The file's text, extracted by GovTribe without its formatting.
Instructions
| GUIDANCE FOR CWN MOBILE FOOD SERVICES UNIT INVOICING (DATED 3/30/2022) |
| 1. The contractor will utilize the provided Daily Blank (x) sheet to input the DAILY MEAL ORDER/INVOICE – MOBILE FOOD |
| SERVICES (Exhibits 5 / 5A / 5B / 5C) totals for each day in the invoice package. The Summary Sheet will total all the items from |
| each day to create a Summary sheet to be submitted for payment. |
| 2. The areas in green are the only areas where the Contractor may input data. The other areas of each Daily or Summary sheet |
| are protected as they contain the formulas to calculate the item and daily totals. The bottom total in the orange box is the total |
| to be invoiced for each day and the Payment Total on the Summary sheet. The Payment Total is value the automated "bot" will |
| submit to IPP for payment. |
| 3. The Contractor is required to use Exhibit 5 / 5A / 5B / 5C each day to create the Daily Meal Record that is signed by the |
| Government representative (generally a FDUL). This signed Daily Meal Record is used to complete the daily invoice |
| sheet that will be included for payment. The signed Daily Meal Record must be provided with the daily invoice sheet |
| as a .pdf, as evidence of the Government's acceptance of the Daily Meal Record. |
| 4. The Contractor is required to email the Summary sheet including all Daily Blank (x) sheets and all supporting signed Daily |
| Meal Records every X days to the Finance Section email; Finance will submit to sm.fs.asc_eera@usda.gov to be processed |
| for payment. |
| 6. NOTE: Exhibits 5 & 5A are for non-COVID related invoicing and Exhibits 5B & 5C are for COVID-related invoicing. |
| COVID-related means while under COVID Food Service precautions/guidelines. See Custom Clause #9 for more |
| information. |
| 1. NICC shall contact all Mobile Retardant Base Contractors (see below for a list of all MRB contractors and 24 hour contact |
| information) to determine the current location of their suitable MRB that is closest to the needed location. The distance to the |
| incident will be determined using Google Maps and the shortest mileage distance from the current location of each MRB to the |
| address specified on the Resource Order. In the event Google Maps is not operable, the Government may use any other |
| method of determining the shortest mileage distance. |
| 2. If a Contractor does not respond within one hour of being contacted, that Contractor may be eliminated from competition |
| for that particular order. |
| 3. NICC shall perform a best value determination for all potential offerors, utilizing the following best value formula: |
| · (Input total actual mileage to and from the incident) x $ price/mile = total mileage |
| · 15 days x $ MRB price/day = total daily fee |
| · 1 relocation fee x $ price = total relocation fee |
| · 1 crew change out x $ price = total crew change out fee |
| · Put through Charges include the sum of all items below: |
| · 50,000 gals of First Tier x $ 0 – 50K price |
| · 25,000 gals of Second Tier x $ >50K price |
| · 10,000 gals of water x $ water price |
| 4. The total summed value of this scenario will be compared to other offerors and the lowest total evaluated cost will be used |
| to determine the best value resource. NICC shall place the Resource Order with the MRB unit determined to be the best value. |
| 5. NICC shall document the best value determination for each Resource Order specifying the results of the best value |
| determination for each Contractor and specifying the MRB selected for the order based on the best value determination. |
| 6. NICC shall send the documented results of the Resource Order and best value determination to the Contracting Officer at the |
| time of placing the order – email to Larry.Robillard@usda.gov, telephone 208-387-5682. |
| 7. The contractor is responsible for sending a copy of the Resource Order to the Contracting Officer within 3 days of accepting |
| the order. |
Please note, the only cells in this spreadsheet you provide input are the mileage for each Contractor, highlighted in yellow.
Summary
| Contractor: | XYZ Company | | Starting Inv. No: | 2022 - 0001 | |
| Unit No.: | CWN MFSU Unit X | | Ending Inv. No: | 2022 - 0007 | |
| Contract No.: | 12024B20T25XX | | Inv. Start Date: | 1-Jun-22 | |
| | | Inv. End Date: | 7-Jun-22 | |
| | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | TOTAL QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | 0 | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | 0 | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | 0 | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | 0 | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | 0 | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | 0 | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | 0 | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | 0 | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | 0 | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | 0 | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | 0 | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | 0 | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | 0 | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | 0 | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | 0 | $0.00 |
| 115 | Ice | Pound | $0.00 | 0 | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | 0 | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | 0 | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | 0 | $0.00 |
| 119 | Soup | Gallon | $0.00 | 0 | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | 0 | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | 0 | $0.00 |
| Miscellaneous Charges and Credits | | | | | $ - 0 |
| Invoice Total | | $0.00 | | |
| Sumbit complete invoice package to : Finance Section email or hand delivery |
| ****Each email (invoice package) shall contain one Summary sheet and the supporting daily |
| sheets and corresponding, signed DAILY MEAL ORDER/INVOICE – MOBILE FOOD |
| SERVICES (Exhibit 5 / 5A / 5B / 5C) attached, for that payment package.**** |
D1
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 0001 | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 1-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |
D2
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 0002 | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 2-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |
D3
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 0003 | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 3-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |
D4
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 0004 | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 4-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |
D5
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 0005 | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 5-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |
D6
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 0006 | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 6-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |
D7
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 0007 | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 7-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |
Blank Copy Do Not Delete
| Contractor: | XYZ Company | | Daily Inv. No: | 2022 - 000X | |
| Unit No.: | CWN MFSU Unit X | | Invoice Date: | 1-Jun-22 | |
| Contract No.: | 12024B20T25XX | | Incident Name: | Big Apple Fire | |
| | | Incident Number: | ID-PDF-000001 | |
| | | Resource No.: | E-230 | |
| * Green fields to be filled by contractor | | | Job Code: | ABC-20-5600 | |
| SUB ITEM | ITEM DESCRIPTION | UNIT OF MEASURE | PRICE PER UNIT | DAILY QUANTITY | TOTAL CALCULATED AMOUNT |
| 101 | Hand Washing Unit Rate | Day | $0.00 | | $0.00 |
| 102 | Mileage Rate | Mile | $0.00 | | $0.00 |
| 103 | Breakfast Rate | Meal | $0.00 | | $0.00 |
| 104 | Cold Can Breakfast Rate | Meal | $0.00 | | $0.00 |
| 105 | Sack Lunch Rate | Meal | $0.00 | | $0.00 |
| 106 | Dinner Rate | Meal | $0.00 | | $0.00 |
| 107 | MRE Supplemental | Meal | $0.00 | | $0.00 |
| 108 | Relocation Fee Rate | Move | $0.00 | | $0.00 |
| 109 | Optnl. Box (brkfst/dinner) | Each | $8.00 | | $0.00 |
| 109A | Optnl. Cooler (brkfst/dinner) | Meal | $0.45 | | $0.00 |
| Supplemental Items | | | | | |
| 110 | Bottled Sports Type Drink | Ounce | $0.00 | | $0.00 |
| 111 | Brewed Coffee | Gallon | $0.00 | | $0.00 |
| 112 | Hot Chocolate | Gallon | $0.00 | | $0.00 |
| 113 | Tea (iced or hot) | Gallon | $0.00 | | $0.00 |
| 114 | Bottled Water | Ounce | $0.00 | | $0.00 |
| 115 | Ice | Pound | $0.00 | | $0.00 |
| 116 | Ground Coffee | Pound | $0.00 | | $0.00 |
| 117 | Sandwiches Meat | Each | $0.00 | | $0.00 |
| 118 | Sandwiches Non-Meat | Each | $0.00 | | $0.00 |
| 119 | Soup | Gallon | $0.00 | | $0.00 |
| 120 | Addtnl. Refer Space | /cu.ft. | $0.00 | | $0.00 |
| 121 | Addtnl. Tents & Seating | /60 Pers. | $0.00 | | $0.00 |
| Miscellaneous Charges and Credits | | | | | $0.00 |
| Total Daily Amount: | | $0.00 | | |