70Z08525RLREP0013 Attachment 8 Change Request Proposal Form.xlsx

XLSX spreadsheet 48 KB Posted

Attached to
Solicitation Dry-Dock (DD): USCGC HEALY (WAGB 20) Fiscal Year 2026
Solicitation number
70Z08525RLREP0013
Issued by

About this file

This document is a Change Request Proposal Form for a U.S. Coast Guard dry-dock contract for the USCGC HEALY (WAGB 20), covering the period from 01/05/2026 to 05/02/2026. The form is a template for contractors to provide detailed labor, material, and subcontractor cost estimates for potential contract modifications, with a request for a detailed price proposal within 3 calendar days of issuance by the Contracting Officer.

The associated federal contract opportunity involves dry-dock services for the USCGC Healy, restricted to the West Coast of the United States. The anticipated performance period is 12 January 2026 - 09 May 2026, with all work to be performed at the contractor's dry-dock facility. The solicitation is issued by the Department of Homeland Security's U.S. Coast Guard, seeking comprehensive ship repair and maintenance services for the vessel during the specified fiscal year 2026 timeframe.

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Other files

File Type Posted
Amendment_0005_70Z08525RLREP0013 HEALY FY26 Solicitation FINAL.pdf PDF
Amendment_0004_70Z08525RLREP0013 HEALY FY26 Solicitation.pdf PDF
70Z08525RLREP0013 HEALY DD FY26 Solicitation 21OCT25 A0004.pdf PDF
Amendment_0003_70Z08525RLREP0013 HEALY FY26 Solicitation.pdf PDF
70Z08525RLREP0013 Attachment 1 Specifications Statement of Work A0003.pdf PDF
70Z08525RLREP0013 Attachment 2 Consolidated List of References A0003.pdf PDF
(S1.4.d) JAOEM__HEALY DD FY26 Rolls Royce 28OCT25 Redacted_Redacted.pdf PDF
Amendment_0002_70Z08525RLREP0013 HEALY FY26 Solicitation.pdf PDF
Attachment 3 Consolidated List of Referencesv2 A0002.pdf PDF
Attachment 1 Pricing Sheet A0002.xlsx XLSX spreadsheet
70Z08525RLREP0013 Attachment 2 Specifications Statement of Work A0002.pdf PDF
70Z08525RLREP0013 HEALY DD FY26 Solicitation 21OCT25 A0002.pdf PDF
Amendment_001_70Z08525RLREP0013 HEALY FY26 Solicitation.pdf PDF
70Z08525RLREP0013 HEALY DD FY26 Solicitation 21OCT25 A0001.pdf PDF
70Z08525RLEP0013 Justification and Approvals.zip ZIP file
70Z08525RLREP0013 Attachment 7 Department of Homeland Security Non-Disclosure Agreement (NDA).pdf PDF
70Z08525RLREP0013 Attachment 6 - Government Property Report.pdf PDF
70Z08525RLREP0013 Attachment 5 Request for Clarifications.docx DOCX document
70Z08525RLREP0013 Attachment 3 Consolidated List of Referencesv2.pdf PDF
70Z08525RLREP0013 Attachment 9 Past Performance Questionnaire1.docx DOCX document
70Z08525RELP0013 Attachment 1 Pricing Sheet.xlsx XLSX spreadsheet
70Z08525RLREP0013 HEALY DD FY26 Solicitation 21OCT25.pdf PDF
70Z08525RLREP0013 Attachment 4 Past Performance Information Form.docx DOCX document
70Z08525RLREP0013 Attachment 2 Specifications Statement of Work.pdf PDF
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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 HEALYItem:Estimate Prepared By:Date Prepared
Auto fill01/05/2026-05/02/2026AFC:
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 HEALYItem:Estimate Prepared ByEstimate Prepared By:Date PreparedDate Prepared
01/05/2026-05/02/2026CFR Nr:

0 Welder Labor Scale Ship Fitter Sheet Metal Sandblaster Rigger Pipefitter Painter Lagger Layout Machinist Shipwright Equip Oper Electrician Steel Work NDT Competent 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.

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

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.

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

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.

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

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.

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.

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

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.

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

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.

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.

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:

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.

File details come from the government source that posted it. Updated .