36C25018B0081-006.docx

CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK – 610-15-100

Offerors for Site Preparation Contractors (NAICS code 238910) must provide at least 25 percent 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.

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)

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

*personnel costs include laborers, 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)