CALCULATION WORKSHEET FOR SELF-PERFORMED AND SUBCONTRACTED WORK 589-22-105.docx

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Z2DA--589-22-105, Replace Honor Annex Roof BLG 55, KC, (VA-23-00050710)
Solicitation number
36C25523R0074
Issued by

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This document contains a calculation worksheet for a federal contract opportunity to replace the roof of the Honor Annex Building at the Kansas City VA Medical Center. The solicitation is for general construction services under NAICS code 236220, requiring at least 15% of contract costs to be spent on personnel from the prime contractor or other eligible service-disabled veteran-owned small businesses. Offerors must provide a breakdown of personnel and material/equipment costs by specification division, and certify that the worksheet accurately represents the portion of work to be self-performed. Relevant divisions include those covering general construction, roofing, heating/ventilation/air conditioning, and facility services. The prime contractor will perform defined personnel costs while allowing for subcontracted work from eligible SDVOSBs. The federal agency is the Department of Veterans Affairs Veterans Health Administration VISN 15 for project number 589-22-105.

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A.6 CALCULATION WORKSHEET FOR SELF-PERFORMED AND SUBCONTRACTED WORK

Offerors for General Construction (NAICS code 236220) must provide at least 15 percent (25% for NAICS codes 238210 & 238220) 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 with applicable divisions.

589-22-105 Replace Honor Annex Roof

Specification Division
SDVOB Vendor (Y or N)
Personnel Cost
Material/Equipment Costs

Division 01

$
$

Division 02

$
$

Division 03

$
$

Division 05

$
$

Division 06

$
$

Division 07

$
$

Division 09

$
$

Division 10

$
$

Division 21

$
$

Division 22

$
$

Division 23

$
$

Division 25

$
$

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 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.

____________________________________________________
(Typed Name of Authorized Representative)Date

(Title of Authorized Representative)

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