bold"&12Specimen Collection &P &"Times New Roman,Bold"&12Department Of Budget and Management
Atch B-Spec Collection-Year 5
| ATTACHMENT B: SPECIMEN COLLECTIONS | |||
| Column A | Column B | Column C | Column D |
| Description of Services Year 5 --Region I | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 124 | $0.00 | |
| [A2] Regular Collections (4-9) | 307 | $0.00 | |
| [A3] Regular Collections (10+) | 86 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 64 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 41 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 3 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region I Total | 625 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 5 --Region II | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 10 | $0.00 | |
| [A2] Regular Collections (4-9) | 25 | $0.00 | |
| [A3] Regular Collections (10+) | 7 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 5 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 3 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 0 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region II Total | 50 | $0.00 |
| Column A | Column B | Column C | Column D |
| Description of Services Year 5 --Region III | Bidder's Per Collection, Hour, or Block of Time Rate | Estimated Collections, Hours, or Blocks of Time per Year | Estimated Cost |
| [A1] Regular Collections (1-3) | 12 | $0.00 | |
| [A2] Regular Collections (4-9) | 29 | $0.00 | |
| [A3] Regular Collections (10+) | 8 | $0.00 | |
| [B1] Block Time Collections (4 hour time frame) | 6 | $0.00 | |
| [B2] Block Time Collections (8 hour time frame) | 4 | $0.00 | |
| [C] Emergency Collections (4 hours response or less) | 1 | $0.00 | |
| [D] Hourly Rate for Testimony/Preparation | 0 | $0.00 | |
| [E] Year 1/ Region III Total | 60 | $0.00 | |
| Statewide Total |
[F2] Sum of Column D, Row E for Regions I,II and III, Year 5 735 $0.00
Note: This is the price that will be compared among urine specimen collection Bidders in making the most favorable bid price determination.
&"Times New Roman,Bold"&12Specimen Collection &P &"Times New Roman,Bold"&12Department Of Budget and Management
Total Evaluated Bid Price
| [F1] Total Bid Price Year 1: | $0.00 |
| [F2] Total Bid Price Year 2: | $0.00 |
| [F3] Total Bid Price Year 3: | $0.00 |
| [F4] Total Bid Price Year 4: | $0.00 |
| [F5] Total Bid Price Year 5: | $0.00 |
[G] TOTAL 5-YEAR BID PRICE: $0.00
| [The Total 5-Year Bid Price [G] is the sum of Lines F1 through F5] |
| Note: This is the price that will be compared among urine specimen collection Bidders in making the most favorable bid price determination. |
Note: The quantities listed above are estimates for bidding purposes only and are not guaranteed amounts
Authorized Signature Date Company Name & Address
Printed Name and Title
Phone # & Fax # Company Federal Tax ID#
&"Times New Roman,Bold"&12Specimen Collection &P &"Times New Roman,Bold"&12Department Of Budget and Management
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