DOH57310 School Health Medical Consultant_Cost Proposal Form -SFY26-27 Mutiple.xlsx
XLSX spreadsheet 56 KB Posted
- Solicitation number
- SRC0000031104
- Issued by
- Franklin County, Ohio
About this file
This is a cost proposal form from the Ohio Department of Health for a School-Based Medical Consultant contract covering State Fiscal Years (SFY) 2026-2031. The contract period initially spans two years from July 1, 2025, to June 30, 2027, with four optional renewal years through June 30, 2031. The proposed deliverables include annual review and update of emergency guidelines for schools, providing clinical guidance to the School-Based Health Center (SBHC) program, reviewing ODH publications, offering consultation for the Pediatric Mental Health Care Access Program, and providing program support for school health-related topics.
The cost proposal form shows all budget lines as $0, suggesting either a no-cost contract, a placeholder document, or a form awaiting specific cost details. The contract includes five primary deliverables to be performed on an ongoing or annual basis, with specific due dates for certain tasks like the emergency guidelines review. The document provides flexibility for contract renewal, with mutual agreement on specific deliverables to be defined prior to each contract term's conclusion. The form includes space for potential offeror information but no details have been filled in at this stage.
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Text version
Cost Proposal
| Ohio Department of Health's Cost Proposal Form |
| Project Title: DOH57310 School-Based Medical Consultant |
| Estimated Budget for SFY 2026 (Contract Period 1: 7/1/2025 - 6/30/2026) | $ - 0 | |
| Estimated Budget for SFY 2027 (Contract Period 2: 7/1/2026 - 6/30/2027) | $ - 0 | |
| Total Proposed Budget for Contract Period 1 & 2 | $ - 0 | |
| Estimated Budget for SFY 2028 (Optional Year 1: 7/1/2027 - 6/30/2028) | $ - 0 | |
| Estimated Budget for SFY 2029 (Optional Year 2: 7/1/2028 - 6/30/2029) | $ - 0 | |
| Estimated Budget for SFY 2030 (Optional Year 3: 7/1/2029 - 6/30/2030) | $ - 0 | |
| Estimated Budget for SFY 2031 (Optional Year 4: 7/1/2030 - 6/30/2031) | $ - 0 | |
| Total Proposed Budget including Optional Years 1 - 4 | $ - 0 | |
| Total Overall Budget | $ - 0 | |
| Offerors have the option of attaching a cost narrative to explain and justify costs, and to submit it as part of the Cost Proposal. A Cost Narrative may be advisable to explain any costs which the offeror has chosen to combine, to explain how hourly rates were achieved, or to make the connections between costs and the technical proposal. |
| If contract renewal options are exercised, the specific deliverables for the renewal period will be mutually defined and agreed upon prior to the conclusion of the current contract term. | ||
| DEL NO. | Deliverables |
Deliverable Due Date Unit Cost UOM Contract Period 1 SFY26 Usage 7/1/2025 - 6/30/2026 Contract Period 1 SFY26 Amounts 7/1/2025 - 6/30/2026 Contract Period 2 SFY27 Usage 7/1/2026 - 6/30/2027 Contract Period 2 SFY27 Amounts 7/1/2026 - 6/30/2027 Optional Year 1 SFY28 Usage 7/1/2027 - 6/30/2028 Optional Year 1 SFY28 Amounts 7/1/2027 - 6/30/2028 Optional Year 2 SFY29 Usage 7/1/2028 - 6/30/2029 Optional Year 2 SFY29 Amounts 7/1/2028 - 6/30/2029 Optional Year 3 SFY30 Usage 7/1/2029 - 6/30/2030 Optional Year 3 SFY30 Amounts 7/1/2029 - 6/30/2030 Optional Year 4 SFY31 Usage 7/1/2030 - 6/30/2031 Optional Year 4 SFY31 Amounts
| 7/1/2028 - 6/30/2031 | Notes | ||||||||||
| 1 | On an annual basis, Offeror review and update "Emergency Guidelines for Schools" document. | 6/30/26; 6/30/27 | $ - 0 | Amount | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| 2 | Provide guidance to ODH School Based Health Center (SBHC) program on matters related to clinical expertise, data collection and other related SBHC topics. | Ongoing throughout contract term | $ - 0 | Amount | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| 3 | Review and provide guidance on ODH publications or presentations related to school health. | Ongoing throughout contract term | $ - 0 | Amount | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| 4 | Provide guidance and consultation for Pediatric Mental Health Care Access Program. | Ongoing throughout contract term | $ - 0 | Amount | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| 5 | Provide program guidance or support related to school-health related topics or programs. | Ongoing throughout contract term | $ - 0 | Amount | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| SFY Grand Totals | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
Potential Offeror Information
| Potential Offeror Supplier Information |
| Name of Organization: |
| State Supplier ID: |
| Address: |
| Contact Name: |
| Contact Name Title: |
| Phone: |
| Email: |
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