Attachment C - Budget Template~1.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- 24PMOPRTCLNCLSFTYRSKSTE - RFR for Clinical and Safety Risk Assessment Sites, Staffing, and Related
- Solicitation number
- BD-24-1039-EHS01-ASHWA-96819
- Issued by
- Norfolk County, Massachusetts
About this file
This document is an Attachment C - Budget Template for a Request for Response (RFR) issued by the Executive Office of Health and Human Services (EOHHS) in Massachusetts. The RFR is for the procurement of one or more qualified vendors to operate and staff one or more Clinical and Safety Risk Assessment (CSRA) Sites. The budget template provides a detailed line-item breakdown of the expected expenses, including direct care/program staff, occupancy, other direct care/program costs, and administrative expenses. The contract opportunity is for the provision of staffing and services related to the CSRA Sites.
The budget template indicates that the billed costs and expenditures shall be on a time and materials basis, with a maximum 10% mark-up over the contractor's actual incurred expenses. The contractor's budget and invoicing for the physical CSRA Sites, if applicable, shall not exceed the actual cost of the CSRA Site.
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Text version
Budget Template
| Attachment C - Budget Template |
| Clinical Safety and Risk Assessment Sites |
| Organization name: |
| FTE | Monthly Expenses | Narrative: Provide justification for each line with cost | |
| Direct Care/Program Staff | |||
| Program Director | |||
| Assistant Program Director | |||
| Operations Supervisor | |||
| Medical Director | |||
| Registered Nurse | |||
| Caseworker/Manager | |||
| Program Secretarial, Clerical | |||
| Program Support | |||
| Caseworker/Manager | |||
| Other Direct Care Staff | |||
| SUBTOTAL STAFF | |||
| Payroll Taxes | |||
| Fringe Benefits | |||
| Total Direct Care/Program Staff | |||
| Occupancy | |||
| Program Facilities | |||
| Fac. Oper/Main/Furn | |||
| Total Occupancy | |||
| Direct Care Consultants | |||
| Temporary Help | |||
| Clients/Caregivers, Reimb/Stipends | |||
| Staff Training | |||
| Staff Mileage/Travel | |||
| Subcontracted Dir. Care | |||
| Meals | |||
| Contracted Client Trans. | |||
| Vehicle Expenses | |||
| Vehicle Depreciation | |||
| Incid. Health/Med Care | |||
| Client Per. Allowance | |||
| Prov. of Material Goods | |||
| Data Processing | |||
| Other Commercial Prod. & Svs. | |||
| Program Supplies/Mat | |||
| Total Other Direct | |||
| Care/Program | |||
| Direct Admin Expenses | |||
| Program Support | |||
| Other Direct Administrative Expenses | |||
| Total Direct Administrative Expenses | |||
| SUBTOTAL PROGRAM COSTS | |||
| Agency Admin. | |||
| Support Allocation % | |||
| PROGRAM TOTAL |
*Billed costs and expenditures shall be on a time and materials basis and may not contain more than a 10% mark-up over the Contractor’s actual incurred expenses. The Contractor’s budget and invoicing for the physical CSRA Sites, if applicable, shall not exceed the actual cost of the CSRA Site
Attachment C - Budget Template
Clinical and Safety Risk Assessment Sites Staffing and Services RFR &P of &N
File details come from the government source that posted it. Updated .