Amendment_Two_Attachment.pdf

PDF 348 KB Posted May 20, 2019

Attached to: Technical & Logistical Support for NIH Laboratory Animal Research (LARC IV) Federal contract opportunity
Solicitation number: NIHOD201900019
Issued by: Department of Health and Human Services National Institutes of Health Office of Acquisition Management and Policy

About this file

Written by GovTribe AI · Dec 30, 2023

This document provides details for a technical and logistical support services contract opportunity with the National Institutes of Health. The contract will provide a range of support services for NIH animal research programs, including veterinary medicine, animal care and husbandry, technical support, data management, facility maintenance, and transportation. Support is needed for various biomedical research projects involving a diversity of laboratory animals. Services must adhere to applicable regulations and standards to ensure animal health and research validity. The multiple-award indefinite delivery/indefinite quantity contract will have a one-year base period and four one-year options, with task orders awarded on both a full-and-open and set-aside basis. Thirteen of eighteen total task orders are reserved for small businesses. The North American Industry Classification code is 541940. The solicitation is available through the provided contacts or on FedBizOpps.

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Amendment Two Attachment

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Other files for this federal contract opportunity

Other files attached to Technical & Logistical Support for NIH Laboratory Animal Research (LARC IV), newest first.
File	Type	Posted
Amendment_Four_to_RFP_NIHOD201900019.pdf	PDF	May 21, 2019
Attachment_to_Amendment_two.xlsx	XLSX spreadsheet	May 20, 2019
Amendment_Three_to_RFP_NIHOD201900019.pdf	PDF	May 17, 2019
Amendment_Two_for_LARC_IV_RFP_NIHOD201900019.pdf	PDF	May 16, 2019
Amendment_One_to_RFP_NIHOD201900019.pdf	PDF	May 13, 2019
NIHOD201900019_RFP.pdf	PDF	May 10, 2019

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INSTRUCTIONS

OMB Control No. 9000-0013

How to use this Excel file:

(Updated 10/9/2008)

IMPORTANT NOTE: If you have opened this file before saving on your computer, you will be prompted for a user name and a password and you will lose all the data you may have inserted. Please close the file and click on the link again and save before opening.

This worksheet is intended to help you prepare your cost proposal. If you provide us with an electronic copy of the cost proposal, we can save time by not recreating it. This will help speed up the review/award process and perhaps reduce the number of questions we need to ask in order to understand your proposal. We understand that one spreadsheet format can not fit every situation; however, we have attempted to create a simple model that fits most circumstances that arise in Government contracting. Feel free to modify the spreadsheet to fit your circumstances, and to use the parts that work for you. There are more specific instructions on specific cost element pages where applicable.

Summary Page Please insert your organization's name in cell A2 and the RFP No. in cell A3.

The totals from each cost element page are automatically carried forward to the Summary worksheet. Enter the start date of the contract in cell C5.

This Excel file is set up for seven periods.

Direct Labor Use the Labor - Percent of Effort worksheet if you track labor on a percent of effort basis. Generally, Universities, Hospitals, and Non-Profit Organizations tract labor by percent of effort.

Use the Labor - Hourly worksheet if you track labor on an hourly basis. Commercial organizations track labor on an hourly basis.

Use both pages if you track some employees by each method. Please do not put any employee on both pages. Consultants should be proposed on the consultants worksheet, not the labor worksheets.

The proposed amounts must be based on current payroll information which shows hourly, monthly, or annual rate/salary for each proposed (named) individuals. Acceptable documentation includes any one of the following: 1) personnel action forms, or 2) most recent payroll register showing name, pay rate, and percent of effort if applicable, or 3) copy of pay stub. Supporting documentation may be requested at a later date.

If the proposed positions have not been filled or are to be named or hired, then acceptable documentation includes the following: 1) letter of intent to hire including salary rate and title, or 2) position descriptions and salary scales or organizational wage table showing salary range and a copy of hiring policy, or 3) a comparable employee's payroll document. Supporting documentation may be requested at a later date. Increases for the to be named or hired are not eligible for increases in the first period.

Indirect Rates Including Fringe Benefit Rate(s) for Commercial Organizations

INSTRUCTIONS

If your organization does not have negotiated rates, the following website contains information which will assist you in computing indirect rates:

http://oamp.od.nih.gov/dfas/IdCSubmission.asp Please do not submit your indirect proposal to the Division of Financial Advisory Services at this time.

Points of Contact If you have any questions regarding this Excel file, please contact Stephen Shaffer (301-496-3140) email at Stephen.Shaffer@nih.gov.

If you have contracting questions, please call the NIH Contracting Official who is listed in the RFP.

SUMMARY OF PROPOSED COSTS

Contractor's Name** RFP No.**

PERIOD I PERIOD II PERIOD III PERIOD IV PERIOD V PERIOD VI PERIOD VII TOTAL

Period ( dates)## 1/1/2007 1/1/2008 1/1/2009 1/1/2010 1/1/2011 1/1/2012 1/1/2013

Through Through Through Through Through Through Through 12/31/2007 12/31/2008 12/31/2009 12/31/2010 12/31/2011 12/31/2012 12/31/2013

Direct Labor - Percent of Effort $0 $0 $0 $0 $0 $0 $0 $0 Fringe Benefits - Percent of Effort 0 0 0 0 0 0 0 0 Direct Labor - Hourly 0 0 0 0 0 0 0 0 Fringe Benefits - Hourly 0 0 0 0 0 0 0 0 Total Direct Labor & Fringe Benefits $0 $0 $0 $0 $0 $0 $0 $0

Overhead (Note 1) 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 $0

Materials and Supplies $0 $0 $0 $0 $0 $0 $0 $0 Professional Travel 0 0 0 0 0 0 0 0 Equipment 0 0 0 0 0 0 0 0 Consultants 0 0 0 0 0 0 0 0 Other Direct Costs 0 0 0 0 0 0 0 0 Patient Care Costs 0 0 0 0 0 0 0 0 Subcontracts 0 0 0 0 0 0 0 0 Total Other Direct Costs $0 $0 $0 $0 $0 $0 $0 $0

Subtotal: Direct Labor, Fringe Benefits, Overhead , & Other Direct $0 $0 $0 $0 $0 $0 $0 $0 Exclusion(s) From Base For G&A 0 0 0 0 0 0 0 0 Adjusted Base for G&A $0 $0 $0 $0 $0 $0 $0 $0 G&A (Note 2) 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0 Total Proposed Cost Excluding Fee 0 0 0 0 0 0 0 0 Proposed Fee/Profit 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0 Total Proposed Cost Plus Fee/Profit $0 $0 $0 $0 $0 $0 $0 $0

NOTES:

1. Not all organizations allocate indirect cost in the same way. It is important that you use the indirect rate structure applicable to your organization.

For example, if you have a two tier indirect rate structure, then you will use a two tier structure when proposing indirect costs.

Generally, Universities and Non-Profits have fringe benefit and G&A (or sometimes called F&A) rates, while For-Profit Companies can have various indirect rates such as fringe benefits, overhead, G&A, etc.

The base for overhead costs includes direct labor and fringe benefits. Please modify if your base is different.

If applicable, insert exclusions to the G&A base in row 26.

2. If you have questions regarding indirect (F&A) rates see website: http://oamp.od.nih.gov/dfas/IdCSubmission.asp

This website also contains definitions, examples, and training.

EGEND:

** Please insert the Company's name and the RFP #.

## Please insert the Company's name and the RFP #.

SUMMARY OF DIRECT LABOR

AND FRINGE BENEFITS

PERCENT OF EFFORT

Contractor's Name** PERIOD I* PERIOD II* RFP No.** 1/1/2007 Through 12/31/2007 1/1/2008 Through 12/31/2008

CURRENT ADJUSTED

PERCENT

OF NUMBER SALARY FRINGE FRINGE

PERCENT

OF NUMBER SALARY FRINGE FRINGE

EMPLOYEE POSITION BASE SALARY BASE SALARY EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST

1 $0 $0 0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 2 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 3 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 4 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 5 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 6 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 7 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 8 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 9 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0

10 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 11 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 12 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 13 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 14 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 15 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 16 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 17 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 18 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 19 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 20 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 21 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 22 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 23 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 24 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 25 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 26 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 27 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 28 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 29 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 30 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 31 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0

SUBTOTALS = 0% $0 $0 0% $0 $0

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED TO

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

(Use of these cells will affect all of the adjusted base salary column; if individual anniversary dates differ, the adjusted base salaries must be entered individually in Column "D" of the spreadsheet and explained in the budget justification)

ANNUAL INCREASE FACTOR: 0.00% - Insert annual cost of living % and/or merit increases as applicable and explain the % in the budget justification

ANNUAL INCREASE DATE: 00/00/00 - Insert annual increase date.

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0 - Insert number of months at the new salary.

*Adjust the number of months per period as recommended in the RFP.

PERCENT OF EFFORT

Contractor's Name** RFP No.**

CURRENT ADJUSTED

EMPLOYEE POSITION BASE SALARY BASE SALARY

1 $0 $0 2 0 0 3 0 0 4 0 0 5 0 0 6 0 0 7 0 0 8 0 0 9 0 0

10 0 0 11 0 0 12 0 0 13 0 0 14 0 0 15 0 0 16 0 0 17 0 0 18 0 0 19 0 0 20 0 0 21 0 0 22 0 0 23 0 0 24 0 0 25 0 0 26 0 0 27 0 0 28 0 0 29 0 0 30 0 0 31 0 0

SUBTOTALS =

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

(Use of these cells will affect all of the adjusted base salary column; i anniversary dates differ, the adjusted base salaries must be entered in Column "D" of the spreadsheet and explained in the budget justific

ANNUAL INCREASE FACTOR: 0.00%

ANNUAL INCREASE DATE: 00/00/00

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0

PERIOD III* PERIOD IV*

1/1/2009 Through 12/31/2009 1/1/2010 Through 12/31/2010

PERCENT

OF NUMBER SALARY FRINGE FRINGE

PERCENT

OF NUMBER SALARY FRINGE FRINGE

EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST

0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% $0 $0 0% $0 $0

*Adjust the number of months per period as recommended in the RFP

PERCENT OF EFFORT

Contractor's Name** RFP No.**

CURRENT ADJUSTED

EMPLOYEE POSITION BASE SALARY BASE SALARY

1 $0 $0 2 0 0 3 0 0 4 0 0 5 0 0 6 0 0 7 0 0 8 0 0 9 0 0

10 0 0 11 0 0 12 0 0 13 0 0 14 0 0 15 0 0 16 0 0 17 0 0 18 0 0 19 0 0 20 0 0 21 0 0 22 0 0 23 0 0 24 0 0 25 0 0 26 0 0 27 0 0 28 0 0 29 0 0 30 0 0 31 0 0

SUBTOTALS =

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

PERIOD V* PERIOD VI*

1/1/2011 Through 12/31/2011 1/1/2012 Through 12/31/2012

PERCENT

OF NUMBER SALARY FRINGE FRINGE

PERCENT

OF NUMBER SALARY FRINGE FRINGE

EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST

PERCENT OF EFFORT

Contractor's Name** RFP No.**

CURRENT ADJUSTED

EMPLOYEE POSITION BASE SALARY BASE SALARY

1 $0 $0 2 0 0 3 0 0 4 0 0 5 0 0 6 0 0 7 0 0 8 0 0 9 0 0

10 0 0 11 0 0 12 0 0 13 0 0 14 0 0 15 0 0 16 0 0 17 0 0 18 0 0 19 0 0 20 0 0 21 0 0 22 0 0 23 0 0 24 0 0 25 0 0 26 0 0 27 0 0 28 0 0 29 0 0 30 0 0 31 0 0

SUBTOTALS =

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

PERIOD VII*

1/1/2013 Through 12/31/2013 TOTAL TOTAL

PERCENT

OF NUMBER SALARY FRINGE FRINGE SALARY FRINGE

EFFORT MONTHS COST RATE COST COST COST

0% 12.00 $0 0% $0 $0 $0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% 12.00 0 0% 0 0 0 0% $0 $0 $0 $0

Hourly Rates Contractor's Name** PERIOD I* PERIOD II* RFP No.** 1/1/2007 Through 12/31/2007 1/1/2008 Through 12/31/2008

CURRENT BASE ADJUSTED NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE EMPLOYEE POSITION HOURLY RATE HOURLY RATE HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST

1 $0.00 $0.00 0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0 2 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 3 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 4 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 5 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 6 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 7 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 8 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 9 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0

10 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 11 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 12 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 13 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 14 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 15 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 16 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 17 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 18 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 19 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 20 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 21 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 22 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 23 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 24 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 25 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 26 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 27 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 28 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 29 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 30 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 31 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0

SUBTOTALS = 0.00 $0 $0 0.00 $0 $0

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED TO

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

NUMBER OF HOURS FOR FULL TIME EQUIVALENT: 0 -- Insert your direct work year.

Insert annual cost of living % and/or merit increases ANNUAL INCREASE FACTOR: 0.00% -- as applicable and explain the % in the budget justification

ANNUAL INCREASE DATE: 00/00/00 -- Insert annual increase date.

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0 -- Insert number of months at the the new hourly rate.

Hourly Rates Contractor's Name** RFP No.**

CURRENT BASE ADJUSTED

EMPLOYEE POSITION HOURLY RATE HOURLY RATE

1 $0.00 $0.00 2 0.00 0.00 3 0.00 0.00 4 0.00 0.00 5 0.00 0.00 6 0.00 0.00 7 0.00 0.00 8 0.00 0.00 9 0.00 0.00

10 0.00 0.00 11 0.00 0.00 12 0.00 0.00 13 0.00 0.00 14 0.00 0.00 15 0.00 0.00 16 0.00 0.00 17 0.00 0.00 18 0.00 0.00 19 0.00 0.00 20 0.00 0.00 21 0.00 0.00 22 0.00 0.00 23 0.00 0.00 24 0.00 0.00 25 0.00 0.00 26 0.00 0.00 27 0.00 0.00 28 0.00 0.00 29 0.00 0.00 30 0.00 0.00 31 0.00 0.00

SUBTOTALS =

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED T

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

(Use of these cells will affect all of the adjusted base salary column; if i anniversary dates differ, the adjusted base salaries must be entered in Column "D" of the spreadsheet and explained in the budget justification

NUMBER OF HOURS FOR FULL TIME EQUIVALENT: 0

ANNUAL INCREASE FACTOR: 0.00%

PERIOD III* PERIOD IV*

1/1/2009 Through 12/31/2009 1/1/2010 Through 12/31/2010

NUMBERNUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE

HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST

0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0

0.00 12.00 0 0% 0 0.00 12.00 0 0% 0

0.00 $0 $0 0.00 $0 $0

Hourly Rates Contractor's Name** RFP No.**

CURRENT BASE ADJUSTED

EMPLOYEE POSITION HOURLY RATE HOURLY RATE

1 $0.00 $0.00 2 0.00 0.00 3 0.00 0.00 4 0.00 0.00 5 0.00 0.00 6 0.00 0.00 7 0.00 0.00 8 0.00 0.00 9 0.00 0.00

SUBTOTALS =

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED T

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

NUMBER OF HOURS FOR FULL TIME EQUIVALENT: 0

ANNUAL INCREASE FACTOR: 0.00%

PERIOD V* PERIOD VI*

1/1/2011 Through 12/31/2011 1/1/2012 Through 12/31/2012

NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE

HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST

0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0

0.00 12.00 0 0% 0 0.00 12.00 0 0% 0

0.00 $0 $0 0.00 $0 $0

Hourly Rates Contractor's Name** RFP No.**

CURRENT BASE ADJUSTED

EMPLOYEE POSITION HOURLY RATE HOURLY RATE

1 $0.00 $0.00 2 0.00 0.00 3 0.00 0.00 4 0.00 0.00 5 0.00 0.00 6 0.00 0.00 7 0.00 0.00 8 0.00 0.00 9 0.00 0.00

SUBTOTALS =

THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED T

CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:

NUMBER OF HOURS FOR FULL TIME EQUIVALENT: 0

ANNUAL INCREASE FACTOR: 0.00%

PERIOD VII*

1/1/2013 Through 12/31/2013 TOTAL TOTAL

NUMBERNUMBER SALARY FRINGE FRINGE SALARY FRINGE

HOURS MONTHS COST RATE COST COST COST

0.00 12.00 $0 0% $0 $0 $0

0.00 12.00 0 0% 0 0 0

0.00 $0 $0 $0 $0

SUMMARY OF MATERIALS AND SUPPLIES

Please use current catalog, historical documentation, or vendor quotes.

Supporting documentation may be requested at a later date

SUMMARY OF TRAVEL COSTS

RFP No.**

Cost Element Period I Period II Period III Period IV Period V Period VIPeriod VII TOTAL Trip # 1 1 1 1 1 1 1

Site Reason Airfare $0 $0 $0 $0 $0 $0 $0

Lodging 0 0 0 0 0 0 0 Meals 0 0 0 0 0 0 0

Incidentals 0 0 0 0 0 0 0 Ground Transport 0 0 0 0 0 0 0

Total Per Trip $0 $0 $0 $0 $0 $0 $0 No. of persons 0 0 0 0 0 0 0

SUBTOTAL = $0 $0 $0 $0 $0 $0 $0 $0

Trip # 2 2 2 2 2 2 2 Site

Reason Airfare $0 $0 $0 $0 $0 $0 $0

Lodging 0 0 0 0 0 0 0 Meals 0 0 0 0 0 0 0

Incidentals 0 0 0 0 0 0 0 Ground Transport 0 0 0 0 0 0 0

Total Per Trip $0 $0 $0 $0 $0 $0 $0 No. of persons 0 0 0 0 0 0 0

SUBTOTAL = $0 $0 $0 $0 $0 $0 $0 $0

Trip # 3 3 3 3 3 3 3 Site

Reason Airfare $0 $0 $0 $0 $0 $0 $0

Lodging 0 0 0 0 0 0 0 Meals 0 0 0 0 0 0 0

Incidentals 0 0 0 0 0 0 0 Ground Transport 0 0 0 0 0 0 0

Total Per Trip $0 $0 $0 $0 $0 $0 $0 No. of persons 0 0 0 0 0 0 0

SUBTOTAL = $0 $0 $0 $0 $0 $0 $0 $0

TOTAL COST BY PERIOD = $0 $0 $0 $0 $0 $0 $0 $0

Please review the RFP for the recommended number of trips and destinations if applicable.

Please use the company or institutional travel policy unless current Government Per Diem rates are utilized. Please use current vendor quotes for airfare and other travel costs. Supporting documentation may be requested at a later date.

SUMMARY OF EQUIPMENT COSTS

RFP No.**

Period I Period II Period III Period IV Unit Unit Unit Unit Unit Unit Unit Unit

10 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 11 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 12 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 13 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 14 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 15 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 16 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 17 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 18 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 19 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 20 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 21 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 22 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 23 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 24 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 25 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 26 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 27 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 28 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 29 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 30 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00

TOTAL = $0.00 $0.00 $0.00 $0.00

RFP No.**

ITEM

TOTAL =

Period V Period VI Period VII Unit Unit Unit Unit Unit Unit Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal TOTAL $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00

0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

$0.00 $0.00 $0.00 $0.00

All proposed equipment costs should include a justification and be based on current vendor quotes.

Supporting documentation may be requested at a later date.

SUMMARY OF CONSULTANT COSTS

RFP No.**

Period I Period II Period III CONSULTANT Rate # Hours # Days Travel Subtotal Rate # Hours# Days Travel Subtotal Rate # Hours# Days Travel Subtotal

(1) $0 $0 $0 $0 $0 $0 $0 $0 $0

(2) 0 0 0 0 0 0 0 0 0

(3) 0 0 0 0 0 0 0 0 0

(4) 0 0 0 0 0 0 0 0 0

(5) 0 0 0 0 0 0 0 0 0

(6) 0 0 0 0 0 0 0 0 0

(7) 0 0 0 0 0 0 0 0 0

(8) 0 0 0 0 0 0 0 0 0

(9) 0 0 0 0 0 0 0 0 0

(10) 0 0 0 0 0 0 0 0 0

TOTAL = $0 $0 $0

Period IV Period V CONSULTANT Rate # Hours # Days Travel Subtotal Rate # Hours# Days Travel Subtotal

(1) $0 $0 $0 $0 $0 $0

(2) 0 0 0 0 0 0

(3) 0 0 0 0 0 0

(4) 0 0 0 0 0 0

(5) 0 0 0 0 0 0

(6) 0 0 0 0 0 0

(7) 0 0 0 0 0 0

(8) 0 0 0 0 0 0

(9) 0 0 0 0 0 0

(10) 0 0 0 0 0 0

TOTAL = $0 $0

Period VI Period VII CONSULTANT Rate # Hours # Days Travel Subtotal Rate # Hours# Days Travel Subtotal TOTAL

(1) $0 $0 $0 $0 $0 $0 $0

(2) 0 0 0 0 0 0 0

(3) 0 0 0 0 0 0 0

(4) 0 0 0 0 0 0 0

(5) 0 0 0 0 0 0 0

(6) 0 0 0 0 0 0 0

(7) 0 0 0 0 0 0 0

(8) 0 0 0 0 0 0 0

(9) 0 0 0 0 0 0 0

(10) 0 0 0 0 0 0 0

TOTAL = $0 $0 $0

Please provide a complete breakdown for each consultant with rates for the number hours or days plus any proposed travel costs (including travel rates). Please obtain a signed letter of commitment which shows the base rate for each consultant.

Supporting doucmentation may be requested at a later date. Page 28

SUMMARY OF OTHER DIRECT COSTS

RFP No.**

Period I Period II Period III Period IV Unit Unit Unit Unit Unit Unit Unit Unit

ITEM Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal 1 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 2 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 3 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 4 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 5 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 6 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 7 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 8 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 9 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 10 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 11 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 12 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 13 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 14 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 15 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 16 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 17 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 18 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 19 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 20 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 21 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 22 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 23 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 24 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 25 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 26 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 27 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 28 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 29 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 30 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00

RFP No.**

ITEM

TOTAL =

Period V Period VI Period VII Unit Unit Unit Unit Unit Unit Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal TOTAL $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00

0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

Please use current catalog prices, or vendor quotes.

Supporting documentation may be requested at a later date.

SUMMARY OF PATIENT CARE COSTS

RFP No.**

Period I Period II Period III Period IV Unit Unit Unit Unit Unit Unit Unit Unit

RFP No.**

ITEM

TOTAL =

Period V Period VI Period VII Unit Unit Unit Unit Unit Unit Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal TOTAL $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00

0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

Please use current institutional costs or vendor quotes. Supporting documentation may be requested at a later date.

SUMMARY OF SUBCONTRACTOR COSTS

RFP No.**

SUBCONTRACT # Period I Period II Period III Period IV Period V Period VI Period VII TOTAL

(1) $0 $0 $0 $0 $0 $0 $0 $0

(2) 0 0 0 0 0 0 0 0

(3) 0 0 0 0 0 0 0 0

(4) 0 0 0 0 0 0 0 0

(5) 0 0 0 0 0 0 0 0

(6) 0 0 0 0 0 0 0 0

(7) 0 0 0 0 0 0 0 0

(8) 0 0 0 0 0 0 0 0

(9) 0 0 0 0 0 0 0 0

(10) 0 0 0 0 0 0 0 0

TOTAL = $0 $0 $0 $0 $0 $0 $0 $0

A complete breakdown and summary sheet for each proposed subcontract must be included with the prime proposal. The same format should be used for both the prime and subcontract proposals.

INSTRUCTIONS

SUMMARY

LABOR - Percent of Effort

LABOR - Hourly

Materials

Travel

Equipment

Consultants

Other Direct

Patient Care

Subcontracts

File details come from the government source that posted it. Updated Dec 30, 2023.