75N91023R00035_RFP_6_28_23.pdf

PDF 42 MB Posted Jun 28, 2023

Attached to: Chernobyl and Other Health Effects in Belarus
Solicitation number: 75N91023R00035
Issued by: Department of Health and Human Services National Institutes of Health National Cancer Institute

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Written by GovTribe AI · Dec 20, 2023

This request for proposal solicits research services related to the health effects of the Chernobyl disaster in Belarus. The Department of Health and Human Services National Institutes of Health National Cancer Institute is seeking proposals under solicitation number 75N91023R00035 to study long-term outcomes for those exposed to radiation from the 1986 nuclear accident. Offerors must submit proposals by the closing date of June 28, 2023 describing their qualifications to analyze cancer incidence and other health issues still impacting areas contaminated by the Chernobyl fallout over 35 years ago. The agency aims to award a contract by late 2023 to further the scientific understanding of low-dose radiation exposure and its multi-generational health consequences.

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RFP Number : 75N91023R00035

a. Invoice Instructions for NIH Fixed-Price Type Contracts, NIH(RC)-2, are attached and made part of this contract.

The Contractor shall follow the attached instructions and submission procedures specified below to meet the requirements of a "proper invoice" pursuant to FAR Subpart 32.9, Prompt Payment.

1. Until the Contract has transitioned to IPP as specified on the OALM IPP website, the Contractor must follow step-by-step instructions as stated in the NIH/OFM Electronic Invoicing Instructions for NIH ContractorsNendors, which is included as an attachment in Section J of this contract. The invoice submitted to the NIH/OFM must be transmitted as an attachment via email to the address listed above in one of the following formats: Word, or Adobe Portable Document Format (PDF).

The Contractor must submit only one invoice per email. Do not submit supporting documentation (e.g., receipts, time sheets, vendor invoices, etc.) with your invoice unless specified elsewhere in the contract or requested by the Contracting Officer.

The Contractor must submit a copy of the electronic invoice to the following Approving Official

(Contracting Officer) and Contracting Officer Representative:

Approving Official: Contracting Officer

Name- Kari Peterson Email Address- kari.peterson@nih.gov

Contracting Officer Representative

Name- TBD Email Address- TBD

For inquiries regarding the status of invoices, contact OFM Customer Service via email at ofm customer service@mail-cmp.niceincontact.com or via phone at 301-496-6088. To send your inquiries via other available communication methods refer to the OFM Customer Service website at https://ofm.od.nih.gov/Pages/Customer-Service.aspx.

Note: The OFM Customer Service is open Eastern Standard Time Monday - Friday from 8:30 a.m. to 5:00 p.m. and is closed between 12:00 p.m. to 1:00 p.m.

One courtesy copy of the original invoice shall be submitted electronically as follows:

The Central Point of Distribution:

NCI OA Branch B - ncibranchbinvoices@mail.nih.gov

Invoices shall be submitted in accordance with Electronic Invoicing Instructions for NIH Contractors/ Vendors, which is included as an attachment in Section J of this contract.

2. In addition to the requirements specified in FAR 32.905 for a proper invoice, the Contractor shall include the following information on the face page of all payment requests:

a. Name of the Office of Acquisitions. The Office of Acquisitions for this contract is National Cancer

Institute.

b. Federal Taxpayer Identification Number (TIN). If the Contractor does not have a valid TIN, it shall identify the Vendor Identification Number (VIN) on the payment request. The VIN is the number that appears after the Contractor's name on the face page of the contract. [Note: A

VIN is assigned to new contracts awarded on or after June 4, 2007, and any existing contract modified to include the VIN number.] If the Contractor has neither a TIN, Unique Entity Identifier

- 17 -

PACKAGING AND DELIVERY OF PROPOSAL ATTACHMENT 1

March 12, 2018 Page 1 of 2

Attachment 1 - Packaging and Delivery of Proposals for Use with the NIH electronic Contract Proposal Submission (eCPS) Website

I. PROPOSAL SUBMISSION

A. eCPS

1. Proposals must be submitted via the electronic Contract Proposal Submission (eCPS) website at https://ecps.nih.gov.

2. Proposals submitted by facsimile or e-mail will not be accepted.

3. Follow the “How to Submit an Electronic Proposal” instructions provided on the eCPS website at: https://ecps.nih.gov/home/howto. Please note that creating an account to submit may take up to three (3) business days. Please apply for a new account early to allow enough time for the registration process.

4. Offerors are solely responsible for submitting proposals and any modifications or revisions so as to reach the Government office designated above by the date and time specified in the solicitation. If your proposal is not received by the date and time specified in the solicitation, it will be considered a “late proposal,” in accordance with FAR Clause 52.215-1 Instructions to Offerors – Competitive Acquisition.

B. Creating and Naming Files:

1. Create one PDF file of your Technical Proposal, including all attachments. The Technical Proposal should be created in a PDF format that enables word searches to the maximum extent practicable. Forms and/or documents requiring signature(s) may be scanned, but must be merged into the Technical Proposal PDF file.

2. Create one PDF file of your Business Proposal, including all attachments:

The Business Proposal should be created in a PDF format that enables word searches to the maximum extent practicable. Forms and/or documents requiring signature(s) may be scanned, but must be merged into the Business Proposal PDF file.

Additionally, the “Breakdown of Proposed Estimated Costs (plus Fee) with Excel Spreadsheet” (http://oamp.od.nih.gov/sites/default/files/DGS/contracting-forms/spshexcl_dec2012.xlsx) must be included in the Business Proposal.

3. Create your Business Document Excel. The Excel file should be the “Breakdown of Proposed Estimated Costs (plus Fee) with Excel Spreadsheet” (http://oamp.od.nih.gov/sites/default/files/DGS/contracting-forms/spshexcl_dec2012.xlsx) included in the Business Proposal in its original Excel format, not PDF. Multiple Excel files may be included, as necessary.

https://ecps.nih.gov/ https://ecps.nih.gov/home/howto http://oamp.od.nih.gov/sites/default/files/DGS/contracting-forms/spshexcl_dec2012.xlsx http://oamp.od.nih.gov/sites/default/files/DGS/contracting-forms/spshexcl_dec2012.xlsx http://oamp.od.nih.gov/sites/default/files/DGS/contracting-forms/spshexcl_dec2012.xlsx http://oamp.od.nih.gov/sites/default/files/DGS/contracting-forms/spshexcl_dec2012.xlsx

PACKAGING AND DELIVERY OF PROPOSAL ATTACHMENT 1

March 12, 2018 Page 2 of 2

4. Each of the proposals, Technical and Business, must be separate and complete in itself.

Do not reference one proposal in another.

5. File naming convention: It is requested that the filenames for your Technical Proposal, Business Proposal, and Excel Workbook include the name of the offeror, the solicitation number and the type of proposal (i.e., Technical, Business, or Excel Workbook).

Examples:

Technical Proposal: XYZ Company_NIHAI2012001_Technical.pdf Business Proposal: XYZ Company_NIHAI2012001_Business.pdf Excel Workbook: XYZ Company_NIHAI2012001_Business.xlsx

II. FORMATTING AND PAGE LIMITATIONS:

A. Formatting for proposals

1. Proposal page layout shall be letter size 8.5” x 11" for all pages.

2. Proposals shall not include links to internet web site addresses (URLs) or otherwise direct readers to alternate sources of information.

3. Proposals shall not include audio or video files of any type.

4. Font size must be 12 point.

5. Spacing should be no more than 15 characters per inch. Within a vertical inch, there must be no more than six lines of text.

6. Margins must be at least one-inch on all sides.

7. Failure to adhere to the formatting requirements above may impact whether your proposal is reviewed in its entirety.

B. Page limitations:

1. The total page count of the Technical proposal shall not exceed 50 pages.

2. Total page count does not include:

a. Title and Back Page; Table of Contents; Section Dividers that do not contain information other than title of Section; and

b. The Human Subject and Clinical Trial Information Form, if required by the solicitation.

3. Pages exceeding limitations will be removed from the proposal and will not be considered.

Attachment 10

Attachment 11

Attachment 12 – Business Proposal Instructions May 22, 2023 Page 1 of 2

Belarus IDIQ contract / solicitation 75N91023R00035

Attachment 12 Additional Business Proposal Instructions

In addition to the format requirements for the Business Proposal that are contained in Section L of the solicitation, the information presented in this section of the RFP is intended to provide uniform cost assumptions and business clarifications based on Task Order 1.

Offerors are advised to consider the Base and Task Order 1 Statements of Work, all reference material provided as attachments, the Technical Evaluation Criteria, and the RFP as a whole in the development of their proposal. The information requested in these instructions should be used as a guide for the development and formatting of your Business Proposal. Offerors should consider and include the information requested here, as well as any other information which will benefit the proposal.

The Government intends to award one Base IDIQ contract and one, Task Order 1 to satisfy, in whole or in part, the minimum amount of $10,000. The Government does not anticipate making any other awards as a result of this solicitation. Although a fixed price type task order is anticipated, the Government requires a complete budget, broken out by direct and indirect costs plus fee, if applicable, in a separate EXCEL file for Task Order 1. No budget is required for the base IDIQ contract.

Task Order 1 – Cohorts Maintenance and Linkage

Task Order Type: Fixed Price

Period of Performance: February 15, 2024, through November 14, 2033 if all options are exercised. The base period consists of 12 months, from February 15, 2024 – February 14, 2025.

There will be eight (8) additional option periods of 12 months, and a final option period of nine (9) months.

Labor/Scope Assumptions: The goal of this task order is to maintain passive follow-up to update occurrences of thyroid cancer, other cancer and thyroid non-cancer disease, through linkage of the Belarusian-American cohort and Belarusian in utero cohort and other potentially radiation-exposed populations in Belarus, with the Chernobyl State Registry (CSR) and the National Belarusian Cancer Registry (NBCR); and (2) to update demographic, clinical and epidemiologic data through a mail survey of the Belarusian-American cohort and Belarusian in utero cohort.

For mail survey portion, the Offeror should use the following for cost estimates for base period and each of option periods:

a. Estimate update of vital status and last known address through a mail survey for annual target of 2000 subjects of the main Belarusian-American cohort and 300 subjects of Belarusian in-utero cohort, two postal envelopes with stamps per each subject.

b. Estimate update of vital status and last known address through a mail survey for annual target of 300 mothers of the subjects of Belarusian in-utero cohort, two postal envelopes with stamps per each mother.

For Labor, the Offeror may consider an annual escalation adjustment. Provide the rationale for the percentage of escalation requested.

Belarus IDIQ contract / solicitation 75N91023R00035

Attachment 12 – Business Proposal Instructions May 22, 2023 Page 2 of 2

Provide a copy of the Offeror’s indirect rate agreement. If an agreement is not available provide the justification for any indirect rates (fringe, overhead, G&A) proposed utilizing the two-tier or three-tier indirect rate cost system found at https://oamp.od.nih.gov/division-of-financial-advisory-services/indirect-cost-branch/indirect-cost-submission.

Attachment 13

INSTRUCTIONS

OMB Control No. 9000-0013

Attachment 13.1

How to use this Excel file:

(Updated 08/06/2014)

IMPORTANT NOTE: If you have opened this file before saving on your computer, you will be prompted for a user name and a password and you will lose all the data you may have inserted. Please close the file and click on the link again and save before opening.

This worksheet is intended to help you prepare your cost proposal. If you provide us with an electronic copy of the cost proposal, we can save time by not recreating it. This will help speed up the review/award process and perhaps reduce the number of questions we need to ask in order to understand your 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. Feel free to modify the spreadsheet to fit your circumstances, and to use the parts that work for you. There are more specific instructions on specific cost element pages where applicable.

Summary Page

Please insert your organization's name in cell A2 and the RFP No. in cell A3.

The totals from each cost element page are automatically carried forward to the Summary worksheet. Enter the start date of the contract in cell C5.

This Excel file is set up for seven periods.

Direct Labor

Use the Labor - Percent of Effort worksheet if you track labor on a percent of effort basis. Generally, Universities, Hospitals, and Non-Profit Organizations tract 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. Supporting documentation may be requested at a later date.

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. Supporting documentation may be requested at a later date. 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/indirect-cost-branch/indirect-cost-submission

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 see the DFAS Subject Matter Advisors page for contact info: http://oamp.od.nih.gov/dfas/dfas-subject-matter-advisors

If you have contracting questions, please call the NIH Contracting Official who is listed in the RFP.

http://oamp.od.nih.gov/dfas/dfas-subject-matter-advisorshttp://oamp.od.nih.gov/dfas/dfas-subject-matter-advisors

SUMMARY

SUMMARY OF PROPOSED COSTS

Contractor's Name**

RFP No.**

PERIOD I PERIOD II PERIOD III PERIOD IV PERIOD V PERIOD VI PERIOD VII TOTAL

Period ( dates)## 1/1/07 1/1/08 1/1/09 1/1/10 1/1/11 1/1/12 1/1/13

Through Through Through Through Through Through Through

12/31/07 12/31/08 12/31/09 12/31/10 12/31/11 12/31/12 12/31/13

Direct Labor - Percent of Effort $0 $0 $0 $0 $0 $0 $0 $0

Fringe Benefits - Percent of Effort 0 0 0 0 0 0 0 0

Direct Labor - Hourly 0 0 0 0 0 0 0 0

Fringe Benefits - Hourly 0 0 0 0 0 0 0 0

Total Direct Labor & Fringe Benefits $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

Materials and Supplies $0 $0 $0 $0 $0 $0 $0 $0

Professional Travel 0 0 0 0 0 0 0 0

Equipment 0 0 0 0 0 0 0 0

Consultants 0 0 0 0 0 0 0 0

Other Direct Costs 0 0 0 0 0 0 0 0

Patient Care Costs 0 0 0 0 0 0 0 0

Subcontracts 0 0 0 0 0 0 0 0

Total Other Direct Costs $0 $0 $0 $0 $0 $0 $0 $0

Subtotal: Direct Labor, Fringe Benefits, Overhead , & Other Directs $0 $0 $0 $0 $0 $0 $0 $0

Exclusion(s) From Base For G&A 0 0 0 0 0 0 0 0

Adjusted Base for G&A $0 $0 $0 $0 $0 $0 $0 $0

G&A (Note 2) 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0

Total Proposed Cost Excluding Fee 0 0 0 0 0 0 0 0

Proposed Fee/Profit 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0% 0 0

Total Proposed Cost Plus Fee/Profit $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 26.

2. If you have questions regarding indirect (F&A) rates see website: http://oamp.od.nih.gov/dfas/indirect-cost-branch/indirect-cost-submission

This website also contains definitions, examples, and training.

LEGEND:

** Please insert the Company's name and the RFP #.

## Please insert the Company's name and the RFP #.

LABOR - Percent of Effort

SUMMARY OF DIRECT LABOR

AND FRINGE BENEFITS

PERCENT OF EFFORT

Contractor's Name** PERIOD I* PERIOD II* PERIOD III* PERIOD IV* PERIOD V* PERIOD VI* PERIOD VII*

RFP No.** 1/1/07 Through 12/31/07 1/1/08 Through 12/31/08 1/1/09 Through 12/31/09 1/1/10 Through 12/31/10 1/1/11 Through 12/31/11 1/1/12 Through 12/31/12 1/1/13 Through 12/31/13 TOTAL TOTAL

				CURRENT	ADJUSTED		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE		PERCENT
OF	NUMBER	SALARY	FRINGE	FRINGE	SALARY	FRINGE

EMPLOYEE POSITION BASE SALARY BASE SALARY EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST EFFORT MONTHS COST RATE COST COST COST

1 $0 $0 0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 0% 12.00 $0 0% $0 $0 $0

2 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

3 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

4 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

5 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

6 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

7 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

8 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

9 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

10 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

11 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

12 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

13 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

14 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

15 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

16 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

17 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

18 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

19 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

20 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

21 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

22 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

23 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

24 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

25 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

26 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

27 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

28 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

29 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

30 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

31 0 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0% 12.00 0 0% 0 0 0

SUBTOTALS = 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $0 $0 0% $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)

ANNUAL INCREASE FACTOR: 0.00% - Insert annual cost of living % and/or merit increases 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 new salary.

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

LABOR - Hourly

SUMMARY OF DIRECT LABOR

AND FRINGE BENEFITS

Hourly Rates

Contractor's Name** PERIOD I* PERIOD II* PERIOD III* PERIOD IV* PERIOD V* PERIOD VI* PERIOD VII*

RFP No.** 1/1/07 Through 12/31/07 1/1/08 Through 12/31/08 1/1/09 Through 12/31/09 1/1/10 Through 12/31/10 1/1/11 Through 12/31/11 1/1/12 Through 12/31/12 1/1/13 Through 12/31/13 TOTAL TOTAL

CURRENT BASE ADJUSTED NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE NUMBER NUMBER SALARY FRINGE FRINGE SALARY FRINGE

EMPLOYEE POSITION HOURLY RATE HOURLY RATE HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST HOURS MONTHS COST RATE COST COST COST

1 $0.00 $0.00 0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0 0.00 12.00 $0 0% $0 $0 $0

2 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

3 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

4 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

5 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

6 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

7 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

8 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

9 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

10 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

11 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

12 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

13 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

14 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

15 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

16 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

17 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

18 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

19 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

20 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

21 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

22 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

23 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

24 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

25 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

26 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

27 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

28 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

29 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

30 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

31 0.00 0.00 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0.00 12.00 0 0% 0 0 0

SUBTOTALS = 0.00 $0 $0 0.00 $0 $0 0.00 $0 $0 0.00 $0 $0 0.00 $0 $0 0.00 $0 $0 0.00 $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.

Materials

SUMMARY OF MATERIALS AND SUPPLIES

Contractor's Name**

RFP No.**

Period I Period II Period III Period IV Period V Period VI Period VII

Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit Unit

ITEM Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal Price Quantity Subtotal TOTAL

1 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00

2 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

3 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

4 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

5 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

6 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

7 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

8 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

9 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

10 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

11 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

12 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

13 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

14 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

15 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

16 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

17 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

18 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

19 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

20 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

21 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

22 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

23 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

24 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

25 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

26 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

27 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

28 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

29 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

30 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00 0 0.00 0.00

TOTAL = $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Please use current catalog, historical documentation, or vendor quotes.

Supporting documentation may be requested at a later date

&24&USUMMARY OF MATERIALS AND SUPPLIES

Travel

SUMMARY OF TRAVEL COSTS

Contractor's Name**

RFP No.**

Cost Element Period I Period II Period III Period IV Period V Period VI Period VII TOTAL

Trip # 1 1 1 1 1 1 1

Site

Reason

Airfare $0 $0 $0 $0 $0 $0 $0

Lodging 0 0 0 0 0 0 0

Meals 0 0 0 0 0 0 0

Incidentals 0 0 0 0 0 0 0

Ground Transport 0 0 0 0 0 0 0

Total Per Trip $0 $0 $0 $0 $0 $0 $0

No. of persons 0 0 0 0 0 0 0

SUBTOTAL = $0 $0 $0 $0 $0 $0 $0 $0

Trip # 2 2 2 2 2 2 2

Site

Reason

Airfare $0 $0 $0 $0 $0 $0 $0

Lodging 0 0 0 0 0 0 0

Meals 0 0 0 0 0 0 0

Incidentals 0 0 0 0 0 0 0

Ground Transport 0 0 0 0 0 0 0

Total Per Trip $0 $0 $0 $0 $0 $0 $0

No. of persons 0 0 0 0 0 0 0

SUBTOTAL = $0 $0 $0 $0 $0 $0 $0 $0

Trip # 3 3 3 3 3 3 3

Site

Reason

Airfare $0 $0 $0 $0 $0 $0 $0

Lodging 0 0 0 0 0 0 0

Meals 0 0 0 0 0 0 0

Incidentals 0 0 0 0 0 0 0

Ground Transport 0 0 0 0 0 0 0

Total Per Trip $0 $0 $0 $0 $0 $0 $0

No. of persons 0 0 0 0 0 0 0

SUBTOTAL = $0 $0 $0 $0 $0 $0 $0 $0

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

Please review the RFP for the recommended number of trips and destinations if applicable.

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. Supporting documentation may be requested at a later date.

Equipment

SUMMARY OF EQUIPMENT COSTS