07 S-0761 DHS-20 Exhibit F - SAMPLE Statement of Work.docx

This document is a sample Statement of Work template for consultant services under contract S-0761 DHS-20, issued by the Wisconsin Department of Health Services, Division of Medicaid Services. The template is associated with Governor Tony Evers' administration and Secretary Andrea Palm, indicating this is a Wisconsin state government contracting vehicle for professional consulting services.

The Statement of Work template provides a framework for defining consultant services with sections for project background, term duration, scope of work, and budget allocation. The budget structure includes resource rates, estimated hours, and estimated costs, with provisions for actual project hours to be documented through monthly invoice submissions. The template includes sections for project assumptions and invoicing procedures, though the specific service details, pricing terms, contract amounts, and performance periods are not populated in this sample document, as it serves as a standardized format for future consultant service agreements under this contract vehicle.