Sample_Other_than_Cost_or_Pricing_Data_Sheet.pdf

Sample -- Other Than Cost or Pricing Data Worksheet

SAMPLE – OTHER THAN COST OR PRICING DATA WORKSHEET

(Reference Section E)

HOURS RATE EXTENDED

SCA Applicable Labor Labor Category $

Labor Category $

SCA Exempt Labor Labor Category $ Labor Category $

Vacation Labor Category $ Labor Category $

Holiday Labor Category $ Labor Category $

Group Insurance/Health & Welfare

Labor Category $

Labor Category $

Uniform Allowance Labor Category $ Labor Category $

FICA %

FUTA %

SUTA %

Worker’s Compensation % General Liability %

Note: Submit a Worksheet for the base year, and for each option year.