The file's text, extracted by GovTribe without its formatting.
PRICE TEMPLATE
| ATTACHMENT #4 - PRICE TEMPLATE | *MUST COMPLETE THESE CELLS |
| RFQ No.: NIH-NINDS-CSS-22-000015 | |
| *ONLY COMPLETE IF NECESSARY |
IMPORTANT: RESPONDENTS ARE NOT REQUIRED TO PROPOSE CONSULTANTS FOR ALL SME AREAS
| AND MAY PROPOSE ONE OR MORE CONSULTANTS FOR ONE OR MORE SME AREAS. THE GOVERNMENT |
| ANTICIPATES 2-3 CONSULTANTS WILL BE REQUIRED PER SME AREA |
Contractor's Name:
| | BASE PERIOD |
| 12/3/2021 - 12/2/2022 | OPTION PERIOD ONE | |
| 12/3/2022 - 12/2/2023 | OPTION PERIOD TWO | |
12/3/2023 - 12/2/2024
| Performance Area 1 - CMC SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 1 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 1 SMEs
Perf. Area 1 - TOTAL $ - 0
| Performance Area 2 - PK/PD and ADME SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 2 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 2 SMEs
Perf. Area 2 - TOTAL $ - 0
| Performance Area 3 - Toxicology SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 3 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 3 SMEs
Perf. Area 3 - TOTAL $ - 0
| Performance Area 4 - Bioassay Development SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 4 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 4 SMEs
Perf. Area 4 - TOTAL $ - 0
| Performance Area 5 - Regulatory Affairs and Regulatory Operations SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 5 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 5 SMEs
Perf. Area 5 - TOTAL $ - 0
| Performance Area 6 - Medical Writing SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 6 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 6 SMEs
Perf. Area 6 - TOTAL $ - 0
| Performance Area 7 - Biostatistics SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 7 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 7 SMEs
Perf. Area 7 - TOTAL $ - 0
| Performance Area 8 - Quality Assurance SME(s) | | | |
| Fully Burdened Labor Rate -$ per hr | | | |
| Fully Burdened Labor - Est. (20 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Optional (up to 780 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| Fully Burdened Labor - Additional* | | | |
| Fully Burdened Labor - Total (800 Hrs) | $ - 0 | $ - 0 | $ - 0 |
| ODCs - Travel | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| ODCs - Additional* | | | |
| ODCs - Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| Fully Burdened Labor Total + ODC Total | $ 1,200.00 | $ 1,200.00 | $ 1,200.00 |
| | Perf. Area 8 Per-SME Amount | $ 3,600.00 |
Number of Proposed Perf. Area 8 SMEs
Perf. Area 8 - TOTAL $ - 0
TOTAL PRICE FOR ALL PROPOSED SMEs $ - 0
| NOTES: |
| 1. Respondents must certify compliance with HHS Salary Rate Limitation in Attachment 3 - Representations |
and Certifications."
| 2. Fully burdened labor rates include wages, fringe benefits, overhead, G&A expenses, and profit. |
| 3. Other Direct Costs (ODCs) are costs not previously |
identified as a direct material cost, direct labor cost, or indirect cost.
| 4. Respondents may add rows for additional proposed personnel and/or ODCs as necessary. |
| 5. Respondents must include separate price narrative for any additional proposed personnel or ODCs besides travel. |
| This narrative must explain why they believe the additional personnel and/or ODCs are necessary to fulfill this requirement. |
| 6. Respondents must document any price-related assumptions that are not covered by this template in a separate price narrative. |