Sample_Other_than_Cost_or_Pricing_Data_Sheet.pdf
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Social Security Administration
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Attachment 6 - Sample Other than Cost or Pricing Data Worksheet
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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.
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