Attachment A - Exhibit A-5-a.xlsx
XLSX spreadsheet 26 KB Posted
- Attached to
- Preadmission Screening and Resident Review
- Solicitation number
- RFP-16853
- Issued by
- Leon County, Florida
About this file
This is an Excel spreadsheet (Exhibit A-5-a) submitted by the State of Florida, Agency for Health Care Administration, as part of the Preadmission Screening and Resident Review (PASRR) contract solicitation. The exhibit appears to contain detailed specifications, requirements, or operational data relevant to the PASRR program, which is designed to maintain and manage Florida's screening and resident review processes for long-term care facilities. The spreadsheet serves as a supporting document to define the scope of work, deliverables, or performance metrics that prospective vendors must address in their proposals for this contract opportunity.
The exhibit establishes baseline information or technical requirements necessary for vendors to understand the operational environment and expectations for managing the PASRR process statewide. As a supporting attachment to the formal solicitation issued on September 3, 2026, this spreadsheet is integral to the bidding process and would inform vendor responses regarding the scale, complexity, and specific deliverables required to successfully execute the contract. Prospective bidders should review this exhibit in conjunction with other solicitation documents to ensure full compliance with stated requirements and accurate cost proposals.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A - Exhibit A-5 - Cost Proposal.xlsx | XLSX spreadsheet | |
| Attachment A - Exhibit A-3.docx | DOCX document | |
| Attachment A - Exhibit A-4.docx | DOCX document | |
| AHCA RFP 001-2627 - PASRR.pdf | ||
| Attachment A - Exhibit A-2.docx | DOCX document | |
| Attachment A - Exhibit A-1.xlsx | XLSX spreadsheet | |
| Attachment A - Exhibit A-6.doc | DOC document | |
| Attachment A - Exhibit A-3-a.docx | DOCX document | |
| Attachment A - Exhibit A-5-a - V2.xlsx | XLSX spreadsheet | |
| AHCA RFP 001-2627 - Addendum No. 1.pdf |
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Text version
Detailed Budget
| The following proposed detailed budget shall include costs required for providing the services specified in this solicitation, and shall support and justify the costs as provided in Exhibit A-5, Cost Proposal. | ||||
| DESCRIPTION OF EXPENSES | IMPLEMENTATION PERIOD | YEAR ONE OPERATIONS | YEAR TWO OPERATIONS | YEAR THREE OPERATIONS |
| DIRECT PERSONNEL | ||||
| Salaries: | $0.00 | $0.00 | $0.00 | $0.00 |
| Fringe Benefits: | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Salaries Expense: | $0.00 | $0.00 | $0.00 | $0.00 |
| Temporary Personnel Services: | $0.00 | $0.00 | $0.00 | $0.00 |
| Contracted Personnel: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Personnel: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Personnel: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Personnel: | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 | $0.00 |
| OTHER DIRECT | ||||
| Office Supplies: | $0.00 | $0.00 | $0.00 | $0.00 |
| Postage, Shipping, Fulfillment: | $0.00 | $0.00 | $0.00 | $0.00 |
| Software, Hardware: | $0.00 | $0.00 | $0.00 | $0.00 |
| Equipment Rental/Purchase: | $0.00 | $0.00 | $0.00 | $0.00 |
| Office Rent (Occupancy): | $0.00 | $0.00 | $0.00 | $0.00 |
| Printing/Graphics (Materials): | $0.00 | $0.00 | $0.00 | $0.00 |
| Travel – Training: | $0.00 | $0.00 | $0.00 | $0.00 |
| Travel – Other: | $0.00 | $0.00 | $0.00 | $0.00 |
| Telephone Charges: | $0.00 | $0.00 | $0.00 | $0.00 |
| Professional Services: | $0.00 | $0.00 | $0.00 | $0.00 |
| Advertising: | $0.00 | $0.00 | $0.00 | $0.00 |
| Training, Licensing, Recruiting: | $0.00 | $0.00 | $0.00 | $0.00 |
| Legal, Taxes, Miscellaneous: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Direct: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Direct: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Direct: | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL OTHER DIRECT*: | $0.00 | $0.00 | $0.00 | $0.00 |
| DESCRIPTION OF EXPENSES | IMPLEMENTATION PERIOD | YEAR ONE OPERATIONS | YEAR TWO OPERATIONS | YEAR THREE OPERATIONS |
| CAPITAL | ||||
| Telecommunications Equipment: | $0.00 | $0.00 | $0.00 | $0.00 |
| Computer Equipment: | $0.00 | $0.00 | $0.00 | $0.00 |
| Furniture: | $0.00 | $0.00 | $0.00 | $0.00 |
| Installation/Construction: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL CAPITAL*: | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL OTHER DIRECT: | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL CAPITAL: | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL CONTRACT EXPENSES*: | $0.00 | $0.00 | $0.00 | $0.00 |
| DESCRIPTION OF EXPENSES | RENEWAL | |
| YEAR ONE OPERATIONS | RENEWAL | |
| YEAR TWO OPERATIONS | RENEWAL |
YEAR THREE OPERATIONS
| DIRECT PERSONNEL | ||||
| Salaries: | $0.00 | $0.00 | $0.00 | |
| Fringe Benefits: | $0.00 | $0.00 | $0.00 | |
| Total Salaries Expense: | $0.00 | $0.00 | $0.00 | |
| Temporary Personnel Services: | $0.00 | $0.00 | $0.00 | |
| Contracted Personnel: | $0.00 | $0.00 | $0.00 | |
| Other Personnel: | $0.00 | $0.00 | $0.00 | |
| Other Personnel: | $0.00 | $0.00 | $0.00 | |
| Other Personnel: | $0.00 | $0.00 | $0.00 | |
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 | |
| OTHER DIRECT | ||||
| Office Supplies: | $0.00 | $0.00 | $0.00 | |
| Postage, Shipping, Fulfillment: | $0.00 | $0.00 | $0.00 | |
| Software, Hardware: | $0.00 | $0.00 | $0.00 | |
| Equipment Rental/Purchase: | $0.00 | $0.00 | $0.00 | |
| Office Rent (Occupancy): | $0.00 | $0.00 | $0.00 | |
| Printing/Graphics (Materials): | $0.00 | $0.00 | $0.00 | |
| Travel – Training: | $0.00 | $0.00 | $0.00 | |
| Travel – Other: | $0.00 | $0.00 | $0.00 | |
| Telephone Charges: | $0.00 | $0.00 | $0.00 | |
| Professional Services: | $0.00 | $0.00 | $0.00 | |
| Advertising: | $0.00 | $0.00 | $0.00 | |
| Training, Licensing, Recruiting: | $0.00 | $0.00 | $0.00 | |
| Legal, Taxes, Miscellaneous: | $0.00 | $0.00 | $0.00 | |
| Other Direct: | $0.00 | $0.00 | $0.00 | |
| Other Direct: | $0.00 | $0.00 | $0.00 | |
| Other Direct: | $0.00 | $0.00 | $0.00 | |
| TOTAL OTHER DIRECT*: | $0.00 | $0.00 | $0.00 | |
| DESCRIPTION OF EXPENSES | RENEWAL | |||
| YEAR ONE OPERATIONS | RENEWAL | |||
| YEAR TWO OPERATIONS | RENEWAL |
YEAR THREE OPERATIONS
| CAPITAL | |||
| Telecommunications Equipment: | $0.00 | $0.00 | $0.00 |
| Computer Equipment: | $0.00 | $0.00 | $0.00 |
| Furniture: | $0.00 | $0.00 | $0.00 |
| Installation/Construction: | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 |
| TOTAL CAPITAL*: | $0.00 | $0.00 | $0.00 |
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 |
| TOTAL OTHER DIRECT: | $0.00 | $0.00 | $0.00 |
| TOTAL CAPITAL: | $0.00 | $0.00 | $0.00 |
| TOTAL CONTRACT EXPENSES*: | $0.00 | $0.00 | $0.00 |
| *The Agency reserves the right to request the return of any hardware, software, equipment and furniture purchased by the successful Vendor using funds from the resulting Contract. In the event the Agency does not desire to have the hardware, software, equipment and furniture returned, the successful Vendor may retain said ownership. |
Respondent Name
Authorized Official Signature Date
Authorized Official Printed Name
| Authorized Official Title |
| The Agency will evaluate renewal year proposals as part of the evaluation and scoring process. Proposed cost will be applied in the event the resulting contract is renewed. |
| Exhibit A-5-a, Detailed Budget, shall not include a cost that exceeds the maximum contract amount listed in Attachment A, Instructions and Special Conditions, Section 1., Instructions, Sub-Section1.1, Overview, Item 13., Type and Amount of Contract Contemplated. A response which contains a cost proposal that exceeds the Agency’s maximum contract amount will be rejected. |
| Failure to submit, Exhibit A-5-a, Detailed Budget, signed by an authorized official may result in the rejection of response. |
&"Arial,Bold"&14EXHIBIT A-5-a
DETAILED BUDGET && RATE CARD
&"Arial,Bold"AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a, Page &P of &N
Rate Card The following Rate Card shall be used to propose costs for any changes or modifications requested by the Agency that require additional staff commitments beyond what is required by the Contract.
Note: Hourly rates shall remain fixed for the first two (2) years of the Contract. For the remaining Contract term, including renewal years, the Vendor's hourly rate pricing shall not increase by more than five percent (5%) per Contract year, beginning in Contract Year 3.
| No. | Position Title | Position Description | Minimum Certifications & Qualifications | Hourly Rate |
| 1 | $0.00 | |||
| 2 | $0.00 | |||
| 3 | $0.00 | |||
| 4 | $0.00 | |||
| 5 | $0.00 | |||
| 6 | $0.00 | |||
| 7 | $0.00 | |||
| 8 | $0.00 | |||
| 9 | $0.00 | |||
| 10 | $0.00 | |||
| 11 | $0.00 | |||
| 12 | $0.00 | |||
| 13 | $0.00 | |||
| 14 | $0.00 | |||
| 15 | $0.00 | |||
| 16 | $0.00 | |||
| 17 | $0.00 | |||
| 18 | $0.00 | |||
| 19 | $0.00 | |||
| 20 | $0.00 | |||
| 21 | $0.00 | |||
| 22 | $0.00 | |||
| 23 | $0.00 | |||
| 24 | $0.00 | |||
| 25 | $0.00 | |||
| 26 | $0.00 | |||
| 27 | $0.00 | |||
| 28 | $0.00 | |||
| 29 | $0.00 | |||
| 30 | $0.00 |
&"AriL,Bold"&14EXHIBIT A-5-a&"AriL,Regular" &"AriL,Bold"DETAILED BUDGET && RATE CARD
&"Arial,Bold"AHCA RFP 001-26/27, Attachment A, Exhibit A-5-a, Page &P of &N
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