PRICE PROPOSAL
Proposed Annual Price Per participant for Milestones
suggester’s Name:
Service Area:
A.
MilestoneB.
Proposed
flesh of
Participants
Per Year to
Achieve MilestoneC.
Proposed Price Per
Participant
Achieving MilestoneD.
heart Per Year
(B x C)
Employment Plans
1.Pre-Employment Plan completed
(The expense indicated in the go of Box 1-Column C must(prenominal)
non exceed 5% of maximal Price Per Participant without supplement indicated in Box 7-Column C. shew the applicable % in the tin can of Box 1-Column C.)$
(___%)
$_________
2.Post-employment Plan completed
(The outlay indicated in the top of Box 2-Column C must
not exceed 5% of Maximum Price Per Participant without Supplement indicated in Box 7-Column C. Indicate the applicable % in the bottom of Box 2-ColumnC.)$
(___%)
$_________
Placement in Unsubsidized Employment
3.Participant placed in unsubsidized employment for 30
years
(Including cartridge clip Limited/ sanction)*
$
$_________
4. beat Limited/Sanctioned participant placed in
unsubsidized employment for 30 old age
(The Supplement price indicated in the top Box 4-
Column C must not exceed 10% of Maximum Price Per
Participant without Supplement indicated in Box 7-Column C.
Indicate the applicable % in the bottom of Box 3-Column C.
)*$
(___%)
$_________
Retention in Unsubsidized Employment
5a.
5b.Participant trunk employed 90 days after placement
(Including Time Limited/Sanctioned)**
OR
Participant be employed 90 days after placement
with case closing
(Including Time Limited/Sanctioned)**
$
$_________
$
$_________
entirety # of participants Boxes 5a and 5b-Column B
(Must not exceed # indicated in Box 3-Column B)**
6a.
6b.Participant remains employed 180 days after placement
(including Time Limited/Sanctioned)**
OR
Participant remains employed 180 days after placement
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