hss1.doc
DOC document 28 KB Posted
- Solicitation number
- S14862-vCurrent
- Issued by
- Massachusetts
About this file
This document appears to be a Purchase of Service attachment for a state or local government contract opportunity. The contractor is being requested to provide a program type of services, with the program name, location, and contact information provided. The scope of services requested is either described separately or included in the bidder's response. The total anticipated contract duration and initial duration, as well as options to renew, are specified.
The fiscal terms outline the funding summary across prior, current, and future years, with the total multi-year value provided. The pricing is established through a price agreement, summary budget, or complete budget, with the unit rate and total billable units indicated. Additional payment or price specifications may also be included.
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Other files
| File | Type | Posted |
|---|---|---|
| 0148620002.doc | DOC document | |
| W9.doc | DOC document | |
| S14862-vCurrent_OD.xlsx | XLSX spreadsheet | |
| questions1.doc | DOC document | |
| rfi.doc | DOC document | |
| StandardFormInstruction.doc | DOC document | |
| nireland.doc | DOC document | |
| requ_specs.doc | DOC document | |
| questions2.doc | DOC document | |
| cbes_rfr_amend.doc | DOC document | |
| intent.doc | DOC document | |
| TCHSS.doc | DOC document | |
| ampplan.doc | DOC document | |
| eft_r_form.doc | DOC document | |
| et_rfr.doc | DOC document |
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Text version
FY:
Amendment #, if Applicable:
If Federal Funds, CFDA #:
PURCHASE OF SERVICE - ATTACHMENT 1: PROGRAM COVER PAGE
PROGRAM INFORMATION
Contractor Name:
Department Name:
Program Type:
Document ID #:
Program Name:
UFR Program #:
Program Address:
MMARS Activity Code:
City/State/Zip:
Other Reference Information (Information Purposes Only):
Contact Person:
Telephone:
Contact Person:
Telephone:
RFR INFORMATION:
( Attached ( RFR Reference # __________
( legislative exemption ( emergency ( collective purchase ( interim ( amendment
SCOPE OF SERVICES:
( Bidder's Response Attached ( Description of Services Attached
TOTAL ANTICIPATED CONTRACT DURATION: __________________________ to ________________________
INITIAL DURATION: _________________________ to ______________________________
OPTIONS TO RENEW:
____________options to renew for ______ years each option
FISCAL TERMS
FUNDING SUMMARY
| Prior Years |
| Current Year |
| Future Years |
| FY |
| Amount |
| FY |
| Amount |
| FY |
| Amount |
PRICE IS ESTABLISHED THROUGH: (CHECK 1, 2, OR 3)
( OPTION 1: PRICE AGREEMENT (list price) rate regulation (if any)___________________
( OPTION 2: SUMMARY BUDGET ("T" lines only)
( unit rate
( cost reimbursement
( other _____________________________
( OPTION 3: COMPLETE BUDGET
( cost reimbursement
( unit rate
| Total: $ |
| Total: $ |
| Total: $ |
( other ______________________________
| Multi-Year Total: |
| $ |
CURRENT
MAX OBLIGATION: $________________ UNIT RATE: $__________per __________ # BILLABLE UNITS: ____________
ADDITIONAL PAYMENT OR PRICE SPECIFICATIONS:
Updated 11/1/05
File details come from the government source that posted it. Updated .