60RRBH21R0011 Attachment J.10 CLIN 0001 Cost Proposal Template- Implementation Services for RRB SMAC.xlsx

XLSX spreadsheet 33 KB Posted

Attached to
Solicitation 60RRBH21R0011 - RRB Specialty MAC
Solicitation number
60RRBH21R0011
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Other files

File Type Posted
60RRBH21R0011 Attachment J.1.C Performance Requirements Summary -Revised.docx DOCX document
60RRBH21R0011 Amendment 0002.pdf PDF
60RRBH21R0011 Attachment J.13 CLIN 0004 Cost Proposal Template Option Year Two- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.16 CLIN 0007 Cost Proposal Template Option Year Five- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 RRB SMAC Services- Amendment 0001 Q and A and other changes SF 30.pdf PDF
60RRBH21R0011 Attachment J.7 Basis of Estimate- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.1.C Performance Requirements Summary.docx DOCX document
60RRBH21R0011 Attachment J.14 CLIN 0005 Cost Proposal Template Option Year Three- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.18 CLIN 0009 Cost Proposal Template Option Year Seven- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.15 CLIN 0006 Cost Proposal Template Option Year Four- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.11 CLIN 0002 Cost Proposal Template Base Year- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.33 RRB SMAC Providers by State.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.20 CLIN 0011 Cost Proposal Template Option Year Nine- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.12 CLIN 0003 Cost Proposal Template Option Year One- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.17 CLIN 0008 Cost Proposal Template Option Year Six- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.34 RRB Responses to Offeror Questions.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.19 CLIN 0010 Cost Proposal Template Option Year Eight- Revised.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.1 RRB SMAC SOW- Revised.docx DOCX document
60RRBH21R0011 Attachment J.14 CLIN 0005 Cost Proposal Template Opt Year 3.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.17 CLIN 0008 Cost Proposal Template Opt Year 6.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.18 CLIN 0009 Cost Proposal Template Opt Year 7.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.21 CLIN 0012 Cost Proposal Template Closeout.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.16 CLIN 0007 Cost Proposal Template Opt Year 5.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.13 CLIN 0004 Cost Proposal Template Opt Year2.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.15 CLIN 0006 Cost Proposal Template Opt Year 4.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.20 CLIN 0011 Cost Proposal Template Opt Year 9.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.19 CLIN 0010 Cost Proposal Template Opt Year 8.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.3 Small Business Subcontracting Plan.docx DOCX document
60RRBH21R0011 Attachment J.8 Past Performance Questionnaire.doc DOC document
60RRBH21R0011 Attachment J.27 Compliance Attestation.docx DOCX document
60RRBH21R0011 Attachment J.23 Non-Disclosure Statement.docx DOCX document
60RRBH21R0011 Attachment J.11 CLIN 0002 Cost Proposal Template Base Year.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.29 Contractor Furnished Property.docx DOCX document
60RRBH21R0011 Attachment J.2 RRB SMAC Deliverable Schedule.docx DOCX document
60RRBH21R0011 Attachment J.25 Information Security Attestation.docx DOCX document
60RRBH21R0011 Attachment J.1.A Fee-For-Service Shared System Base Functions.docx DOCX document
60RRBH21R0011 Attachment J.4 Billing Instructions.docx DOCX document
60RRBH21R0011 Attachment J.6 Award Fee Plan Template.docx DOCX document
60RRBH21R0011 Attachment J.30 CMS Sec and Priv Language for Info Tech Procurements.docx DOCX document
60RRBH21R0011 Attachment J.28 HHS Contracting Guide for Contract of Government Property.docx DOCX document
60RRBH21R0011 Attachment J.1.B SOW Appendices.docx DOCX document
60RRBH21R0011 Attachment J.32 Cash Collections Worksheet.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.12 CLIN 0003 Cost Proposal Template Opt Year1.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.24 Proposal Assumptions Template.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.10A Cost Template Summary Sheet RRB SMAC.xlsx XLSX spreadsheet
60RRBH21R0011 Attachment J.31 Systems of Records.docx DOCX document
60RRBH21R0011 Attachment J.10B CLIN 0001 Cost Proposal Template- Implementation Services for RRB SMAC.xlsx XLSX spreadsheet
60RRBH21R0011-Sections B-M.docx DOCX document
60RRBH21R0011 Attachment J.26 Corporate Experience Attestation.docx DOCX document
60RRBH21R0011 Attachment J.7 Basis of Estimate.xlsx XLSX spreadsheet
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Text version

CLIN-0001

COST TEMPLATE - SAMPLE Attachment J.10
(Provide a cost spreadsheet for each CLIN proposed)
CLIN 0001C.5.1
Workload Implementation RequirementsI
Part B SERVICES/IMPLEMENTATIONTotal FTEsAWARD FEEGRAND TOTAL
HoursRatesTotalHoursRatesTotalHoursTotal
COST ELEMENTS
Direct Labor
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
Add Other Appropriate Labor Categories (note: labor categories should match WBS)0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$1.00$00$0.00
Subtotal Direct Labor0$00$0.00

Fringe Benefits (at ____%) $0 $0.00

Total Direct Labor $0 $0.00

Travel (see separate schedule)$0$0.00
SUBCONTRACTORS
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Total Subcontractor0$00$0.00

Other Direct Costs (See separate schedule) $0 $0.00

TOTAL ALL DIRECT COSTS $0 $0.00

Indirect Costs (at ______ %) $0 $0.00

TOTAL OTHER BEFORE FEE $0 $0.00

Base Fee (at ____%)$0$0.00
Award Fee (at ______%)$0$0.00

TOTAL OTHER AFTER FEE $0 $0 $0

Complementary Credits
Note: comp.credit information will be provided by CMS prior to final proposal revision. Offerors should not propose amounts at this time.
GRAND TOTAL$0$0$0

&"Arial,Bold"&12RFP 60RRBH21R0011- Attachment J.10

PART B SPECIALTY MEDICARE ADMINISTRATIVE CONTRACTOR (SMAC)

Attachment J.10 Confidential Procurement Sensitive &P

ODC Schedule

ODC SCHEDULE - SAMPLE Attachment J.10
(Provide an ODC Spreadsheet for each CLIN Proposed)
CLIN 0001 Part B SERVICES/ IMPLEMENTATION
Cost ElementTOTAL

Add costs by category

TOTAL ODCs $0.00

&"Arial,Bold"RFP - RRB-11-R-001 PART B SPECIALTY MEDICARE ADMINISTRATIVE CONTRACTOR (SMAC)&"Arial,Regular"

&D

SLIN = 0001 Attachment J-10B Confidential Procurement Sensitive

TRAVEL

TRAVEL SUMMARY
CLIN 0001
IMPLEMENTATION
Purpose of TripSOW WBS
CrosswalkLabor Category Taking TripTrip OriginDestination# People
(A)# Trips
(B)# Days
(C)# Nights
(D)Lodging Rate
(E)Lodging
(F=E*D*A)M&IE
(G)Total Lodging

and M&IE

(H=F+G)Airfare
(I)Car Rental
(J)Misc
(K)Local

Mileage

(L)Total Per Trip
(M=H+I+J+K+L)Total For All Trips

(N=M*B )

$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -
$ -$ -$ -$ -

TOTAL TRAVEL $ -

Travel Assumptions:

&"Arial,Bold"&14RFP 60RRBH21R0011 RRB Specialty (Part B) MAC Jurisdiction Nationwide Travel Cost Template

&D Attachment J-10B

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