Attachment A-Cost Proposal Form Dietician GSNF C1942.xlsx

This is a Cost Proposal Form for Dietician Services at Glasgow State Nursing Facility submitted in response to RFP 729, Reference Number 2000000132. The document outlines a part-time Dietician Services contract with an initial term covering fiscal year 2021-2022. The form requests the vendor to provide an hourly rate for dietician services and calculate the associated costs based on the proposed rate. The contractor will be compensated for dietician services provided during the specified fiscal year period.

The cost proposal form requires vendors to submit their hourly rates for part-time dietician services with corresponding cost calculations for the FY21-22 period. The document includes signature lines for vendor authorization with fields for vendor name, printed name of signatory, title, and date of submission. The form indicates a total FY21-22 cost amount, though the specific dollar amount appears blank in this submission. The file references multiple related RFPs and cost proposal forms for various healthcare services, including facility laboratory services, managed care consulting services, actuarial services, and OIG Long Term Care Surveyor Training, suggesting this may be part of a larger state procurement package for healthcare facility services.