Att D - Cost Proposal - rtp.xlsx
XLSX spreadsheet 101 KB Posted
- Solicitation number
- 27-88516
- Issued by
- Marion County, Indiana
About this file
This is a Cost Proposal Attachment D for RFP 27-88516, Statewide Pharmacy Services for the Indiana Department of Correction. Respondents must complete this Excel-based cost proposal template by populating all yellow-shaded cells with pricing information across six cost components: Clinical Management Costs (excluding Staffing & Personnel), Pharmacy Operations, Staffing & Personnel Costs, Technology/EHR Integration/Reporting & Equipment, Education Costs, and Optional Value-Add Services. The initial contract term is three years, with two optional two-year renewal periods available. Cost proposals will be evaluated based on the Total Bid Amount for the three-year initial contract period; optional renewal years are excluded from the evaluation but will be used to calculate approximate continuation costs. All prices must be submitted for every component and are required to be all-inclusive with no additional costs accepted by the State.
Respondents must not alter cell formatting or add caveats to pricing, as doing so may result in disqualification of the cost score. Detailed line-item breakdowns are required for each cost category, with separate tabs provided for Staffing, Technology, Optional Value-Add Services, Clinical Management, Pharmacy Operations, and Education Costs. For subcontractor commitments, respondents must reference the Total Bid Amount when calculating commitment percentages. Year-over-year cost submissions are required for Years 1, 2, and 3 of the initial contract period, as well as combined two-year totals for each optional renewal period.
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Text version
Cost Proposal
| Attachment D Cost Proposal - 27-88516 |
| Statewide Pharmacy Services for Indiana Dept of Correction |
| RESPONDENT NAME |
| Instructions |
| (Initial 3-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 GREEN shaded boxes will be a pull through from the tabs below. 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 for years 1, 2 & 3. The Optional years will not be included within the total bid amount however they will be used for calculating approximate continuation of services in 2 year intervals. |
| Prices must be submitted for all components. |
| Listed prices must be all-inclusive. No additional costs will be accepted by the State. |
| Each component has a separate tab for you to specify what is included within that field. The totqal from each tab should be brought forward into Yearly column. |
| Cost Proposals will be evaluated based on the 3-year initial contract term, or Total Bid Amount. |
| For Subcontractor commitments, Respondents should use the Total Bid Amount in cell D26 when figuring the commitment percentage. |
| Respondent Cost Proposal | ||||||
| Component | Component Description | Year 1 | Year 2 | Year 3 | ||
| Optional 2 year renewal | ||||||
| (2 yr totals to be entered) | Additional Optional 2 year renewal (2 yr totals to be entered) |
| Clinical Management Cost(s) excluding Staffing & Personnel | Please break out the cost(s) that will be associated with Clinical Managemnt of this RFP | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Pharmacy Operations | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Staffing & Personnel Costs | Please use the tab labeled Staffing to list out each position and cost seperately | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Technology, EHR Integration, Reporting & Equipment | Please use the tab labeled Technology to breakdown each cost associated within this category | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Education Cost(s) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Optional Value-Add Services | Please use the tab labeled Optional Value-Add Services to breakdown any items that would be at an additional cost. | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Cost Per Year | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL BID AMOUNT | ||
| (3 year initial term) | $0.00 |
Clinical Management
| Clinical Management line item name | Clinical Management line item description | Cost for year 1 | Cost for year 2 | Cost for year 3 |
| Combined cost for optional 2 years (should reflect 2 yrs cost) | Combined cost for optional 2 years (should reflect 2 yrs cost) |
Total Cost per column: $0.00 $0.00 $0.00 $0.00 $0.00
Total Cost for 3 year contract: $0.00
Pharmacy Operations
| Pharmacy Operations line item name | Pharmacy Operations line item description | Cost for year 1 | Cost for year 2 | Cost for year 3 |
| Combined cost for optional 2 years (should reflect 2 yrs cost) | Combined cost for optional 2 years (should reflect 2 yrs cost) |
Total Cost per column: $0.00 $0.00 $0.00 $0.00 $0.00
Total Cost for 3 year contract: $0.00
Staffing
| Staffing line item name | Staffing line item description | Cost for year 1 | Cost for year 2 | Cost for year 3 |
| Combined cost for optional 2 years (should reflect 2 yrs cost) | Combined cost for optional 2 years (should reflect 2 yrs cost) |
Total Cost per column: $0.00 $0.00 $0.00 $0.00 $0.00
Total Cost for 3 year contract: $0.00
Technology
| Technology item name | Technology item description | Cost for year 1 | Cost for year 2 | Cost for year 3 |
| Combined cost for optional 2 years (should reflect 2 yrs cost) | Combined cost for optional 2 years (should reflect 2 yrs cost) |
Total Cost per column: $0.00 $0.00 $0.00 $0.00 $0.00
Total Cost for 3 year contract: $0.00
Education Cost(s)
| Education Cost(s) item name | Education Cost(s) item description | Cost for year 1 | Cost for year 2 | Cost for year 3 |
| Combined cost for optional 2 years (should reflect 2 yrs cost) | Combined cost for optional 2 years (should reflect 2 yrs cost) |
Total Cost per column: $0.00 $0.00 $0.00 $0.00 $0.00
Total Cost for 3 year contract: $0.00
Value Add options
| Value Add Options item name | Value Add Options item description | Cost for year 1 | Cost for year 2 | Cost for year 3 |
| Combined cost for optional 2 years (should reflect 2 yrs cost) | Combined cost for optional 2 years (should reflect 2 yrs cost) |
Total Cost per column: $0.00 $0.00 $0.00 $0.00 $0.00
Total Cost for 3 year contract: $0.00
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