Contract 2007 - Table of Contents

Provider Summary Page	Microsoft Word*	PDF*
Standard Agreement Cover Page	Microsoft Word*	PDF*
Contract Billing Form	Microsoft Word*	PDF*
Vendor Form			Microsoft Excel
Debarment Form	Microsoft Word*	PDF*
Resolution Agreement Cover Letter	Microsoft Word*	PDF*
Assurance of Compliance Form	Microsoft Word *	PDF*

Agreement Authorization
Agreement Authorization Form	Microsoft Word *	PDF*
Agreement Authorization -OIT Form	Microsoft Word*	PDF*

Signature Page
BP 18 Agreement for Special Services ($2500 level)	Microsoft Word*	PDF*
BP54 Agreement to Purchase Services	Microsoft Word*	PDF *
Amendments Signature	Microsoft Word*	PDF*

Rider "A"
Specifications Of Work To Be Performed - Generic	Microsoft Word*	PDF*
OSA - Prevention Contract Template	Microsoft Word*
OSA - Treatment Contract Template	Microsoft Word *
OSA - Special Services Contract Template	Microsoft Word*
OSA - MECare Contract Template	Microsoft Word*
CDC - Specification of Work to be Performed	Microsoft Word*	PDF*

Rider "B"
Rider "B" Program Administrator/Agreement Administrator	Microsoft Word*	PDF*
Rider "B" Purchases' Form Agreement Administrator Only	Microsoft Word*	PDF*

Rider "C"
Exceptions to Rider"B"			HTML

Rider "D"	Microsoft Word*	PDF*

Rider "E" Program Requirements
Adult Mental Health	Microsoft Word*	PDF*	HTML
Children's Behavioral Health	Microsoft Word*	PDF*	HTML
Adult with Physical and Cognitive Disabilities	Microsoft Word*	PDF*	HTML
Maine Center for Disease Control	Microsoft Word*	PDF*

Rider "G"
Provision of Contract Services by Foreign Nationals or Work Performed Abroad	Microsoft Word*	PDF*

Service Definitions			HTML

Performance Indicators
Adult Mental Health (updated September 08, 2006)			Microsoft Excel
Children's Behavioral Health (updated September 08, 2006)			Microsoft Excel
Instructions for Reporting Performance Indicators (updated September 08, 2006)	Microsoft Word*	PDF*	HTML

Budget Forms
Budget Form - Generic			Microsoft Excel
Instructions for Completing Budget Forms	Microsoft Word *	PDF*

Budget Forms - Adult with Physical and Cognitive Disabilities
Summary of Services Form 6			Microsoft Excel

Budget Forms - Children's			Microsoft Excel
Instructions For Completing Budget Forms	Microsoft Word*	PDF*

Budget Forms - OSA			Microsoft Excel

FY 07 Rate Setting Report - PNMI and Room/Board			Microsoft Excel

Quarterly Financial Report
Quarterly Financial Report Form			Microsoft Excel
Instructions for Completing Quarterly Financial Forms	Microsoft Word*	PDF*	HTML

Pro Forma
Instructions	Microsoft Word*	PDF*

Agreement Close-out Report
Form			Microsoft Excel
Instructions	Microsoft Word*	PDF*

Intranet Only (State Employees)-
BP 37R - Requisition for Contract/Grant Authorization	Microsoft Word*	PDF*
Commissioner's or Department Head's Request For Contract/Grant/Purchase Approval	Microsoft Word*
Commissioner's Request - Blanket (Client Services)	Microsoft Word*	PDF*
Timetable Agreement Processing FY07	Microsoft Word*	PDF*
Allocation Plan Template			Microsoft Excel

For a free viewer or to request a hard copy

Division of Purchased Services

Contract 2007 - Table of Contents

Division of
Purchased Services