D.10.1_Summary_of_Cost_Worksheet.xlsx

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DOE-RL Workers' Compensation Third Party Administrator
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89303919REM000007
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D.10.1 Summary of Cost Worksheet

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1. Summary of All Costs

CLIN #DescriptionBase- Year 1Option 1 (Year 2)Option 2 (Year 3)Option 3 (Year 4)Option 4 (Year 5)
10/1/19-9/30/2010/1/20-9/30/2110/1/21-9/30/2210/1/22-9/30/2310/1/23-9/30/24
CLIN 1Firm-Fixed-Price Contract Transition
CLIN 2Firm-Fixed-Price Claims Processing
CLIN 3EEOICPA (Fully Burdened Hourly Rate)
TOTAL$ - 0

Solicitation #89303919REM000007 Workers’ Compensation Claims Services Table 1. Summary of All Costs Section D Attachment D.10.1

2. CLIN 2 Detail

CLIN X002
Claims Processing
CLIN 1002CLIN 2002CLIN 3002CLIN 4002CLIN 5002
Base YearOption Year 1Option Year 2Option Year 3Option Year 4
Cost Category
Direct Labor (Insert Direct Labor Categories as needed)
Principal Manager
Washington State Certified Claim Program Manager
Other Key Personnel as Proposed

Solicitation #89303919REM000007 Workers’ Compensation Claims Services Table 2. CLIN 2 Detail Section D

3. CLIN 3 Detail

CLIN X003
EEOICPA
CLIN 1003CLIN 2003CLIN 3003CLIN 4003CLIN 5003
Base YearOption Year 1Option Year 2Option Year 3Option Year 4
Base
Fringe (benefits, taxes, etc.)
G&A
Fee
Escalation

Solicitation #89303919REM000007 Workers’ Compensation Claims Services Table 3. CLIN 3 Detail Section D

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