017234 RFPAttE - Budget Proposal Form.xlsx

This is a Budget Proposal Form (Attachment E) for a two-phase Request for Proposal issued by the State of Oregon, acting through the Oregon Health Authority's Child, Family, Lifespan Behavioral Health Program, to develop and operate the Oregon Fidelity Wraparound Center for Excellence (FWC4E) for Fidelity Wraparound services. The form is structured to capture proposed costs across two distinct phases of the contract, with each phase requiring separate budget documentation and organizational information aligned to specific scopes of work.

The budget proposal template provides line items for Personnel Summary, Travel Summary, Supplies Summary, Other Costs Summary, Administrative Summary, and Overhead Summary for each phase, with a dedicated section for fully loaded personnel costs that identifies individual staff members by name and salary/wage with fringe rates. All proposed costs are calculated to generate a total proposed price for the initial contract term within each phase. The document currently displays placeholder values of zero dollars across all cost categories, indicating this is a blank template form awaiting completion by responding organizations.