Attachment 8 Change Request Proposal Form.xlsx
XLSX spreadsheet 44 KB Posted
- Solicitation number
- 70Z08527QLREP0001
- Issued by
- Not on record
About this file
This is a Change Request Proposal Form used by the U.S. Coast Guard for requesting and pricing additional work on existing contracts related to vessel repairs. The form is specifically designed for the USCGC WAESCHE and serves as a template for vendors to submit detailed price proposals for change requests or additional work within the scope of their existing contract.
The form requires contractors to provide comprehensive cost estimates broken down by labor trades (welder, ship fitter, sheet metal worker, sandblaster, rigger, pipefitter, painter, lagger, layout worker, machinist, shipwright, equipment operator, electrician, steel work, NDT, competent person, quality assurance, and firewatch), sub-contractor costs, and materials with associated markups. Contractors must submit detailed proposals within three calendar days of issuance by the Contracting Officer. The form accommodates multiple work requests across two pages and requires identification of any schedule extension needed beyond the current delivery date, with documentation of notification to the Operational Commander. No obligation is created for the U.S. Government to award any work until agreement on price and performance period is reached and a bilateral contract modification is executed. All terms and conditions of the subject contract remain applicable to the requested work. The form includes spaces for independent government estimates and specification review requirements, with routing for MLCPAC approval.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 4 Past Performance Questionnaire.docx | DOCX document | |
| Attachment 3 Consolidated List of References.docx | DOCX document | |
| Attachment 2-WAESCHE DS FQ2 FY27 Specification REV-0.docx | DOCX document | |
| Solicitation-WAESCHE-Q2-FY27-70Z08527QLREP0001.docx | DOCX document | |
| Attachment 6 - Government Property Report.pdf | ||
| Attachment 7 Department of Homeland Security Non-Disclosure Agreement (NDA).pdf | ||
| Attachment 5 Questions.docx | DOCX document | |
| Attachment 1-Pricing Scheduel DS FQ2 FY27.xls | XLS spreadsheet |
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Text version
Vendor Estimate
| 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 WAESCHE | 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 WAESCHE | 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.
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:
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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