8-HSS-26-038 - Appendix B-13 Proj Cost Forms.docx

Exhibit: Project Cost Forms Exhibit: Project Cost Forms

E1. Project Costs by Deliverables & Milestones Deliverable & Milestone Cost Schedule

Please fill out each of the costs and dates specified above. Computed costs will be in the manner specified. Milestone costs are a specified percentage of the Total DDI cost. Deliverable costs must total to the milestone cost. If DHSS decides to eliminate one or more deliverables from this project, the firm fixed price of the contract would be adjusted by subtracting the cost of the deliverable(s) to be eliminated. Reduction in the scope of an individual deliverable could result in a cost reduction as well. Deliverables that are roughly equal in scope can be swapped in/out in the design phase and maintain the firm fixed price of the contract.

The Total Project Cost shown in Schedule E1 must include all costs that the Contractor will be paid by DHSS under this contract. The Total Project Cost figure constitutes the firm fixed price of the contract.

Deliverables and milestones in the project cost schedule above will be identified in the Baseline Project Plan deliverable along with the projected date of DHSS approval.

Contractor must complete the Projected Date column for each milestone and the dates must correspond to the dates provided in the high level project plan.

Holdbacks are mandatory for every milestone with the exception of the final phase milestone. Holdbacks cannot be modified except by contractual agreement.

Milestone Cost Breakdown

1. Mn = Total Cost for Phase n deliverables – 20% holdback

1. M6 = Sum of M1 – M5 holdbacks Costs for each task/deliverable listed must be specified along with the total cost of all tasks/deliverables in each specified phase. Please check all figures for accuracy.

DDI costs will be invoiced only through identified milestones upon formal approval by the Division and IRM. DDI invoicing by any other manner is prohibited except by prior written consent of DHSS. As applicable, approved change orders shall be bundled into a single deliverable that will be added to the Phase 5 milestone in Schedule E1. The milestone cost, milestone holdback and invoice amount would be adjusted accordingly. This milestone would be invoiced via the prescribed process.

Software will be acquired by DHSS in the State’s or DHSS’ name. Estimated total costs are only to be included in Schedule E4.

Hardware will be acquired by DHSS in the State’s or DHSS name. Estimated total costs are only to be included in Schedule E5.

E2. Schedule of Rates for Project Staff Contractor is to list the fully loaded hourly rate for each person bid. These rates will be binding and will be used to estimate costs in the event of a change in project scope. A fully loaded hourly rate is an hourly rate that encompasses all costs to the Contractor for providing additional services to DHSS as necessitated by for additional tasks not covered under the scope of this contract. Costs included in this rate would be salary, overhead, lodging, travel, supplies, incidentals, etc. This rate would be used to apply against the hours estimated for each additional task proposed such that Task Hours * Rate = Task Cost.

Please specify the ACA Safe Harbor Additional Fee and the basis separately on this cost form.

E3. Ongoing Support Cost Schedule Ongoing support costs are to be listed in the following schedule. Total costs are to be capped at a n% inflation rate per year. Support costs may be categorized separately (i.e. Hosting, Tier 2 Support, Maintenance (up to n hours), etc.) or Contractor may choose to bid a single all-inclusive total support cost per year. Contractor will detail in this section what their responsibilities will be for ongoing support. Years 1 – n are included in the firm fixed price of the contract. DHSS may choose to amend the contract for n additional years (in one year increments) of support at its sole discretion.

Year 0 consists of the support cost during the warranty timeframe.

Ongoing Support Costs

Cost Category 1

Cost Category 2

Cost Category n

Total

Total Ongoing Support Costs For Base Contract Term (Years 0 – n):

Estimate of the number of hours required to apply the DHSS customization features to new releases: ____________.

Include a single fully loaded hourly rate which will apply to future customization beyond what is within the scope of this contract:

E4. DHSS Purchased Third Party Software Schedule Please list all third-party software products required for DDI through M&O. These licenses are for DHSS staff and users only. Contractor licenses are not to be included in this list. DHSS is not responsible for purchasing Contractor developer licenses. DHSS will purchase all software licenses on this list. Only new software or additional licenses for existing software being proposed for this project will be listed here. If the proposed software solution comprises multiple separately-costed modules, please list them separately here. DHSS will purchase the software licenses from a third party, not the Contractor. The software listed here will be evaluated by DHSS technical staff for compliance with State standards.

Total Estimated DHSS Purchased Third Party Software Cost $ __________________ The above total estimated cost is a ballpark estimate only. The Contractor will not be held responsible for this figure. DHSS understands that with licensing costs can vary depending on GSA pricing, licensing structure and individual purchasing agreements. This cost figure will be used as part of estimating the total project budget when justifying project costs for the State Office of Management and federal funding partners (as applicable). This cost is not to be included in Schedule E1.

E5. DHSS Purchased Hardware Schedule This is a hardware summary schedule with a total estimated cost. Only new hardware or upgrades to existing hardware being proposed for this project should be listed here. This list of hardware will be evaluated by DHSS technical staff for compliance with DHSS standards. DHSS will purchase the hardware from a third party, not the Contractor.

Total Estimated DHSS Purchased Hardware Cost $ __________________ The above total estimated cost is a ballpark estimate only. The Contractor will not be held responsible for this figure. DHSS understands that hardware costs can vary. This cost figure will be used as part of estimating the total project budget when justifying project costs for OMB and federal funding partners (as applicable). This cost is not to be included in Schedule E1.

Note: If no additional DHSS purchased hardware is necessary for the proposed solution, please put “N/A” in the first cell in this table.