Appendix 1- Price Breakdown and Calculation of Self-Performed Work- 589-22-885-Issued.docx
DOCX document 22 KB Posted
- Solicitation number
- 36C25524R0097
About this file
This document is an Appendix 1 - Price Breakdown and Calculation of Self-Performed Work for Solicitation 36C25524R0097, Project 589-22-885 "Expand Sterile Processing Service Space to Meet Requirements."
The document requires the bidder to provide a detailed breakdown of material and personnel costs by specification division, including identification of personnel costs for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs). It also requires the bidder to calculate the percentage of self-performed work. The document must be completed for each bid item. Profit, home office overhead, and bond costs must be added after the subtotal of personnel and material/equipment costs. The bidder must certify the representations are true and correct.
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APPENDIX 1- PRICE BREAKDOWN AND CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK
Solicitation: 36C25524R0097 Project: 589-22-885 Expand Sterile Processing Service Space to Meet Requirements 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 the required format.
THIS DOCUMENT MUST BE COMPLETED FOR EACH BID ITEM.
| Specification Division |
| SDVOB Vendor (Y or N) |
| Personnel Cost |
| Material/Equipment Costs |
| TOTAL COSTS |
Division 01
| $ |
| $ |
| $ |
Division 02
| $ |
| $ |
| $ |
Division 03
| $ |
| $ |
| $ |
Division 04
| $ |
| $ |
| $ |
Division 05
| $ |
| $ |
| $ |
Division 06
| $ |
| $ |
| $ |
Division 07
| $ |
| $ |
| $ |
Division 08
| $ |
| $ |
| $ |
Division 09
| $ |
| $ |
| $ |
Division 10
| $ |
| $ |
| $ |
Division 11
| $ |
| $ |
| $ |
Division 12
| $ |
| $ |
| $ |
Division 13
| $ |
| $ |
| $ |
Division 14
| $ |
| $ |
| $ |
Division 21
| $ |
| $ |
| $ |
Division 22
| $ |
| $ |
| $ |
Division 23
| $ |
| $ |
| $ |
Division 26
| $ |
| $ |
| $ |
Division 27
| $ |
| $ |
| $ |
Division 28
| $ |
| $ |
| $ |
Guarantee Period of Service (Required)
| $ |
| $ |
| $ |
| 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 = _____%
LIST THE NAMES OF ALL SDVOSB CONTRACTORS THAT WILL BE WORKING THE ABOVE DIVISIONS. SDVOSB MUST BE SMALL FOR NAICS 236220 TO BE USED TO MEET THE 85% REQUIREMENT AS STATED IN ACCORDANCE WITH VAAR 852.219-75(a)(1)(ii).
I certify the above representations are true and correct to the best of my knowledge.
| Signed: _________________________________ | ___________ | |
| Date |
(Typed Name of Authorized Representative)
(Title of Authorized Representative)
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