70Z08524RLREP1490 Attachment 8 Change Request Proposal Form.xls

XLS spreadsheet 217 KB Posted

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Dock-Side: USCGC MUNRO FY24 DS
Solicitation number
70Z08524RLREP1490
Issued by

About this file

This document is a Change Request Proposal Form for a federal contract opportunity related to the USCGC MUNRO. The form requests the contractor to provide a detailed price proposal within 3 calendar days for additional work required on the USCGC MUNRO beyond the current contract scope. The work is within the scope of the existing contract and the contractor must notify the Operational Commander of any potential delivery date extension. The form includes summary sections for labor, subcontractors, materials, and the total estimated cost. The related federal contract opportunity is a solicitation for USCGC MUNRO Dock-side Repairs in Fiscal Year 2024, which is 100% set-aside for small businesses. The work is to be performed at USCG Base Alameda.

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Govt Est

Department of Transportation // U.S. Coast Guard // Naval Engineering // Form 002 (Rev 12/00)
Independent Contractor EstimatePage
Contract AvailabilityCR1of1
Auto fillUSCGC MUNROItem:Estimate Prepared By:Date Prepared
Auto fillTBDAFC:
CFR Nr.
WelderLabor ScaleShip FitterSheet MetalSandblasterRiggerPipefitterPainterLaggerLayoutMachinistShipwrightEquip OperElectricianSteel WorkNDTCompetent
PersonQuality AssuranceFirewatch
Totals From Page 2:0000000000000000000
Trade Totals(inlcudes page 2):0000000000000000000
SUMMARY OF LABOR
Total Regular Labor Hours Cost$ - 0
Total Overtime Labor Hours Cost$ - 0
Total Cost of Labor$ - 0
SUMMARY OF SUB-CONTRACTOR
Sub-ContractorCost
$ - 0
$ - 0
$ - 0
Totals From Page 2:
Total:$ - 0
SUMMARY OF MATERIALS
ItemU/IQTYCostTotal Cost
$ - 0
$ - 0
$ - 0
Totals From Page 2:
Total:0$ -0$ - 0
SUMMARY OF ESTIMATEThe above work will require an extension ofdays beyond the current delivery
Labor$ - 0date of
Material$ - 0
Sub Contractor$ - 0
mark-up/loading rate for materials and subcontractors$ - 0
Total Estimate$ - 0
MLCPAC(vr) Approval:Spec Review Required?
Department of Transportation // U.S. Coast Guard // Naval Engineering // Form 002 (Rev 12/00)
Independent Government Estimate (Cont.)Page
Contract AvailabilityWork Request Nr:2of2
USCGC MUNROItem:Estimate Prepared ByEstimate Prepared By:Date PreparedDate Prepared
TBDCFR Nr:
0WelderLabor ScaleShip FitterSheet MetalSandblasterRiggerPipefitterPainterLaggerLayoutMachinistShipwrightEquip OperElectricianSteel WorkNDTCompetent

Person

Trade Totals:0000000000000000000
SUMMARY OF LABOR
Total Regular Labor Hours0
Total Overtime Labor Hours
Total of All Labor Hours0
Total Cost of Labor$ - 0
SUMMARY OF SUB-CONTRACTOR
Sub-ContractorCost
Total$ - 0
SUMMARY OF MATERIALS
ItemU/IQTYCostTotal Cost
Total$ - 0
SUMMARY OF ESTIMATE
Labor$ - 0
Material$ - 0
Sub Contractor$ - 0
Profit$ - 0
Total Estimate$ - 0

Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.

The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.

Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:

The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

See page 1 for info on need for contract extension.

Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.

The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.

Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:

The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.

The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.

Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:

The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.

The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.

Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:

The above work will require an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

The above work will require an extension of days beyond the current delivery date of ____.

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and of Provide all labor and materials to accomplish the following:

The above work will reuire an extension of ______ days beyond the current delivery date of __________.

FOR COAST GUARD USE ONLY

Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:

FOR COAST GUARD USE ONLY

Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.

Ref: Phonecon between and _______ of You are requested to provide a detailed price proposal for the work described below to the Contracting Officer within 3 calendar days (or earlier if requested) from the date of issuance. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached. Following agreement on price and performance period a bilateral contract modification is executed between the Government and the Contractor.

The work described below is within the scope of the subject contract. All terms and conditions of the subject contract are applicable to this work request.

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