06._Exhibit_2-Price__Template.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
DMH-Community Based Prevention Services
Solicitation number
EV00000945
Issued by
Hobart City, Oklahoma

About this file

This is a Price Template Exhibit form for Request for Proposals EV00000945 issued by the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) for Community Based Prevention Services. The template requires bidders to provide detailed pricing information across multiple budget categories including personnel, fringe benefits, travel, equipment, supplies, contractual services, and other expenses. Personnel justification must include a minimum of one part-time employee designated as the Community Based Coalition Coordinator, with position titles, employee names, and annual rates required. Travel justification must account for mileage, per diem, and lodging expenses, specifically including one two-night trip and six trips to Oklahoma City for one person in each required budget category. Equipment is defined as items with a unit price of $500.00 or more and a usable life of one year or more, while supplies are materials costing less than $500.00 per unit with typically one-time use. Bidders may submit supplementary PDF files with pricing details for any category.

Pricing must include all travel and delivery costs with indirect costs capped at 5% of the total allotment for general grants, or 12% of total direct costs for Block Grant, PFS, SOR, and SAF Grants. All subcontracts require prior approval from ODMHSAS. The template includes a budget breakdown section requiring bidders to suggest percentage allocations across expense categories and provide total proposed costs with actual percentages. Bidders must provide comprehensive justifications for fringe benefits, equipment, and contractual services, ensuring transparency and compliance with grant requirements and cost allocation guidelines.

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Exhibit 2 Cost Template Request for Proposals - EV00000945

Issued by the ODMHSAS
Bidder Name:
EXHIBIT 02: Price Template
Section Eight: Pricing (will not be held confidential)
Instructions -For each category, list the services titles you support. Provide total estimated cost or hourly "not-to-exceed" rates for each level and category as applicable. - If you are attaching a supplementary PDF with prices, please select YES on the "Attached File" Drop down Menu related to the category, and then provide the file name. It is acceptable to have an attached PDF file that covers multiple categories. *Pricing must include travel and delivery costs, *indirect costs not to exceed 5% of total allotment, For Block Grant/ PFS/ SOR/ SAF Grants- Indirect costs are limited to 12% of total direct costs

Personnel Justification Position Tiltle Describe role and responsibilities of each person Employee Name Annual Rate/Salary Cost Totals

An employee of the agency whose work is tied to the proposal. Must include a minimum of one part-time employee who is considered the CB coalition Coordinator.

Attached File? Name of File:

Fringe Benefits Justification Company Position Description Name of Employee Annual Salary/ Rate Cost Totals

List all compenetss of the fringe benefits

Attached File?Name of File:
TravelJustification (Purpose of Travel and how cost is determined by location)Type of Expense (Mileage, Per Diem, Lodging)LocationIntentionally BlankIntentially BlankCostTotals

Explain the need for all travel. Must include one, two-night trip and six, to Oklahoma city for one person in each required budget

Attached File? Name of File:

Equipment Justification Component Additional Descriptions Rate (leave blank if NA) Wage (leave blank if NA) Cost Totals

Item with a unit price of $500.00 or more and a usable life of one year or more

Attached File? Name of File:

Supplies Justification Item Additional Descriptions Intentionally Blank Intentially Blank Cost Totals

Materials costing less than $500.00 per unit and often having one-time use

Attached File? Name of File:

ContractualJustificationSubcontractor, Company NameSubcontractor Contact Info.Rate (leave blank if NA)Wage (leave blank if NA)CostTotals
Expenses paid to non-employee for services or products. All subcontracts require prior approval

Attached File? Name of File:

Attached File? Name of File:

Other Justification Item Additioanl Notes Rate (leave blank if NA) Wage (leave blank if NA) Cost Totals

Expenses not covered in any of the previous budget categories

Attached File? Name of File:

Indirect Cost Justification Other Additional Notes Rate (leave blank if NA) Wage (leave blank if NA) Cost Totals

Indirect costs are limited to 12% of total direct costs

Attached File? Name of File:

ExpenseSuggested % of AllocationTotal Proposed CostsActual %
Suggested Budget Breakdown

Attached File? Name of File:

File details come from the government source that posted it. Updated .