RFP_25-10325_-_Attachment_6_-_Cost_Proposal.pdf

Name of Bidding Firm (Legal name as it will appear on the contract)

Rates Rate Per Module

# of Trainings

FY 25/26

(7/1/25-6/30/26)

FY 26/27

(7/1/26-6/30/27)

FY 27/28

(7/1/27-6/30/28)

Module 1 – The Scope of Asthma

$ X 6 = $ $ $

Module 2 - Triggers and Environmental Control

$ X 6 = $ $ $

Module 3 - Medications $ X 6 = $ $ $

Module 4 - Medication Delivery Devices

$ X 6 = $ $ $

Module 5 - Assessment and Monitoring

$ X 6 = $ $ $

Module 6 - Home Visiting Best Practices for Community Health Workers

$ X 6 = $ $ $

Module 7 - How to Conduct an Asthma In-Home Trigger Assessment

$ X 6 = $ $ $

TOTAL YEARLY COSTS $ $ $

1. CDPH has allocated $300,000.00 for this contract. Any proposals exceeding this amount will be deemed nonresponsive and will not be considered for award. See the Solicitation for Request for Proposal (RFP) 25-10325 for more details.

2. The Contractor understands that rates must be fully burdened, including but not limited to, operating expenses, labor, equipment costs, supplies, overhead, annual inflation costs/rate adjustments, profit margin, taxes, shipping, etc.

3. This agreement is deliverables-based, as specified in Section H of the Solicitation for RFP 25-10325 and State Contracting Manual Volume 1, Section 7.30.

4. Failure to sign this Cost Proposal may lead to a Proposal being deemed “non-responsive.”

Bidder's Signature: Date Signed:

Printed/Typed Name: Title: