Attachment_J.9_Vol_II_Cost_Breakdown_Template.xlsm.xlsx

XLSX spreadsheet 1 MB Posted

Attached to
Research, Measurement, Assessment, Design, and Analysis (RMADA) 2 Federal contract opportunity
Solicitation number
75FCMC19R0003
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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Written by GovTribe AI ·

This document provides a cost breakdown template for a federal indefinite delivery indefinite quantity contract opportunity with the Centers for Medicare and Medicaid Services. The template includes 18 tasks to be completed over six one-year base periods and calculates labor hours, labor costs, other direct costs, overhead rates, fixed fees, and total compensation for prime contractor, subcontractor and consultant resources. The cost model is to be used in response to solicitation number 75FCMC19R0003 for research, measurement, assessment, design and analysis services supporting models, demonstrations and technical assistance activities under programs like the Affordable Care Act, Medicare Access and CHIP Reauthorization Act and future health reform legislation. Services include various forms of programmatic, technical and environmental analysis; application development and review; monitoring; data collection, analysis and reporting; and implementation of learning systems and dissemination of results.

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Attachment J.9

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Other files for this federal contract opportunity

Other files attached to Research, Measurement, Assessment, Design, and Analysis (RMADA) 2, newest first.
File Type Posted
SECTION_L_v.3.pdf PDF
SECTION_C_v.2.pdf PDF
SECTION_G_v.2.pdf PDF
Attachment_J.7_Contractor_Business_Ethics,_COI_and_Compliance_Program_Requirements_v.2.docx DOCX document
Q&A_List_(1.15.2019).pdf PDF
Attachment_J.10_Small_Business_SubK_Plan_Template_V.2_Updated.pdf PDF
SECTION_I_v.2.pdf PDF
SECTION_H_v.2.pdf PDF
Attachment_J.2_Sample_Task_Order_v.2.pdf PDF
SECTION_F_v.2.pdf PDF
Attachment_J.9_Vol_II_Cost_Breakdown_Template_v.2.xlsx XLSX spreadsheet
SECTION_M_v.2.pdf PDF
STANDARD_FORM_33__75FCMC19R0003_(v.2).pdf PDF
SECTION_L_v.2.pdf PDF
SECTION_I.pdf PDF
Attachment_J.1-_Incident_Reporting_Guide.pdf PDF
SF33_-_75FCMC19R0003.pdf PDF
SECTION_F.pdf PDF
Attachment_J.2__Sample_Task_Order_Statement_of_Work.pdf PDF
SECTION_J.pdf PDF
Attachment_J.10_Small_Business_SubK_Plan_Template.pdf PDF
SECTION_B.pdf PDF
SECTION_D.pdf PDF
Attachment_J.4-Question_Submission_Template.pdf PDF
SECTION_L.pdf PDF
SECTION_K.pdf PDF
SECTION_C.pdf PDF
Attachment_J.7_Contractor_Business_Ethics,_COI_and_Compliance_Program_Requirements.pdf PDF
SECTION_G.pdf PDF
SECTION_E.pdf PDF
Attachment_J.6___Background_Information_for_Section_C-_Statement_of_Work.pdf PDF
Attachment_J.3_Consent_to_Subcontract.pdf PDF
Attachment_J.5_Past_Performance_Questionnaire.pdf PDF
SECTION_H.pdf PDF
Attachment_J.8_Personal_Conflicts_of_Interest_Financial_Disclosure.pdf PDF
SECTION_M.pdf PDF
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SUMMARY

Solicitation Name:RMADA 2
Soliciation #:75FCMC19R0003
Title:Sample Task Order: Beneficiary Engagement and Incentives Models (BEI)
Offeror's Name:
PeriodCostFixed FeeTotal
Base: All required task$ -$ -$ -
Base: Optional Task 2-2$ -$ -$ -
Total (6y non-severable base)$ -$ -$ -
Assumptions
Base Period of Performance is six years, non-severable
FTE = 40 hrs/wk, 52 weeks = 2080 hrs
Less: Holiday (72 hrs), AL (120 hrs), SL (40 hrs), Misc (48 hrs)
1 FTE = 1800 hrs
No Travel is required

Total Cost

Solicitation Name: RMADA 2Task 1Task 2Optional Task 2-2Task 3Task 4Task 5Task 6Task 7Task 8Task 9Task 10Task 11Task 12Task 13Task 14Task 15Task 16Task 17Task 18TOTAL HOURSTOTAL DOLLARS
Soliciation #: 75FCMC19R0003SDM Model TaskDDS Model TaskGeneral Task
Offeror's Name:(base period of performance; six years non-severable)

PRIME Employee/Labor Category Hourly Rate Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

General Labor Dollars
Salary Increment
Fringe Benefit @%
Subtotal
Burden @%
Subtotal
CONSULTANTHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHours
Consultant Labor Dollars
Consultant Increment
Subtotal
OTHER DIRECT COSTS
Subtotal
ODC Escalation
SUBTOTAL- ODC
Subcontract & Pass Throughs Admin.%
SUBTOTAL- COST
G & A @%

SUBCONTRACTOR Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Subtotal-Subcontractor

TOTAL COSTS
Fixed Fee @%
TOTAL COMPENSATION

Year 1 - BASE

Solicitation Name: RMADA 2Task 1Task 2Optional Task 2-2Task 3Task 4Task 5Task 6Task 7Task 8Task 9Task 10Task 11Task 12Task 13Task 14Task 15Task 16Task 17Task 18TOTAL HOURSTOTAL DOLLARS
Soliciation #: 75FCMC19R0003SDM Model TaskDDS Model TaskGeneral Task
Offeror's Name:(base period of performance; year 1)

PRIME Employee/Labor Category Hourly Rate Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

General Labor Dollars
Salary Increment
Fringe Benefit @%
Subtotal
Burden @%
Subtotal
CONSULTANTHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHours
Consultant Labor Dollars
Consultant Increment
Subtotal
OTHER DIRECT COSTS
Subtotal
ODC Escalation
SUBTOTAL- ODC
Subcontract & Pass Throughs Admin.%
SUBTOTAL- COST
G & A @%

SUBCONTRACTOR Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Subtotal-Subcontractor

TOTAL COSTS
Fixed Fee @%
TOTAL COMPENSATION

Year 2 - BASE

Solicitation Name: RMADA 2Task 1Task 2Optional Task 2-2Task 3Task 4Task 5Task 6Task 7Task 8Task 9Task 10Task 11Task 12Task 13Task 14Task 15Task 16Task 17Task 18TOTAL HOURSTOTAL DOLLARS
Soliciation #: 75FCMC19R0003SDM Model TaskDDS Model TaskGeneral Task
Offeror's Name:(base period of performance; year 2)

PRIME Employee/Labor Category Hourly Rate Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

General Labor Dollars
Salary Increment
Fringe Benefit @%
Subtotal
Burden @%
Subtotal
CONSULTANTHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHours
Consultant Labor Dollars
Consultant Increment
Subtotal
OTHER DIRECT COSTS
Subtotal
ODC Escalation
SUBTOTAL- ODC
Subcontract & Pass Throughs Admin.%
SUBTOTAL- COST
G & A @%

SUBCONTRACTOR Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Subtotal-Subcontractor

TOTAL COSTS
Fixed Fee @%
TOTAL COMPENSATION

Year 3 - BASE

Solicitation Name: RMADA 2Task 1Task 2Optional Task 2-2Task 3Task 4Task 5Task 6Task 7Task 8Task 9Task 10Task 11Task 12Task 13Task 14Task 15Task 16Task 17Task 18TOTAL HOURSTOTAL DOLLARS
Soliciation #: 75FCMC19R0003SDM Model TaskDDS Model TaskGeneral Task
Offeror's Name:(base period of performance; year 3)

PRIME Employee/Labor Category Hourly Rate Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

General Labor Dollars
Salary Increment
Fringe Benefit @%
Subtotal
Burden @%
Subtotal
CONSULTANTHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHours
Consultant Labor Dollars
Consultant Increment
Subtotal
OTHER DIRECT COSTS
Subtotal
ODC Escalation
SUBTOTAL- ODC
Subcontract & Pass Throughs Admin.%
SUBTOTAL- COST
G & A @%

SUBCONTRACTOR Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Subtotal-Subcontractor

TOTAL COSTS
Fixed Fee @%
TOTAL COMPENSATION

Year 4 - BASE

Solicitation Name: RMADA 2Task 1Task 2Optional Task 2-2Task 3Task 4Task 5Task 6Task 7Task 8Task 9Task 10Task 11Task 12Task 13Task 14Task 15Task 16Task 17Task 18TOTAL HOURSTOTAL DOLLARS
Soliciation #: 75FCMC19R0003SDM Model TaskDDS Model TaskGeneral Task
Offeror's Name:(base period of performance; year 4)

PRIME Employee/Labor Category Hourly Rate Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

General Labor Dollars
Salary Increment
Fringe Benefit @%
Subtotal
Burden @%
Subtotal
CONSULTANTHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHours
Consultant Labor Dollars
Consultant Increment
Subtotal
OTHER DIRECT COSTS
Subtotal
ODC Escalation
SUBTOTAL- ODC
Subcontract & Pass Throughs Admin.%
SUBTOTAL- COST
G & A @%

SUBCONTRACTOR Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Subtotal-Subcontractor

TOTAL COSTS
Fixed Fee @%
TOTAL COMPENSATION

Year 5 - BASE

Solicitation Name: RMADA 2Task 1Task 2Optional Task 2-2Task 3Task 4Task 5Task 6Task 7Task 8Task 9Task 10Task 11Task 12Task 13Task 14Task 15Task 16Task 17Task 18TOTAL HOURSTOTAL DOLLARS
Soliciation #: 75FCMC19R0003SDM Model TaskDDS Model TaskGeneral Task
Offeror's Name:(base period of performance; year 5)

PRIME Employee/Labor Category Hourly Rate Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

General Labor Dollars
Salary Increment
Fringe Benefit @%
Subtotal
Burden @%
Subtotal
CONSULTANTHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHours
Consultant Labor Dollars
Consultant Increment
Subtotal
OTHER DIRECT COSTS
Subtotal
ODC Escalation
SUBTOTAL- ODC
Subcontract & Pass Throughs Admin.%
SUBTOTAL- COST
G & A @%

SUBCONTRACTOR Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Subtotal-Subcontractor

TOTAL COSTS
Fixed Fee @%
TOTAL COMPENSATION

Year 6 - BASE

Solicitation Name: RMADA 2Task 1Task 2Optional Task 2-2Task 3Task 4Task 5Task 6Task 7Task 8Task 9Task 10Task 11Task 12Task 13Task 14Task 15Task 16Task 17Task 18TOTAL HOURSTOTAL DOLLARS
Soliciation #: 75FCMC19R0003SDM Model TaskDDS Model TaskGeneral Task
Offeror's Name:(base period of performance; year 6)

PRIME Employee/Labor Category Hourly Rate Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

General Labor Dollars
Salary Increment
Fringe Benefit @%
Subtotal
Burden @%
Subtotal
CONSULTANTHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHoursHours
Consultant Labor Dollars
Consultant Increment
Subtotal
OTHER DIRECT COSTS
Subtotal
ODC Escalation
SUBTOTAL- ODC
Subcontract & Pass Throughs Admin.%
SUBTOTAL- COST
G & A @%

SUBCONTRACTOR Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours Hours

Subtotal-Subcontractor

TOTAL COSTS
Fixed Fee @%
TOTAL COMPENSATION

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