70Z08526QLREP0011 Attachment 8 Change Request Proposal Form.xls
XLS spreadsheet 212 KB Posted
- Attached to
- Dockside (DS): USCGC MIDGETT FY26 Repair
- Solicitation number
- 70Z08526QLREP0011
About this file
This is a Change Request Proposal Form template used for the U.S. Coast Guard to request additional work on ship repair contracts. The form is designed for the USCGC MIDGETT (WMSL 757) and follows Department of Transportation Coast Guard Naval Engineering standards (Form 002, Rev 12/00). The template provides structured sections for contractors to estimate labor costs across 19 trade categories (Welder, Sheet Metal, Sandblaster, Rigger, Pipefitter, Painter, Lagger, Layout, Machinist, Shipwright, Equipment Operator, Electrician, Steel Work, NDT, Competent Person, and Quality Assurance), including regular and overtime hours with associated costs. Contractors must also account for subcontractor costs, material expenses with units and quantities, and apply mark-up/loading rates.
Contractors responding to a change request using this form must submit a detailed price proposal within three calendar days from the Contracting Officer's issuance or earlier. The form requires documentation of any schedule extensions needed beyond the current delivery date, with Coast Guard Operational Commander notification and concurrence on potential scheduling impacts. All work described must fall within the scope of the existing contract, and all original contract terms and conditions remain applicable. No obligation is created for the Government to award work until agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.
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| Department of Transportation // U.S. Coast Guard // Naval Engineering // Form 002 (Rev 12/00) | ||||||||||||||||||||||
| Independent Contractor Estimate | Page | |||||||||||||||||||||
| Contract Availability | CR | 1 | of | 1 | ||||||||||||||||||
| Auto fill | USCGC MIDGETT | Item: | Estimate Prepared By: | Date Prepared | ||||||||||||||||||
| Auto fill | TBD | AFC: | ||||||||||||||||||||
| CFR Nr. | ||||||||||||||||||||||
| Welder | Labor Scale | Ship Fitter | Sheet Metal | Sandblaster | Rigger | Pipefitter | Painter | Lagger | Layout | Machinist | Shipwright | Equip Oper | Electrician | Steel Work | NDT | Competent | ||||||
| Person | Quality Assurance | Firewatch | ||||||||||||||||||||
| Totals From Page 2: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Trade Totals(inlcudes page 2): | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| 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-Contractor | Cost | |||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| Totals From Page 2: | ||||||||||||||||||||||
| Total: | $ - 0 | |||||||||||||||||||||
| SUMMARY OF MATERIALS | ||||||||||||||||||||||
| Item | U/I | QTY | Cost | Total Cost | ||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| Totals From Page 2: | ||||||||||||||||||||||
| Total: | 0 | $ -0 | $ - 0 | |||||||||||||||||||
| SUMMARY OF ESTIMATE | The above work will require an extension of | days beyond the current delivery | ||||||||||||||||||||
| Labor | $ - 0 | date 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 Availability | Work Request Nr: | 2 | of | 2 | ||||||||||||||||||
| USCGC MIDGETT | Item: | Estimate Prepared By | Estimate Prepared By: | Date Prepared | Date Prepared | |||||||||||||||||
| TBD | CFR 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: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| SUMMARY OF LABOR | ||||||||||||||||||||
| Total Regular Labor Hours | 0 | |||||||||||||||||||
| Total Overtime Labor Hours | ||||||||||||||||||||
| Total of All Labor Hours | 0 | |||||||||||||||||||
| Total Cost of Labor | $ - 0 | |||||||||||||||||||
| SUMMARY OF SUB-CONTRACTOR | ||||||||||||||||||||
| Sub-Contractor | Cost | |||||||||||||||||||
| Total | $ - 0 | |||||||||||||||||||
| SUMMARY OF MATERIALS | ||||||||||||||||||||
| Item | U/I | QTY | Cost | Total 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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