POS-Attachment 1 Form~2.docx
DOCX document 21 KB Posted
- Attached to
- Congregate Care Network RFR
- Solicitation number
- BD-21-1034-0009-DSS09-58737
- Issued by
- Suffolk County, Massachusetts
About this file
This document is a Purchase of Service Attachment 1: Program Cover Page for a contract opportunity from the Massachusetts Department of Children and Families (DCF). The program seeks to drive innovation in congregate care programming that will yield a congregate care network to meet the diverse and complex needs of children, adolescents, and young adults requiring 24/7 therapeutic care. The initial response is due on Monday, May 3, 2021 at 2:00 PM. The contract duration is not specified, but the document indicates options to renew for additional years.
The pricing terms provide three options: a price agreement, a summary budget, or a complete budget. Pricing can be established through unit rates, cost reimbursement, or other methods. The current maximum obligation and unit rate are provided. The document also references potential federal funding through a CFDA number, if applicable.
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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: Department of Children and Families
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 .