Attachment A - Exhibit A-7.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- RFP-16336
- Issued by
- Leon County, Florida
About this file
This is Exhibit A-7, a detailed budget template for operations and maintenance (O&M) costs submitted in response to AHCA RFP 015-25/26 issued by the State of Florida, Agency for Health Care Administration, for the development and operation of a web-based organ and tissue donor registry and education program. The budget template is designed to capture all O&M costs required to operate the Registry and education program following implementation, organized across five years of initial contract performance and five renewal years. The document requires respondents to detail expenses across three primary categories: Direct Personnel (including salaries, temporary personnel services, contracted personnel, and other personnel costs); Other Direct costs (including software, hardware, advertising, licensing, legal, taxes, and miscellaneous expenses); and Capital costs (including computer equipment, installation/construction, and other capital items). Each cost category must be itemized with annual projections for Years One through Five of the contract term and Renewal Years One through Five.
The document is a blank budget template with all line items showing $0.00 across all budget periods, indicating this is a form that respondents must complete with their proposed costs. Respondents must ensure that total proposed expenses do not exceed the estimated contract amount specified in Attachment A, Instructions and Special Conditions, Section A.1. Submission of the completed Exhibit A-7 signed by an authorized official is mandatory, and failure to submit the signed detailed budget may result in rejection of the response. The template includes a standard provision reserving the Agency's right to request return of any hardware, software, equipment, and furniture purchased with contract funds, with ownership reverting to the vendor if the Agency does not require return of such items.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A - Exhibit A-5.docx | DOCX document | |
| Attachment A - Exhibit A-4.docx | DOCX document | |
| Attachment A - Exhibit A-9.docx | DOCX document | |
| AHCA RFQ 015-2526_Addendum No. 3.pdf | ||
| Attachment A - Exhibit A-3.docx | DOCX document | |
| Attachment A - Exhibit A-1.xlsx | XLSX spreadsheet | |
| Attachment A - Exhibit A-10.pdf | ||
| Attachment A - Exhibit A-8.doc | DOC document | |
| Attachment A - Exhibit A-6.xlsx | XLSX spreadsheet | |
| Attachment A - Exhibit A-2.docx | DOCX document | |
| AHCA RFP 015-2526 Organ and Tissue Donor.pdf | ||
| AHCA RFP 015-2526 - Addendum No. 1.pdf | ||
| AHCA RFQ 015-2526_Addendum No. 2.pdf | ||
| Attachment A - Exhibit A-3-a.docx | DOCX document |
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Text version
O&M
| The following proposed detailed budget shall include costs required for operations and maintenance (O&M) of the Registry and education program, in accordance with Attachment B, Scope of Services, following the implementation of the Registry. | |||||
| DESCRIPTION OF EXPENSES | YEAR ONE O&M | YEAR TWO O&M | YEAR THREE O&M | YEAR FOUR O&M | YEAR FIVE O&M |
| DIRECT PERSONNEL | |||||
| Salaries: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Salaries Expense: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Temporary Personnel Services: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Contracted Personnel: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Personnel: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Insert additional rows above as needed | |||||
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| OTHER DIRECT | |||||
| Software, Hardware: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Advertising: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Licensing: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Legal, Taxes, Miscellaneous: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Direct: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Insert additional rows above as needed | |||||
| TOTAL OTHER DIRECT*: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| CAPITAL | |||||
| Computer Equipment: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Installation/Construction: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Insert additional rows above as needed | |||||
| TOTAL CAPITAL*: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL OTHER DIRECT: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL CAPITAL: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL CONTRACT EXPENSES*: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| DESCRIPTION OF EXPENSES | RENEWAL | |
| YEAR ONE O&M | RENEWAL | |
| YEAR TWO O&M | RENEWAL | |
| YEAR THREE O&M | RENEWAL | |
| YEAR FOUR O&M | RENEWAL |
YEAR FIVE O&M
| DIRECT PERSONNEL | |||||
| Salaries: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total Salaries Expense: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Temporary Personnel Services: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Contracted Personnel: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Personnel: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Insert additional rows above as needed | |||||
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| OTHER DIRECT | |||||
| Software, Hardware: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Advertising: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Licensing: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Legal, Taxes, Miscellaneous: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Direct: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Insert additional rows above as needed | |||||
| TOTAL OTHER DIRECT*: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| CAPITAL | |||||
| Computer Equipment: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Other Capital: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Insert additional rows above as needed | |||||
| TOTAL CAPITAL*: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL DIRECT PERSONNEL: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL OTHER DIRECT: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL CAPITAL: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL CONTRACT EXPENSES*: | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Respondent Name
Authorized Official Signature Date
Authorized Official Printed Name
Authorized Official Title
| *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. |
| Exhibit A-7, Detailed Budget, should not include costs that exceed the estimated contract amount listed in Attachment A, Instructions and Special Conditions, Section A.1., Instructions, Sub-Section A., Overview, Item 13., Type and Amount of Contract Contemplated. |
| Failure to submit, Exhibit A-7, Detailed Budget, signed by an authorized official may result in the rejection of response. |
&"Arial,Bold"EXHIBIT A-7
DETAILED BUDGET - OPERATIONS & MAINTENANCE
&"-,Bold"AHCA RFP 015-25/26, Exhibit A-7, Page &P of &N
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