Attachment D - Excel Sec B Pricing Spreadsheet.xls
XLS spreadsheet 598 KB Posted
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- HSSCCG-11-R-00010
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SECTION J ATCH D
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Base - Combined
| BASE YEAR - GROUP A&B COMBINED | ||||||
| Period of Performance: 11/07/11 - 11/06/12 | ||||||
| NORTHEAST REGION | ||||||
| District 1: Boston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0001 - District 1 - Boston | ||||||
| 0001AA | 1 - 3,734 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,734) | ||||||
| 0001AB | 3,735 - 8,950 Applicants | Per Applicant | $0.00 | |||
| 0001AC | 8,951 - 16,065 Applicants | Per Applicant | $0.00 | |||
| 0001AD | 16,066 - 32,130 Applicants | Per Applicant | $0.00 | |||
| 0001AE | 32,131 - 73,806 Applicants | Per Applicant | $0.00 | X 70,072 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 2: Buffalo | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0002 - District 2 - Buffalo | ||||||
| 0002AA | 1 - 1,968 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,968) | ||||||
| 0002AB | 1,969 - 4,707 Applicants | Per Applicant | $0.00 | |||
| 0002AC | 4,708 - 10,395 Applicants | Per Applicant | $0.00 | |||
| 0002AD | 10,396 - 20,790 Applicants | Per Applicant | $0.00 | |||
| 0002AE | 20,791 - 38,815 Applicants | Per Applicant | $0.00 | X 36,847 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 3: New York | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0003 - District 3 - New York | ||||||
| 0003AA | 1 - 12,720 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 12,720) | ||||||
| 0003AB | 12,721 - 30,505 Applicants | Per Applicant | $0.00 | |||
| 0003AC | 30,506 - 45,360 Applicants | Per Applicant | $0.00 | |||
| 0003AD | 45,361 - 90,720 Applicants | Per Applicant | $0.00 | |||
| 0003AE | 90,721 - 251,579 Applicants | Per Applicant | $0.00 | X 238,859 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 4: Newark | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0004 - District 4 - Newark | ||||||
| 0004AA | 1 - 4,558 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 4,558) | ||||||
| 0004AB | 4,559 - 10,932 Applicants | Per Applicant | $0.00 | |||
| 0004AC | 10,933 - 14,175 Applicants | Per Applicant | $0.00 | |||
| 0004AD | 14,176 - 28,350 Applicants | Per Applicant | $0.00 | |||
| 0004AE | 28,351 - 90,163 Applicants | Per Applicant | $0.00 | X 85,605 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 5: Philadelphia | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0005 - District 5 - Philadelphia | ||||||
| 0005AA | 1 - 2,958 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,958) | ||||||
| 0005AB | 2,959 - 7,083 Applicants | Per Applicant | $0.00 | |||
| 0005AC | 7,084 - 14,175 Applicants | Per Applicant | $0.00 | |||
| 0005AD | 14,176 - 28,350 Applicants | Per Applicant | $0.00 | |||
| 0005AE | 28,351 - 58,402 Applicants | Per Applicant | $0.00 | X 55,444 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 6: Baltimore | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0006 - District 6 - Baltimore | ||||||
| 0006AA | 1 - 2,461 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,461) | ||||||
| 0006AB | 2,462 - 5,898 Applicants | Per Applicant | $0.00 | |||
| 0006AC | 5,899 - 11,340 Applicants | Per Applicant | $0.00 | |||
| 0006AD | 11,341 - 22,680 Applicants | Per Applicant | $0.00 | |||
| 0006AE | 22,681 - 48,635 Applicants | Per Applicant | $0.00 | X 46,174 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 7: Washington | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0007 - District 7 - Washington | ||||||
| 0007AA | 1 - 3,111 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,111) | ||||||
| 0007AB | 3,112 - 7,461 Applicants | Per Applicant | $0.00 | |||
| 0007AC | 7,462 - 10,395 Applicants | Per Applicant | $0.00 | |||
| 0007AD | 10,396 - 20,790 Applicants | Per Applicant | $0.00 | |||
| 0007AE | 20,791 - 61,529 Applicants | Per Applicant | $0.00 | X 58,418 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 0001 - 0007 | $0.00 | |||||
| Other Direct Costs NE Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 0008 | NTE | $26,068,455.00 | |||
| Travel | 0009 | NTE | $41,690.00 | |||
| Equipment | 0010 | NTE | $176,621.00 | |||
| Supplies | 0011 | NTE | $676,181.00 | |||
| Total CLINS 0008 - 0011 | $26,962,947.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) NE Region | ||||||
| District 1: Boston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0012 - District 1 - Boston | ||||||
| 0012AA | 1 - 1,408 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,408) | ||||||
| 0012AB | 1,409 - 3,379 Applicants | Per Applicant | $0.00 | |||
| 0012AC | 3,380 - 5,632 Applicants | Per Applicant | $0.00 | X 4,224 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 2: Buffalo | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0013 - District 2 - Buffalo | ||||||
| 0013AA | 1 - 783 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 783) | ||||||
| 0013AB | 784 - 1,879 Applicants | Per Applicant | $0.00 | |||
| 0013AC | 1,880 - 3,131 Applicants | Per Applicant | $0.00 | X 2,348 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 3: New York | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0014 - District 3 - New York | ||||||
| 0014AA | 1 - 4,879 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 4,879) | ||||||
| 0014AB | 4,880 - 11,709 Applicants | Per Applicant | $0.00 | |||
| 0014AC | 11,710 - 19,516 Applicants | Per Applicant | $0.00 | X 14,637 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 4: Newark | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0015 - District 4 - Newark | ||||||
| 0015AA | 1 - 2,086 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,086) | ||||||
| 0015AB | 2,087 - 5,006 Applicants | Per Applicant | $0.00 | |||
| 0015AC | 5,007 - 8,344 Applicants | Per Applicant | $0.00 | X 6,258 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 5: Philadelphia | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0016 - District 5 - Philadelphia | ||||||
| 0016AA | 1 - 1,204 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,204) | ||||||
| 0016AB | 1,205 - 2,889 Applicants | Per Applicant | $0.00 | |||
| 0016AC | 2,890 - 4,816 Applicants | Per Applicant | $0.00 | X 3,612 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 6: Baltimore | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0017 - District 6 - Baltimore | ||||||
| 0017AA | 1 - 989 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 989) | ||||||
| 0017AB | 990 - 2,373 Applicants | Per Applicant | $0.00 | |||
| 0017AC | 2,374 - 3,955 Applicants | Per Applicant | $0.00 | X 2,966 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 7: Washington | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0018 - District 7 - Washington | ||||||
| 0018AA | 1 - 1,267 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,267) | ||||||
| 0018AB | 1,268 - 3,041 Applicants | Per Applicant | $0.00 | |||
| 0018AC | 3,042 - 5,068 Applicants | Per Applicant | $0.00 | X 3,801 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 0012 - 0018 | $0.00 | |||||
| SOUTHEAST REGION | ||||||
| District 8: Atlanta | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0019 - District 8 - Atlanta | ||||||
| 0019AA | 1 - 5,287 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 5,287) | ||||||
| 0019AB | 5,288 - 12,672 Applicants | Per Applicant | $0.00 | |||
| 0019AC | 12,673 -20,790 Applicants | Per Applicant | $0.00 | |||
| 0019AD | 20,791 - 41,580 Applicants | Per Applicant | $0.00 | |||
| 0019AE | 41,581 - 104,495 Applicants | Per Applicant | $0.00 | X 99,208 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 9: Miami | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0020 - District 9 - Miami | ||||||
| 0020AA | 1 - 8,646 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 8,646) | ||||||
| 0020AB | 8,647 - 20,728 Applicants | Per Applicant | $0.00 | |||
| 0020AC | 20,729 - 32,130 Applicants | Per Applicant | $0.00 | |||
| 0020AD | 32,131 - 64,260 Applicants | Per Applicant | $0.00 | |||
| 0020AE | 64,261 - 170,930 Applicants | Per Applicant | $0.00 | X 162,284 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 10: Orlando | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0021 - District 10 - Orlanda | ||||||
| 0021AA | 1 - 5,914 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 5,914) | ||||||
| 0021AB | 5,915 - 14,178 Applicants | Per Applicant | $0.00 | |||
| 0021AC | 14,179 - 19,845 Applicants | Per Applicant | $0.00 | |||
| 0021AD | 19,846 - 39,690 Applicants | Per Applicant | $0.00 | |||
| 0021AE | 39,691 - 116,916 Applicants | Per Applicant | $0.00 | X 111,002 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 11: New Orleans | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0022 - District 11 - New Orleans | ||||||
| 0022AA | 1 - 1,767 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,767) | ||||||
| 0022AB | 1,768 - 4,223 Applicants | Per Applicant | $0.00 | |||
| 0022AC | 4,224 - 12,285 Applicants | Per Applicant | $0.00 | |||
| 0022AD | 12,286 - 24,570 Applicants | Per Applicant | $0.00 | |||
| 0022AE | 24,571 - 34,818 Applicants | Per Applicant | $0.00 | X 33,051 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 0019 - 0022 | $0.00 | |||||
| Other Direct Costs SE Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 0023 | NTE | $8,032,566.00 | |||
| Travel | 0024 | NTE | $259,998.00 | |||
| Equipment | 0025 | NTE | $150,505.00 | |||
| Supplies | 0026 | NTE | $636,212.00 | |||
| Total CLINS 0023 - 0026 | $9,079,281.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) SE Region | ||||||
| District 8: Atlanta | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0027 - District 8 - Atlanta | ||||||
| 0027AA | 1 - 2,278 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,278) | ||||||
| 0027AB | 2,279 - 5,466 Applicants | Per Applicant | $0.00 | |||
| 0027AC | 5,467 - 9,111 Applicants | Per Applicant | $0.00 | X 6,833 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 9: Miami | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0028 - District 9 - Miami | ||||||
| 0028AA | 1 - 2,752 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,752) | ||||||
| 0028AB | 2,753 - 6,605 Applicants | Per Applicant | $0.00 | |||
| 0028AC | 6,606 - 11,008 Applicants | Per Applicant | $0.00 | X 8,256 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 10: Orlando | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0029 - District 10 - Orlando | ||||||
| 0029AA | 1 - 2,071 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,072) | ||||||
| 0029AB | 2,072 - 4,970 Applicants | Per Applicant | $0.00 | |||
| 0029AC | 4,971 - 8,283 Applicants | Per Applicant | $0.00 | X 6,212 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 11: New Orleans | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0030 - District 11 - New Orleans | ||||||
| 0030AA | 1 - 654 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 654) | ||||||
| 0030AB | 655 - 1,570 Applicants | Per Applicant | $0.00 | |||
| 0030AC | 1,571 - 2,617 Applicants | Per Applicant | $0.00 | X 1,963 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 0027 - 0030 | $0.00 | |||||
| TOTAL CLINS 0001 - 0030 (BASE YEAR) | $36,042,228.00 | |||||
| CENTRAL REGION | ||||||
| District 12: Detroit | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0031 - District 12 - Detroit | ||||||
| 0031AA | 1 - 1,745 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,745) | ||||||
| 0031AB | 1,746 - 4,182 Applicants | Per Applicant | $0.00 | |||
| 0031AC | 4,183 - 7,560 Applicants | Per Applicant | $0.00 | |||
| 0031AD | 7,561 - 15,120 Applicants | Per Applicant | $0.00 | |||
| 0031AE | 15,121 - 34,486 Applicants | Per Applicant | $0.00 | X 32,741 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 13: Cleveland | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0032 - District 13 - Cleveland | ||||||
| 0032AA | 1 - 2,299 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,299) | ||||||
| 0032AB | 2,300 - 5,500 Applicants | Per Applicant | $0.00 | |||
| 0032AC | 5,501 - 9,450 Applicants | Per Applicant | $0.00 | |||
| 0032AD | 9,451 - 18,900 Applicants | Per Applicant | $0.00 | |||
| 0032AE | 18,901 - 45,352 Applicants | Per Applicant | $0.00 | X 43,053 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 14: Chicago | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0033 - District 14 - Chicago | ||||||
| 0033AA | 1 - 4,645 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 4,645) | ||||||
| 0033AB | 4,646 - 11,124 Applicants | Per Applicant | $0.00 | |||
| 0033AC | 11,125 - 23,625 Applicants | Per Applicant | $0.00 | |||
| 0033AD | 23,626 - 47,250 Applicants | Per Applicant | $0.00 | |||
| 0033AE | 47,251 - 91,731 Applicants | Per Applicant | $0.00 | X 87,086 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 15: St. Paul | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0034 - District 15 - St. Paul | ||||||
| 0034AA | 1 - 3,614 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,614) | ||||||
| 0034AB | 3,615 - 8,641 Applicants | Per Applicant | $0.00 | |||
| 0034AC | 8,642 - 22,680 Applicants | Per Applicant | $0.00 | |||
| 0034AD | 22,681 - 45,360 Applicants | Per Applicant | $0.00 | |||
| 0034AE | 45,361 - 71,242 Applicants | Per Applicant | $0.00 | X 67,628 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 16: Dallas | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0035 - District 16 - Dallas | ||||||
| 0035AA | 1 - 3,971 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,971) | ||||||
| 0035AB | 3,972 - 9,511 Applicants | Per Applicant | $0.00 | |||
| 0035AC | 9,512 - 15,120 Applicants | Per Applicant | $0.00 | |||
| 0035AD | 15,121 - 30,240 Applicants | Per Applicant | $0.00 | |||
| 0035AE | 30,241 - 78,433 Applicants | Per Applicant | $0.00 | X 74,462 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 17: Houston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0036 - District 17 - Houston | ||||||
| 0036AA | 1 - 3,560 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,560) | ||||||
| 0036AB | 3,561 - 8,532 Applicants | Per Applicant | $0.00 | |||
| 0036AC | 8,533 - 13,230 Applicants | Per Applicant | $0.00 | |||
| 0036AD | 13,231 - 26,460 Applicants | Per Applicant | $0.00 | |||
| 0036AE | 26,461 - 70,363 Applicants | Per Applicant | $0.00 | X 66,803 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 18: San Antonio | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0037 - District 18 - San Antonio | ||||||
| 0037AA | 1 - 3,978 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,978) | ||||||
| 0037AB | 3,979 - 9,524 Applicants | Per Applicant | $0.00 | |||
| 0037AC | 9,525 - 18,900 Applicants | Per Applicant | $0.00 | |||
| 0037AD | 18,901 - 37,800 Applicants | Per Applicant | $0.00 | |||
| 0037AE | 37,801 - 78,528 Applicants | Per Applicant | $0.00 | X 74,550 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 19: Denver | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0038 - District 19 - Denver | ||||||
| 0038AA | 1 - 2,347 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,347) | ||||||
| 0038AB | 2,348 - 5,613 Applicants | Per Applicant | $0.00 | |||
| 0038AC | 5,614 - 17,010 Applicants | Per Applicant | $0.00 | |||
| 0038AD | 17,011 - 34,020 Applicants | Per Applicant | $0.00 | |||
| 0038AE | 34,021 - 46,254 Applicants | Per Applicant | $0.00 | X 43,907 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 0031 - 0038 | $0.00 | |||||
| Other Direct Costs CE Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 0039 | NTE | $14,032,393.00 | |||
| Travel | 0040 | NTE | $68,623.00 | |||
| Equipment | 0041 | NTE | $279,569.00 | |||
| Supplies | 0042 | NTE | $585,691.00 | |||
| Total CLINS 0039 - 0042 | $14,966,276.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) Central Region | ||||||
| District 12: Detroit | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0043 - District 12 - Detroit | ||||||
| 0043AA | 1 - 701 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 701) | ||||||
| 0043AB | 702 - 1,683 Applicants | Per Applicant | $0.00 | |||
| 0043AC | 1,684 - 2,805 Applicants | Per Applicant | $0.00 | X 2,104 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 13: Cleveland | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0044 - District 13 - Cleveland | ||||||
| 0044AA | 1 - 895 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 895) | ||||||
| 0044AB | 896 - 2,147 Applicants | Per Applicant | $0.00 | |||
| 0044AC | 2,148 - 3,579 Applicants | Per Applicant | $0.00 | X 2,684X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 14: Chicago | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0045 - District 14 - Chicago | ||||||
| 0045AA | 1 - 2,036 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,036) | ||||||
| 0045AB | 2,037 - 4,887 Applicants | Per Applicant | $0.00 | |||
| 0045AC | 4,888 - 8,145 Applicants | Per Applicant | $0.00 | X 6,109 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 15: St. Paul | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0046 - District 15 - St. Paul | ||||||
| 0046AA | 1 - 1,317 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,317) | ||||||
| 0046AB | 1,318 - 3,162 Applicants | Per Applicant | $0.00 | |||
| 0046AC | 3,163 - 5,269 Applicants | Per Applicant | $0.00 | X 3,952 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 16: Dallas | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0047 - District 16 - Dallas | ||||||
| 0047AA | 1 - 1,403 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,403) | ||||||
| 0047AB | 1,404 - 3,367 Applicants | Per Applicant | $0.00 | |||
| 0047AC | 3,368 - 5,612 Applicants | Per Applicant | $0.00 | X 4,209 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 17: Houston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0048 - District 17 - Houston | ||||||
| 0048AA | 1 - 1,302 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,302) | ||||||
| 0048AB | 1,303 - 3,126 Applicants | Per Applicant | $0.00 | |||
| 0048AC | 3,127 - 5,210 Applicants | Per Applicant | $0.00 | X 3,908 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 18: San Antonio | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0049 - District 18 - San Antonio | ||||||
| 0049AA | 1 - 1,026 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,026) | ||||||
| 0049AB | 1,027 - 2,461 Applicants | Per Applicant | $0.00 | |||
| 0049AC | 2,462 - 4,102 Applicants | Per Applicant | $0.00 | X 3,076 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 19: Denver | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0050 - District 19 - Denver | ||||||
| 0050AA | 1 - 844 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 844) | ||||||
| 0050AB | 845 - 2,026 Applicants | Per Applicant | $0.00 | |||
| 0050AC | 2,027 - 3,376 Applicants | Per Applicant | $0.00 | X 2,532 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 0043 - 0050 | $0.00 | |||||
| WESTERN REGION | ||||||
| District 20: Seattle | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0051 - District 20 - Seattle | ||||||
| 0051AA | 1 - 3,301 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,301) | ||||||
| 0051AB | 3,302 - 7,910 Applicants | Per Applicant | $0.00 | |||
| 0051AC | 7,911 - 15,120 Applicants | Per Applicant | $0.00 | |||
| 0051AD | 15,121 - 30,240 Applicants | Per Applicant | $0.00 | |||
| 0051AE | 30,241 - 65,213 Applicants | Per Applicant | $0.00 | X 61,912 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 21: San Francisco | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0052 - District 21 - San Francisco | ||||||
| 0052AA | 1 - 5,426 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 5,426) | ||||||
| 0052AB | 5,427 - 13,007 Applicants | Per Applicant | $0.00 | |||
| 0052AC | 13,008 - 21,735 Applicants | Per Applicant | $0.00 | |||
| 0052AD | 21,736 - 43,470 Applicants | Per Applicant | $0.00 | |||
| 0052AE | 43,471 - 107,263 Applicants | Per Applicant | $0.00 | X 101,837 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 22: Sacramento | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0053 - District 22 - Sacramento | ||||||
| 0053AA | 1 - 2,840 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,840) | ||||||
| 0053AB | 2,841 - 6,803 Applicants | Per Applicant | $0.00 | |||
| 0053AC | 6,804 - 14,175 Applicants | Per Applicant | $0.00 | |||
| 0053AD | 14,176 - 28,350 Applicants | Per Applicant | $0.00 | |||
| 0053AE | 28,351 - 56,100 Applicants | Per Applicant | $0.00 | X 53,260 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 23: Los Angeles | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0054 - District 23 - Los Angeles | ||||||
| 0054AA | 1 - 12,528 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 12,528) | ||||||
| 0054AB | 12,529 - 30,032 Applicants | Per Applicant | $0.00 | |||
| 0054AC | 30,033 - 52,920 Applicants | Per Applicant | $0.00 | |||
| 0054AD | 52,921 - 105,840 Applicants | Per Applicant | $0.00 | |||
| 0054AE | 105,841 - 247,652 Applicants | Per Applicant | $0.00 | X 235,124 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 24: San Diego | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0055 - District 25 - San Diego | ||||||
| 0055AA | 1 - 2,282 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,282) | ||||||
| 0055AB | 2,283 - 5,470 Applicants | Per Applicant | $0.00 | |||
| 0055AC | 5,471 - 9,450 Applicants | Per Applicant | $0.00 | |||
| 0055AD | 9,451 - 18,900 Applicants | Per Applicant | $0.00 | |||
| 0055AE | 18,901 - 45,095 Applicants | Per Applicant | $0.00 | X 42,813 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 25: Phoenix | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0056 - District 25 - Phoenix | ||||||
| 0056AA | 1 - 3,651 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,651) | ||||||
| 0056AB | 3,652 - 8,745 Applicants | Per Applicant | $0.00 | |||
| 0056AC | 8,746 - 16,065 Applicants | Per Applicant | $0.00 | |||
| 0056AD | 16,066 - 32,130 Applicants | Per Applicant | $0.00 | |||
| 0056AE | 32,131 - 72,110 Applicants | Per Applicant | $0.00 | X 68,459 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 26: Hawaii | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0057 - District 26 - Hawaii | ||||||
| 0057AA | 1 - 656 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 656) | ||||||
| 0057AB | 657 - 1,563 Applicants | Per Applicant | $0.00 | |||
| 0057AC | 1,564 - 6,615 Applicants | Per Applicant | $0.00 | |||
| 0057AD | 6,616 - 13,230 Applicants | Per Applicant | $0.00 | X 12,574 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range - Note: District 26 does not have a range E) | ||||||
| Total CLINS 0051 - 0057 | $0.00 | |||||
| Other Direct Costs W Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 0058 | NTE | $17,918,846.00 | |||
| Travel | 0059 | NTE | $134,979.00 | |||
| Equipment | 0060 | NTE | $126,491.00 | |||
| Supplies | 0061 | NTE | $801,234.00 | |||
| Total CLINS 0058 - 0061 | $18,981,550.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) Western Region | ||||||
| District 20: Seattle | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0062 - District 20 - Seattle | ||||||
| 0062AA | 1 - 1,332 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,332) | ||||||
| 0062AB | 1,333 - 3,198 Applicants | Per Applicant | $0.00 | |||
| 0062AC | 3,199 - 5,330 Applicants | Per Applicant | $0.00 | X 3,998 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 21: San Francisco | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0063 - District 21 - San Francisco | ||||||
| 0063AA | 1 - 2,068 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,068) | ||||||
| 0063AB | 2,069 - 4,963 Applicants | Per Applicant | $0.00 | |||
| 0063AC | 4,964 - 8,272 Applicants | Per Applicant | $0.00 | X 6,204 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 22: Sacramento | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0064 - District 22 - Sacramento | ||||||
| 0064AA | 1 - 1,115 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,115) | ||||||
| 0064AB | 1,116 - 2,676 Applicants | Per Applicant | $0.00 | |||
| 0064AC | 2,677 - 4,461 Applicants | Per Applicant | $0.00 | X 3,346 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 23: Los Angeles | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0065 - District 23 - Los Angeles | ||||||
| 0065AA | 1 - 5,631 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 5,631) | ||||||
| 0065AB | 5,632 - 13,514 Applicants | Per Applicant | $0.00 | |||
| 0065AC | 13,515 - 22,524 Applicants | Per Applicant | $0.00 | X 16,893 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 24: San Diego | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0066 - District 24 - San Diego | ||||||
| 0066AA | 1 - 813 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 813) | ||||||
| 0066AB | 814 - 1,951 Applicants | Per Applicant | $0.00 | |||
| 0066AC | 1,952 - 3,251 Applicants | Per Applicant | $0.00 | X 2,438 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 25: Phoenix | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0067 - District 25 - Phoenix | ||||||
| 0067AA | 1 - 1,378 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,378) | ||||||
| 0067AB | 1,379 - 3,307 Applicants | Per Applicant | $0.00 | |||
| 0067AC | 3,308 - 5,512 Applicants | Per Applicant | $0.00 | X 4,134 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 26: Hawaii | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 0068 - District 26 - Hawaii | ||||||
| 0068AA | 1 - 276 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 276) | ||||||
| 0068AB | 277 - 662 Applicants | Per Applicant | $0.00 | |||
| 0068AC | 663 - 1,104 Applicants | Per Applicant | $0.00 | X 828 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 0062 - 0068 | $0.00 | |||||
| TOTAL CLINS 0031 - 0068 | $33,947,826.00 | |||||
| TOTAL CLINS 0001 - 0068 (BASE YEAR) | $69,990,054.00 |
Option Year 1 Combined
| OPTION YEAR 1 - GROUP A&B COMBINED | ||||||
| Period of Performance: 11/07/12 - 11/06/13 | ||||||
| NORTHEAST REGION | ||||||
| District 1: Boston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1001 - District 1 - Boston | ||||||
| 1001AA | 1 - 3,734 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,734) | ||||||
| 1001AB | 3,735 - 8,950 Applicants | Per Applicant | $0.00 | |||
| 1001AC | 8,951 - 16,065 Applicants | Per Applicant | $0.00 | |||
| 1001AD | 16,066 - 32,130 Applicants | Per Applicant | $0.00 | |||
| 1001AE | 32,131 - 73,806 Applicants | Per Applicant | $0.00 | X 70,072 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 2: Buffalo | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1002 - District 2 - Buffalo | ||||||
| 1002AA | 1 - 1,968 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,968) | ||||||
| 1002AB | 1,969 - 4,707 Applicants | Per Applicant | $0.00 | |||
| 1002AC | 4,708 - 10,395 Applicants | Per Applicant | $0.00 | |||
| 1002AD | 10,396 - 20,790 Applicants | Per Applicant | $0.00 | |||
| 1002AE | 20,791 - 38,815 Applicants | Per Applicant | $0.00 | X 36,847 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 3: New York | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1003 - District 3 - New York | ||||||
| 1003AA | 1 - 12,720 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 12,720) | ||||||
| 1003AB | 12,721 - 30,505 Applicants | Per Applicant | $0.00 | |||
| 1003AC | 30,506 - 45,360 Applicants | Per Applicant | $0.00 | |||
| 1003AD | 45,361 - 90,720 Applicants | Per Applicant | $0.00 | |||
| 1003AE | 90,721 - 251,579 Applicants | Per Applicant | $0.00 | X 238,859 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 4: Newark | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1004 - District 4 - Newark | ||||||
| 1004AA | 1 - 4,558 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 4,558) | ||||||
| 1004AB | 4,559 - 10,932 Applicants | Per Applicant | $0.00 | |||
| 1004AC | 10,933 - 14,175 Applicants | Per Applicant | $0.00 | |||
| 1004AD | 14,176 - 28,350 Applicants | Per Applicant | $0.00 | |||
| 1004AE | 28,351 - 90,163 Applicants | Per Applicant | $0.00 | X 85,605 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 5: Philadelphia | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1005 - District 5 - Philadelphia | ||||||
| 1005AA | 1 - 2,958 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,958) | ||||||
| 1005AB | 2,959 - 7,083 Applicants | Per Applicant | $0.00 | |||
| 1005AC | 7,084 - 14,175 Applicants | Per Applicant | $0.00 | |||
| 1005AD | 14,176 - 28,350 Applicants | Per Applicant | $0.00 | |||
| 1005AE | 28,351 - 58,402 Applicants | Per Applicant | $0.00 | X 55,444 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 6: Baltimore | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1006 - District 6 - Baltimore | ||||||
| 1006AA | 1 - 2,461 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,461) | ||||||
| 1006AB | 2,462 - 5,898 Applicants | Per Applicant | $0.00 | |||
| 1006AC | 5,899 - 11,340 Applicants | Per Applicant | $0.00 | |||
| 1006AD | 11,341 - 22,680 Applicants | Per Applicant | $0.00 | |||
| 1006AE | 22,681 - 48,635 Applicants | Per Applicant | $0.00 | X 46,174 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 7: Washington | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1007 - District 7 - Washington | ||||||
| 1007AA | 1 - 3,111 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,111) | ||||||
| 1007AB | 3,112 - 7,461 Applicants | Per Applicant | $0.00 | |||
| 1007AC | 7,462 - 10,395 Applicants | Per Applicant | $0.00 | |||
| 1007AD | 10,396 - 20,790 Applicants | Per Applicant | $0.00 | |||
| 1007AE | 20,791 - 61,529 Applicants | Per Applicant | $0.00 | X 58,418 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 1001 - 1007 | $0.00 | |||||
| Other Direct Costs NE Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 1008 | NTE | $26,850,509.00 | |||
| Travel | 1009 | NTE | $42,940.00 | |||
| Equipment | 1010 | NTE | $181,919.00 | |||
| Supplies | 1011 | NTE | $696,467.00 | |||
| Total CLINS 1008 - 1011 | $27,771,835.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) NE Region | ||||||
| District 1: Boston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1012 - District 1 - Boston | ||||||
| 1012AA | 1 - 1,408 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,408) | ||||||
| 1012AB | 1,409 - 3,379 Applicants | Per Applicant | $0.00 | |||
| 1012AC | 3,380 - 5,632 Applicants | Per Applicant | $0.00 | X 4,224 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 2: Buffalo | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1013 - District 2 - Buffalo | ||||||
| 1013AA | 1 - 783 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 783) | ||||||
| 1013AB | 784 - 1,879 Applicants | Per Applicant | $0.00 | |||
| 1013AC | 1,880 - 3,131 Applicants | Per Applicant | $0.00 | X 2,348 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 3: New York | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1014 - District 3 - New York | ||||||
| 1014AA | 1 - 4,879 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 4,879) | ||||||
| 1014AB | 4,880 - 11,709 Applicants | Per Applicant | $0.00 | |||
| 1014AC | 11,710 - 19,516 Applicants | Per Applicant | $0.00 | X 14,637 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 4: Newark | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1015 - District 4 - Newark | ||||||
| 1015AA | 1 - 2,086 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,086) | ||||||
| 1015AB | 2,087 - 5,006 Applicants | Per Applicant | $0.00 | |||
| 1015AC | 5,007 - 8,344 Applicants | Per Applicant | $0.00 | X 6,258 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 5: Philadelphia | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1016 - District 5 - Philadelphia | ||||||
| 1016AA | 1 - 1,204 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,204) | ||||||
| 1016AB | 1,205 - 2,889 Applicants | Per Applicant | $0.00 | |||
| 1016AC | 2,890 - 4,816 Applicants | Per Applicant | $0.00 | X 3,612 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 6: Baltimore | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1017 - District 6 - Baltimore | ||||||
| 1017AA | 1 - 989 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 989) | ||||||
| 1017AB | 990 - 2,373 Applicants | Per Applicant | $0.00 | |||
| 1017AC | 2,374 - 3,955 Applicants | Per Applicant | $0.00 | X 2,966 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 7: Washington | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1018 - District 7 - Washington | ||||||
| 1018AA | 1 - 1,267 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,267) | ||||||
| 1018AB | 1,268 - 3,041 Applicants | Per Applicant | $0.00 | |||
| 1018AC | 3,042 - 5,068 Applicants | Per Applicant | $0.00 | X 3,801 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 1012 - 1018 | $0.00 | |||||
| SOUTHEAST REGION | ||||||
| District 8: Atlanta | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1019 - District 8 - Atlanta | ||||||
| 1019AA | 1 - 5,287 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 5,287) | ||||||
| 1019AB | 5,288 - 12,672 Applicants | Per Applicant | $0.00 | |||
| 1019AC | 12,673 -20,790 Applicants | Per Applicant | $0.00 | |||
| 1019AD | 20,791 - 41,580 Applicants | Per Applicant | $0.00 | |||
| 1019AE | 41,581 - 104,495 Applicants | Per Applicant | $0.00 | X 99,208 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 9: Miami | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1020 - District 9 - Miami | ||||||
| 1020AA | 1 - 8,646 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 8,646) | ||||||
| 1020AB | 8,647 - 20,728 Applicants | Per Applicant | $0.00 | |||
| 1020AC | 20,729 - 32,130 Applicants | Per Applicant | $0.00 | |||
| 1020AD | 32,131 - 64,260 Applicants | Per Applicant | $0.00 | |||
| 1020AE | 64,261 - 170,930 Applicants | Per Applicant | $0.00 | X 162,284 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 10: Orlando | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1021 - District 10 - Orlando | ||||||
| 1021AA | 1 - 5,914 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 5,914) | ||||||
| 1021AB | 5,915 - 14,178 Applicants | Per Applicant | $0.00 | |||
| 1021AC | 14,179 - 19,845 Applicants | Per Applicant | $0.00 | |||
| 1021AD | 19,846 - 39,690 Applicants | Per Applicant | $0.00 | |||
| 1021AE | 39,691 - 116,916 Applicants | Per Applicant | $0.00 | X 111,002 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 11: New Orleans | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1022 - District 11 - New Orleans | ||||||
| 1022AA | 1 - 1,767 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,767) | ||||||
| 1022AB | 1,768 - 4,223 Applicants | Per Applicant | $0.00 | |||
| 1022AC | 4,224 - 12,285 Applicants | Per Applicant | $0.00 | |||
| 1022AD | 12,286 - 24,570 Applicants | Per Applicant | $0.00 | |||
| 1022AE | 24,571 - 34,818 Applicants | Per Applicant | $0.00 | X 33,051 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 1019 - 1022 | $0.00 | |||||
| Other Direct Costs SE Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 1023 | NTE | $8,273,543.00 | |||
| Travel | 1024 | NTE | $267,798.00 | |||
| Equipment | 1025 | NTE | $155,020.00 | |||
| Supplies | 1026 | NTE | $655,298.00 | |||
| Total CLINS 1023 - 1026 | $9,351,659.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) SE Region | ||||||
| District 8: Atlanta | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1027 - District 8 - Atlanta | ||||||
| 1027AA | 1 - 2,278 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,278) | ||||||
| 1027AB | 2,279 - 5,466 Applicants | Per Applicant | $0.00 | |||
| 1027AC | 5,467 - 9,111 Applicants | Per Applicant | $0.00 | X 6,833 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 9: Miami | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1028 - District 9 - Miami | ||||||
| 1028AA | 1 - 2,752 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,752) | ||||||
| 1028AB | 2,753 - 6,605 Applicants | Per Applicant | $0.00 | |||
| 1028AC | 6,606 - 11,008 Applicants | Per Applicant | $0.00 | X 8,256 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 10: Orlando | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1029 - District 10 - Orlando | ||||||
| 1029AA | 1 - 2,071 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,072) | ||||||
| 1029AB | 2,072 - 4,970 Applicants | Per Applicant | $0.00 | |||
| 1029AC | 4,971 - 8,283 Applicants | Per Applicant | $0.00 | X 6,212 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 11: New Orleans | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1030 - District 11 - New Orleans | ||||||
| 1030AA | 1 - 654 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 654) | ||||||
| 1030AB | 655 - 1,570 Applicants | Per Applicant | $0.00 | |||
| 1030AC | 1,571 - 2,617 Applicants | Per Applicant | $0.00 | X 1,963 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 1027 - 1030 | $0.00 | |||||
| TOTAL CLINS 1001 - 1030 (OPTION YEAR 1) | $37,123,494.00 | |||||
| CENTRAL REGION | ||||||
| District 12: Detroit | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1031 - District 12 - Detroit | ||||||
| 1031AA | 1 - 1,745 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,745) | ||||||
| 1031AB | 1,746 - 4,182 Applicants | Per Applicant | $0.00 | |||
| 1031AC | 4,183 - 7,560 Applicants | Per Applicant | $0.00 | |||
| 1031AD | 7,561 - 15,120 Applicants | Per Applicant | $0.00 | |||
| 1031AE | 15,121 - 34,486 Applicants | Per Applicant | $0.00 | X 32,741 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 13: Cleveland | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1032 - District 13 - Cleveland | ||||||
| 1032AA | 1 - 2,299 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,299) | ||||||
| 1032AB | 2,300 - 5,500 Applicants | Per Applicant | $0.00 | |||
| 1032AC | 5,501 - 9,450 Applicants | Per Applicant | $0.00 | |||
| 1032AD | 9,451 - 18,900 Applicants | Per Applicant | $0.00 | |||
| 1032AE | 18,901 - 45,352 Applicants | Per Applicant | $0.00 | X 43,053 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 14: Chicago | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1033 - District 14 - Chicago | ||||||
| 1033AA | 1 - 4,645 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 4,645) | ||||||
| 1033AB | 4,646 - 11,124 Applicants | Per Applicant | $0.00 | |||
| 1033AC | 11,125 - 23,625 Applicants | Per Applicant | $0.00 | |||
| 1033AD | 23,626 - 47,250 Applicants | Per Applicant | $0.00 | |||
| 1033AE | 47,251 - 91,731 Applicants | Per Applicant | $0.00 | X 87,086 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 15: St. Paul | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1034 - District 15 - St. Paul | ||||||
| 1034AA | 1 - 3,614 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,614) | ||||||
| 1034AB | 3,615 - 8,641 Applicants | Per Applicant | $0.00 | |||
| 1034AC | 8,642 - 22,680 Applicants | Per Applicant | $0.00 | |||
| 1034AD | 22,681 - 45,360 Applicants | Per Applicant | $0.00 | |||
| 1034AE | 45,361 - 71,242 Applicants | Per Applicant | $0.00 | X 67,628X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 16: Dallas | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1035 - District 16 - Dallas | ||||||
| 1035AA | 1 - 3,971 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,971) | ||||||
| 1035AB | 3,972 - 9,511 Applicants | Per Applicant | $0.00 | |||
| 1035AC | 9,512 - 15,120 Applicants | Per Applicant | $0.00 | |||
| 1035AD | 15,121 - 30,240 Applicants | Per Applicant | $0.00 | |||
| 1035AE | 30,241 - 78,433 Applicants | Per Applicant | $0.00 | X 74,462 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 17: Houston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1036 - District 17 - Houston | ||||||
| 1036AA | 1 - 3,560 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,560) | ||||||
| 1036AB | 3,561 - 8,532 Applicants | Per Applicant | $0.00 | |||
| 1036AC | 8,533 - 13,230 Applicants | Per Applicant | $0.00 | |||
| 1036AD | 13,231 - 26,460 Applicants | Per Applicant | $0.00 | |||
| 1036AE | 26,461 - 70,363 Applicants | Per Applicant | $0.00 | X 66,803 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 18: San Antonio | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1037 - District 18 - San Antonio | ||||||
| 1037AA | 1 - 3,978 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,978) | ||||||
| 1037AB | 3,979 - 9,524 Applicants | Per Applicant | $0.00 | |||
| 1037AC | 9,525 - 18,900 Applicants | Per Applicant | $0.00 | |||
| 1037AD | 18,901 - 37,800 Applicants | Per Applicant | $0.00 | |||
| 1037AE | 37,801 - 78,528 Applicants | Per Applicant | $0.00 | X 74,550 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 19: Denver | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1038 - District 19 - Denver | ||||||
| 1038AA | 1 - 2,347 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,347) | ||||||
| 1038AB | 2,348 - 5,613 Applicants | Per Applicant | $0.00 | |||
| 1038AC | 5,614 - 17,010 Applicants | Per Applicant | $0.00 | |||
| 1038AD | 17,011 - 34,020 Applicants | Per Applicant | $0.00 | |||
| 1038AE | 34,021 - 46,254 Applicants | Per Applicant | $0.00 | X 43,907 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 1031 - 1038 | $0.00 | |||||
| Other Direct Costs CE Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 1039 | NTE | $14,453,365.00 | |||
| Travel | 1040 | NTE | $70,682.00 | |||
| Equipment | 1041 | NTE | $287,956.00 | |||
| Supplies | 1042 | NTE | $603,262.00 | |||
| Total CLINS 1039 - 1042 | $15,415,265.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) Central Region | ||||||
| District 12: Detroit | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1043 - District 12 - Detroit | ||||||
| 1043AA | 1 - 701 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 701) | ||||||
| 1043AB | 702 - 1,683 Applicants | Per Applicant | $0.00 | |||
| 1043AC | 1,684 - 2,805 Applicants | Per Applicant | $0.00 | X 2,104 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 13: Cleveland | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1044 - District 13 - Cleveland | ||||||
| 1044AA | 1 - 895 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 895) | ||||||
| 1044AB | 896 - 2,147 Applicants | Per Applicant | $0.00 | |||
| 1044AC | 2,148 - 3,579 Applicants | Per Applicant | $0.00 | X 2,684X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 14: Chicago | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1045 - District 14 - Chicago | ||||||
| 1045AA | 1 - 2,036 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,036) | ||||||
| 1045AB | 2,037 - 4,887 Applicants | Per Applicant | $0.00 | |||
| 1045AC | 4,888 - 8,145 Applicants | Per Applicant | $0.00 | X 6,109 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 15: St. Paul | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1046 - District 15 - St. Paul | ||||||
| 1046AA | 1 - 1,317 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,317) | ||||||
| 1046AB | 1,318 - 3,162 Applicants | Per Applicant | $0.00 | |||
| 1046AC | 3,163 - 5,269 Applicants | Per Applicant | $0.00 | X 3,952 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 16: Dallas | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1047 - District 16 - Dallas | ||||||
| 1047AA | 1 - 1,403 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,403) | ||||||
| 1047AB | 1,404 - 3,367 Applicants | Per Applicant | $0.00 | |||
| 1047AC | 3,368 - 5,612 Applicants | Per Applicant | $0.00 | X 4,209 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 17: Houston | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1048 - District 17 - Houston | ||||||
| 1048AA | 1 - 1,302 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,302) | ||||||
| 1048AB | 1,303 - 3,126 Applicants | Per Applicant | $0.00 | |||
| 1048AC | 3,127 - 5,210 Applicants | Per Applicant | $0.00 | X 3,908 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 18: San Antonio | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1049 - District 18 - San Antonio | ||||||
| 1049AA | 1 - 1,026 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,026) | ||||||
| 1049AB | 1,027 - 2,461 Applicants | Per Applicant | $0.00 | |||
| 1049AC | 2,462 - 4,102 Applicants | Per Applicant | $0.00 | X 3,076 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 19: Denver | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1050 - District 19 - Denver | ||||||
| 1050AA | 1 - 844 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 844) | ||||||
| 1050AB | 845- 2,026 Applicants | Per Applicant | $0.00 | |||
| 1050AC | 2,027 - 3,376 Applicants | Per Applicant | $0.00 | X 2,532 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| Total CLINS 1043 - 1050 | $0.00 | |||||
| WESTERN REGION | ||||||
| District 20: Seattle | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1051 - District 20 - Seattle | ||||||
| 1051AA | 1 - 3,301 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,301) | ||||||
| 1051AB | 3,302 - 7,910 Applicants | Per Applicant | $0.00 | |||
| 1051AC | 7,911 - 15,120 Applicants | Per Applicant | $0.00 | |||
| 1051AD | 15,121 - 30,240 Applicants | Per Applicant | $0.00 | |||
| 1051AE | 30,241 - 65,213 Applicants | Per Applicant | $0.00 | X 61,912 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 21: San Francisco | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1052 - District 21 - San Francisco | ||||||
| 1052AA | 1 - 5,426 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 5,426) | ||||||
| 1052AB | 5,427 - 13,007 Applicants | Per Applicant | $0.00 | |||
| 1052AC | 13,008 - 21,735 Applicants | Per Applicant | $0.00 | |||
| 1052AD | 21,736 - 43,470 Applicants | Per Applicant | $0.00 | |||
| 1052AE | 43,471 - 107,263 Applicants | Per Applicant | $0.00 | X 101,837 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 22: Sacramento | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1053 - District 22 - Sacramento | ||||||
| 1053AA | 1 - 2,840 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,840) | ||||||
| 1053AB | 2,841 - 6,803 Applicants | Per Applicant | $0.00 | |||
| 1053AC | 6,804 - 14,175 Applicants | Per Applicant | $0.00 | |||
| 1053AD | 14,176 - 28,350 Applicants | Per Applicant | $0.00 | |||
| 1053AE | 28,351 - 56,100 Applicants | Per Applicant | $0.00 | X 53,260 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 23: Los Angeles | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1054 - District 23 - Los Angeles | ||||||
| 1054AA | 1 - 12,528 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 12,528) | ||||||
| 1054AB | 12,529 - 30,032 Applicants | Per Applicant | $0.00 | |||
| 1054AC | 30,033 - 52,920 Applicants | Per Applicant | $0.00 | |||
| 1054AD | 52,921 - 105,840 Applicants | Per Applicant | $0.00 | |||
| 1054AE | 105,841 - 247,652 Applicants | Per Applicant | $0.00 | X 235,124 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 24: San Diego | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1055 - District 24 - San Diego | ||||||
| 1055AA | 1 - 2,282 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,282) | ||||||
| 1055AB | 2,283 - 5,470 Applicants | Per Applicant | $0.00 | |||
| 1055AC | 5,471 - 9,450 Applicants | Per Applicant | $0.00 | |||
| 1055AD | 9,451 - 18,900 Applicants | Per Applicant | $0.00 | |||
| 1055AE | 18,901 - 45,095 Applicants | Per Applicant | $0.00 | X 42,813 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 25: Phoenix | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1056 - Distrit 25 - Phoenix | ||||||
| 1056AA | 1 - 3,651 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 3,651) | ||||||
| 1056AB | 3,652 - 8,745 Applicants | Per Applicant | $0.00 | |||
| 1056AC | 8,746 - 16,065 Applicants | Per Applicant | $0.00 | |||
| 1056AD | 16,066 - 32,130 Applicants | Per Applicant | $0.00 | |||
| 1056AE | 32,131 - 72,110 Applicants | Per Applicant | $0.00 | X 68,459 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 26: Hawaii | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1057 - District 26 - Hawaii | ||||||
| 1057AA | 1 - 656 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 656) | ||||||
| 1057AB | 657 - 1,563 Applicants | Per Applicant | $0.00 | |||
| 1057AC | 1,564 - 6,615 Applicants | Per Applicant | $0.00 | |||
| 1057AD | 6,616 - 13,230 Applicants | Per Applicant | $0.00 | X 12,574 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range - Note: District 26 does not have a range E) | ||||||
| Total CLINS 1051 - 1057 | $0.00 | |||||
| Other Direct Costs W Region | CLIN | TOTAL PRICE | ||||
| Facility Costs | 1058 | NTE | $18,456,411.00 | |||
| Travel | 1059 | NTE | $139,028.00 | |||
| Equipment | 1060 | NTE | $130,286.00 | |||
| Supplies | 1061 | NTE | $825,271.00 | |||
| Total CLINS 1058 - 1061 | $19,550,996.00 | |||||
| CUSTOMER IDENTITY VERIFICATION (CIV) Western Region | ||||||
| District 20: Seattle | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1062 - District 20 - Seattle | ||||||
| 1062AA | 1 - 1,332 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,332) | ||||||
| 1062AB | 1,333 - 3,198 Applicants | Per Applicant | $0.00 | |||
| 1062AC | 3,199 - 5,330 Applicants | Per Applicant | $0.00 | X 3,998 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 21: San Francisco | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1063 - District 21 - San Francisco | ||||||
| 1063AA | 1 - 2,068 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 2,068) | ||||||
| 1063AB | 2,069 - 4,963 Applicants | Per Applicant | $0.00 | |||
| 1063AC | 4,964 - 8,272 Applicants | Per Applicant | $0.00 | X 6,204 X 12 Mos | $0.00 | |
| (FFP per applicant above the baseline range) | ||||||
| District 22: Sacramento | CLIN | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| 1064 - District 22 - Sacramento | ||||||
| 1064AA | 1 - 1,115 Applicants | Per MO | $0.00 | X 12 Mos. | $0.00 | |
| (Baseline Range - FFP per month for range of applicants between 1 - 1,115) |
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File details come from the government source that posted it. Updated .