Attachment A-Cost Proposal Form Dietician Revised.xlsx

XLSX spreadsheet 46 KB Posted

Attached to
Dietician - Glasgow State Nursing Facility (C2682)
Solicitation number
RFP 729 2100000192 1
Issued by
Anderson County, Kentucky

About this file

This is a Cost Proposal Form for RFP 729 related to Dietician Services at Glasgow State Nursing Facility. The contract solicitation seeks part-time dietician services with an estimated 800 hours during the initial term of FY22. The document serves as the pricing submission template for vendors interested in providing dietician services to the facility.

The cost proposal requires vendors to submit an hourly rate for part-time dietician services, with the total FY22 cost calculated by multiplying the proposed hourly rate by the estimated 800 hours. The form notes that the estimated 800 hours does not guarantee actual hours, which may be below or above this projection. Vendors must complete the proposal form with their company name, hourly rate, and authorized signatures from company representatives including printed name, title, and date before submission.

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Other files

File Type Posted
Attachment C-Medicare-Medicaid Acknowledgement.docx DOCX document
MOVEit TRANSFER Instructions for CHFS Vendor.docx DOCX document
No Bid Form.docx DOCX document
Attachment D-Credentials Acknowledgement.docx DOCX document
Final_RFP_729_2100000192_1_SO_FORM.PDF PDF
Attachment E-Dietician Short Form Revised.docx DOCX document
Attachment B-Insurance Acknowledgement.docx DOCX document

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Text version

Sheet1 Vendor Name:

INITIAL TERM FY22
ProjectPer hour rateMaximum Number of Hours (estimated)*FY22 Cost
Part-time Dietician Services800$0.00

Subtotals

The Contractor will be paid for Dietician Services provided.
*This is an estimated number and does not guarantee hours may be below or above 800Overall FY22
$0.00
Signature:
Printed Name:
Title:
Date:

&18COST PROPOSAL FORM RFP 729 2000000132

Dietician Glasgow State Nursing Facility

&18COST PROPOSAL FORM RFP 723 1900000240

OIG Long Term Care Surveyor Training

&18COST PROPOSAL FORM RFP 746 1800000253

MANGED CARE CONSULTING SERVICES

APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064

ACTUARIAL SERVICES

APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064

ACTUARIAL SERVICES

&18COST PROPOSAL FORM RFP 746 1800000253

MANGED CARE CONSULTING SERVICES

&18COST PROPOSAL FORM RFP 727 20000000187

Facility Laboratory Services

&18COST PROPOSAL FORM RFP 729 2100000192

Dietician Glasgow State Nursing Facility

&18COST PROPOSAL FORM RFP 729 2100000192

Dietician Glasgow State Nursing Facility

Sheet2

Sheet3

File details come from the government source that posted it. Updated .