Exhibit B - Self Performed Work Form.docx

EXHIBIT B

CALCULATION OF SELF-PERFORMED WORK

Calculation of Self Performed Work Form – All Offerors must complete this form and submit it with their signed offer. FAILURE TO PROVIDE THE CALCULATION OF SELF PERFORMED WORK FORM WILL RENDER YOUR OFFER UNACCEPTABLE.

SUBMITTED IN RESPONSE TO RFP # _____________________________

Use this form to identify and calculate cost of the work to be self-performed.

A.1 Clearly describe the work to be self-performed by your company:

A.2 Clearly describe the work which will be subcontracted for this project:

Show Calculation of Self-Performed work below

B.1 Total Offer Price: $_________________

B.2 Total dollar amount of work to be self- performed $__________________

B.3 Total dollar amount of work to be performed $___________________ by Subcontractor(s)

B. 5. Self-performed Work percentage = Line B.2 / B.1 X 100% = ________________________%