Att_17-Breakdown_of_Porposed_Estimated_Costs.xlsx

XLSX spreadsheet 113 KB Posted Nov 26, 2024

Attached to: Biomedical Computing Support Services
Solicitation number: 75N91024R00009
Issued by: Department of Health and Human Services National Institutes of Health National Cancer Institute

About this file

Written by GovTribe AI · Nov 26, 2024

This is a cost proposal template spreadsheet provided as Attachment 17 to solicitation 75N91024R00009 for Biomedical Computing Support Services at the National Cancer Institute. The Excel file contains multiple worksheets designed to help contractors prepare and breakdown their cost proposals, including tabs for direct labor (both hourly and percent of effort basis), materials and supplies, travel, equipment, consultants, other direct costs, patient care costs, and subcontracts. The template includes automatic calculations and formulas to roll up costs across seven contract periods. The file provides specific instructions for documenting labor rates, indirect costs, fringe benefits, and other cost elements, noting that supporting documentation like payroll records or vendor quotes may be requested later. The template is structured to accommodate different indirect rate structures (e.g., two-tier for universities vs. multiple rates for commercial organizations) and includes cells for annual increase factors and adjustment dates.

View the file

Other files

File	Type	Posted
Att_28_-_Supply_Chain_Risk_Assessment_(SCRA)_0001.pdf	PDF	Dec 18, 2024
Sol_75N91024R00009_Amd_0001.pdf	PDF	Dec 18, 2024
Att_18-Offeror_s_Point_of_Contact.pdf	PDF	Nov 26, 2024
Att_12-Summary_of_Related_Activities.pdf	PDF	Nov 26, 2024
Att_19-Sample_Wage_Determination_-_Montgomery_County__MD.pdf	PDF	Nov 26, 2024
Att_21-NIH(RC)2_Final.pdf	PDF	Nov 26, 2024
Att_27-Annual_Small_Business_Utilization_Plan_Reporting_Requirement.pdf	PDF	Nov 26, 2024
Att_5-STO1_SOW_01_2024.pdf	PDF	Nov 26, 2024
Att_9-Reps_and_Certs_Section_K_Forms_4-24.pdf	PDF	Nov 26, 2024
Att_14-Proposal_Summary_NIH2043.pdf	PDF	Nov 26, 2024
Att_2-Proposal_Intent_Response.pdf	PDF	Nov 26, 2024
Att_25_-_Roster_of_Employees_Requiring_Suitability_Investigations.xlsx	XLSX spreadsheet	Nov 26, 2024
Att_11-ATPI__Biomedical_Data_Computing_Support_Services.pdf	PDF	Nov 26, 2024
Att_10-Technical_Proposal_Cost_Summary.pdf	PDF	Nov 26, 2024
Att_23-Privacy_Act_SORN_09-25-0200.pdf	PDF	Nov 26, 2024
Att_26_-_Employee_Separation_Checklist.pdf	PDF	Nov 26, 2024
Att_20-Disclosure_of_Lobbying_Activities_OMB_Frm_SF-LLL.pdf	PDF	Nov 26, 2024
Att_6-_STO1_Analytic_capabilities.pdf	PDF	Nov 26, 2024
Att_7-STO2a_SOW_01_2024.pdf	PDF	Nov 26, 2024
Att_16-HHS_SubK_Plan_Template.pdf	PDF	Nov 26, 2024
Sol_75N91024R00009.pdf	PDF	Nov 26, 2024
Att_22-NIH(RC)4_Final.pdf	PDF	Nov 26, 2024
Att_1-Packaging_and_Delivery_of_Proposals_for_Use_with_the_NIH_eCPS_website.pdf	PDF	Nov 26, 2024
Att_13-VPAT_Section_508.pdf	PDF	Nov 26, 2024
Att_24-Contractor_Non-disclosure_Agreement.pdf	PDF	Nov 26, 2024
Att_15-ABPI_Biomedical_Data_Computing_Support_Services.pdf	PDF	Nov 26, 2024
Att_3-SOW_Biocomputing_Base.pdf	PDF	Nov 26, 2024
Att_4-SOW_Task_Order_1.pdf	PDF	Nov 26, 2024
Att_8-STO2b_SOW_01_2024.pdf	PDF	Nov 26, 2024

Show all 29

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

INSTRUCTIONS

OMB Control No. 9000-0013

Attachment 17

How to use this Excel file:

(Updated 08/06/2014)

IMPORTANT NOTE: If you have opened this file before saving on your computer, you will be prompted for a user name and a password and you will lose all the data you may have inserted. Please close the file and click on the link again and save before opening.

This worksheet is intended to help you prepare your cost proposal. If you provide us with an electronic copy of the cost proposal, we can save time by not recreating it. This will help speed up the review/award process and perhaps reduce the number of questions we need to ask in order to understand your proposal. We understand that one spreadsheet format can not fit every situation; however, we have attempted to create a simple model that fits most circumstances that arise in Government contracting. Feel free to modify the spreadsheet to fit your circumstances, and to use the parts that work for you. There are more specific instructions on specific cost element pages where applicable.

Summary Page

Please insert your organization's name in cell A2 and the RFP No. in cell A3.

The totals from each cost element page are automatically carried forward to the Summary worksheet. Enter the start date of the contract in cell C5.

This Excel file is set up for seven periods.

Direct Labor

Use the Labor - Percent of Effort worksheet if you track labor on a percent of effort basis. Generally, Universities, Hospitals, and Non-Profit Organizations tract labor by percent of effort.

Use the Labor - Hourly worksheet if you track labor on an hourly basis. Commercial organizations track labor on an hourly basis.

Use both pages if you track some employees by each method. Please do not put any employee on both pages. Consultants should be proposed on the consultants worksheet, not the labor worksheets.

The proposed amounts must be based on current payroll information which shows hourly, monthly, or annual rate/salary for each proposed (named) individuals. Acceptable documentation includes any one of the following: 1) personnel action forms, or 2) most recent payroll register showing name, pay rate, and percent of effort if applicable, or 3) copy of pay stub. Supporting documentation may be requested at a later date.

If the proposed positions have not been filled or are to be named or hired, then acceptable documentation includes the following: 1) letter of intent to hire including salary rate and title, or 2) position descriptions and salary scales or organizational wage table showing salary range and a copy of hiring policy, or 3) a comparable employee's payroll document. Supporting documentation may be requested at a later date. Increases for the to be named or hired are not eligible for increases in the first period.

Indirect Rates Including Fringe Benefit Rate(s) for Commercial Organizations

If your organization does not have negotiated rates, the following website contains information which will assist you in computing indirect rates: http://oamp.od.nih.gov/dfas/indirect-cost-branch/indirect-cost-submission

Please do not submit your indirect proposal to the Division of Financial Advisory Services at this time.

Points of Contact

If you have any questions regarding this Excel file, please see the DFAS Subject Matter Advisors page for contact info: http://oamp.od.nih.gov/dfas/dfas-subject-matter-advisors

If you have contracting questions, please call the NIH Contracting Official who is listed in the RFP.

http://oamp.od.nih.gov/dfas/dfas-subject-matter-advisorshttp://oamp.od.nih.gov/dfas/dfas-subject-matter-advisors

SUMMARY

SUMMARY OF PROPOSED COSTS
Contractor's Name**
RFP No.**	75N91024R00009
		PERIOD I	PERIOD II	PERIOD III	PERIOD IV	PERIOD V	PERIOD VI	PERIOD VII	TOTAL
	Period ( dates)##	1/1/07	1/1/08	1/1/09	1/1/10	1/1/11	1/1/12	1/1/13
		Through	Through	Through	Through	Through	Through	Through
		12/31/07	12/31/08	12/31/09	12/31/10	12/31/11	12/31/12	12/31/13
Direct Labor - Percent of Effort		$0	$0	$0	$0	$0	$0	$0	$0
Fringe Benefits - Percent of Effort		0	0	0	0	0	0	0	0
Direct Labor - Hourly		0	0	0	0	0	0	0	0
Fringe Benefits - Hourly		0	0	0	0	0	0	0	0
Total Direct Labor & Fringe Benefits		$0	$0	$0	$0	$0	$0	$0	$0

Overhead (Note 1) 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 $0

Materials and Supplies	$0	$0	$0	$0	$0	$0	$0	$0
Professional Travel	0	0	0	0	0	0	0	0
Equipment	0	0	0	0	0	0	0	0
Consultants	0	0	0	0	0	0	0	0
Other Direct Costs	0	0	0	0	0	0	0	0
Patient Care Costs	0	0	0	0	0	0	0	0
Subcontracts	0	0	0	0	0	0	0	0
Total Other Direct Costs	$0	$0	$0	$0	$0	$0	$0	$0

Subtotal: Direct Labor, Fringe Benefits, Overhead , & Other Directs		$0		$0		$0		$0		$0		$0		$0	$0
Exclusion(s) From Base For G&A		0		0		0		0		0		0		0	0
Adjusted Base for G&A		$0		$0		$0		$0		$0		$0		$0	$0
G&A (Note 2)	0%	0	0%	0	0%	0	0%	0	0%	0	0%	0	0%	0	0
Total Proposed Cost Excluding Fee		0		0		0		0		0		0		0	0
Proposed Fee/Profit	0%	0	0%	0	0%	0	0%	0	0%	0	0%	0	0%	0	0
Total Proposed Cost Plus Fee/Profit		$0		$0		$0		$0		$0		$0		$0	$0

NOTES:
1.	Not all organizations allocate indirect cost in the same way. It is important that you use the indirect rate structure applicable to your organization.
	For example, if you have a two tier indirect rate structure, then you will use a two tier structure when proposing indirect costs.
	Generally, Universities and Non-Profits have fringe benefit and G&A (or sometimes called F&A) rates, while For-Profit Companies can have
	various indirect rates such as fringe benefits, overhead, G&A, etc.

The base for overhead costs includes direct labor and fringe benefits. Please modify if your base is different.

If applicable, insert exclusions to the G&A base in row 26.

2.	If you have questions regarding indirect (F&A) rates see website: http://oamp.od.nih.gov/dfas/indirect-cost-branch/indirect-cost-submission
	This website also contains definitions, examples, and training.

LEGEND:
**	Please insert the Company's name and the RFP #.

## Please insert the Company's name and the RFP #.

LABOR - Percent of Effort

	SUMMARY OF DIRECT LABOR
	AND FRINGE BENEFITS
	PERCENT OF EFFORT
	Contractor's Name**								PERIOD I*					PERIOD II*					PERIOD III*					PERIOD IV*					PERIOD V*					PERIOD VI*					PERIOD VII*
	RFP No.**							1/1/07	Through	12/31/07			1/1/08	Through	12/31/08			1/1/09	Through	12/31/09			1/1/10	Through	12/31/10			1/1/11	Through	12/31/11			1/1/12	Through	12/31/12			1/1/13	Through	12/31/13		TOTAL	TOTAL
				CURRENT	ADJUSTED		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE	SALARY	FRINGE
		EMPLOYEE	POSITION	BASE SALARY	BASE SALARY		EFFORT	MONTHS	COST	RATE	COST	EFFORT	MONTHS	COST	RATE	COST	EFFORT	MONTHS	COST	RATE	COST	EFFORT	MONTHS	COST	RATE	COST	EFFORT	MONTHS	COST	RATE	COST	EFFORT	MONTHS	COST	RATE	COST	EFFORT	MONTHS	COST	RATE	COST	COST	COST
	1			$0	$0		0%	12.00	$0	0%	$0	0%	12.00	$0	0%	$0	0%	12.00	$0	0%	$0	0%	12.00	$0	0%	$0	0%	12.00	$0	0%	$0	0%	12.00	$0	0%	$0	0%	12.00	$0	0%	$0	$0	$0
	2			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	3			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	4			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	5			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	6			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	7			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	8			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	9			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	10			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	11			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	12			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	13			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	14			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	15			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	16			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	17			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	18			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	19			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	20			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	21			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	22			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	23			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	24			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	25			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	26			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	27			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	28			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	29			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	30			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
	31			0	0		0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0%	12.00	0	0%	0	0	0
					SUBTOTALS =		0%		$0		$0	0%		$0		$0	0%		$0		$0	0%		$0		$0	0%		$0		$0	0%		$0		$0	0%		$0		$0	$0	$0

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED TO

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

(Use of these cells will affect all of the adjusted base salary column; if individual

anniversary dates differ, the adjusted base salaries must be entered individually

in Column "D" of the spreadsheet and explained in the budget justification)

ANNUAL INCREASE FACTOR:	0.00%	-	Insert annual cost of living % and/or merit increases
			as applicable and explain the % in the budget justification

ANNUAL INCREASE DATE: 00/00/00 - Insert annual increase date.

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0 - Insert number of months at the new salary.

*Adjust the number of months per period as recommended in the RFP.

LABOR - Hourly

SUMMARY OF DIRECT LABOR
AND FRINGE BENEFITS
Hourly Rates
Contractor's Name**							PERIOD I*					PERIOD II*					PERIOD III*					PERIOD IV*					PERIOD V*					PERIOD VI*					PERIOD VII*
RFP No.**						1/1/07	Through	12/31/07			1/1/08	Through	12/31/08			1/1/09	Through	12/31/09			1/1/10	Through	12/31/10			1/1/11	Through	12/31/11			1/1/12	Through	12/31/12			1/1/13	Through	12/31/13		TOTAL	TOTAL
			CURRENT BASE	ADJUSTED	NUMBER	NUMBER	SALARY	FRINGE	FRINGE	NUMBER	NUMBER	SALARY	FRINGE	FRINGE	NUMBER	NUMBER	SALARY	FRINGE	FRINGE	NUMBER	NUMBER	SALARY	FRINGE	FRINGE	NUMBER	NUMBER	SALARY	FRINGE	FRINGE	NUMBER	NUMBER	SALARY	FRINGE	FRINGE	NUMBER	NUMBER	SALARY	FRINGE	FRINGE	SALARY	FRINGE
	EMPLOYEE	POSITION	HOURLY RATE	HOURLY RATE	HOURS	MONTHS	COST	RATE	COST	HOURS	MONTHS	COST	RATE	COST	HOURS	MONTHS	COST	RATE	COST	HOURS	MONTHS	COST	RATE	COST	HOURS	MONTHS	COST	RATE	COST	HOURS	MONTHS	COST	RATE	COST	HOURS	MONTHS	COST	RATE	COST	COST	COST
1			$0.00	$0.00	0.00	12.00	$0	0%	$0	0.00	12.00	$0	0%	$0	0.00	12.00	$0	0%	$0	0.00	12.00	$0	0%	$0	0.00	12.00	$0	0%	$0	0.00	12.00	$0	0%	$0	0.00	12.00	$0	0%	$0	$0	$0
2			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
3			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
4			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
5			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
6			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
7			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
8			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
9			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
10			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
11			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
12			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
13			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
14			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
15			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
16			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
17			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
18			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
19			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
20			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
21			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
22			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
23			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
24			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
25			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
26			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
27			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
28			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
29			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
30			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
31			0.00	0.00	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0.00	12.00	0	0%	0	0	0
				SUBTOTALS =	0.00		$0		$0	0.00		$0		$0	0.00		$0		$0	0.00		$0		$0	0.00		$0		$0	0.00		$0		$0	0.00		$0		$0	$0	$0

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED TO

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

(Use of these cells will affect all of the adjusted base salary column; if individual

anniversary dates differ, the adjusted base salaries must be entered individually in

Column "D" of the spreadsheet and explained in the budget justification)

NUMBER OF HOURS FOR FULL TIME EQUIVALENT: 0 -- Insert your direct work year.

			Insert annual cost of living % and/or merit increases
ANNUAL INCREASE FACTOR:	0.00%	--	as applicable and explain the % in the budget
			justification

ANNUAL INCREASE DATE: 00/00/00 -- Insert annual increase date.

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0 -- Insert number of months at the the new hourly rate.

*Adjust the number of months per period as recommended in the RFP.

Materials

SUMMARY OF MATERIALS AND SUPPLIES
Contractor's Name**
RFP No.**
			Period I			Period II			Period III			Period IV			Period V			Period VI			Period VII
		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit
	ITEM	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	TOTAL
1		$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00
2		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
3		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
4		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
5		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
6		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
7		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
8		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
9		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
10		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
11		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
12		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
13		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
14		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
15		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
16		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
17		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
18		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
19		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
20		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
21		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
22		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
23		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
24		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
25		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
26		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
27		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
28		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
29		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
30		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
	TOTAL =			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00	$0.00

Please use current catalog, historical documentation, or vendor quotes.

Supporting documentation may be requested at a later date

&24&USUMMARY OF MATERIALS AND SUPPLIES

Travel

SUMMARY OF TRAVEL COSTS

Contractor's Name**

RFP No.**

Cost Element	Period I	Period II	Period III	Period IV	Period V	Period VI	Period VII	TOTAL
Trip #	1	1	1	1	1	1	1
Site
Reason
Airfare	$0	$0	$0	$0	$0	$0	$0
Lodging	0	0	0	0	0	0	0
Meals	0	0	0	0	0	0	0
Incidentals	0	0	0	0	0	0	0
Ground Transport	0	0	0	0	0	0	0
Total Per Trip	$0	$0	$0	$0	$0	$0	$0
No. of persons	0	0	0	0	0	0	0
SUBTOTAL =	$0	$0	$0	$0	$0	$0	$0	$0

Trip #	2	2	2	2	2	2	2
Site
Reason
Airfare	$0	$0	$0	$0	$0	$0	$0
Lodging	0	0	0	0	0	0	0
Meals	0	0	0	0	0	0	0
Incidentals	0	0	0	0	0	0	0
Ground Transport	0	0	0	0	0	0	0
Total Per Trip	$0	$0	$0	$0	$0	$0	$0
No. of persons	0	0	0	0	0	0	0
SUBTOTAL =	$0	$0	$0	$0	$0	$0	$0	$0

Trip #	3	3	3	3	3	3	3
Site
Reason
Airfare	$0	$0	$0	$0	$0	$0	$0
Lodging	0	0	0	0	0	0	0
Meals	0	0	0	0	0	0	0
Incidentals	0	0	0	0	0	0	0
Ground Transport	0	0	0	0	0	0	0
Total Per Trip	$0	$0	$0	$0	$0	$0	$0
No. of persons	0	0	0	0	0	0	0
SUBTOTAL =	$0	$0	$0	$0	$0	$0	$0	$0
TOTAL COST BY PERIOD =	$0	$0	$0	$0	$0	$0	$0	$0

Please review the RFP for the recommended number of trips and destinations if applicable.

Please use the company or institutional travel policy unless current Government Per Diem rates

are utilized. Please use current vendor quotes for airfare and other travel costs. Supporting

documentation may be requested at a later date.

Equipment

SUMMARY OF EQUIPMENT COSTS
Contractor's Name**
RFP No.**
			Period I			Period II			Period III			Period IV			Period V			Period VI			Period VII
		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit
	ITEM	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	TOTAL
1		$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00
2		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
3		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
4		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
5		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
6		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
7		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
8		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
9		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
10		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
11		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
12		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
13		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
14		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
15		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
16		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
17		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
18		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
19		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
20		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
21		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
22		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
23		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
24		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
25		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
26		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
27		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
28		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
29		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
30		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
	TOTAL =			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00	$0.00

All proposed equipment costs should include a justification and be based on current vendor quotes.

Supporting documentation may be requested at a later date.

&24&USUMMARY OF EQUIPMENT COSTS

Consultants

SUMMARY OF CONSULTANT COSTS
Contractor's Name**
RFP No.**
					Period I					Period II					Period III
	CONSULTANT	Rate	# Hours	# Days	Travel	Subtotal	Rate	# Hours	# Days	Travel	Subtotal	Rate	# Hours	# Days	Travel	Subtotal
(1)		$0			$0	$0	$0			$0	$0	$0			$0	$0
(2)		0			0	0	0			0	0	0			0	0
(3)		0			0	0	0			0	0	0			0	0
(4)		0			0	0	0			0	0	0			0	0
(5)		0			0	0	0			0	0	0			0	0
(6)		0			0	0	0			0	0	0			0	0
(7)		0			0	0	0			0	0	0			0	0
(8)		0			0	0	0			0	0	0			0	0
(9)		0			0	0	0			0	0	0			0	0
(10)		0			0	0	0			0	0	0			0	0
	TOTAL =					$0					$0					$0

					Period IV					Period V
	CONSULTANT	Rate	# Hours	# Days	Travel	Subtotal	Rate	# Hours	# Days	Travel	Subtotal
(1)		$0			$0	$0	$0			$0	$0
(2)		0			0	0	0			0	0
(3)		0			0	0	0			0	0
(4)		0			0	0	0			0	0
(5)		0			0	0	0			0	0
(6)		0			0	0	0			0	0
(7)		0			0	0	0			0	0
(8)		0			0	0	0			0	0
(9)		0			0	0	0			0	0
(10)		0			0	0	0			0	0
	TOTAL =					$0					$0

					Period VI					Period VII
	CONSULTANT	Rate	# Hours	# Days	Travel	Subtotal	Rate	# Hours	# Days	Travel	Subtotal	TOTAL
(1)		$0			$0	$0	$0			$0	$0	$0
(2)		0			0	0	0			0	0	0
(3)		0			0	0	0			0	0	0
(4)		0			0	0	0			0	0	0
(5)		0			0	0	0			0	0	0
(6)		0			0	0	0			0	0	0
(7)		0			0	0	0			0	0	0
(8)		0			0	0	0			0	0	0
(9)		0			0	0	0			0	0	0
(10)		0			0	0	0			0	0	0
	TOTAL =					$0					$0	$0
	Please provide a complete breakdown for each consultant with rates for the number hours or days plus any proposed travel
	costs (including travel rates). Please obtain a signed letter of commitment which shows the base rate for each consultant.
	Supporting doucmentation may be requested at a later date.

Other Direct

SUMMARY OF OTHER DIRECT COSTS
Contractor's Name**
RFP No.**
			Period I			Period II			Period III			Period IV			Period V			Period VI			Period VII
		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit
	ITEM	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	TOTAL
1		$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00
2		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
3		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
4		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
5		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
6		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
7		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
8		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
9		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
10		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
11		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
12		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
13		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
14		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
15		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
16		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
17		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
18		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
19		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
20		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
21		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
22		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
23		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
24		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
25		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
26		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
27		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
28		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
29		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
30		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
	TOTAL =			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00	$0.00

Please use current catalog prices, or vendor quotes.

Supporting documentation may be requested at a later date.

&24&USUMMARY OF OTHER DIRECT COSTS

Patient Care

SUMMARY OF PATIENT CARE COSTS
Contractor's Name**
RFP No.**
			Period I			Period II			Period III			Period IV			Period V			Period VI			Period VII
		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit		Unit	Unit
	ITEM	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	Price	Quantity	Subtotal	TOTAL
1		$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00	0	$0.00	$0.00
2		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
3		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
4		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
5		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
6		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
7		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
8		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
9		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
10		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
11		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
12		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
13		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
14		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
15		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
16		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
17		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
18		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
19		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
20		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
21		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
22		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
23		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
24		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
25		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
26		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
27		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
28		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
29		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
30		0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00	0	0.00	0.00
	TOTAL =			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00			$0.00	$0.00

Please use current institutional costs or vendor quotes. Supporting

documentation may be requested at a later date.

&24&USUMMARY OF PATIENT CARE COSTS

Subcontracts

SUMMARY OF SUBCONTRACTOR COSTS
Contractor's Name**
RFP No.**
	SUBCONTRACT #	Period I	Period II	Period III	Period IV	Period V	Period VI	Period VII	TOTAL
(1)		$0	$0	$0	$0	$0	$0	$0	$0
(2)		0	0	0	0	0	0	0	0
(3)		0	0	0	0	0	0	0	0
(4)		0	0	0	0	0	0	0	0
(5)		0	0	0	0	0	0	0	0
(6)		0	0	0	0	0	0	0	0
(7)		0	0	0	0	0	0	0	0
(8)		0	0	0	0	0	0	0	0
(9)		0	0	0	0	0	0	0	0
(10)		0	0	0	0	0	0	0	0
	TOTAL =	$0	$0	$0	$0	$0	$0	$0	$0
	A complete breakdown and summary sheet for each proposed subcontract must
	be included with the prime proposal. The same format should be used for both
	the prime and subcontract proposals.

File details come from the government source that posted it. Updated Nov 26, 2024.