10-26139 Form 6 Cost Proposal.docx

DOCX document 13 KB Posted

Attached to
USDC Physical Therapy Services
Solicitation number
DHHS26139
Issued by
Utah

About this file

This is a Cost Proposal Form 6 for the Utah Department of Health and Human Services (DHHS) Physical Therapy Services contract opportunity at the Utah State Developmental Center (USDC). The request seeks pricing for onsite physical therapy services to be provided to residents at the facility. Offerors must submit their cost proposals using the provided standardized form without any modifications to its format. The proposal requires the offeror's legal business name and a cost per hour rate for onsite physical therapy services.

The cost proposal must encompass all direct, administrative, and indirect costs associated with service delivery. Offerors are required to adhere strictly to the prescribed cost proposal format, with any deviation potentially resulting in rejection of the proposal. The pricing structure is based on an hourly rate model for onsite physical therapy services, and offerors must complete all required fields using the exact format specified in the form.

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9-26139 Form 5 Technical Proposal.docx DOCX document
1-26139 RFP.docx DOCX document
3-26139 DHHS Client Service Terms.docx DOCX document
11-26139 Document Submission Checklist.xlsx XLSX spreadsheet
2-26139 Scope of Work.docx DOCX document
8-26139 Form 4 Business Associate Agreement.pdf PDF
5-26139 Form 1 Data Sheet.pdf PDF
6-26139 Form 2 W-9.pdf PDF
12-DHHS26139 Award Recommendation and Justification Statement.docx DOCX document
7-26139 Form 3 Conflict of Interest Disclosure Statement.pdf PDF
4-26139 Score Sheet.xls XLS spreadsheet
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Text version

DHHS26139

Form 6 - COST PROPOSAL

Offeror shall submit its cost proposal for the services requested in this RFP using this Cost Proposal sheet. Offeror shall not change the format of this Cost Proposal sheet and must submit pricing in the exact format found below. Any deviation from this Cost Proposal sheet may result in Offeror’s rejection.

The Offeror’s cost shall take into consideration all anticipated costs associated with performing the required service, including the Offeror’s direct, administrative, and indirect costs.

Offeror’s Legal Business Name: ____________________________________________________

Name of Service to be Provided
Cost per Hour
Onsite Physical Therapy Services
$ _________________

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