HSCRC FINANCIAL INFORMATION

SYSTEM AND TECHNICAL

DOCUMENTATION

HSCRC-15-018

AMENDMENT#2COVERSHEET

Changes Made to: Attachment 1, Price Sheet REDLINED SHOWING CHANGES MADE

See Revised Price Sheet Attached

Attachment 1, Price Sheet CLEAN COPY - TO BE USED IN PROPOSAL

Note: Amendment #1 was the extension of roposal due date to: August 22, 2017 at 2:00 P.M.

HSCRC FINANCIAL INFORMATION SYSTEM AND TECHNICAL DOCUMENTATION ifH81@@jjf:A.TTiA..CHl\fENT 1 PRICE SHEET

PRICE SHEET (TIME AND MATERIALS) FOR CATS I TORFP # HSCRC 15 018

ATTACHMENT 1 PRICE SHEET PRICE SHEET (TIME A~ID MATERIALS) FOR CATS+ TORFP #HSCRC-15-018

PART 1- PRICE SHEET - FIXED PRICE: TORFP TASK PRICE Section ~ Initial 3.6.2.2 Implementation (Deliverable of services and 3.8.4.1 test II

environment as 11 described in 11 TORFP:.

$ PART 1 Subtotal $

*Monthly recurring charges shall not commence until HSCRC approves completion of fixed price implementation.

PART 2 PRICE SHEET FIXED PRICE -MONTHLY RECURRING -CHARGES:

TORFP Section

TASK YEARl {Monthll'. Price)

YEAR2 {Monthll'. Price)

YEAR3 {Monthll'. Price)

YEAR4 (option) (Monthll'. Price)

YEARS (option) (Monthll'. Price)

EXTENDED PRICE (YEARS 15 * 12)

3.6. 2.3-3.6.2.11

Maintenance or Current Financial Information System. including monthly meetings and bi-weekl v statw, reoorts

3.6.3 Technical Assistance for HSCRC staff. hos12itals. and authorized users. including creation and maintenance of a change/issue regucst log. as needed.

¾9-:+ Hesl meAIAI~· s1a1u s $ $ $ $ $ $ meeliAg as deseribed iA +GRFP

~ Bi ¥,leel,l~· S1a1us $ $ $ $ $ $ l:J13da1es iA wriliAg as deseribed iA +GR:f.P

~ l:J13da1ed S~•slem $ $ $ $ $ $ QeeumeAll¼lieA as deseribed iA +GR:FP

¼,9-4 Greale aAd maiAlaiA a $ $ $ $ $ $ el=l1rngeliss1:1e reEJ1:1es1 leg aAd 13re~·ide. as Reeded 10 HSGR:G S1af~ as

State of Maryland- Health Services Cost Review Commission

HSCRC FINANCIAL INFORMATION SYSTEM AND TECHNICAL DOCUMENTATION HfHHiiMMihl-EleseFiReEI iR +GRFP

~ ,6,ssisl Hlio,GRG will=! $ $ $ $ $ $ 13Fi0FilitaliaR aRe Fes0h,11i0R is1;1:1e!. as Eleserieee iA +GRF

Part 1 Fixed Price Implementation $ Part 2 Fixed Price, Time and Materials, $ Monthly Recurring Charges Part 3 Labor Rates $

TOTAL PROPOSAL PRICE $

HSCRC FINANCIAL INFORMATION SYSTEM AND TECHNICAL DOCUMENTATION HSCRC-15-018

PART 3 - PRICE SHEET - FULLY LOADED (TIME AND MATERIALS) LABOR CATEGORY RA TES FOR RFP#HSCRC-15-018

The total class hours (Column B) are not to be construed as "guaranteed" hours; the total number of hours is an estimate only for purposes of price sheet evaluation.

A year for this Task Order shall be calculated as one calendar year from NTP. Labor Rate Maximums: The maximum labor rate that may be proposed for any CATS+ Labor Category shall not exceed the maximum for the CATS+ Master Contract year in effect on the TO Proposal due date.

Job Title from TORFP

Hourly Labor Rate (A)

Total Class Hours

(B)

Extended Price (C) [AxB]

Yearl

Application Development Expert $ 300 $

Senior Computer Programmer 100 $

Senior Computer Software/Integration Analyst $ 100 $

Evaluated Price Year 1 $ Year2 Application Development Expert $ 300 $

Senior Computer Programmer $ 100 $

Senior Computer Software/Integration Analyst 100 $

Evaluated Price Year 2 $ Year3 Application Development Expert $ 300 $

Senior Computer Programmer $ 100 $

Senior Computer Software/Integration Analyst 100 $

Evaluated Price Year 3 $ Year 4 (Option) Application Development Expert $ 300 $

Senior Computer Programmer 100 $

Senior Computer Software/Integration Analyst $ 100 $

Evaluated Price Year 4 (Option) $ Year 5 (Option) Application Development Expert $ 300 $

Senior Computer Programmer 100

Senior Computer Software/Integration Analyst $ 100 $

Evaluated Price Year 5 (Option) $ PART 3 Subtotal-(YEARS 1-5) I $

Pri'cm2 Summary

State of Maryland- Health Services Cost Review Commission

HSCRC FINANCIAL INFORMATION SYSTEM AND TECHNICAL DOCUMENTATION IIHHi!MMihi-

Authorized Individual Name Company Name

Title Company Tax ID #

Signature Date

The Hourly Labor Rate is the actual rate the State will pay for services and shall be recorded in dollars and cents. The Hourly Labor Rate cannot exceed the Master Contract Rate but may be lower. Rates shall be fully loaded, all-inclusive, all direct and indirect costs and profits for the Master Contractor to perform under the TO Agreement.

State of Maryland- Health Services Cost Review Commission

HSCRC FINANCIAL INFORMATION SYSTEM AND TECHNICAL DOCUMENTATION HSCRC-15-018

ATTACHMENTlPRICESHEET

FOR CATS+ TORFP #HSCRC-15-018

PART 1-PRICE SHEET FIXED PRICE:

TORFP TASK PRICE Section

Initial

3.6.2.2 Implementation

(Deliverable of services and

3.8.4.1 test

environment as described in TORFP* 11

$ PART 1 Subtotal $

*Monthly recurring charges shall not commence until HSCRC approves completion of fixed price

implementation.

PART 2 - PRICE SHEET - FIXED PRICE MONTHLY RECURRING CHARGES:

TORFP Section

TASK YEARl (Monthly Price)

YEAR2 (Monthly Price)

YEAR3 (Monthly Price)

YEAR4 (option) (Monthly Price)

YEARS (option) (Monthly Price)

EXTENDED PRICE (YEARS 15 * 12)

3.6.2.33.6.2.11

Maintenance of Current Financial Information System, including monthly meetings and bi-weekly status reports

3.6.3 Technical Assistance for HSCRC staff, hospitals, and authorized users, including creation and maintenance of a change/issue request log, as needed.

PART 2 Subtotal $

State of Maryland- Health Services Cost Review Commission

HSCRC FINANCIAL INFORMATION SYSTEM AND TECHNICAL DOCUMENTATION IIHl1i@Mli6

PART 3 - PRICE SHEET - FULLY LOADED (TIME AND MATERIALS) LABOR CATEGORY RATES FOR RFP#HSCRC-15-018

The total class hours (Column B) are not to be construed as "guaranteed" hours; the total number of hours is an estimate only for purposes of price sheet evaluation.

A year for this Task Order shall be calculated as one calendar year from NTP. Labor Rate Maximums: The maximum labor rate that may be proposed for any CATS+ Labor Category shall not exceed the maximum for the CATS+ Master Contract year in effect on the TO Proposal due date.

Job Title from TORFP

Hourly Labor Rate (A)

Total Class Hours

(B)

Extended Price (C) [AxB]

Year 1

Application Development Expert $ 300 $

Senior Computer Programmer 100 $

Senior Computer Software/Integration Analyst $ 100 $

Evaluated Price Year 1 $ Year2 Application Development Expert $ 300 $

Senior Computer Programmer $ 100 $

Senior Computer Software/Integration Analyst 100 $

Evaluated Price Year 2 $ Year3 Application Development Expert $ 300 $

Senior Computer Programmer $ 100 $

Senior Computer Software/Integration Analyst 100 $

Evaluated Price Year 3 $ Year 4 (Option) Application Development Expert $ 300 $

Senior Computer Programmer 100 $

Senior Computer Software/Integration Analyst $ 100 $

Evaluated Price Year 4 (Option) $ Year 5 (Option) Application Development Expert $ 300 $

Senior Computer Programmer 100

Senior Computer Software/Integration Analyst $ 100 $

Evaluated Price Year 5 (Option) $

PART 3 Subtotal (YEARS 1-5) $ Pri'cm~ Summarv

Part 1 Fixed Price Implementation $ Part 2 Fixed Price, Time and Materials, Monthly Recurrin_g Char_ges

$

Part 3 Labor Rates $ TOTAL PROPOSAL PRICE $

State of Maryland- Health Services Cost Review Commission

HSCRC FINANCIAL INFORMATION SYSTEM AND TECHNICAL DOCUMENTATION iiMHB@@ij-

Authorized Individual Name Company Name

Title Company Tax ID#

Signature Date

The Hourly Labor Rate is the actual rate the State will pay for services and shall be recorded in dollars and cents. The Hourly Labor Rate cannot exceed the Master Contract Rate but may be lower. Rates shall be fully loaded, all-inclusive, all direct and indirect costs and profits for the Master Contractor to perform under the TO Agreement.

State of Maryland- Health Services Cost Review Commission