Cost_Summary_Template_150741.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
Maintenance and Oversight of the CMS Data Element Library Federal contract opportunity
Solicitation number
RFP-CMS-2015-150741
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

About this file

Attachment 2 Cost Summary Sample

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Other files for this federal contract opportunity

Other files attached to Maintenance and Oversight of the CMS Data Element Library, newest first.
File Type Posted
Amendment_000002_-_Data_Library.pdf PDF
SF-30_Amendment_2.pdf PDF
Data_Library_SF-30_Amendment_000001.pdf PDF
Amendment_000001_-_Data_Library.docx DOCX document
J.4_Past_Performance_Questionnaire.docx DOCX document
RFP-CMS-2015-150741.pdf PDF
Attachment_1_-_Statement_of_Work.pdf PDF
Attachment_2_-_Schedule_of_Deliverables.pdf PDF
Appendix_A_-_CMS_Assessment_Data_Element_Library_Governance_Framework.pdf PDF
SF-33_RFP_150741.pdf PDF
J.1_Consent_to_Subcontract.docx DOCX document
J.3_Compliance_Program_Attestation.docx DOCX document
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Text version

Sheet1

Name and Address of Offeror:
RFP-CMS-2015-150741
Data LibraryBase YearOpt Yr 1Opt Yr 2Opt Yr 3Opt Yr 4
ContractProposed CostsProposed CostsProposed CostsProposed CostsProposed Costs

Direct Cost

a. LABOR:
1. Professional$0$0$0$0$0
2. Information Systems$0$0$0$0$0
3. Corporate Management$0$0$0$0$0
4. Support Staff$0$0$0$0$0

SUBTOTAL - Direct Labor $0 $0 $0 $0 $0

b. Leave$0$0$0$0$0
c. Fringe Benefits$0$0$0$0$0

SUBTOTAL - Leave/Fringe $0 $0 $0 $0 $0

d. Subcontractors
1. Physician Reviewers/ Phys.Advisors$0$0$0$0$0
1. Other Consultants$0$0$0$0$0
2. Other Subcontracts$0$0$0$0$0

SUBTOTAL - Subcontractors $0 $0 $0 $0 $0

e. Travel$0$0$0$0$0
f. Other Direct Costs$0$0$0$0$0

SUBTOTAL - DIRECT $0 $0 $0 $0 $0

g. Indirect Costs$0$0$0$0$0
h. Other$0$0$0$0$0

TOTAL COSTS $0 $0 $0 $0 $0

h. Fee $0 $0 $0 $0 $0

TOTAL COST WITH FEE $0 $0 $0 $0 $0

Fringe Rate

Indirect Rate

Other Rate

Indirect Leave Rate

Sheet2

Sheet3

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