E.2 Subcontractor Proposal Checklist.doc
DOC document 45 KB Posted
- Attached to
- National Corrective Coding Initiative (NCCI) Federal contract opportunity
- Solicitation number
- 75FCMC18R0046
About this file
E.2 Subcontractor Proposal Checklist
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| E.7__Consent_to_Subcontract.doc | DOC document | |
| amendment_0001_75FCMC18R0046.pdf | ||
| CMS_response_to_solicitation_Questions.xlsx | XLSX spreadsheet | |
| J.1 NCCI.SOW. 2019-2024 .docx | DOCX document | |
| E.6 Virus Detection Certification.doc | DOC document | |
| NCCI Solicitation 75FCMC18R0046.pdf | ||
| E.4 Past Performance Questionnaire.docx | DOCX document | |
| J.2 Contractor Personal Conflicts of Interest Financial Disclosure.docx | DOCX document | |
| J.3 Contractor Business Ethics, Conflict of Interest and Compliance Submission by Offeror-Contractor.docx | DOCX document | |
| E.3 Business Proposal Template.xlsx | XLSX spreadsheet | |
| E.5 Responsibility Questionnaire.doc | DOC document | |
| E.1 Prime Contractor Proposal Checklist .doc | DOC document |
Show all 12
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit E.2
75FCMC18R00046
National Correct Coding Initiative
Subcontractor Proposal Checklist NCCI Each subcontractor to a prime contractor shall complete the following checklist for the National Correct Coding Initiative (NCCI) proposal. This submission will allow CMS to more readily identify various aspects of your proposal. Please check the appropriate items and provide an explanation, if necessary.
1) Prime Offeror’s Name: _________________________________
2) Subcontractor company name, address, point of contact and telephone number
3) If a newly formed company, provide name and address of parent companies forming the new entity:
a. __________________ b.__________________
4) List of proposed subcontractors (if applicable):
a. _____________________________________
b. _____________________________________
c. _____________________________________
5) In accordance with the North American Industry Code 541990, indicate the business size of the prime entity/company.
□ Large Business
□ Small Business – if so, please indicate size standard for the NAICS above:
6) TIN # _______________
7) DUNS# _______________
8) Contract Type _________________________
9) Productive Hours for Exempt and Non-Exempt Employees _______________
10) Number of FTEs and Hours Proposed:
TOTAL PROPOSED FTEs:
FTE’s
| CLIN 0001 |
| CLIN 0002 |
OY1
| CLIN 0003 OY2 |
| CLIN 0004 OY3 |
| CLIN 0005 OY4 |
| TOTAL |
Direct
Indirect
Subs
Total
TOTAL PROPOSED HOURS:
Hours
| CLIN 0001 |
| CLIN 0002 |
OY1
| CLIN 0003 OY2 |
| CLIN 0004 OY3 |
| CLIN 0005 OY4 |
| TOTAL |
Direct
Indirect
Subs
Total
File details come from the government source that posted it.