36C24419B0029-032.pdf

CALCULATION WORKSHEET FOR SELF-PERFORMED

CALCULATION WORKSHEET FOR SELF-PERFORMED AND SUBCONTRACTED WORK

(This only needs to be completed by the offeror that is awarded this contract)

CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK

Offerors for General Construction (NAICS code 236220) must provide at least 15 percent (25% for specialty trade NAICS codes) of the cost of the contract performance incurred for personnel will be spent on the concern's employees or the employees of other eligible service-disabled veteran-owned small business concerns. Provide a breakdown of material and personnel costs, by specification division listed for the project. Home Office overhead, profit/fee and bond costs shall be added after a subtotal of personnel and material/Equipment costs has been calculated. Clearly identify the personnel costs you will be performing, and the personnel costs of other eligible service disabled veteran-owned small business concerns. Below is a suggested format.

Specification

Division

SDVOB Vendor (Y or

N)

Personnel Cost Material/Equipment Costs

Division 01 $ $

Division 02 $ $

Division 03 $ $

(Add additional lines as necessary for each Division applicable to this project)

Sub Total (Personnel

Costs, Material/Equipment

Costs)

Profit $

Home Office Overhead $

Bond $

Grand Total $

Calculation of self-performed personnel costs:

1. Total personnel costs * both prime and all subcontractors: $

2. Subtract all subcontractor personnel costs* that are not SDVOSB companies that will perform work on this contract: $_________________

3. Remainder is ‘Total amount of work to be self-performed under the $ ________________

Contract’:

Self-performed work = Line 3/Line 1 x 100 = %

*personnel costs include labors, mechanics, other tradesmen, and office personnel directly charged to the project (includes project manager, job superintendent, administrative, estimators, etc.)

I certify the above representations are true and correct to the best of my knowledge.

(Signature and Typed Name of Authorized Representative) Date

(Title of Authorized Representative)