01. W912LP26Q4004_Attch 01 Contractor Information & Pricing Table.pdf

This is a Request for Quote (RFQ) attachment for medical surveillance examination services in Davenport, Iowa (RFQ #W912LP-26-Q-4004). The document serves as the official pricing submission form that contractors must complete and include with their quotes.

The RFQ requires contractors to provide medical surveillance examination services for eight (8) individuals across seven service line items: Physical/Dermatological Exam, Complete Lab Draw, Vision Screening, Chromium Blood Level, Lead Blood Level, Cadmium Blood Level, and Zinc Protoporphyrin testing. Each service line is quoted on a per-each (EA) basis. Contractors must complete the Contractor Information Table, which includes company name, point of contact details, CAGE Code, SAM Unique Entity ID, Tax ID Number, prompt payment discount terms (defaulting to Net 30), business size/socio-economic classification, and period of performance. The Pricing Table requires contractors to provide unit prices and extended prices for each of the seven line items and calculate the total contract value. This attachment must be submitted as part of the official quote, even if the contractor submits additional proposal documentation.