Appendix I.docx

This is a Cost Proposal Response Form for the County of Santa Clara's Behavioral Health Services Department in response to Request for Sealed Qualifications (RFSQ-BHS-FY23-0225) for Behavioral Health Treatment Facility Continuum of Care services. The solicitation encompasses multiple service scopes including Scope A1 (Acute Psychiatric Hospital & Psychiatric Health Facilities) and Scope A2 (Sub-Acute Treatment Facilities), with the latter subdivided into A2a (Mental Health Rehabilitation Center) and A2b (Skilled Nursing Facility). Proposers are required to complete one Appendix I form per applicable scope and provide detailed information regarding the services they intend to provide.

The cost proposal form requires proposers to submit pricing organized by service type with corresponding rates, total units, unduplicated and duplicated individuals served, number of groups, sessions, and presentations. Additional line items include equipment, materials and supplies, transportation, staffing, startup expenses, and other operating costs, with all rates required to be mutually agreed upon by the County and the offeror. The form specifies that all submitted rates must be inclusive of all costs associated with providing the stated service categories, including staffing and operating expenses. Travel costs, if required or requested by the County and approved for compensation, must be included within the overall pricing and will not be reimbursed as itemized expenses. Proposers must submit their complete FY24 budget totals in the designated format.