J-10 CLIN 0001 Cost Proposal Templates Implementation.xlsx
XLSX spreadsheet 25 KB Posted
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- DME MAC Jurisdiction A
- Solicitation number
- RFP-CMS-2010-0004
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J-10 CLIN 0001 Cost Proposal Templates Implementation
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CLIN-0001
| COST TEMPLATE - SAMPLE Attachment J-10 | |||||||||
| (Provide a cost spreadsheet for each CLIN proposed) | |||||||||
| CLIN 0001 | C.1.1 | I | |||||||
| DME SERVICES | Total FTEs | Implementation Requirements | AWARD FEE | GRAND TOTAL | |||||
| Hours | Rates | Total | Hours | Rates | Total | Hours | Total | ||
| COST ELEMENTS |
| Direct Labor | |||||
| 0 | $0.00 | $0 | 0 | $0.00 | |
| 0 | $0.00 | $0 | 0 | $0.00 | |
| 0 | $0.00 | $0 | 0 | $0.00 | |
| 0 | $0.00 | $0 | 0 | $0.00 | |
| Add Other Appropriate Labor Categories (note: labor categories should match WBS) | 0 | $0.00 | $0 | 0 | $0.00 |
| 0 | $0.00 | $0 | 0 | $0.00 | |
| 0 | $0.00 | $0 | 0 | $0.00 | |
| 0 | $0.00 | $0 | 0 | $0.00 | |
| 0 | $0.00 | $0 | 0 | $0.00 | |
| 0 | $1.00 | $0 | 0 | $0.00 | |
| Subtotal Direct Labor | 0 | $0 | 0 | $0.00 |
Fringe Benefits (at ____%) 0.00% $0 $0.00
Total Direct Labor $0 $0.00
| Travel (see separate schedule) | $0 | $0.00 | ||
| SUBCONTRACTORS | ||||
| Subcontractor Name | 0 | $0 | 0 | $0.00 |
| Subcontractor Name | 0 | $0 | 0 | $0.00 |
| Subcontractor Name | 0 | $0 | 0 | $0.00 |
| Subcontractor Name | 0 | $0 | 0 | $0.00 |
| Subcontractor Name | 0 | $0 | 0 | $0.00 |
| Subcontractor Name | 0 | $0 | 0 | $0.00 |
| Total Subcontractor | 0 | $0 | 0 | $0.00 |
Other Direct Costs (See separate schedule) $0 $0.00
SUBTOTAL ALL DIRECT COSTS $0 $0.00
Indirect Costs (at ______ %) 0.00% $0 $0.00
TOTAL OTHER BEFORE FEES $0 $0.00
| Base Fee (at ____%) | $0 | $0.00 | |
| Award Fee (at ______%) | $0 | $0.00 |
TOTAL OTHER AFTER FEES $0 $0 $0
GRAND TOTAL $0
&"Arial,Bold"&12CMS-RFP-2010-0004 Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Attachment J-05 CLIN 0001 Cost Proposal Template Source Selection Information - See FAR 2.101 and 3.104 &P
ODC Schedule
| COST TEMPLATE - SAMPLE Attachment J-10 | |
| (Provide an ODC Spreadsheet for each CLIN Proposed) | |
| CLIN 0001 DME SERVICES | |
| Cost Element | TOTAL |
Add costs by category
TOTAL ODCs $0.00
Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Source Selection Information - See FAR 2.101 and 3.104 &P
TRAVEL
| COST TEMPLATE - SAMPLE Attachment J-10 | |||||||||||||||||||||||||||||||||||||
| CLIN 0001 | Enter Purpose Here | Enter Purpose Here | Enter Purpose Here | Enter Purpose Here | Enter Purpose Here | Enter Purpose Here | Enter Purpose Here | Enter Purpose Here | Enter Purpose Here | GRAND TOTAL | |||||||||||||||||||||||||||
| No. | # | No. | # | No. | # | No. | # | No. | # | No. | # | No. | # | No. | # | No. | # | ||||||||||||||||||||
| Travel to: (Destination/Purpose) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A) X (B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A) X (B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A) X (B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A)X(B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A)X(B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A)X(B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A)X(B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A)X(B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A)X(B)) X (C) | TOTAL TRAVEL COSTS |
| Airfare | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Per Diem(SUM OF HOTEL/M&I) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Hotel | ||||||||||
| Meals and Incidentals(M&I) | ||||||||||
| Car Rental | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Local Trips | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Mileage | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Parking, Taxis, Other | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Total Travel 0 0 0 $0.00 0 0 0 $0.00 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)
Source Selection Information - See FAR 2.101 and 3.104 &P
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