SECTION_J_-_ATTACHMENT__14_-_Sample_RTOR_0002_Budget_.xlsx
XLSX spreadsheet 67 KB Posted
- Solicitation number
- RFP-13-100-SOL-00008
About this file
Budget template for RTOR 0002
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amendment_006.pdf | ||
| Amendment__5.pdf | ||
| Amendment__4.pdf | ||
| Amendment_003_.pdf | ||
| SECTION_J_-_ATTACHMENT__14_-_Sample_RTOR_0001_Budget_.xlsx | XLSX spreadsheet | |
| PreProposal_Conference_Presentation_.pdf | ||
| Amendment_0002.pdf | ||
| Amendment_0001.pdf | ||
| RFP_-_MCM_CSN.pdf |
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Text version
SUMMARY
| SUMMARY OF PROPOSED COSTS | |||||
| ** Contractor's Name*** | |||||
| RFP No. RFP-13-100-SOL-00008 | |||||
| RTOR 0002 | BASE PERIOD | Option Period I | Option Period II | Option Period III | TOTAL |
| *** Period ( dates) | 1/1/14 | 1/1/16 | 1/1/17 | 1/1/18 | |
| Through | Through | Through | Through | ||
| 12/31/15 | 12/31/16 | 12/31/17 | 12/31/18 | ||
| Direct Labor - Percent of Effort | $0 | $0 | $0 | $0 | $0 |
| Fringe Benefits - Percent of Effort | 0 | 0 | 0 | 0 | 0 |
| Direct Labor - Hourly | 0 | 0 | 0 | 0 | 0 |
| Fringe Benefits - Hourly | 0 | 0 | 0 | 0 | 0 |
| Total Direct Labor & Fringe Benefits | $0 | $0 | $0 | $0 | $0 |
* Overhead 0% $0 0% $0 0% $0 0% $0 0% $0
| Materials and Supplies | $0 | $0 | $0 | $0 | $0 |
| Professional Travel | 0 | 0 | 0 | 0 | 0 |
| Equipment | 0 | 0 | 0 | 0 | 0 |
| Other Direct Costs | 0 | 0 | 0 | 0 | 0 |
| Patient Care Costs | 0 | 0 | 0 | 0 | 0 |
| Subcontracts (Not including Consulting Costs) | 0 | 0 | 0 | 0 | 0 |
| Consulsting Costs | |||||
| Total Other Direct Costs | $0 | $0 | $0 | $0 | $0 |
| Subtotal: Direct Labor, Fringe Benefits, Overhead , & Other Directs | $0 | $0 | $0 | $0 | $0 | ||||
| *Exclusion(s) From Base For G&A | 0 | 0 | 0 | 0 | 0 | ||||
| *Adjusted Base for G&A | $0 | $0 | $0 | $0 | $0 | ||||
| *G&A | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0 |
| Total Proposed Cost Excluding Fee | 0 | 0 | 0 | 0 | 0 | ||||
| Proposed Fee/Profit | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0 |
| Total Proposed Cost Plus Fee/Profit | $0 | $0 | $0 | $0 | $0 |
| ** |
| *** |
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 three tier indirect rate structure, then you will use a three 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.
Please insert the Cmpany's name
LABOR - Hourly
| SUMMARY OF DIRECT LABOR | ||||||||||||||||||||||||||
| AND FRINGE BENEFITS | ||||||||||||||||||||||||||
| Hourly Rates | ||||||||||||||||||||||||||
| ** Contractor's Name*** | PERIOD I* | PERIOD II* | PERIOD III* | PERIOD IV* | ||||||||||||||||||||||
| RFP No. RFP-13-100-SOL-00008 | 1/1/14 | Through | 12/31/15 | 1/1/16 | Through | 12/31/16 | 1/1/17 | Through | 12/31/17 | 1/1/18 | Through | 12/31/18 | TOTAL | TOTAL | ||||||||||||
| CURRENT BASE | ADJUSTED | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | NUMBER | NUMBER | SALARY | FRINGE | FRINGE | SALARY | FRINGE | |||
| EMPLOYEE | POSITION | HOURLY RATE | HOURLY RATE | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | HOURS | MONTHS | COST | RATE | COST | COST | COST | |
| 1 | $0.00 | $0.00 | 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 | $0 | ||
| 2 | 0.00 | 0.00 | 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 | $0 | ||
| 3 | 0.00 | 0.00 | 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 | $0 | ||
| 4 | 0.00 | 0.00 | 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 | $0 | ||
| 5 | 0.00 | 0.00 | 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 | $0 | ||
| 6 | 0.00 | 0.00 | 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 | $0 | ||
| 7 | 0.00 | 0.00 | 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 | $0 | ||
| 8 | 0.00 | 0.00 | 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 | $0 | ||
| 9 | 0.00 | 0.00 | 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 | $0 | ||
| 10 | 0.00 | 0.00 | 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 | $0 | ||
| 11 | 0.00 | 0.00 | 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 | $0 | ||
| 12 | 0.00 | 0.00 | 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 | $0 | ||
| 13 | 0.00 | 0.00 | 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 | $0 | ||
| 14 | 0.00 | 0.00 | 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 | $0 | ||
| 15 | 0.00 | 0.00 | 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 | $0 | ||
| 16 | 0.00 | 0.00 | 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 | $0 | ||
| 17 | 0.00 | 0.00 | 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 | $0 | ||
| 18 | 0.00 | 0.00 | 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 | $0 | ||
| 19 | 0.00 | 0.00 | 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 | $0 | ||
| 20 | 0.00 | 0.00 | 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 | $0 | ||
| 21 | 0.00 | 0.00 | 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 | $0 | ||
| 22 | 0.00 | 0.00 | 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 | $0 | ||
| 23 | 0.00 | 0.00 | 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 | $0 | ||
| 24 | 0.00 | 0.00 | 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 | $0 | ||
| 25 | 0.00 | 0.00 | 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 | $0 | ||
| 26 | 0.00 | 0.00 | 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 | $0 | ||
| 27 | 0.00 | 0.00 | 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 | $0 | ||
| 28 | 0.00 | 0.00 | 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 | $0 | ||
| 29 | 0.00 | 0.00 | 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 | $0 | ||
| 30 | 0.00 | 0.00 | 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 | $0 | ||
| 31 | 0.00 | 0.00 | 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 | $0 | ||
| SUBTOTALS = | 0.00 | $0 | $0 | 0.00 | $0 | $0 | 0.00 | $0 | $0 | 0.00 | $0 | $0 | $0 | $0 |
| NUMBER OF HOURS FOR FULL TIME EQUIVALENT: | 0 |
| ANNUAL INCREASE FACTOR: | 0.00% |
ANNUAL INCREASE DATE: 00/00/00
NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0
*Adjust the number of months per period as recommended in the RFP.
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) Insert annual increase date.
Insert annual CPI % and/or merit increases as applicable and explain the % in the budget justification.
Insert number of months using the new salary.
Insert your direct work year.
Materials
| SUMMARY OF MATERIALS AND SUPPLIES | ||||||||||||||
| ** Contractor's Name*** | ||||||||||||||
| RFP No. RFP-13-100-SOL-00008 | ||||||||||||||
| 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 | TOTAL | |
| 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 | ||
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF MATERIALS AND SUPPLIES
Please use current catalog, historical documentation, or vendor quotes. Supporting documentation may be requested at a later date.
Equipment
| SUMMARY OF EQUIPMENT COSTS | ||||||||||||||
| ** Contractor's Name*** | ||||||||||||||
| RFP No. RFP-13-100-SOL-00008 | ||||||||||||||
| 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 | TOTAL | |
| 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 | ||
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF EQUIPMENT COSTS
All proposed equipment costs should be based on current vendor quotes. Supporting documentation may be requested at a later date.
Consultants
| SUMMARY OF CONSULTANT COSTS |
| ** Contractor's Name*** |
| RFP No. RFP-13-100-SOL-00008 |
| 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 |
| TOTAL |
| $0 |
| $0 |
| $0 |
| $0 |
| $0 |
| $0 |
| $0 |
| $0 |
| $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.
Other Direct
| SUMMARY OF OTHER DIRECT COSTS |
| ** Contractor's Name*** |
| RFP No. RFP-13-100-SOL-00008 |
| 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 | TOTAL | |
| 1 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | 0 | $0.00 | $0.00 | |
| 2 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 3 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 4 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 5 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 6 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 7 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 8 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 9 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 10 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 11 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 12 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 13 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 14 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 15 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 16 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 17 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 18 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 19 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 20 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 21 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 22 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 23 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 24 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 25 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 26 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 27 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 28 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 29 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| 30 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | 0.00 | 0 | 0.00 | $0.00 | |
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF OTHER DIRECT COSTS
Please use current catalog prices, or vendor quotes. Supporting documentation may be requested at a later date.
Patient Care
| SUMMARY OF PATIENT CARE COSTS | ||||||||||||||
| ** Contractor's Name*** | ||||||||||||||
| RFP No. RFP-13-100-SOL-00008 | ||||||||||||||
| 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 | TOTAL | |
| 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 | ||
| TOTAL = | $0.00 | $0.00 | $0.00 | $0.00 |
&24&USUMMARY OF PATIENT CARE COSTS
Please use current institutional costs or vendor quotes. Supporting documentation may be requested at a later date.
Subcontracts
| SUMMARY OF SUBCONTRACTOR COSTS |
| ** Contractor's Name*** |
| RFP No. RFP-13-100-SOL-00008 |
| SUBCONTRACTOR | Period I | Period II | Period III | Period IV | TOTAL | |
| (1) | $0 | $0 | $0 | $0 | $0 | |
| (2) | 0 | 0 | 0 | 0 | 0 | |
| (3) | 0 | 0 | 0 | 0 | 0 | |
| (4) | 0 | 0 | 0 | 0 | 0 | |
| (5) | 0 | 0 | 0 | 0 | 0 | |
| (6) | 0 | 0 | 0 | 0 | 0 | |
| (7) | 0 | 0 | 0 | 0 | 0 | |
| (8) | 0 | 0 | 0 | 0 | 0 | |
| (9) | 0 | 0 | 0 | 0 | 0 | |
| (10) | 0 | 0 | 0 | 0 | 0 | |
| TOTAL = | $0 | $0 | $0 | $0 | $0 |
A complete breakdown and summary sheet for each proposed subcontract on a cost-reimbursement basis must be included with the prime proposal. This same excel format should be used for both the prime and subcontract proposals.
File details come from the government source that posted it. Updated .