Attachment A-Cost Proposal Form Dietician GSNF C2682 FY22 Final.xlsx

This is a cost proposal form for dietician services at Glasgow State Nursing Facility under RFP 729 2100000074 for the initial term of Fiscal Year 2022. The solicitation seeks part-time dietician services with an estimated 800 hours per fiscal year. The form requires vendors to submit a per-hour rate for the dietician services, with the total FY22 cost calculated by multiplying the hourly rate by the estimated 800 annual hours. The document notes that the estimated hours do not guarantee utilization of the full amount, and additional hours may be required as necessary based on facility needs.

The cost proposal form requires vendors to complete pricing for part-time dietician services and include vendor name, signature, printed name, title, and date of submission. The spreadsheet references multiple other RFPs and cost proposal forms for related 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 broader procurement package or serve as a template document. Vendors must provide their hourly rate with no predetermined cost shown, allowing the state to evaluate pricing competitively based on submitted proposals.