Cost Proposal Form -RFP 2100000015.xlsx

This is a Cost Proposal Form for RFP 2100000015, a state contract opportunity for podiatry services at Western State Hospital and Western State Nursing Facility. The form requests pricing information for on-site fee-for-services delivery across an initial term designated as FY21. The proposal structure allows vendors to submit costs using multiple pricing methodologies, including hourly fees, daily rates, and monthly fees, with fields to calculate total service costs based on days per month, months of service, and yearly totals. The form indicates a 12-month service period during the initial fiscal year.

Vendors responding to this RFP must provide detailed cost breakdowns supported by documentation and are required to have an authorized representative sign the proposal, including printed name, title, and date of submission. The form appears as part of a broader procurement document that includes multiple cost proposal templates for various state contracts, including actuarial services, managed care consulting services, and forensic accounting. All pricing fields currently display zero values, indicating this is a blank template requiring vendor completion with actual proposed rates and costs for the podiatry services contract.