Attachment_14_-_Breakdown_of_Proposed_Estimated_Costs.xlsx

XLSX spreadsheet 362 KB Posted

Attached to
Surveillance, Epidemiology, and End Results (SEER) Program
Solicitation number
75N91019R00029
Issued by

About this file

This document provides details for a federal solicitation seeking proposals for the Surveillance, Epidemiology, and End Results (SEER) Program. The National Cancer Institute's Surveillance Research Program and Prevention, Control and Population Sciences Branch are soliciting proposals to ramp up additional cancer registries for the SEER Program. Interested offerors should provide epidemiological surveillance of cancer incidence and survival in geographic areas throughout the United States. Proposals are due by the date specified in solicitation number 75N91019R00029. The SEER Program is managed by the Department of Health and Human Services National Institutes of Health National Cancer Institute.

Attachment 14 - Breakdown of Proposed Estimated Costs

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File Type Posted
Attachment 14 - Breakdown of Proposed Estimated Costs - AMEND 5.xlsx XLSX spreadsheet
75N91019R00029 - Amendment 5 - SF-30.pdf PDF
75N91019R00029 - Amendment 4 - SF-30.pdf PDF
Attachment 14 - Breakdown of Proposed Estimated Costs - AMEND 4.xlsx XLSX spreadsheet
75N91019R00029 - Amendment 2 - SF-30.pdf PDF
Attachment 06 - Technical Proposal Cost Summary - AMEND 4.pdf PDF
75N91019R00029 - Amendment 1 - SF-30.pdf PDF
75N91019R00029 - Amendment 3.pdf PDF
Attachment 05 - Additional Technical Proposal Instructions - AMEND 3.pdf PDF
75N91019R00029 - Amendment 3 - SF-30.pdf PDF
Attachment 10 - Additional Business Proposal Instructions - AMEND 3.pdf PDF
Attachment 33 - Workstation Guidelines - AMEND 3.pdf PDF
Attachment 34 - DMS Migration Phases -AMEND 3.pdf PDF
Attachment 14 - Breakdown of Proposed Estimated Costs - AMEND 3.xlsx XLSX spreadsheet
NCI Response to Questions - AMEND 3.pdf PDF
75N91019R00029_-_Amendment_2_-_SF-30.pdf PDF
Attachment_14_-_Breakdown_of_Proposed_Estimated_Costs_-_AMEND_1.xlsx XLSX spreadsheet
Attachment_33_-_Workstation_Guidelines_-_AMEND_1.pdf PDF
75N91019R00029_-_Amendment_1.pdf PDF
75N91019R00029_-_Amendment_1_-_SF-30.pdf PDF
NCI_Response_to_Questions_-_AMEND_1.pdf PDF
Attachment_10_-_Additional_Business_Proposal_Instructions_-_AMEND_1.pdf PDF
Attachment_02_-_Task_Order_1_-_Core_Infrastructure_-_Statement_of_Work_-_AMEND_1.pdf PDF
Attachment_16_-_Small_Business_Subcontracting_Plan_-AMEND_1.docx DOCX document
Attachment_05_-_Additional_Technical_Proposal_Instructions_-_AMEND_1.pdf PDF
Attachment_22_-_Invoice_Request_Instructions_-CR-_NIH(RC)-4.pdf PDF
Attachment_12_-_Offeror's_Points_of_Contact.pdf PDF
Attachment_02_-_Task_Order_1_-_Core_Infrastructure_-_Statement_of_Work.pdf PDF
Attachment_20_-_Invoice_Request_Instructions_-Cost_Share-_NIH(RC)-1.pdf PDF
Attachment_04_-_Proposal_Intent_Response_Form.pdf PDF
Attachment_17_-_Government_Property_Schedule.docx DOCX document
Attachment_29_-_Employee_Separation_Checklist.pdf PDF
Attachment_32_-_52.204-24.pdf PDF
Attachment_15_-_Wage_Rate_Determination.pdf PDF
Attachment_31_-_Annual_Report_Template_Excel.xlsx XLSX spreadsheet
Attachment_11_-_Proposal_Summary_and_Data_Record.pdf PDF
Attachment_18_-_Section_K_-_Reps_and_Certs.doc DOC document
Attachment_28_-_Suitability_Roster.xlsx XLSX spreadsheet
Attachment_30_-_Annual_Report_Template_Instructions.pdf PDF
Attachment_01_-_Base_Statement_of_Work.pdf PDF
Attachment_25_-_Privacy_Act_System_of_Records.pdf PDF
Attachment_24_-_Financial_Report_of_Contract_-_NIH-2706.pdf PDF
Attachment_13_-_Certificate_of_Current_Cost_or_Pricing.pdf PDF
Attachment_07_-_Protection_of_Human_Subject_Assurance.rtf RTF text file
Attachment_10_-_Additional_Business_Proposal_Instructions.pdf PDF
Attachment_16_-_Small_Business_Subcontracting_Plan.docx DOCX document
Attachment_19_-_Lobbying_Disclosure.pdf PDF
Attachment_05_-_Additional_Technical_Proposal_Instructions.pdf PDF
Attachment_08_-_Summary_Related_Activities.pdf PDF
Attachment_09_-_Planned_Enrollment_Report.pdf PDF
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INSTRUCTIONS

How to use this Excel file:

This is the mandatory worksheet for submitting your cost proposal. We understand that one spreadsheet format can not fit every situation; however, we have attempted to create a simple model that fits most circumstances that arise in Government contracting. You may need to modify the spreadsheet to fit your circumstances. There are more specific instructions on specific cost element pages where applicable.

To ensure mathematical accuracy the spreadsheet contains formulas to the maximum extent practicable. Do not overwrite the formulas with hardcoded numbers. However, you may edit the formulas as necessary to fit your circumstances. You are responsible for ensuring all numbers are accurate and complete prior to proposal submission.

Historical Actual Costs: Complete Tab

Summary Pages
The totals from each cost element page are automatically carried forward to the Summary worksheets. However, the offeror is responsible for ensuring all formulas are mathematically accurate prior to proposal submission.

The Government-Share Summary worksheet includes the totals from each Government-Share cost element page. The offeror is responsible for ensuring all formulas are mathematically accurate prior to proposal submission. (Blue Tabs)

The Contractor Share Summary includes the totals from each funding source Summary page (Source #1, Source #2, etc.). The Source Summary worksheets include the total from each funding source cost element page. The offeror may need to add Tabs for additional funding sources. The offeror is responsible for ensuring all formulas are mathematically accurate prior to proposal submission. (Orange Tabs)

The Total Cost Summary includes the Government-Share Summary plus the Contractor-Share Summary and calculates the Contractor-Share contribution percentage. The offeror is responsible for ensuring all formulas are mathematically accurate prior to proposal submission. (Green Tab)

Please immediately contact John Turner (240-276-7756) email at john.turner@nih.gov if you discover any formula errors.

Direct Labor
Use the Labor - Salary worksheet if you track labor on a percent of effort basis. Generally, Universities, Hospitals, and Non-Profit Organizations track labor by percent of effort.
Use the Labor - Hourly worksheet if you track labor on an hourly basis. Commercial organizations track labor on an hourly basis.
Use both pages if you track some employees by each method. Please do not put any employee on both pages. Consultants should be proposed on the consultants worksheet, not the labor worksheets.
The proposed amounts must be based on current payroll information which shows hourly, monthly, or annual rate/salary for each proposed (named) individuals. Acceptable documentation includes any one of the following: 1) personnel action forms, or 2) most recent payroll register showing name, pay rate, and percent of effort if applicable, or 3) copy of pay stub.
If the proposed positions have not been filled or are to be named or hired, then acceptable documentation includes the following: 1) letter of intent to hire including salary rate and title, or 2) position descriptions and salary scales or organizational wage table showing salary range and a copy of hiring policy, or 3) a comparable employee's payroll document. Increases for the to be named or hired are not eligible for increases in the first period.
Indirect Rates Including Fringe Benefit Rate(s) for Commercial Organizations
If your organization does not have negotiated rates, the following website contains information which will assist you in computing indirect rates: http://oamp.od.nih.gov/dfas/IdCSubmission.asp
Please do not submit your indirect proposal to the Division of Financial Advisory Services at this time.
Points of Contact
If you have any questions regarding this Excel file, please contact John Turner (240-276-7756) email at john.turner@nih.gov.
If you have contracting questions, please call the NIH Contracting Official who is listed in the RFP.

Historical Actual Costs

FY 2018FY 2017
Non Federal (i.e., Home Institution, State, Univ, Cancer Center, Hospital, Other Private)Federal (CDC)Other FederalTOTALNon Federal (i.e., Home Institution, State, Univ, Cancer Center, Hospital, Other Private)Federal (CDC)Other FederalTOTAL
EXPENSE CATEGORY
Direct Labor$ -$ -
Fringe Benefits$ -$ -
Total Labor$ -$ -$ -$ -$ -$ -$ -$ -
Equipment$ -$ -
Materials & Supplies$ -$ -
Consultants$ -$ -
Travel$ -$ -
Subcontracts$ -$ -
Other$ -$ -
Total Other Direct Costs$ -$ -$ -$ -$ -$ -$ -$ -

Subtotal: $ - $ - $ - $ - $ - $ - $ - $ -

F&A $ - $ -

Total Expenditures $ - $ - $ - $ - $ - $ - $ - $ -

Total Cost Summary

CONTRACTOR NAME
BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7TOTAL
5/1/205/1/215/1/225/1/235/1/245/1/255/1/265/1/27
ThroughThroughThroughThroughThroughThroughThroughThrough
4/30/214/30/224/30/234/30/244/30/254/30/264/30/274/30/28
Direct Labor - Percent of Effort$0$0$0$0$0$0$0$0$0
Fringe Benefits - Percent of Effort00000000$0
Direct Labor - Hourly00000000$0
Fringe Benefits - Hourly00000000$0
Total Direct Labor & Fringe Benefits$0$0$0$0$0$0$0$0$0

Overhead (Note 1) 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 $0 $0

Materials and Supplies$0$0$0$0$0$0$0$0$0
Professional Travel & Routine Local Travel000000000
Equipment000000000
Consultants000000000
Other Direct Costs000000000
Patient Care Costs000000000
Subcontracts000000000
Total Other Direct Costs$0$0$0$0$0$0$0$0$0
Subtotal: Direct Labor, Fringe Benefits, Overhead & Other Directs$0$0$0$0$0$0$0$0$0
Exclusion(s) From Base For G&A00000000$0
Adjusted Base for G&A$0$0$0$0$0$0$0$0$0
G&A (Note 2)0%00%00%00%00%00%00%00%00%$0
Total Proposed Cost$0$0$0$0$0$0$0$0$0
Contractor Share - Source #1 - Name$0$0$0$0$0$0$0$0$0
Contractor Share - Source #2 - Name$0$0$0$0$0$0$0$0$0
(Add Source Tabs as Required)
TOTAL Contractor Share$0$0$0$0$0$0$0$0$0

Contractor Share % ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0! ERROR:#DIV/0!

1.Not all organizations allocate indirect cost in the same way. It is important that you use the indirect rate structure applicable to your organization.
For example, if you have a two tier indirect rate structure, then you will use a two tier structure when proposing indirect costs.
Generally, Universities and Non-Profits have fringe benefit and G&A (or sometimes called F&A) rates, while For-Profit Companies can have
various indirect rates such as fringe benefits, overhead, G&A, etc.
The base for overhead costs includes direct labor and fringe benefits. Please modify if your base is different.
If applicable, insert exclusions to the G&A base in row 25.
2.If you have questions regarding indirect (F&A) rates see website: http://oamp.od.nih.gov/dfas/IdCSubmission.asp
This website also contains definitions, examples, and training.

Gov-Share Summary

GOVERNMENT SHARE - SUMMARY

BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7TOTAL
11/1/205/1/215/1/225/1/235/1/245/1/255/1/265/1/27
ThroughThroughThroughThroughThroughThroughThroughThrough
4/30/214/30/224/30/234/30/244/30/254/30/264/30/274/30/28
Direct Labor - Salary$0$0$0$0$0$0$0$0$0
Fringe Benefits - Salary00000000$0
Direct Labor - Hourly00000000$0
Fringe Benefits - Hourly00000000$0
Total Direct Labor & Fringe Benefits$0$0$0$0$0$0$0$0$0
$0
Overhead (Note 1)0%$00%$00%$00%$00%$00%$00%$0$0$0
$0
Materials and Supplies$0$0$0$0$0$0$0$0$0
Travel00000000$0
Equipment00000000$0
Consultants00000000$0
Other Direct Costs00000000$0
Subcontracts00000000$0
Total Other Direct Costs$0$0$0$0$0$0$0$0$0
$0
Subtotal:$0$0$0$0$0$0$0$0$0
Exclusion(s) From Base For G&A00000000$0
Adjusted Base for G&A$0$0$0$0$0$0$0$0$0
G&A (Note 2)0%00%00%00%00%00%00%00%00%$0
Total Proposed Cost$0$0$0$0$0$0$0$0$0
NOTES:
1.Not all organizations allocate indirect cost in the same way. It is important that you use the indirect rate structure applicable to your organization.
For example, if you have a two tier indirect rate structure, then you will use a two tier structure when proposing indirect costs.
Generally, Universities and Non-Profits have fringe benefit and G&A (or sometimes called F&A) rates, while For-Profit Companies can have
various indirect rates such as fringe benefits, overhead, G&A, etc.
The base for overhead costs includes direct labor and fringe benefits. Please modify if your base is different.
If applicable, insert exclusions to the G&A base in row 24.
2.If you have questions regarding indirect (F&A) rates see website: http://oamp.od.nih.gov/dfas/IdCSubmission.asp
This website also contains definitions, examples, and training.

Gov-Share Salary

GOVERNMENT SHARE - DIRECT LABOR - SALARY

BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7
11/1/20Through4/30/215/1/21Through4/30/225/1/22Through4/30/235/1/23Through4/30/245/1/24Through4/30/255/1/25Through4/30/265/1/26Through4/30/275/1/27Through4/30/28TOTALTOTAL
CURRENTADJUSTEDPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGESALARYFRINGE
EMPLOYEEPOSITIONBASE SALARYBASE SALARYEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTCOSTCOST
10$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$0$0$0
20000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
30000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
40000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
50000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
60000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
70000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
80000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
90000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
100000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
110000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
120000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
130000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
140000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
150000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
160000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
170000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
180000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
190000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
200000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
210000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
220000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
230000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
240000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
250000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
260000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
270000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
280000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
290000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
300000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
310000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
320000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
330000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
340000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
350000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
SUBTOTALS =0%$0$00%$0$00%$0$00%$0$00%$0$00%$0$00%$0$00%$0$0$0$0
THE FOLLOWING BOXES IN COLUMN "D" BELOW SHALL BE USED TO
CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:
(Use of these cells will affect all of the adjusted base salary column; if individual
anniversary dates differ, the adjusted base salaries must be entered individually
in Column "E" of the spreadsheet and explained in the budget justification)
ANNUAL INCREASE FACTOR:-Insert annual cost of living % and/or merit increases
as applicable and explain the % in the budget justification

ANNUAL INCREASE DATE: - Insert annual increase date.

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE - Insert number of months at the new salary.

Gov-Share Hourly

GOVERNMENT SHARE - DIRECT LABOR - HOURLY

BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7
11/1/20Through4/30/215/1/21Through4/30/225/1/22Through4/30/235/1/23Through4/30/245/1/24Through4/30/255/1/25Through4/30/265/1/26Through4/30/275/1/27Through4/30/28TOTALTOTAL
CURRENT BASEADJUSTEDNUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGESALARYFRINGE
EMPLOYEEPOSITIONHOURLY RATEHOURLY RATEHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTCOSTCOST
1$0.00$0.000.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$0$0$0
20.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
30.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
40.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
50.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
60.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
70.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
80.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
90.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
100.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
110.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
120.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
130.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
140.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
150.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
160.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
170.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
180.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
190.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
200.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
210.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
220.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
230.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
240.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
250.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
260.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
270.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
280.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
290.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
300.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
310.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
SUBTOTALS =0.00$0$00.00$0$00.00$0$00.00$0$00.00$0$00.00$0$00.00$0$00.00$0$0$0$0
THE FOLLOWING BOXES IN COLUMN "D" BELOW MAY BE USED TO
CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:
(Use of these cells will affect all of the adjusted base salary column; if individual
anniversary dates differ, the adjusted base salaries must be entered individually in
Column "D" of the spreadsheet and explained in the budget justification)

NUMBER OF HOURS FOR FULL TIME EQUIVALENT: 0 -- Insert your direct work year.

Insert annual cost of living % and/or merit increases
ANNUAL INCREASE FACTOR:0.00%--as applicable and explain the % in the budget
justification

ANNUAL INCREASE DATE: 00/00/00 -- Insert annual increase date.

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE 0 -- Insert number of months at the the new hourly rate.

*Adjust the number of months per period as recommended in the RFP.

Gov-Share Materials

GOVERNMENT SHARE - MATERIALS AND SUPPLIES

Base PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7
UnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
ITEMPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
10.000$0$00$0$00$0$00$0$00$0$00$0$00$0$00$0$0
20.00000000000000000000000000
30.00000000000000000000000000
40.00000000000000000000000000
50.00000000000000000000000000
60.00000000000000000000000000
70.00000000000000000000000000
80.00000000000000000000000000
90.00000000000000000000000000
100.00000000000000000000000000
110.00000000000000000000000000
120.00000000000000000000000000
130.00000000000000000000000000
140.00000000000000000000000000
150.00000000000000000000000000
160.00000000000000000000000000
170.00000000000000000000000000
180.00000000000000000000000000
190.00000000000000000000000000
200.00000000000000000000000000
210.00000000000000000000000000
220.00000000000000000000000000
230.00000000000000000000000000
240.00000000000000000000000000
250.00000000000000000000000000
260.00000000000000000000000000
270.00000000000000000000000000
280.00000000000000000000000000
290.00000000000000000000000000
300.00000000000000000000000000
TOTAL =$0$0$0$0$0$0$0$0$0
NOTES:
1. The spreadsheet carries Unit Quantity into Option Periods, adjust as necessary to match proposal
2. The spreadsheet applies a 2% escalation factor in Option Periods, adjust as necessary to match proposal. Reference RFP for limitations.

&24&USUMMARY OF MATERIALS AND SUPPLIES

Gov-Share Travel

GOVERNMENT SHARE - TRAVEL

Cost ElementBase PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7TOTAL
Trip #11111111
Site
Reason
Airfare$0$0$0$0$0$0$0$0$0
Lodging$0$0$0$0$0$0$0$0$0
Meals$0$0$0$0$0$0$0$0$0
Incidentals$0$0$0$0$0$0$0$0$0
Ground Transport$0$0$0$0$0$0$0$0$0
Total Per Trip$0$0$0$0$0$0$0$0$0
No. of persons11111111
SUBTOTAL =$0$0$0$0$0$0$0$0$0
Cost ElementBase PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7TOTAL
Trip #22222222
Site
Reason
Airfare$0$0$0$0$0$0$0$0$0
Lodging$0$0$0$0$0$0$0$0$0
Meals$0$0$0$0$0$0$0$0$0
Incidentals$0$0$0$0$0$0$0$0$0
Ground Transport$0$0$0$0$0$0$0$0$0
Total Per Trip$0$0$0$0$0$0$0$0$0
No. of persons11111111
SUBTOTAL =$0$0$0$0$0$0$0$0$0
Cost ElementBase PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7TOTAL
Trip #33333333
Site
Reason
Airfare$0$0$0$0$0$0$0$0$0
Lodging$0$0$0$0$0$0$0$0$0
Meals$0$0$0$0$0$0$0$0$0
Incidentals$0$0$0$0$0$0$0$0$0
Ground Transport$0$0$0$0$0$0$0$0$0
Total Per Trip$0$0$0$0$0$0$0$0$0
No. of persons11111111
SUBTOTAL =$0$0$0$0$0$0$0$0$0

INSERT ADDITIONAL TRIPS HERE

TOTAL COST BY PERIOD = $0 $0 $0 $0 $0 $0 $0 $0 $0

NOTES:
1. Cost elements (Airfare, Lodging, Meals, Incidentals, Transportation, Etc.) may be adjusted to match your organization's travel policy. Add or delete rows as required.
2. For additional trips, copy rows 4 through 15 and insert copied cells in row 43. Repeat for all trips proposed.
3. Ensure the formulas for "Total Cost By Period", currently row 45, are updated as additional trips are added.
4. Please review the RFP for the recommended number of trips and destinations if applicable.
5. Please use the company or institutional travel policy unless current Government Per Diem rates are utilized. Please use current vendor quotes for airfare and other travel costs.

Gov-Share Equipment

GOVERNMENT SHARE - EQUIPMENT

Base PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7
UnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
ITEMPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
10.000$0$00$0$00$0$00$0$00$0$00$0$00$0$00$0$0
20.00000000000000000000000000
30.00000000000000000000000000
40.00000000000000000000000000
50.00000000000000000000000000
60.00000000000000000000000000
70.00000000000000000000000000
80.00000000000000000000000000
90.00000000000000000000000000
100.00000000000000000000000000
110.00000000000000000000000000
120.00000000000000000000000000
130.00000000000000000000000000
140.00000000000000000000000000
150.00000000000000000000000000
160.00000000000000000000000000
170.00000000000000000000000000
180.00000000000000000000000000
190.00000000000000000000000000
200.00000000000000000000000000
210.00000000000000000000000000
220.00000000000000000000000000
230.00000000000000000000000000
240.00000000000000000000000000
250.00000000000000000000000000
260.00000000000000000000000000
270.00000000000000000000000000
280.00000000000000000000000000
290.00000000000000000000000000
300.00000000000000000000000000
TOTAL =$0$0$0$0$0$0$0$0$0
NOTES:
1. The spreadsheet carries Unit Quantity into Option Periods, adjust as necessary to match proposal
2. The spreadsheet applies a 2% escalation factor in Option Periods, adjust as necessary to match proposal. Reference RFP for limitations.

&24&USUMMARY OF MATERIALS AND SUPPLIES

Gov-Share Consultants

GOVERNMENT SHARE - CONSULTANTS

BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7
11/1/20Through4/30/215/1/21Through4/30/225/1/22Through4/30/235/1/23Through4/30/245/1/24Through4/30/255/1/25Through4/30/265/1/26Through4/30/275/1/27Through4/30/28
CONSULTANTRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalRate# Hours# DaysTravelSubtotalTOTAL
(1)$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0
(2)000000000000000000000000$0
(3)000000000000000000000000$0
(4)000000000000000000000000$0
(5)000000000000000000000000$0
(6)000000000000000000000000$0
(7)000000000000000000000000$0
(8)000000000000000000000000$0
(9)000000000000000000000000$0
(10)000000000000000000000000$0
TOTAL =$0$0$0$0$0$0$0$0$0
Please provide a complete breakdown for each consultant with rates for the number hours or days plus any proposed travel
costs. Please obtain a signed letter of commitment which shows the base rate for each consultant.

Gov-Share ODC

GOVERNMENT SHARE - OTHER DIRECT COSTS

Base PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7
DescriptionUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
Computer Hardware ItemsPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
1$00$0$00$0$00$0$00$0$00$0$00$0$00$0$00$0$0
20000000000000000000000000
30000000000000000000000000
4(Add Rows as Required)0000000000000000000000000
Computer Hardware Subtotal =$0$0$0$0$0$0$0$0$0
Base PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7
DescriptionUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
Computer Software and LicensesPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
1$00$0$00$0$00$0$00$0$00$0$00$0$00$0$00$0$0
20000000000000000000000000
30000000000000000000000000
4(Add Rows as Required)0000000000000000000000000
Computer Software and Licenses Subtotal =$0$0$0$0$0$0$0$0$0
Base PeriodOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7
DescriptionUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnitUnit
Other ODCsPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalPriceQuantitySubtotalTOTAL
1$00$0$00$0$00$0$00$0$00$0$00$0$00$0$00$0$0
20000000000000000000000000
30000000000000000000000000
4(Add Rows as Required)0000000000000000000000000
Other ODCs Subtotal =$0$0$0$0$0$0$0$0$0
TOTAL ODCS$0$0$0$0$0$0$0$0$0
NOTES:
1. The Description for each item must be clear for the reviewer to easily identify what the item is. Recommend using both brand/prodcut names AND general item descriptions, such as "Azure (Virtual Server)".
2. The Description for each item should clearly map back to the supporting documentation provided in the Budget Narrative.
3. The Budget Narrative must include copies of supporting documentation (e.g. one (1) quote, copy of price list, or catalogue price(s)) for all ODCs with a unit price greater than $500.
4. Ensure all Subtotal and Total formulas are mathmatically accurate.

Gov-Share Subcontracts

GOVERNMENT SHARE - SUMMARY OF SUBCONTRACTS

SUBCONTRACT #BaseOption Period 1Option Period 2Option Period 3Option Period 4Option Period 5Option Period 6Option Period 7TOTAL
(1)$0$0$0$0$0$0$0$0$0
(2)000000000
(3)000000000
(4)000000000
(5)000000000
(6)000000000
(7)000000000
(8)000000000
(9)000000000
(10)000000000
TOTAL =$0$0$0$0$0$0$0$0$0
A complete breakdown and summary sheet for each proposed subcontract must
be included with the prime proposal. The same format should be used for both
the prime and subcontract proposals.

Contractor-Share Summary

CONTRACTOR SHARE - SUMMARY

BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7TOTAL
11/1/205/1/215/1/225/1/235/1/245/1/255/1/265/1/27
ThroughThroughThroughThroughThroughThroughThroughThrough
4/30/214/30/224/30/234/30/244/30/254/30/264/30/274/30/28
Direct Labor - Salary$0$0$0$0$0$0$0$0$0
Fringe Benefits - Salary00000000$0
Direct Labor - Hourly00000000$0
Fringe Benefits - Hourly00000000$0
Total Direct Labor & Fringe Benefits$0$0$0$0$0$0$0$0$0

Overhead (Note 1) 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 $0 $0

Materials and Supplies$0$0$0$0$0$0$0$0$0
Travel00000000$0
Equipment00000000$0
Consultants00000000$0
Other Direct Costs00000000$0
Subcontracts00000000$0
Total Other Direct Costs$0$0$0$0$0$0$0$0$0
Subtotal:$0$0$0$0$0$0$0$0$0
Exclusion(s) From Base For G&A00000000$0
Adjusted Base for G&A$0$0$0$0$0$0$0$0$0
G&A (Note 2)0%00%00%00%00%00%00%00%00%$0
Total Proposed Cost$0$0$0$0$0$0$0$0$0
NOTES:
1.Not all organizations allocate indirect cost in the same way. It is important that you use the indirect rate structure applicable to your organization.
For example, if you have a two tier indirect rate structure, then you will use a two tier structure when proposing indirect costs.
Generally, Universities and Non-Profits have fringe benefit and G&A (or sometimes called F&A) rates, while For-Profit Companies can have
various indirect rates such as fringe benefits, overhead, G&A, etc.
The base for overhead costs includes direct labor and fringe benefits. Please modify if your base is different.
If applicable, insert exclusions to the G&A base in row 24.
2.If you have questions regarding indirect (F&A) rates see website: http://oamp.od.nih.gov/dfas/IdCSubmission.asp
This website also contains definitions, examples, and training.

Source #1 Summary

CONTRACTOR SHARE - SOURCE #1 - SUMMARY
Contractor Share - Source #1 - Name
BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7TOTAL
11/1/205/1/215/1/225/1/235/1/245/1/255/1/265/1/27
ThroughThroughThroughThroughThroughThroughThroughThrough
4/30/214/30/224/30/234/30/244/30/254/30/264/30/274/30/28
Direct Labor - Salary$0$0$0$0$0$0$0$0$0
Fringe Benefits - Salary00000000$0
Direct Labor - Hourly00000000$0
Fringe Benefits - Hourly00000000$0
Total Direct Labor & Fringe Benefits$0$0$0$0$0$0$0$0$0
$0
Overhead (Note 1)0%$00%$00%$00%$00%$00%$00%$0$0$0
Materials and Supplies$0$0$0$0$0$0$0$0$0
Travel00000000$0
Equipment00000000$0
Consultants00000000$0
Other Direct Costs00000000$0
Subcontracts00000000$0
Total Other Direct Costs$0$0$0$0$0$0$0$0$0
Subtotal:$0$0$0$0$0$0$0$0$0
Exclusion(s) From Base For G&A00000000$0
Adjusted Base for G&A$0$0$0$0$0$0$0$0$0
G&A (Note 2)0%00%00%00%00%00%00%00%00%$0
Total Proposed Cost$0$0$0$0$0$0$0$0$0
NOTES:
1.Not all organizations allocate indirect cost in the same way. It is important that you use the indirect rate structure applicable to your organization.
For example, if you have a two tier indirect rate structure, then you will use a two tier structure when proposing indirect costs.
Generally, Universities and Non-Profits have fringe benefit and G&A (or sometimes called F&A) rates, while For-Profit Companies can have
various indirect rates such as fringe benefits, overhead, G&A, etc.
The base for overhead costs includes direct labor and fringe benefits. Please modify if your base is different.
If applicable, insert exclusions to the G&A base in row 24.
2.If you have questions regarding indirect (F&A) rates see website: http://oamp.od.nih.gov/dfas/IdCSubmission.asp
This website also contains definitions, examples, and training.

Source #1 Salary

CONTRACTOR SHARE - SOURCE #1 - DIRECT LABOR - SALARY

BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7
11/1/20Through4/30/215/1/21Through4/30/225/1/22Through4/30/235/1/23Through4/30/245/1/24Through4/30/255/1/25Through4/30/265/1/26Through4/30/275/1/27Through4/30/28TOTALTOTAL
CURRENTADJUSTEDPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGEPERCENT
OFNUMBERSALARYFRINGEFRINGESALARYFRINGE
EMPLOYEEPOSITIONBASE SALARYBASE SALARYEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTEFFORTMONTHSCOSTRATECOSTCOSTCOST
10$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$00%12.00$0$0$0$0
20000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
30000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
40000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
50000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
60000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
70000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
80000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
90000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
100000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
110000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
120000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
130000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
140000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
150000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
160000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
170000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
180000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
190000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
200000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
210000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
220000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
230000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
240000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
250000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
260000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
270000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
280000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
290000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
300000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
310000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
320000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
330000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
340000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
350000%12.00000%12.00000%12.00000%12.00000%12.00000%12.00000%12.000000
SUBTOTALS =0%$0$00%$0$00%$0$00%$0$00%$0$00%$0$00%$0$00%$0$0$0$0
THE FOLLOWING BOXES IN COLUMN "D" BELOW SHALL BE USED TO
CALCULATE THE ADJUSTED BASE SALARY, AS INDICATED:
(Use of these cells will affect all of the adjusted base salary column; if individual
anniversary dates differ, the adjusted base salaries must be entered individually
in Column "E" of the spreadsheet and explained in the budget justification)
ANNUAL INCREASE FACTOR:-Insert annual cost of living % and/or merit increases
as applicable and explain the % in the budget justification

ANNUAL INCREASE DATE: - Insert annual increase date.

NUMBER OF MONTHS AT NEXT ANNUAL INCREASE - Insert number of months at the new salary.

Source #1 Hourly

CONTRACTOR SHARE - SOURCE #1 - DIRECT LABOR - HOURLY

BASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7
11/1/20Through4/30/215/1/21Through4/30/225/1/22Through4/30/235/1/23Through4/30/245/1/24Through4/30/255/1/25Through4/30/265/1/26Through4/30/275/1/27Through4/30/28TOTALTOTAL
CURRENT BASEADJUSTEDNUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGENUMBERNUMBERSALARYFRINGEFRINGESALARYFRINGE
EMPLOYEEPOSITIONHOURLY RATEHOURLY RATEHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTHOURSMONTHSCOSTRATECOSTCOSTCOST
1$0.00$0.000.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$00.0012.00$00%$0$0$0
20.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
30.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
40.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
50.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
60.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
70.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
80.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
90.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
100.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
110.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
120.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
130.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
140.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
150.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
160.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000
170.000.000.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%00.0012.0000%000

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