RFP 2026-1600-0028 - Submittal Form G - Cost Proposal.xlsx
XLSX spreadsheet 19 KB Posted
- Solicitation number
- 1625-076
- Issued by
- Aleutians East Borough, Alaska
About this file
The document is a Cost Proposal Submittal Form (RFP 2026-1600-0028) for the Department of Behavioral Health (DBH) in Alaska, covering a comprehensive behavioral health provider support contract. The project involves working with approximately 180 providers across nine behavioral health regions, with key activities including regional provider capacity development, provider enrollment support, and document management. The contract term spans eight years, with provisions for 20 provider visit trips per year (one person per trip) and additional trips to Juneau or Anchorage, involving up to two people annually.
The cost proposal template requires detailed financial breakdowns across multiple cost categories, including staffing, travel, and operational expenses. Two key personnel roles are highlighted: an Executive Director and a Provider Relations Manager, with the expectation that one of two key personnel will be fully dedicated to the project. The document provides a structured framework for bidders to outline hourly rates, personnel time allocation, and total costs across eight contract years, with an emphasis on transparent and comprehensive cost accounting. The proposal mandates that all direct and indirect costs must be fully disclosed, with no allowance for additional charges beyond the submitted proposal.
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Instructions
| Submittal Form G - Cost Proposal |
| RFP 2026-1600-0028 Instructions |
| Instructions |
| Offerors must complete all tabs (Tab 1 - Total Cost and Tab 2 - Rate Card) of this Submittal Form. This form must be saved as a separate document and submitted separately from other proposal components. |
Table 1 - Total Cost: Proposed costs must include all direct and indirect costs associated with the performance of the contract, including, but not limited to, total number of hours at various hourly rates, direct expenses, payroll, supplies, overhead assigned to each person working on the project, percentage of each person's time devoted to the project, and profit. Any costs included as “other” costs should be detailed and specific to enable the reviewer to understand them and how they differ from other costs in the proposal. The costs identified on the cost proposal are the total amount of costs to be paid by the state. No additional charges shall be allowed.
Table 2 - Rate Card: Offeror must provide their hourly rates and percentage of time devoted to the project for key personnel for each year.
| The input assumptions are listed below. This is not intended to be an exhaustive list and offerors should rely on a review of the entire RFP in developing cost proposals and not an abbreviated list. | |
| Personnel: 1 of the 2 key personnel are dedicated, other staff dedicated or ‘highly designated’ | |
| Assumptions and pricing should reflect staffing plan submitted response to this RFP | |
| DBH works with approximately 180 providers in Alaska (tribal and non-tribal) | |
| Nine Behavioral Health regions in the state | |
| 20 provider visit trips/year (one person per trip), 2 trips for up to 2 people to Juneau or Anchorage/year | |
| Reporting on agreed standard reporting and schedule | |
| Required performance guarantees |
Tab 1 - Total Cost
| Submittal Form G - Cost Proposal |
| RFP 2026-1600-0028 |
| Tab 1 - Total Cost |
| Cost Category | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Year 6 | Year 7 | Year 8 | Total | Assumptions: |
| Provide Detailed Explanation | ||||||||||
| Scope of Work Components | ||||||||||
| Regional Provider Capacity Development and Support (excluding staffing) | 0 | |||||||||
| Provider Enrollment and Document Support (excluding staffing) | 0 | |||||||||
| Travel Requirements | 0 | |||||||||
| Staffing Requirements | ||||||||||
| Key Personnel | 0 | |||||||||
| o Executive Director | 0 | |||||||||
| o Provider Relations Manager | 0 | |||||||||
| o Other Staff | 0 | |||||||||
| Other Costs | ||||||||||
| Other Costs (please detail): | 0 | |||||||||
| Subtotal | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Total Evaluated Cost 0
| The section below will not be used as part of the cost evaluation. | ||||||||||
| Cost Category | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Year 6 | Year 7 | Year 8 | Total Cost for All Eight Years | Assumptions: |
| Provide Detailed Explanation | ||||||||||
| Value Opportunity Assessment (Submittal Form D) | ||||||||||
| Opportunity 1 | 0 | |||||||||
| Opportunity 2 | 0 | |||||||||
| Opportunity 3 | 0 | |||||||||
| Subtotal | ||||||||||
| Grand Total for All Services | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Submitted by: |
| Email: |
Tab 2 - Rate Card
| Submittal Form G - Cost Proposal |
| RFP 2026-1600-0028 |
| Tab 2 - Rate Card |
| Hourly Rates | ||||||||
| Hourly Rate Year 1 | Hourly Rate Year 2 | Hourly Rate Year 3 | Hourly Rate Year 4 | Hourly Rate Year 5 | Hourly Rate Year 6 | Hourly Rate Year 7 | Hourly Rate Year 8 | |
| Key Personnel | ||||||||
| Executive Director | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Provider Relations Manager | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Offeror Defined Role Here… | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Offeror Defined Role Here… | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Percentage of each person's time devoted to the project | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Year 6 | Year 7 | Year 8 |
| Key Personnel | ||||||||
| Executive Director | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Provider Relations Manager | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Offeror Defined Role Here… | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Offeror Defined Role Here… | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Submitted by: | ||||||||
| Email: |
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