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Price Proposal 0.71
Electronic Health Record (EHR) RFP - Cost Proposal
Vendor Name
| Item # | Description | Qty | UOM | Unit Price | Year 1 Cost | Year 2 Costs | Year 3 Costs | Year 4 Cost | Year 5 Costs | Year 6 Costs | Year 7 Cost | Notes/Clarifications | Renewal Option 1 | Renewal Option 2 |
| 1 | Implementation and Operations | | | | | | | | | | | | | |
| Enter Description - | | | | | | | | | | | | | |
| Enter Description - | | | | | | | | | | | | | |
| Enter Description - | | | | | | | | | | | | | |
| 2 | Hardware and Software - Provide costs for all products, both hardware and software, required for the solution phased over seven year term |
| A | Native Hardware (List and itemize ALL required hardware) |
| Enter Description (Manufacture/Model) |
| Enter Description (Manufacture/Model) |
| Enter Description (Manufacture/Model) |
| Third Party Hardware (List and itemize ALL required hardware) |
| Describe/Enter Device Description (Manufacture/Model) |
| Describe/Enter Device Description (Manufacture/Model) |
| Describe/Enter Device Description (Manufacture/Model) |
| B | Software (List and itemized software product and/or any third party software details. Identify type of License Enterprise or User.) |
| Estimated users |
| Enter Description License (Type/ # of Applicable User) |
| Enter Description License (Type/ # of Applicable User) |
| Enter Description License (Type/ # of Applicable User) |
| 3rd Party Software and License (Type/ # of Applicable User) |
| 3rd Party Software and License (Type/ # of Applicable User) |
| 3rd Party Software and License (Type/ # of Applicable User) |
| C | Compliance / Licenses (If Applicable: Itemized and list details of license fees) |
| Enter Description License (Type/ # of Applicable User) |
| Enter Description License (Type/ # of Applicable User) |
| 3 | Training and Documentation |
| Enter Description |
| Enter Description |
| Enter Description |
| 4 | Support & Maintenance fees (Include itemized details of all associated costs and fees including any Upgrades/Customization) | | | | | | | | |
| Enter Description | | | | | | | | |
| Enter Description | | | | | | | | |
| Enter Description | | | | | | | | |
| | Total | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 5 | Ad-Hoc Fees | |
| Additional Professional Services (define) | |
| Position Title, Labor Rates (UOM = hours) | Hours |
| Position Title, Labor Rates (UOM = hours) | Hours |
| Position Title, Labor Rates (UOM = hours) | Hours |
| Provide any other applicable fees and provide detail explanation (e.g. Professional Services Fee, Travel) if any. |
| 1. Enter Description |
| 2. Enter Description |
| · Discount levels clearly documented |
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