Request for Proposals
Response Form 2: Pricing Proposal
In response to the Request for Proposals
By: Te Whatu Ora - Health New Zealand
For: Gender-Affirming Primary Care – Update to Guidelines for
Gender-Affirming Care
Act
Reference: 30535
Respondent Name: [Insert Respondent name]
Information
Official
the
under
Released
Te Whatu Ora- Health New Zealand, RFP Response Form - Pricing (March 2023)
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1: Pricing Proposal
Please submit your financial information and pricing using the following table. Please
provide as detailed a breakdown of the pricing as possible, and describe any assumptions where
relevant (e.g. the number of people being applied to a job and why, or if, that changes over time).
Where possible, please provide information regarding subcontractor input as well as your input.
Please note, you can use as many rows as required.
Pricing Breakdown
Item
Unit price (excl. GST)
Quantity
Sub-total
(excl. GST)
Act
[e.g. running stakeholder focus
[$ X] per [unit]
[number of
[$ X]
groups]
units]
[e.g. person’s daily fee rate]
[$ X] per [unit]
[number of
[$ X]
days]
[e.g. person’s daily fee rate]
[$ X] per [unit]
[number of
[$ X]
days]
Total
[$ X]
Information
Fixed price with payment milestones
Please set out your proposed fixed price and payment milestones
Milestone
Estimated payment
Instalment Amount
date
(excl. GST)
Official
[insert milestone details]
[insert date]
$[x]
[insert milestone details]
[insert date]
$[x]
the
[insert milestone details]
[insert date]
$[x]
TOTAL
$[x]
under
Assumptions
Assumptions
Please state any assumptions you have made in relation to the cost and pricing information.
[insert answer here]
Released
Te Whatu Ora- Health New Zealand, RFP Response Form - Pricing (March 2023)
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2 of
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