AHRQ-11-10006-Attachment 8-Sample Format for Cost Proposal.pdf

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Health Care Innovations Exchange II
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AHRQ-11-10006
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Attachment 8 - Sample Format for Cost Proposal

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Attachment 8 Sample format for cost proposal

Direct Labor:

No.

Classification

Hours Rate Cost

Total Direct Labor Fringe Benefits: XX% x Total Direct Labor

Total Labor & Fringe

Overhead:

Place rate on the line below:

Consultants

Days Rate

No. of days x Daily Rate for each Expertise Required

Travel:

Transportation (air, ground, local)

Per Diem (No. of days x rate) Total Travel

Other Direct Costs:

Supplies Postage Telephone

Materials Computer Subcontracts(total here by sub; attch pgs for detail at same level as prime)

Other Appropriate Costs Total Other Direct Cost

SUBTOTAL

G&A Expense - (if applicable) % of subtotal

Total Cost

Fixed Fee

Rate

Rate: place rate in column under rate

0.00% 0

TOTAL ESTIMATED COST AND FEE

This procurement will require approximately ____________ person years effort per year. (This should include Professional and Support)

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