Attachment A - Exhibit A-5.docx

This is a cost proposal exhibit form (Exhibit A-5) issued by the State of Florida's Agency for Health Care Administration (AHCA) for an organ and tissue donor registry and education program solicitation (RFQ 015-25/26). The document serves as the official price sheet where respondents must propose a fixed cost for implementation activities to be completed within three months of contract execution. Respondents are required to complete the form by entering their proposed fixed implementation cost, the prospective vendor's name, the name and title of an authorized official, the official's signature, and the submission date.

The cost proposal must not exceed the not-to-exceed amount specified in Attachment A, Instructions and Special Conditions, Section A.1, Overview, Item 13, which details the type and amount of contract contemplated. Any response containing a cost proposal that exceeds the agency's stated not-to-exceed amount will be rejected. The form explicitly warns that proposals with costs above the maximum threshold are non-responsive and will be disqualified from consideration.