Copy of Attachment B Staffing Form.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- BD-23-1039-EHS01-ASHWA-79905
- Issued by
- Massachusetts
About this file
This document is an Attachment B: Staffing Form for a Request for Responses (RFR) issued by the Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) to provide Isolation and Recovery Site services related to COVID-19. The RFR seeks to solicit responses to provide shelter locations for individuals to isolate while recovering from COVID-19, ensure appropriate clinical staffing at such locations, and provide management services. The form requests information on budgetary line items, full-time equivalent (FTE) positions, proposed budgets, supplementary funding sources, and total budgets for various staff roles such as case workers, direct care staff, and program support.
The RFR indicates that compensation for administrative staff should be reported under UFR codes 510 or 410 as outlined in the UFR Audit and Preparation manual. The form also specifies that positions listed under "Direct Care / Program Staff" must meet the UFR code definitions as detailed in the manual. Respondents are to use the provided UFR codes when completing the staffing form.
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Other files
| File | Type | Posted |
|---|---|---|
| Q and A for COVID19 IR RFR.docx | DOCX document | |
| Amendment 1 COVID-19 IR Site Services RFR.docx | DOCX document | |
| Attachment C Additional Contract Terms~1.docx | DOCX document | |
| Attachment A Application Form.docx | DOCX document | |
| Required Forms_3.zip | ZIP file | |
| COVID-19 I and R RFR.docx | DOCX document | |
| Attachment D Required Bidder Certifications Form.doc | DOC document |
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Text version
Staffing Overview
| Request for Responses for COVID-19 Isolataion and Recovery Site (I&R) Services | |||||||
| Attachment B: Staffing Form | |||||||
| Uniform Financial Report Title # (if known) | Budgetary Line Description (i.e. type of staffing) | FTE | Proposed Budget (i.e. amount requested from EOHHS) | Supplementary Funding (i.e. other funding contributing to total budget) | Sources of Supplementary Funding | Total Budget (i.e. Proposed Budget + Offsets) | |
| example | 131 | Case Worker/Manager - Master's | $0.00 | ||||
| example | 132 | Case Worker/Manager | $0.00 | ||||
| example | 135 | Direct Care/Program Staff II | $0.00 | ||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUBTOTAL STAFF | 0.00 | 0.00 | |||||
| 150 | Payroll Taxes | $0.00 | |||||
| 151 | Fringe Benefits | $0.00 | |||||
| T 100 | Total Direct Care/Program Staff | 0.00 | 0.00 | $0.00 |
| UFR Codes can be found starting on on page 116 of the UFR Audit and Preparation manual under 808 CMR 1.00 You can find the document at: | https://www.mass.gov/doc/ufr-audit-and-preparation-manual-for-fy-2021/download |
| Positions listed under "Direct Care / Program Staff" must meet UFR code definitions as oulined in the UFR Audit and Preparation manual. Compensation for administrative staff is thorugh UFR codes 510 or 410 |
https://www.mass.gov/doc/ufr-audit-and-preparation-manual-for-fy-2021/download
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