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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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1
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Acknowledge receipt of assignment no later than 3 business days from date of assignment (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Acknowledgement of Assignment - Acknowledge receipt of assignment no later than 3 business days from date of assignment ($5 reduction for each business day past the due date).
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| Source Documentation Page Reference: 1-Contract; 12-RCP 13/14-14 |
| Deliverable Number: 1 |
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10
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Acknowledge receipt of assignment no later than 3 business days from date of assignment ($5 reduction for each business day past the due date). (FY18/19 E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Acknowledgement of Assignment - Acknowledge receipt of assignment no later than 3 business days from date of assignment ($5 reduction for each business day past the due date). |
| Source Documentation Page Reference: 1-Contract 12-RCP 13/14-14 |
| Deliverable Number: 10 |
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11
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date). (FY18/19 E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Report - Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. |
| Source Documentation Page Reference: 1-Contract 12-RCP 13/14-14 |
| Deliverable Number: 11 |
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12
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY18/19 E1)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Report-Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days/thereafter. $50 reduction incomplete/unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14/-14. |
| Source Documentation Page Reference: 1-Contract; 12-RFP |
| Deliverable Number: 12 |
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13
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY18/19 E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Report - Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. |
| Source Documentation Page Reference: 1-Contract 12-RCP 13/14-14 |
| Deliverable Number: 13 |
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14
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Acknowledge receipt of assignment no later than 3 business days from date of assignment ($5 reduction for each business day past the due date). (FY18/19 E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Provider Assignment - Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date). |
| Source Documentation Page Reference: 1-Contract 12-RCP 13/14-14 |
| Deliverable Number: 14 |
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15
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Job evaluation service
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Vocational evaluation report-Background, Medical, Educational, Work History, Behaviorial Observation...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report-Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary-$1,100.00 per vocational evaluation report. Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date). (FY1819-E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Provider Assignment-Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date). |
| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 15 |
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16
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY18/19 E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Report - Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. |
| Source Documentation Page Reference: 1-Contract 12-RCP 13/14-14 |
| Deliverable Number: 16 |
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17
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY18/19 E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Report - Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. |
| Source Documentation Page Reference: 1-Contract 12-RCP 13/14-14 |
| Deliverable Number: 17 |
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18
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. A settlement agreement may authorize a partial payment up to 20% of contracted amount. REF: Sct 10.5 RCP 13/14-14. (FY18/19 E1) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc. |
| Financial Consequences: Report - Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. REF: Sct 10.5 RCP 13/14-14 (identifies how to handle a Settlement Agreement). |
| Source Documentation Page Reference: 1-Contract 12-RCP 13/14-14 |
| Deliverable Number: 18 |
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2
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date). (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Provider Assignment - Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date).
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 2 |
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3
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Report - Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14.
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 3 |
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4
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Vocational rehabilitation services
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Reemployment Report - Summary of reemployment services; Work products from the requested services - ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Reemployment Report - Summary of reemployment services; Work products from the requested services - $85.00 per hour. Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Report - Section 5.3, 5.4 and 5.5 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14.
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 4 |
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5
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Acknowledge receipt of assignment no later than 3 business days from date of assignment ($5 reduction for each business day past the due date). (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Acknowledgement of Assignment - Acknowledge receipt of assignment no later than 3 business days from date of assignment ($5 reduction for each business day past the due date).
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 5 |
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6
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date). (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Provider Assignment - Notify the Division of the name of the provider assigned the case no later than 5 business days from the Contractor's acknowledgement of the assignment ($5 reduction for each business day past the due date).
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 6 |
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7
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Report - Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment, 30 days / thereafter. $50 reduction incomplete / unacceptable report (after due date). Also, $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14.
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 7 |
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8
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14. (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Report - Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. $25/per day until an acceptable report is received. REF: Sct 10.4 RCP 13/14-14.
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 8 |
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9
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Job evaluation service
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Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observati...
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Fixed Fee / Unit Rate
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| Major Deliverable: Vocational evaluation report - Background, Medical, Educational, Work History, Behaviorial Observations, Test Results, Transferrable Skills Analysis, Summary - $1,100.00 per vocational evaluation report. Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. A settlement agreement may authorize a partial payment up to 20% of contracted amount. REF: Sct 10.5 RCP 13/14-14. (FY17/18 R3)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: The Division will compare the substance of the written report with the records provided to Momentum Healthcare, Inc.
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| Financial Consequences: Report - Section 5.7, 5.8 and 5.9 (RCP), 45 days/acknowledgement of assignment. REF: Sct 10.5 RCP 13/14-14 (identifies how to handle a Settlement Agreement).
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| Source Documentation Page Reference: 1-Contract; 12-RCP |
| Deliverable Number: 9 |
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