Budget Template Spreadsheet.xlsx
XLSX spreadsheet 112 KB Posted
- Attached to
- 2 PAM Autoinjectors Federal contract opportunity
- Solicitation number
- 75A50122R00022
About this file
This document includes a request for proposals from the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response for the development and procurement of 2-PAM autoinjectors to treat organophosphate poisoning. The RFP seeks proposals for late-stage clinical development and regulatory approval of 2-PAM autoinjectors as a drug-device combination product for adult and pediatric populations. It also seeks procurement of 2-PAM autoinjectors for the Strategic National Stockpile/CHEMPACK Program. Questions regarding the RFP are due by July 21, 2022, and proposals must be submitted by August 15, 2022. The attached budget template spreadsheet should be used to develop cost proposals. The SF33 form and RFP document are also attached.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers 2PAM AI (Parts 1-4).pdf | ||
| Questions and Answers Pts1-3 2PAM AI.pdf | ||
| Questions and Answers Pts1and2 2PAM.pdf | ||
| Questions and Answers Pt1 2PAM.pdf | ||
| RFP for 2PAM AutoInjectors.pdf | ||
| 75A50122R00022 SF33.pdf |
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INSTRUCTIONS
How to Use this Excel file:
Important: Please save this file on your computer before attempting to insert data.
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 would need to ask in order to understand your proposal. We understand that one spreadsheet format cannot fit every situation; however, we have attempted to provide you with a 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.
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 with each period on an annual basis; however, make the dates consistent with the respective work segment (i.e., Contract Line Item Numbers) periods (i.e., 2 years, 3 years, etc.) of your project.
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 track 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 that 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 later.
If the proposed positions have not been named, or are to be filled or pending employees to be 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 later. Annual increase for proposed positions that are to be named, or are named, but are to be filled, are not eligible for increases in the first period.
Indirect Rates Including Fringe Benefit Rate(s) for Commercial Organizations
If your organization does not have negotiated rates, the following URL contains information that will assist you in computing indirect rates: https://oamp.od.nih.gov/dfas/indirect-cost-branch/indirect-cost-submission. Please do not submit your indirect cost proposal to the Division of Financial Advisory Services at this time.
Point of Contact
If you have any questions, please contact the Contracting Officer.
SUMMARY
| SUMMARY OF PROPOSED COSTS | ||||||||
| ** Contractor's Name | ||||||||
| ** RFP/BAA No. | CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | |
| PERIOD I | PERIOD II | PERIOD III | PERIOD IV | PERIOD V | PERIOD VI | PERIOD VII | TOTAL | |
| *** Period ( dates) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | |
| Through | Through | Through | Through | Through | Through | Through | ||
| (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | (mm/dd/yy) | ||
| Direct Labor - Percent of Effort | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Fringe Benefits - Percent of Effort | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Direct Labor - Hourly | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Fringe Benefits - Hourly | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total Direct Labor & Fringe Benefits | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
* Overhead 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 $0
| Materials and Supplies | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Professional Travel | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Equipment | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Consultants | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Direct Costs | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Patient Care Costs | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Subcontracts | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| 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&A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| *Adjusted Base for G&A | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |||||||
| *G&A | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0 |
| Total Proposed Cost Excluding Fee | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Proposed Fee/Profit | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0 |
| Total Proposed Cost Plus Fee/Profit | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| ** |
| *** |
Not all organizations allocate indirect costs 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 (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 No.
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 | CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | ||||||||||||||||||||||||||||||||||
| ** Contractor's Name | PERIOD I* | PERIOD II* | PERIOD III* | PERIOD IV* | PERIOD V* | PERIOD VI* | PERIOD VII* | ||||||||||||||||||||||||||||||||||
| ** RFP/BAA No. | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | TOTAL | TOTAL | ||||||||||||||||||
| CURRENT | ADJUSTED | PERCENT OF | NUMBER | SALARY | FRINGE | FRINGE | PERCENT OF | NUMBER | SALARY | FRINGE | FRINGE | PERCENT OF | NUMBER | SALARY | FRINGE | FRINGE | PERCENT OF | NUMBER | SALARY | FRINGE | FRINGE | PERCENT OF | NUMBER | SALARY | FRINGE | FRINGE | PERCENT OF | NUMBER | SALARY | FRINGE | FRINGE | PERCENT OF | NUMBER | SALARY | FRINGE | FRINGE | SALARY | FRINGE | |||
| EMPLOYEE | POSITION | BASE SALARY | BASE SALARY | EFFORT | MONTHS | COST | RATE | COST | EFFORT | MONTHS | COST | RATE | COST | EFFORT | MONTHS | COST | RATE | COST | EFFORT | MONTHS | COST | RATE | COST | EFFORT | MONTHS | COST | RATE | COST | EFFORT | MONTHS | COST | RATE | COST | EFFORT | MONTHS | COST | RATE | COST | COST | COST | |
| 1 | $0 | $0 | 0% | 12.00 | $0 | 0% | $0 | 0% | 12.00 | $0 | 0% | $0 | 0% | 12.00 | $0 | 0% | $0 | 0% | 12.00 | $0 | 0% | $0 | 0% | 12.00 | $0 | 0% | $0 | 0% | 12.00 | $0 | 0% | $0 | 0% | 12.00 | $0 | 0% | $0 | $0 | $0 | ||
| 2 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 3 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 4 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 5 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 6 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 7 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 8 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 9 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 10 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 11 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 12 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 13 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 14 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 15 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 16 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 17 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 18 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 19 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 20 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 21 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 22 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 23 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 24 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 25 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 26 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 27 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 28 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 29 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 30 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 31 | 0 | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0% | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| SUBTOTALS = | 0% | $0 | $0 | 0% | $0 | $0 | 0% | $0 | $0 | 0% | $0 | $0 | 0% | $0 | $0 | 0% | $0 | $0 | 0% | $0 | $0 | $0 | $0 |
ANNUAL INCREASE FACTOR: 0.00%
ANNUAL INCREASE DATE: 00/00/00
NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0
*Adjust the number of months per period as recommended in the RFP/BAA.
The following boxes in Column "D" below may be used to calculate the ADJUSTED BASE SALARY as indicated:
(Use of these cells will affect the entire 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 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 | CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | ||||||||||||||||||||||||||||||||||
| ** Contractor's Name | PERIOD I* | PERIOD II* | PERIOD III* | PERIOD IV* | PERIOD V* | PERIOD VI* | PERIOD VII* | ||||||||||||||||||||||||||||||||||
| ** RFP/BAA No. | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | (mm/dd/yy) | Through | (mm/dd/yy) | TOTAL | TOTAL | ||||||||||||||||||
| CURRENT BASE | ADJUSTED | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | SALARY | FRINGE | |||
| EMPLOYEE | POSITION | HOURLY RATE | HOURLY RATE | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | COST | COST | |
| 1 | $0.00 | $0.00 | 0.00 | 12.00 | $0 | 0% | $0 | 0.00 | 12.00 | $0 | 0% | $0 | 0.00 | 12.00 | $0 | 0% | $0 | 0.00 | 12.00 | $0 | 0% | $0 | 0.00 | 12.00 | $0 | 0% | $0 | 0.00 | 12.00 | $0 | 0% | $0 | 0.00 | 12.00 | $0 | 0% | $0 | $0 | $0 | ||
| 2 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 3 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 4 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 5 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 6 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 7 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 8 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 9 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 10 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 11 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 12 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 13 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 14 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 15 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 16 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 17 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 18 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 19 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 20 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 21 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 22 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 23 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 24 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 25 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 26 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 27 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 28 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 29 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 30 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| 31 | 0.00 | 0.00 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0.00 | 12.00 | 0 | 0% | 0 | 0 | 0 | ||
| SUBTOTALS = | 0.00 | $0 | $0 | 0.00 | $0 | $0 | 0.00 | $0 | $0 | 0.00 | $0 | $0 | 0.00 | $0 | $0 | 0.00 | $0 | $0 | 0.00 | $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 INCREASE 0
*Adjust the number of months per period as recommended in the RFP/BAA
The following boxes in Column "D" below may be used to calculate the ADJUSTED BASE SALARY as indicated:
(Use of these cells will affect the entire 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 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/BAA No. | |||||||||||||||||||||||
| CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | |||||||||||||||||
| Period I | Period II | Period III | Period IV | Period V | Period VI | Period VII | |||||||||||||||||
| Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | ||||||||||
| ITEM | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | TOTAL | |
| 1 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | |
| 2 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 3 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 4 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 5 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 6 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 7 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 8 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 9 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 10 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 11 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 12 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 13 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 14 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 15 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 16 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 17 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 18 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 19 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 20 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 21 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 22 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 23 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 24 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 25 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 26 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 27 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 28 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 29 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 30 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF MATERIALS AND SUPPLIES
Please use current catalog, historical documentation, or vendor quotes. Supporting documentation may be requested later.
Travel
| SUMMARY OF TRAVEL COSTS |
| ** Contractor's Name |
| ** RFP/BAA No. |
| CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | ||
| Cost Element | Period I | Period II | Period III | Period IV | Period V | Period VI | Period VII | TOTAL |
| Trip # | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |
| Site | ||||||||
| Reason | ||||||||
| Airfare | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| Lodging | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Meals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Incidentals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Ground Transport | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Total Per Trip | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| No. of persons | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| SUBTOTAL = | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Trip # | 2 | 2 | 2 | 2 | 2 | 2 | 2 | |
| Site | ||||||||
| Reason | ||||||||
| Airfare | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| Lodging | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Meals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Incidentals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Ground Transport | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Total Per Trip | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| No. of persons | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| SUBTOTAL = | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Trip # | 3 | 3 | 3 | 3 | 3 | 3 | 3 | |
| Site | ||||||||
| Reason | ||||||||
| Airfare | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| Lodging | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Meals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Incidentals | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Ground Transport | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Total Per Trip | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| No. of persons | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| SUBTOTAL = | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| TOTAL COST BY PERIOD = | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
Please review the RFP/BAA 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 later.
Equipment
| SUMMARY OF EQUIPMENT COSTS | |||||||||||||||||||||||
| ** Contractor's Name | |||||||||||||||||||||||
| ** RFP/BAA No. | |||||||||||||||||||||||
| CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | |||||||||||||||||
| Period I | Period II | Period III | Period IV | Period V | Period VI | Period VII | |||||||||||||||||
| Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | ||||||||||
| ITEM | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | TOTAL | |
| 1 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | |
| 2 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 3 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 4 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 5 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 6 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 7 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 8 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 9 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 10 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 11 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 12 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 13 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 14 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 15 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 16 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 17 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 18 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 19 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 20 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 21 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 22 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 23 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 24 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 25 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 26 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 27 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 28 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 29 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 30 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF EQUIPMENT COSTS
All proposed equipment costs should include a justification and be based on current vendor quotes. Supporting documentation may be requested later.
Consultants
| SUMMARY OF CONSULTANT COSTS |
| ** Contractor's Name |
| ** RFP/BAA No. |
| CLIN 0001 | CLIN 0002 | CLIN 0003 | ||||||||||||||
| Period I | Period II | Period III | ||||||||||||||
| CONSULTANT | Rate | # Hours | # Days | Travel | Subtotal | Rate | # Hours | # Days | Travel | Subtotal | Rate | # Hours | # Days | Travel | Subtotal | |
| (1) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |||||||
| (2) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (3) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (4) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (5) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (6) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (7) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (8) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (9) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| (10) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| TOTAL = | $0 | $0 | $0 |
| CLIN 0004 | CLIN 0005 | |||||||||||
| Period IV | Period V | |||||||||||
| CONSULTANT | Rate | # Hours | # Days | Travel | Subtotal | Rate | # Hours | # Days | Travel | Subtotal | ||
| (1) | $0 | $0 | $0 | $0 | $0 | $0 | ||||||
| (2) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (3) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (4) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (5) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (6) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (7) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (8) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (9) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| (10) | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| TOTAL = | $0 | $0 | ||||||||||
| CLIN 0006 | CLIN 0007 | |||||||||||
| Period VI | Period VII | |||||||||||
| CONSULTANT | Rate | # Hours | # Days | Travel | Subtotal | Rate | # Hours | # Days | Travel | Subtotal | TOTAL | |
| (1) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |||||
| (2) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (3) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (4) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (5) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (6) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (7) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (8) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (9) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| (10) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| TOTAL = | $0 | $0 | $0 |
Please provide a complete breakdown for each consultant with rates for the number of 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 documentation may be requested later.
Other Direct
| SUMMARY OF OTHER DIRECT COSTS |
| ** Contractor's Name |
| ** RFP/BAA No. |
| CLIN 0001 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | |||||||||||||||||
| Period I | Period II | Period III | Period IV | Period V | Period VI | Period VII | |||||||||||||||||
| Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | ||||||||||
| ITEM | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | TOTAL | |
| 1 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | |
| 2 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 3 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 4 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 5 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 6 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 7 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 8 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 9 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 10 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 11 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 12 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 13 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 14 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 15 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 16 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 17 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 18 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 19 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 20 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 21 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 22 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 23 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 24 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 25 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 26 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 27 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 28 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 29 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 30 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF OTHER DIRECT COSTS
Please use current catalog prices or vendor quotes. Supporting documentation may be requested later.
Patient Care
| SUMMARY OF PATIENT CARE COSTS |
| ** Contractor's Name |
| ** RFP/BAA No. |
| CLIN 0002 | CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0006 | CLIN 0007 | |||||||||||||||||
| Period I | Period II | Period III | Period IV | Period V | Period VI | Period VII | |||||||||||||||||
| Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | Unit | ||||||||||
| ITEM | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | Price | Quantity | Subtotal | TOTAL | |
| 1 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | |
| 2 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 3 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 4 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 5 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 6 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 7 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 8 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 9 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 10 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 11 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 12 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 13 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 14 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 15 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 16 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 17 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 18 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 19 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 20 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 21 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 22 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 23 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 24 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 25 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 26 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 27 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 28 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 29 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| 30 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | |
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF PATIENT CARE COSTS
Please use current institutional costs or vendor quotes. Supporting documentation may be requested later.
Subcontracts
| SUMMARY OF SUBCONTRACTOR COSTS |
| ** Contractor's Name |
| ** RFP/BAA No. |
| CLIN 0002 | CLIN 0003 | CLIN 0004 | CLIN 0005 | CLIN 0005 | CLIN 0006 | CLIN 0007 | |||
| SUBCONTRACT # | Period I | Period II | Period III | Period IV | Period V | Period VI | Period VII | TOTAL | |
| (1) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |
| (2) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (3) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (4) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (5) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (6) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (7) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (8) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (9) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (10) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| TOTAL = | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
A complete breakdown and summary sheet for each proposed subcontract must be included with the offeror's proposal. The same format should be used for both the prime and subcontract proposals.
File details come from the government source that posted it. Updated .