4. BRFSS Cost Proposal Form-Final.xlsx

This is a Cost Proposal Form for the State of Maine Department of Health and Human Services in response to RFP# 202510143 for Behavioral Risk Factor Surveillance System (BRFSS) Data Collection and Management services. The solicitation requests bidders to provide cost proposals for completed BRFSS survey interviews conducted via two methods: landline and cell phone. The initial period of performance runs from October 1, 2026, through December 31, 2028. The state anticipates collecting 1,800 completed landline interviews and 8,400 completed cell phone interviews annually during the contract term.

Bidders are required to submit a cost per completed interview for each survey method, with the total contract value calculated by multiplying the annual survey quantities by two years and the proposed per-interview cost. The form provided shows placeholder values of $0.00 for all cost entries, indicating this is a template requiring bidders to insert their actual pricing. Bidders must ensure all cost calculations are accurate and complete the form with their company name and contact person information.