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FORM 4.03 PRICE SHEET <br /> REQUEST FOR PROPOSAL #2019-039 PRE-EMPLOYMENT PSYCHOLOGICAL <br /> EVALUATIONS <br /> Supplier Name: <br /> Prices shall include providing all services as detailed in the Scope of Work. <br /> Complete the price sheet. Provide a firm fixed, not to exceed, lump sum amount for each <br /> deliverable that includes all services listed in Section 2. Include estimated hours and any <br /> other associated costs supporting the task. The awarded Supplier will be paid the amount listed <br /> after completion of the deliverable listed. <br /> A. REQUESTED SERVICES & PRICING <br /> Task Breakdown # of hours Cost- Firm Fixed, Not To <br /> per individual Exceed Lump Sum per <br /> individual <br /> Deliverable: Pre-employment evaluation and report $ <br /> Deliverable: Fitness for duty exam and report $ <br /> B. Optional Additional Services <br /> Provide hourly rates for additional applicable services that your firm can provide. List <br /> staff/positions to be utilized, their hourly rates, estimated hours for each position, and any other <br /> associated costs. While hours are estimated, any rates provided shall remain in place for the <br /> duration of the contract. <br /> Task Breakdown Hourly Rate <br /> Expert legal testimony $ <br /> Training for Fire Personnel $ <br /> Forensic or investigative services $ <br /> Consultations $ <br /> 13 <br />