J-10A Cost Template Summary Sheet_RRB_SMAC.xlsx

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Solicitation RRB11R001 - RRB Specialty MAC
Solicitation number
RRB11R001
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Solicitation RRB11R001 Attachment J10A Cost Template Summary Sheet

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Sheet1

COST TEMPLATE - SAMPLE Attachment J-10A
(Provide a cost spreadsheet for each CLIN proposed)
CLIN 0001CLIN 0002CLIN 0003CLIN 0004CLIN 0005CLIN 0006CLIN 0007
Summary SheetTotal FTEsImplementationBase YearOption Year 1Option Year 2Option Year 3Option Year 4Close OutGRAND TOTAL
HoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursTotal
COST ELEMENTS
Direct Labor
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
Add Other Appropriate Labor Categories (note: labor categories should match WBS)0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00
Subtotal Direct Labor0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$0.00

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

Total Direct Labor $0 $0 $0 $0 $0 $0.00

Travel (See separate schedule. Total should match)$0$0$0$0$0.00
SUBCONTRACTORS
Subcontractor Name0$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$0.00
Total Subcontractor0$00$00$00$00$00$00$00$0.00

Other Direct Costs (See separate schedule. Total should match.) $0 $0 $0 $0 $0 $0 $0 $0.00

SUBTOTAL ALL DIRECT COSTS $0 $0 $0 $0 $0 $0 $0 $0.00

Indirect Costs (at ______ %) $0 $0 $0 $0 $0 $0 $0 $0.00

TOTAL OTHER BEFORE FEE $0 $0 $0 $0 $0 $0 $0 $0.00

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

TOTAL OTHER AFTER FEE $0 $0 $0 $0 $0 $0 $0 $0.00

Complementary Credits$0$0$0$0$0.00
Note: comp.credit information will be provided by CMS prior to final proposal revision. Offerors should not propose amounts at this time.
GRAND TOTAL$0$0$0$0$0$0$0.00

RFP - RRB-11-R-001

Attachment J-10A &"-,Bold"RFP - RRB11R001

PART B SPECIALTY MEDICARE ADMINISTRATIVE CONTRACTOR (SMAC)

Attachment J-10A

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