Attachment I - Cost Template.docx
DOCX document 33 KB Posted
- Solicitation number
- Solicitation75R60123R00001NHDPACC
About this file
This document provides a cost proposal template for contractors to submit bids in response to a solicitation from the Health Resources and Services Administration's National Hansen's Disease Program. The template standardizes how contractors should organize their proposed costs for direct labor, fringe benefits, overhead, and other expenses across base and option ordering periods. Contractors should list specific labor categories and associated hours, rates, and costs. The template also requires contractors to propose costs for supplies, materials, travel, consultants, indirect expenses, general and administrative fees, and medical co-payments. The solicitation seeks to award contracts to provide outpatient Hansen's Disease services including diagnosis, screening, outpatient treatment, case management, and follow-up care in healthcare settings located throughout the United States. Qualified small and large businesses are encouraged to respond before the scheduled closing date by following the instructions carefully and monitoring amendments on SAM.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 4 75R60123R0000.pdf | ||
| AMEND 3 75R60123R00001.pdf | ||
| AMENDMENT 2 75R60123R00001.pdf | ||
| Attach E - Past Performance Questionnaire.docx | DOCX document | |
| AMENDMENT 1 Attach J Vendor Questions Responses.pdf | ||
| Attach F - Non-Disclosure Agreement.docx | DOCX document | |
| Attach D - Disclosure of Lobbying Activities.docx | DOCX document | |
| AMENDMENT 1 75R60123R00001 NHDP ACC.pdf | ||
| Vendor Question Form.xlsx | XLSX spreadsheet | |
| Solicitation 75R60123R00001.pdf |
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Text version
Attachment I Cost Proposal Template Rev 3/29/23 (optional tasks deleted)
This is a template of cost elements that may be utilized in MS Excel. Add additional lines or customize the cost elements as needed for your proposal.
Cost Summary Overview:
Base period (6 mo)
| Option Period 1 (12 mo) |
| Option Period 2 (12 mo) |
| Option Period 3 (12 mo) |
| Option Period 4 (12 mo) |
| 6-Month extension Option |
| TOTAL All Years |
Total Cost All Tasks
Cost Detail:
Base Period (6 months)
| Cost Elements |
| Labor categories / Description |
| Number of Hours / Quantity |
| Hourly Rate / Unit Price |
| Total |
Direct Labor Cost
List all labor (e.g. Nurse, doctor, physical therapist, etc.
Fringe Rate (%)
Subtotal
Overhead Rate (%)
Subtotal
Subtotal Direct Labor Cost
Other Direct Costs
Supplies and Materials
Travel
Consultant
Subtotal Other Direct Costs
Other Indirect Cost
Subtotal Other Indirect Cost
General and Administrative Expense (G&A) %
Subtotal G&A
Medical Co-Payment
Subtotal Medical Co-Payments
Proposed Total Cost for All Tasks in Base Period
*Add rows for additional lines as needed.
Option Period One (12 months)
| Cost Elements |
| Labor categories / Description |
| Number of Hours / Quantity |
| Hourly Rate / Unit Price |
| Total |
Direct Labor Cost
List all labor (e.g. Nurse, doctor, physical therapist, etc.
Fringe Rate
Subtotal
Overhead Rate
Subtotal
Subtotal
Other Direct Costs
Supplies and Materials
Travel
Consultant
Subtotal
Other Indirect Cost
Subtotal
General and Administrative Expense (G&A)
Subtotal
Medical Co-Payment
Subtotal
Proposed Total Cost for All Tasks Option Period One
Option Period Two (12 months)
| Cost Elements |
| Labor categories / Description |
| Number of Hours / Quantity |
| Hourly Rate / Unit Price |
| Total |
Direct Labor Cost
List all labor (e.g. Nurse, doctor, physical therapist, etc.
Fringe Rate
Subtotal
Overhead Rate
Subtotal
Subtotal
Other Direct Costs
Supplies and Materials
Travel
Consultant
Subtotal
Other Indirect Cost
Subtotal
General and Administrative Expense (G&A)
Subtotal
Medical Co-Payment
Subtotal
Proposed Total Cost for All Tasks in Option Period Two
Option Period Three (12 months)
| Cost Elements |
| Labor categories / Description |
| Number of Hours / Quantity |
| Hourly Rate / Unit Price |
| Total |
Direct Labor Cost
List all labor (e.g. Nurse, doctor, physical therapist, etc.
Fringe Rate
Subtotal
Overhead Rate
Subtotal
Subtotal
Other Direct Costs
Supplies and Materials
Travel
Consultant
Subtotal
Other Indirect Cost
Subtotal
General and Administrative Expense (G&A)
Subtotal
Medical Co-Payment
Subtotal
Proposed Total Cost for All Tasks in Option Period Three
Option Period Four (12 months)
| Cost Elements |
| Labor categories / Description |
| Number of Hours / Quantity |
| Hourly Rate / Unit Price |
| Total |
Direct Labor Cost
List all labor (e.g. Nurse, doctor, physical therapist, etc.
Fringe Rate
Subtotal
Overhead Rate
Subtotal
Subtotal
Other Direct Costs
Supplies and Materials
Travel
Consultant
Subtotal
Other Indirect Cost
Subtotal
General and Administrative Expense (G&A)
Subtotal
Medical Co-Payment
Subtotal
Proposed Total Cost for All Tasks in Option Period Four
6 Month Extension (6 months)
| Cost Elements |
| Labor categories / Description |
| Number of Hours / Quantity |
| Hourly Rate / Unit Price |
| Total |
Direct Labor Cost
List all labor (e.g. Nurse, doctor, physical therapist, etc.
Fringe Rate
Subtotal
Overhead Rate
Subtotal
Subtotal
Other Direct Costs
Supplies and Materials
Travel
Consultant
Subtotal
Other Indirect Cost
Subtotal
General and Administrative Expense (G&A)
Subtotal
Medical Co-Payment
Subtotal
Proposed Total Cost for All Tasks in 6-mo Extension period
File details come from the government source that posted it. Updated .