Budget Template Spreadsheet.xls

XLS spreadsheet 289 KB Posted

Attached to
RFP - Burn Wound Imaging Technology Federal contract opportunity
Solicitation number
75A50123R00002
Issued by
Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response

About this file

This document provides a budget template spreadsheet to assist in preparing a cost proposal for a federal government contract opportunity. The template includes worksheets for direct labor costs tracked by percent of effort or hourly rates, fringe benefits, indirect rates, materials and supplies, travel, equipment, consultants, and other direct costs such as patient care and subcontracts. Detailed instructions are provided for completing each section of the template to develop a full cost proposal summarizing direct costs, overhead, General and Administrative costs, fee, and total proposed costs by period of performance. Supporting documentation for labor rates, travel estimates, equipment quotes, and consultant commitments may be requested later to substantiate the proposed costs.

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Other files for this federal contract opportunity

Other files attached to RFP - Burn Wound Imaging Technology, newest first.
File Type Posted
Purchase vs Lease Template_Optional.xlsx XLSX spreadsheet
Amendment 1 - RFP Questions and Answers.pdf PDF
75A50123R00002 SF33.pdf PDF
RFP for Burn Wound Imaging Technology.pdf PDF

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INSTRUCTIONS

OMB Control No. 9000-0013

&A Page &P How to use this Excel file:

Important: Please save this file on your computer before attempting to insert data. Otherwise, you may be prompted for a user name and a password and you will lose all data which you have inserted.

This worksheet is intended to help you prepare your cost proposal. If you provide us with an electronic copy of the cost proposal, we can save time by not recreating it. This will help speed up the review/award process and perhaps reduce the number of questions we need to ask in order to understand your proposal. We understand that one spreadsheet format can not fit every situation; however, we have attempted to create a simple model that fits most circumstances that arise in Government contracting. Feel free to modify the spreadsheet to fit your circumstances, and to use the parts that work for you. There are more specific instructions on specific cost element pages where applicable.

Summary Page Please insert your organization's name in cell A2 and the RFP No. in cell A3.

The totals from each cost element page are automatically carried forward to the Summary worksheet. Enter the start date of the contract in cell C5.

This Excel file is set up for seven periods.

Direct Labor Use the Labor - Percent of Effort worksheet if you track labor on a percent of effort basis. Generally, Universities, Hospitals, and Non-Profit Organizations tract labor by percent of effort.

Use the Labor - Hourly worksheet if you track labor on an hourly basis. Commercial organizations track labor on an hourly basis.

Use both pages if you track some employees by each method. Please do not put any employee on both pages.

The proposed amounts must be based on current payroll information which shows hourly, monthly, or annual rate/salary for each proposed (named) individuals. Acceptable documentation includes any one of the following: 1) personnel action forms, or 2) most recent payroll register showing name, pay rate, and percent of effort if applicable, or 3) copy of pay stub. Supporting documentation may be requested at a later date.

If the proposed positions have not been filled or are to be named or hired, then acceptable documentation includes the following: 1) letter of intent to hire including salary rate and title, or 2) position descriptions and salary scales or organizational wage table showing salary range and a copy of hiring policy, or 3) a comparable employee's payroll document. Supporting documentation may be requested at a later date. Increases for the to be named or hired are not eligible for increases in the first period.

Indirect Rates Including Fringe Benefit Rate(s) for Commercial Organizations

Points of Contact

SUMMARY

SUMMARY OF PROPOSED COSTS
** Contractor's Name
** RFP No.
PERIOD IPERIOD IIPERIOD IIIPERIOD IVPERIOD VPERIOD VIPERIOD VIITOTAL
*** Period ( dates)1/1/031/1/041/1/051/1/061/1/071/1/081/1/09
ThroughThroughThroughThroughThroughThroughThrough
12/31/0312/31/0412/31/0512/31/0612/31/0712/31/0812/31/09
Direct Labor - Percent of Effort$0$0$0$0$0$0$0$0
Fringe Benefits - Percent of Effort00000000
Direct Labor - Hourly00000000
Fringe Benefits - Hourly00000000
Total Direct Labor & Fringe Benefits$0$0$0$0$0$0$0$0
* Overhead0%$00%$00%$00%$00%$00%$00%$0$0
Materials and Supplies$0$0$0$0$0$0$0$0
Professional Travel00000000
Equipment00000000
Consultants00000000
Other Direct Costs00000000
Patient Care Costs00000000
Subcontracts00000000
Total Other Direct Costs$0$0$0$0$0$0$0$0
Subtotal: Direct Labor, Fringe Benefits, Overhead , & Other Directs$0$0$0$0$0$0$0$0
*Exclusion(s) From Base For G&A00000000
*Adjusted Base for G&A$0$0$0$0$0$0$0$0
*G&A0%00%00%00%00%00%00%00
Total Proposed Cost Excluding Fee00000000
Proposed Fee/Profit0%00%00%00%00%00%00%00
Total Proposed Cost Plus Fee/Profit$0$0$0$0$0$0$0$0
*
**
***

Not all organizations allocate indirect cost in the same way. It is important that you use the indirect rate structure applicable to your organization. For example, if you have a three tier indirect rate structure, then you will use a three tier structure when proposing indirect costs.

Generally, Universities and Non-Profits have fringe benefit and G&A (or sometimes called F&A) rates, while For-Profit Companies can have various indirect rates such as fringe benefits, overhead, G&A, etc.

The base for overhead costs includes direct labor and fringe benefits. Please modify if your base is different.

If applicable, insert exclusions to the G&A base in row 26.

Please insert the Company's name and the RFP #.

Enter the contract start date in cell C5 and make adjustments for leap year.

LABOR - Percent of Effort

SUMMARY OF DIRECT LABOR
AND FRINGE BENEFITS
PERCENT OF EFFORT
** Contractor's NamePERIOD I*PERIOD II*PERIOD III*PERIOD IV*PERIOD V*PERIOD VI*PERIOD VII*
** RFP No.1/1/03Through12/31/031/1/04Through12/31/041/1/05Through12/31/051/1/06Through12/31/061/1/07Through12/31/071/1/08Through12/31/081/1/09Through12/31/09TOTALTOTAL
CURRENTADJUSTEDPERCENT OFNUMBERSALARYFRINGEFRINGEPERCENT OFNUMBERSALARYFRINGEFRINGEPERCENT OFNUMBERSALARYFRINGEFRINGEPERCENT OFNUMBERSALARYFRINGEFRINGEPERCENT OFNUMBERSALARYFRINGEFRINGEPERCENT OFNUMBERSALARYFRINGEFRINGEPERCENT OFNUMBERSALARYFRINGEFRINGESALARYFRINGE
EMPLOYEEPOSITIONBASE SALARYBASE SALARYEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTCOSTCOST
1$0$00%12.00$00%$00%12.00$00%$00%12.00$00%$00%12.00$00%$00%12.00$00%$00%12.00$00%$00%12.00$00%$0$0$0
2000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
3000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
4000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
5000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
6000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
7000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
8000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
9000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
10000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
11000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
12000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
13000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
14000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
15000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
16000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
17000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
18000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
19000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
20000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
21000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
22000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
23000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
24000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
25000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
26000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
27000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
28000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
29000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
30000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
31000%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%00%12.0000%000
SUBTOTALS =0%$0$00%$0$00%$0$00%$0$00%$0$00%$0$00%$0$0$0$0
ANNUAL INCREASE FACTOR:0.00%
ANNUAL INCREASE DATE:00/00/00
NUMBER OF MONTHS AT NEXT ANNUAL INCREASE0
*Adjust the number of months per period as recommended in the RFP.

Page &P THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED TO CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

(Use of these cells will affect all of the adjusted base salary column; if individual anniversary dates differ, the adjusted base salaries must be entered individually in Column "D" of the spreadsheet and explained in the budget justification) Insert annual CPI % and/or merit increases as applicable and explain the % in the budget justification.

Insert annual increase date.

Insert number of months using the new salary.

LABOR - Hourly

SUMMARY OF DIRECT LABOR
AND FRINGE BENEFITS
Hourly Rates
** Contractor's NamePERIOD I*PERIOD II*PERIOD III*PERIOD IV*PERIOD V*PERIOD VI*PERIOD VII*
** RFP No.1/1/03Through12/31/031/1/04Through12/31/041/1/05Through12/31/051/1/06Through12/31/061/1/07Through12/31/071/1/08Through12/31/081/1/09Through12/31/09TOTALTOTAL
CURRENT BASEADJUSTEDNUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGESALARYFRINGE
EMPLOYEEPOSITIONHOURLY RATEHOURLY RATEHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTCOSTCOST
1$0.00$0.000.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$0$0$0
20.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
30.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
40.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
50.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
60.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
70.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
80.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
90.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
100.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
110.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
120.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
130.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
140.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
150.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
160.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
170.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
180.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
190.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
200.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
210.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
220.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
230.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
240.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
250.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
260.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
270.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
280.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
290.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
300.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
310.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
SUBTOTALS =0.00$0$00.00$0$00.00$0$00.00$0$00.00$0$00.00$0$00.00$0$0$0$0
NUMBER OF HOURS FOR FULL TIME EQUIVALENT:0
ANNUAL INCREASE FACTOR:0.00%
ANNUAL INCREASE DATE:00/00/00
NUMBER OF MONTHS AT NEXT ANNUAL INCREASE0
*Adjust the number of months per period as recommended in the RFP.

Page &P THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED TO CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

(Use of these cells will affect all of the adjusted base salary column; if individual anniversary dates differ, the adjusted base salaries must be entered individually in Column "D" of the spreadsheet and explained in the budget justification) Insert annual increase date.

Insert annual CPI % and/or merit increases as applicable and explain the % in the budget justification.

Insert number of months using the new salary.

Insert your direct work year.

Materials

SUMMARY OF MATERIALS AND SUPPLIES
** Contractor's Name
** RFP No.
Period IPeriod IIPeriod IIIPeriod IVPeriod VPeriod VIPeriod VII
UnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
ITEMPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
1$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.00
20.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
30.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
40.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
50.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
60.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
70.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
80.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
90.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
100.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
110.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
120.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
130.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
140.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
150.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
160.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
170.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
180.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
190.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
200.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
210.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
220.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
230.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
240.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
250.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
260.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
270.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
280.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
290.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
300.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
TOTAL =$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

&L&24&USUMMARY OF MATERIALS AND SUPPLIES

Page &P Please use current catalog, historical documentation, or vendor quotes. Supporting documentation may be requested at a later date.

Travel

SUMMARY OF TRAVEL COSTS
** Contractor's Name
** RFP No.
Cost ElementPeriod IPeriod IIPeriod IIIPeriod IVPeriod VPeriod VIPeriod VIITOTAL
Trip #1111111
Site
Reason
Airfare$0$0$0$0$0$0$0
Lodging0000000
Meals0000000
Incidentals0000000
Ground Transport0000000
Total Per Trip$0$0$0$0$0$0$0
No. of persons0000000
SUBTOTAL =$0$0$0$0$0$0$0$0
Trip #2222222
Site
Reason
Airfare$0$0$0$0$0$0$0
Lodging0000000
Meals0000000
Incidentals0000000
Ground Transport0000000
Total Per Trip$0$0$0$0$0$0$0
No. of persons0000000
SUBTOTAL =$0$0$0$0$0$0$0$0
Trip #3333333
Site
Reason
Airfare$0$0$0$0$0$0$0
Lodging0000000
Meals0000000
Incidentals0000000
Ground Transport0000000
Total Per Trip$0$0$0$0$0$0$0
No. of persons0000000
SUBTOTAL =$0$0$0$0$0$0$0$0
TOTAL COST BY PERIOD =$0$0$0$0$0$0$0$0

Page &P Please review the RFP for the recommended number of trips and destinations if applicable. Please use the company or institutional travel policy unless current Government Per Diem rates are utilized. Please use current vendor quotes for airfare and other travel costs. Supporting documentation may be requested at a later date.

Equipment

SUMMARY OF EQUIPMENT COSTS
** Contractor's Name
** RFP No.
Period IPeriod IIPeriod IIIPeriod IVPeriod VPeriod VIPeriod VII
UnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
ITEMPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
1$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.00
20.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
30.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
40.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
50.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
60.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
70.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
80.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
90.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
100.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
110.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
120.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
130.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
140.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
150.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
160.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
170.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
180.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
190.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
200.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
210.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
220.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
230.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
240.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
250.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
260.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
270.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
280.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
290.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
300.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
TOTAL =$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

&L&24&USUMMARY OF EQUIPMENT COSTS

Page &P All proposed equipment costs should include a justification and be based on current vendor quotes. Supporting documentation may be requested at a later date.

Consultants

SUMMARY OF CONSULTANT COSTS
** Contractor's Name
** RFP No.
Period IPeriod IIPeriod III
CONSULTANTRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotal
(1)$0$0$0$0$0$0$0$0$0
(2)000000000
(3)000000000
(4)000000000
(5)000000000
(6)000000000
(7)000000000
(8)000000000
(9)000000000
(10)000000000
TOTAL =$0$0$0
Period IVPeriod V
CONSULTANTRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotal
(1)$0$0$0$0$0$0
(2)000000
(3)000000
(4)000000
(5)000000
(6)000000
(7)000000
(8)000000
(9)000000
(10)000000
TOTAL =$0$0
Period VIPeriod VII
CONSULTANTRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalTOTAL
(1)$0$0$0$0$0$0$0
(2)0000000
(3)0000000
(4)0000000
(5)0000000
(6)0000000
(7)0000000
(8)0000000
(9)0000000
(10)0000000
TOTAL =$0$0$0

Page &P Please provide a complete breakdown for each consultant with rates for the number hours or days plus any proposed travel costs (including travel rates). Please obtain a signed letter of commitment which shows the base rate for each consultant. Supporting doucmentation may be requested at a later date.

Other Direct

SUMMARY OF OTHER DIRECT COSTS
** Contractor's Name
** RFP No.
Period IPeriod IIPeriod IIIPeriod IVPeriod VPeriod VIPeriod VII
UnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
ITEMPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
1$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.00
20.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
30.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
40.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
50.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
60.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
70.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
80.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
90.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
100.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
110.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
120.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
130.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
140.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
150.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
160.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
170.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
180.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
190.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
200.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
210.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
220.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
230.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
240.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
250.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
260.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
270.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
280.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
290.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
300.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
TOTAL =$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

&L&24&USUMMARY OF OTHER DIRECT COSTS

Page &P Please use current catalog prices, or vendor quotes. Supporting documentation may be requested at a later date.

Patient Care

SUMMARY OF PATIENT CARE COSTS
** Contractor's Name
** RFP No.
Period IPeriod IIPeriod IIIPeriod IVPeriod VPeriod VIPeriod VII
UnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
ITEMPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
1$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.000$0.00$0.00
20.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
30.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
40.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
50.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
60.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
70.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
80.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
90.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
100.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
110.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
120.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
130.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
140.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
150.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
160.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
170.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
180.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
190.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
200.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
210.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
220.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
230.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
240.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
250.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
260.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
270.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
280.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
290.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
300.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.0000.000.00
TOTAL =$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

&L&24&USUMMARY OF PATIENT CARE COSTS

Page &P Please use current institutional costs or vendor quotes. Supporting documentation may be requested at a later date.

Subcontracts

SUMMARY OF SUBCONTRACTOR COSTS
** Contractor's Name
** RFP No.
SUBCONTRACT #Period IPeriod IIPeriod IIIPeriod IVPeriod VPeriod VIPeriod VIITOTAL
(1)$0$0$0$0$0$0$0$0
(2)00000000
(3)00000000
(4)00000000
(5)00000000
(6)00000000
(7)00000000
(8)00000000
(9)00000000
(10)00000000
TOTAL =$0$0$0$0$0$0$0$0

Page &P A complete breakdown and summary sheet for each proposed subcontract must be included with the prime proposal. The same format should be used for both the prime and subcontract proposals.

Sheet1

File details come from the government source that posted it. Updated .