Attachment D - Price Proposal.pdf
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- Attached to
- Fee-for-Service Representative Payee Services for ODHS' Office of Developmental Disabilities Service
- Solicitation number
- S-10000-00001153
- Issued by
- Lane County, Eugene City, Oregon
About this file
This document is the Price Proposal Form for RFP S-10000-00001153 issued by the Oregon Department of Human Services' (ODHS) Office of Developmental Disabilities Services (ODDS) and its Stabilization and Crisis Unit (SACU) for Fee-for-Service Representative Payee Services. The RFP seeks contractors to provide this service for beneficiaries of Social Security and/or Supplemental Security Income benefits who have intellectual and/or developmental disabilities and live in homes operated by ODDS SACU, which includes jurisdictions in Lane County and the City of Eugene.
The Price Proposal Form requests the proposer to provide their monthly fee per individual who is a beneficiary living in an SACU Home, as well as the proposer's discount percentage for multiple individuals in the same home and any fee structure for expedited requests or other additional fees. The Price Proposal will be scored as part of the overall evaluation criteria outlined in the RFP.
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Text version
RFP S-10000-00001153 – Fee-for-Service Representative Payee Services Attachment D
S-10000-00001153 (5269) / l.thomas Page 1 of 1
ATTACHMENT D – PRICE PROPOSAL FORM
Proposer name: _________________________________________________________________________________________
Using a form substantially the same as this Attachment D “Price Proposal Form”, Proposer will submit an Attachment D as part of the Proposal Package.
The Price Proposal will be assigned points and scored as described in subsection 3.11.6 “Price
Evaluation” of the RFP Document.
1. Proposed monthly fee per Individual who is a Beneficiary living in an SACU Home. ___________________________________________________ $
2. Proposer’s discount percentage for multiple Individuals in the same Home. $ _______________________ per Individual.
3. Proposer’s fee structure for expedited requests or any other additional fees per service.
Name of person completing Price Proposal Date Prepared
File details come from the government source that posted it. Updated .