36C25018B0280-006.docx

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Attached to
Replace Roofing Building #2 515-17-502 Federal contract opportunity
Solicitation number
36C25018B0280
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

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36C25018B0280 CALCULATION OF SELF PERFORMED WORK 515-17-502.docx

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CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK – 515-17-502

Offerors for Roofing Contractors (NAICS code 238160) must provide at least 25 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
SDVOSB 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’:$
4. Self-performed work = Line 3/Line 1 x 100 =%

*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)

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