MHCC 27-005 Attachment B Financial Proposal Form.xlsx

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Attached to
MHCC 27-005 ACTUARIAL CONSULTING ON THE IMPACT OF REQUIRING COVERAGE FOR SCREENING FOR PERINATAL BEHAVIORAL HEALTH CONDITIONS
Solicitation number
BPM058196
Issued by
Maryland

About this file

This is a Financial Proposal Form for MHCC 27-005, a Maryland state contract opportunity for actuarial consulting services on the impact of requiring coverage for screening for perinatal behavioral health conditions. The form requests pricing for four key deliverables: a Work Plan, Framework and Rationale Outline, Framework and Rationale Report, and Commission Meeting Presentation. Offerors must provide hourly rates and total costs for three staff categories: Principal Actuary, and two levels of Actuarial Consultant positions. The form structure allows bidders to enter hours, hourly rates, and calculated totals for each deliverable across all staff classifications, with a final total contract price field.

The proposal form requires submission of a fixed-price total for the entire contract scope. Offerors must complete all pricing fields and include authorized representative signatures, printed names, titles, dates, and company addresses. The form does not specify contract term, renewal options, or other commercial terms on this page, though these details would be contained in the related solicitation documents. No information regarding set-asides, incumbent status, funding sources, or budget caps is presented on this financial proposal attachment.

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Text version

Sheet1 MHCC 27-005 Financial Proposal Form

Key DeliverablePrincipal ActuaryActuarial ConsultantActuarial Consultant
HoursRate$Total$HoursRate$Total$HoursRate$Total$Total Fixed Price
3.2.B. Work Plan$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.C.1. Framework and Rational Outline$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.C.2. Framework and Rationale Report$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.D Commission Meeting Presentation$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Contract Price$ - 0
Submitted by:
Offeror:
Offeror Name (please print or type)
By:
Signature of Authorized Representative
Printed Name:
Printed Name
Title:
Title
Date:
Date:
Address:
Company Address

File details come from the government source that posted it. Updated .