36C25018B0197-006.docx

CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK (539-18-201)

Offerors for Specialty NAICS code 238210 must provide at least 25% 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)