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Table 1
| Cost Proposal Sheet |
| Instructions & Requirements: |
| 1. Utah DDW encourages all vendors to be as inclusive as possible to provide an accurate representation of their capabilities which will allow Utah DDW to conduct a fair and objective review. |
| 2. Average hourly rates must be provided for each Module. Rates shall be inclusive of all associated costs (e.g. overhead charges, administrative costs, travel, PPE, and profit). |
| 3. Utah DDW will reimburse on a “straight time” basis, therefore the contractor should schedule to minimize overtime liabilities. The minimum time increment claimed for reimbursement will be one quarter (1/4) of an hour. |
| 4. Fields highlighted in yellow must be completed. Fields marked as "Not-Evaluated" are required but will not be considered during evaluation. If a "Not-Evaluated" item will not be utilized, the field should be marked as "Not Applicable" or "N/A". |
| Module A: Evaluate Water Systems Capacity to Remediate Emerging Contaminants |
| Example tasks/activities: Conduct a water system review, site visit, and meet with water system personnel to assess options for remediating PFAS or other emerging contaminants from their drinking water supply. Collect raw and finished water samples to evaluate water quality parameters that may affect the remediation, planning, and design for PFAS or other emerging contaminants. Evaluate the feasibility of treatment options or alternatives (such as new source development or consolidation with another system). |
| Module A Average Hourly Rate (USD) (Required) |
| $ - 0 |
| Module B: Develop a Planning Document and Technical Design for Emerging Contaminants Remediation |
| Example tasks/activities: Planning Report, Pilot Testing and Benchtop Studies, Project Estimates, Water System Financial Report |
| Module B Average Hourly Rate (USD) (Required) |
| $ - 0 |
| Module C: Submit Funding Applications |
| Example tasks/activities: Assist water systems with completing their State Revolving Fund (SRF) applications to submit to the Division. Assist water systems in meeting timeline requirements for SRF funding applications |
| Module C Average Hourly Rate (USD) (Required) |
| $ - 0 |
| Average Total Hourly Rate (USD) | |
| $ - 0 | This will be evaluated and is worth 300 points total. |
| Optional Future Enhancements |
| If additional costs will be charged for future enchancements to the proposed solution enter the hourly rates associated with such enhancements below. Insert additional lines as necessary. If zero is entered fo any cell or in any cell is left blank, the State will assume that the related services are either provided at no cost or built into another cost item. |
Position Title Position Duties Cost per hour
| Value Added Services/Solutions |
| Offeror is to provide the complete product description, product cost driver, and product costs for all other offering Offeror is proposing under its proposal. |
Product Description Product Cost Driver Product Cost
| Not-Evaluated Cost Information |
| Note: Information provided for the following items is required but will not be evaluated. |
| Vendor must attach a price list of EPA approved sample analysis related to this project. For example, PFAS EPA Method 533, Perchlorate Method 314, Manganese Method...,etc. Include your price sheet with your technical criteria. |