Att D - Cost Proposal.xlsx
XLSX spreadsheet 90 KB Posted
- Attached to
- ISPHN Centralized Billing OfficeBid Documents State and local contract opportunity
- Solicitation number
- RFP 26-86529
- Issued by
- Indiana
About this file
This is a Cost Proposal form for RFP 25-82969, a state contract opportunity involving multiple healthcare facilities. The contract requires respondents to provide pricing for centralized billing office and cost report services across six facilities: Richmond State Hospital, Evansville State Hospital, Evansville Psychiatric Children's Center, Madison State Hospital, Logansport State Hospital, and NeuroDiagnostic Institute. Each service component is measured in monthly units with 12 months per year. The initial contract period spans four years from July 1, 2026 through June 30, 2030, with optional renewal periods for two additional one-year extensions (July 1, 2030 through June 30, 2032).
Respondents must submit all-inclusive pricing for all components with no additional costs permitted following contract award. Pricing must be entered in designated yellow-shaded cells for each year of the initial four-year term and optional extension years, with the Total Bid Amount automatically calculated from annual submissions. Cost proposals will be evaluated based on the four-year initial term total. Respondents with MBE/WBE subcontractor commitments should use the Total Bid Amount when calculating commitment percentages. The form explicitly prohibits alterations to formatting, caveats to pricing, or additional information in cells, as such modifications may result in cost score disqualification.
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Text version
Cost Proposal
| RESPONDENT NAME |
| RFP 25-82969 |
| (Initial 4-year Contract Period) |
| Please populate ALL cells shaded in YELLOW. Please do NOT alter the formatting of the cells or add caveats to your pricing or to the cells -- as this may potentially put your cost score at risk of disqualification. The TOTAL BID AMOUNT will be the sum on which your cost proposal will be evaluated. This amount will be automatically calculated based on the amounts entered in the previous cells. Please do not alter or enter any information on this tab. |
| Prices must be submitted for all components. |
| Estimated UOMs provided in Column E are provided for evaluation purposes only. Actual work performed under the resulting contract may be more or less than the provided estimates. |
| Listed prices must be all-inclusive. No additional costs will be accepted by the State. |
| Cost Proposals will be evaluated based on the four-year initial term, or Total Bid Amount. Please also provide pricing for optional two (2) one-year extensions. |
| For MBE/WBE Subcontractor commitments, Respondents should use the Total Bid Amount in cell F30 when figuring the commitment percentage. |
| Respondent Cost Proposal | ||||||
| Component | Component Description | Unit of Measurement (UOM) | UOM per Year | Year 1 | ||
| 7/1/26-6/30/27 | Year 2 | |||||
| 7/1/27-6/30/28 | Year 3 | |||||
| 7/1/28-6/30/29 | Year 4 | |||||
| 7/1/29-6/30/30 | Optional Year 1 | |||||
| 7/1/30-6/30/31 | Optional Year 2 |
7/1/31-6/30/32
| Centralized Billing Office | Richmond State Hospital | Month | 12 | ||||||
| Evansville State Hospital | Month | 12 | |||||||
| Evansville Psychiatric Children's Center | Month | 12 | |||||||
| Madison State Hospital | Month | 12 | |||||||
| Logansport State Hospital | Month | 12 | |||||||
| NeuroDiagnostic Institute | Month | 12 | |||||||
| Cost Report | Richmond State Hospital | Month | 12 | ||||||
| Evansville State Hospital | Month | 12 | |||||||
| Evansville Psychiatric Children's Center | Month | 12 | |||||||
| Madison State Hospital | Month | 12 | |||||||
| Logansport State Hospital | Month | 12 | |||||||
| NeuroDiagnostic Institute | Month | 12 | |||||||
| Total Cost Per Year | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL BID AMOUNT | |
| (4 year initial term) | $0.00 |
File details come from the government source that posted it. Updated .