J-10_CLIN_0001_Cost_Proposal_Templates_Implementation.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
DME MAC Jurisdiction A Federal contract opportunity
Solicitation number
RFP-CMS-2010-0004
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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J-10_CLIN_0001_Cost_Proposal_Templates_Implementation.xlsx

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CLIN-0001

COST TEMPLATE - SAMPLE Attachment J-10
(Provide a cost spreadsheet for each CLIN proposed)
CLIN 0001C.1.1I
DME SERVICESTotal FTEsImplementation RequirementsAWARD FEEGRAND TOTAL
HoursRatesTotalHoursRatesTotalHoursTotal
COST ELEMENTS
Direct Labor
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
Add Other Appropriate Labor Categories (note: labor categories should match WBS)0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$0.00$00$0.00
0$1.00$00$0.00
Subtotal Direct Labor0$00$0.00

Fringe Benefits (at ____%) 0.00% $0 $0.00

Total Direct Labor $0 $0.00

Travel (see separate schedule)ERROR:#REF!ERROR:#REF!
SUBCONTRACTORS
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Subcontractor Name0$00$0.00
Total Subcontractor0$00$0.00

Other Direct Costs (See separate schedule) $0 $0.00

SUBTOTAL ALL DIRECT COSTS ERROR:#REF! ERROR:#REF!

Indirect Costs (at ______ %) 0.00% ERROR:#REF! ERROR:#REF!

TOTAL OTHER BEFORE FEES ERROR:#REF! ERROR:#REF!

Base Fee (at ____%)$0$0.00
Award Fee (at ______%)$0$0.00

TOTAL OTHER AFTER FEES ERROR:#REF! $0 ERROR:#REF!

GRAND TOTAL ERROR:#REF!

&"Arial,Bold"&12CMS-RFP-2010-0004 Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)

Attachment J-10 CLIN 0001 Cost Proposal Template &P

ODC Schedule

COST TEMPLATE - SAMPLE Attachment J-10
(Provide an ODC Spreadsheet for each CLIN Proposed)
CLIN 0001 DME SERVICES
Cost ElementTOTAL

Add costs by category

TOTAL ODCs $0.00

&"Arial,Bold"&12CMS-RFP-2010-0004 Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC)

Attachment J-10 CLIN 0001 Cost Proposal Template &P

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