1-Appendix A RFP 006.27.B8.pdf

HCPSS RFP #006.27.B8

Non-Medical Personal-Care Temporary Staff

APPENDIX A: PRICE PROPOSAL

GENERAL

1. Offeror’s Name: _____________________________________________________________

Address: ___________________________________________________________________ Telephone: ________________

2. Person Responsible for completing this form:

Name: ____________________________________________________ Title: ______________________________________________________

B. CONTACT FOR INSIDE CONTRACT ADMINISTRATION

In the event your Organization receives a contract as a result of this Request for Proposal, please designate an inside person whom we may contact during the period of the contract for prompt contract administration:

Name___________________________________ Title_______________________________ Address_________________________________ Phone_____________________________ ________________________________________ Fax________________________________ Email____________________________________ Pager/cellular________________________

C. RECEIPT OF ADDENDA

Submitting provider must acknowledge receipt of all addenda issued below:

Addendum: _______________________ Dated: _________________________ Received: □ Addendum: _______________________ Dated: _________________________ Received: □ Addendum: _______________________ Dated: _________________________ Received: □ Addendum: _______________________ Dated: _________________________ Received: □ Addendum: _______________________ Dated: _________________________ Received: □

D. FORM FOR COST PROPOSAL

1. Fixed Hourly Billing Rate for Non-Medical Personal-Care Staff (Temporary Employee Personnel)

$_______ /HR

Note: Billing rates offered shall be inclusive of all overhead, profit, administrative fees, and direct and indirect costs and shall represent onsite staff work within Howard County, MD.