ARPA-H COST PROPOSAL SPREADSHEET (Other Transaction) 03.31.2025.xlsx

XLSX spreadsheet 277 KB Posted

Attached to
Ocular Laboratory for Analysis of Biomarkers (OCULAB)
Solicitation number
ARPA-H-SOL-25-115
Issued by

About this file

This is an ARPA-H Cost Proposal Spreadsheet for an Other Transaction agreement, structured as a comprehensive multi-phase cost proposal template for the Ocular Laboratory for Analysis of Biomarkers (OCULAB) Program. The spreadsheet covers three project phases spanning from October 1, 2025, to September 30, 2029, with a total duration of 48 months: Phase I (18 months), Phase II (12 months), and Phase III (18 months). The template requires detailed cost breakdowns across multiple categories including labor, fringe benefits, overhead, travel, materials, equipment, consultants, and other direct costs, with specific instructions for proposers to enter data in green-highlighted cells and allowing for time-based rate escalations and subcontractor cost entries.

The cost proposal is designed to support ARPA-H's solicitation (ARPA-H-SOL-25-115) for the OCULAB Program, which anticipates multiple awards through different award types. The spreadsheet provides a structured approach for proposers to detail their cost structures across six potential time periods per phase, with specific guidance on entering labor rates, indirect rates, and other cost components. The template includes sections for proposal data, labor rates, indirect rates, materials, equipment, travel, other direct costs, and consultants, emphasizing precise financial documentation and allowing for flexibility in cost presentation across the project's different phases.

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Summary Base Proposed Calculated Govt Position Delta Base Proposed Calculated Govt Position Delta NOTES

Total Labor Costs$0$0$0
Total Fringe Benefit Costs$0$0$0
Total Overhead Costs$0$0$0
Travel (see tab E.)$0$0$0
Materials - Supplies (see tab C.)$0$0$0
Equipment (see tab D.)$0$0$0
Wickets$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$0$0
$0$0$0
Total Other Direct Costs$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total Consultant Costs$0$0$0
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
Total Subcontract Costs$0$0$0
Total Material Handling Costs$0$0$0
Total G&A/F&A Costs$0$0$0
Subtotal Costs$0$0$0
Fixed Fee$0$0$0
Total Estimated Costs$0$0$0
Option 1ProposedCalculatedGovt PositionDeltaOption 1ProposedCalculatedGovt PositionDeltaNOTES
Total Labor Costs$0$0$0
Total Fringe Benefit Costs$0$0$0
Total Overhead Costs$0$0$0
Travel (see tab E.)$0$0$0
Materials - Supplies (see tab C.)$0$0$0
Equipment (see tab D.)$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$0$0
$0$0$0
$0$0$0
Total Other Direct Costs$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total Consultant Costs$0$0$0
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
Total Subcontract Costs$0$0$0
Total Material Handling Costs$0$0$0
Total G&A/F&A Costs$0$0$0
Subtotal Costs$0$0$0
Fee$0$0$0
Total Estimated Costs$0$0$0
Option 2ProposedCalculatedGovt PositionDeltaOption 2ProposedCalculatedGovt PositionDeltaNOTES
Total Labor Costs$0$0$0
Total Fringe Benefit Costs$0$0$0
Total Overhead Costs$0$0$0
Travel (see tab E.)$0$0$0
Materials - Supplies (see tab C.)$0$0$0
Equipment (see tab D.)$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$0$0
$0$0$0
$0$0$0
Total Other Direct Costs$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total Consultant Costs$0$0$0
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
$ -$ -$ -
Total Subcontract Costs$0$0$0
Total Material Handling Costs$0$0$0
Total G&A/F&A Costs$0$0$0
Subtotal Costs$0$0$0
Fee$0$0$0
Total Estimated Costs$0$0$0

Instructions Legend

Yellow Fill = Calculated and/or linked valuesLocked Cells
Green Fill = Value that is linked TO elsewhere - requires proposer data entryUnlocked Cells
1. Enter data into sheets in the order in which they appear, beginning with Proposal Data, and then tabs A. through G. This will allow the Base and Subcontractor tabs to populate and calculate your data.
2. In general, only enter data into cells with a green fill. The yellow-filled cells will calculate and populate values using the data entered in the green cells.
3. Cells that are outlined in red are locked; all cells that can be edited are outlined in black.
4. This spreadsheet includes a single Base tab and two (2) option tabs. Each Base and Option (and the information from tabs A. though G.) are composed of a maximum of six (6) time periods. Total subcontractor costs may be entered into the Base and Option tabs, while full subcontractor proposals should be entered into a separate spreadsheet.
5. Time periods are used to properly calculate changes over time in labor rates and/or indirect rates. For instance, if the proposal is a 3-year Base (1/1/24 - 12/31/26) and the labor rates are escalated annually in July, your first time period should be 1/1/24 - 6/30/24, and the second time period would be 7/1/24 - 6/30/25, followed by 7/1/25 - 6/30/26 and 7/1/26 - 12/31/26 or four (4) periods. Ensure that you select a period type (Phase, Summer, Academic, Fiscal Year, etc) for each time period.
6. Once the Proposal Data and tabs A. though G. are completed, then the labor hours and the bases for the indirect costs should be filled out in the Base and Option tabs. Enter data only in the green cells.0

Proposal Data

Proposal Data
Instructions:The below fields populate all of the other sheets.
The information from the cost proposal is not required, however all entries in green cells beginning at name of contractor are required.
Cost Proposal Volume 2
ISO #:
NAICS Code
ISO Area(s) of Interest
Technical Point of Contact:
Mailing Address:
Physical Address:
Telephone #:
Email Address:
Administrative Point of Contact:
Mailing Address:
Physical Address:
Telephone #:
Email Address:
Contractor’s business type
CAGE Code
Unique Entity Identification (UEI) number
Subcontractors participating in the research and estimated cost
Small businesses participating in the research and estimated cost
Historically Black Colleges and Universities or Minority Institutions
Performance Period
Contract type or FFP types
Research title
Brief research description
Total Estimated Cost
Fixed Fee Amount - the fee shall not exceed 10% of the estimated cost
Prime Contractor
Subcontractors
Subcontractor 1
Subcontractor 2
Subcontractor 3
Subcontractor 4
Subcontractor 5
Subcontractor 6
Periods of Performance
Prime Contractor
Phase IPeriod TypePeriod #Start DateEnd DateMonthsPhase
10/1/253/31/2718Calendar YearPhase I PoP
Academic Year10/01/2025 - 03/31/202710/01/2025 - 03/31/2027
Summer18 Months18 Months
Fiscal Year10/01/2025 - 03/31/2027

Total 10/1/25 3/31/27 18

Phase IIPeriod TypePeriod #Start DateEnd DateMonths
4/1/273/31/2812Phase II PoP
04/01/2027 - 03/31/202804/01/2027 - 03/31/2028
12 Months12 Months
04/01/2027 - 03/31/2028

Total 4/1/27 3/31/28 12

Phase IIIPeriod TypePeriod #Start DateEnd DateMonths
4/1/289/30/2918Phase III PoP
04/01/2028 - 09/30/202904/01/2028 - 09/30/2029
18 Months18 Months
04/01/2028 - 09/30/2029

Total 4/1/28 9/30/29 18

Phase I Cost Proposal - Phase I Effort

Instructions:This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor).
Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet.
Totals
10/01/2025 - 03/31/202710/01/2025 - 03/31/2027
18 Months18 Months
Direct Labor
Labor CategoryNameHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursTotal $
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
Total Labor Costs0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 0
Fringe000000$ -
000000$ -
000000$ -
000000$ -
Total Fringe Benefit Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Overhead000000$ -
000000$ -
Total Overhead Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Subcontracts$ -
$ -
$ -
$ -
$ -
$ -
Total Subcontract Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Consultants$ - 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$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Consultant Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Other Direct CostsTravel (see tab E.)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Materials - Supplies (see tab C.)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Equipment (see tab D.)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wickets$ - 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$ - 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$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Other Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Material Handling000000$ -
000000$ -
Total Material Handling Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
G&A/F&A000000$ -
000000$ -
Total G&A/F&A Costs$ - 0ERROR:#REF!$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Facilities - Cost of Money (FCCM)$ - 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$ - 0$ - 0$ - 0
Total FCCM$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Fixed Fee$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Estimated Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -

Phase II Cost Proposal - Phase II

Instructions:This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor).
Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet.
Totals
04/01/2027 - 03/31/202804/01/2027 - 03/31/2028
12 Months12 Months
Direct Labor
Labor CategoryNameHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursTotal $
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
Total Labor Costs0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 0
Fringef100.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
f200.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
f300.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
f400.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
Total Fringe Benefit Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Overheadoh100.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
oh200.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
Total Overhead Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Subcontracts$ -
$ -
$ -
$ -
$ -
$ -
Total Subcontract Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Consultants$ - 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$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Consultant Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Other Direct CostsTravel (see tab E.)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Materials - Supplies (see tab C.)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Equipment (see tab D.)$ - 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$ - 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$ - 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$ - 0$ - 0
Total Other Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Material Handlingmh100.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
mh200.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
Total Material Handling Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
G&A/F&Aga100.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
ga200.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
Total G&A/F&A Costs$ - 0ERROR:#REF!$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Facilities - Cost of Money (FCCM)fcm1$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
fcm2$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
fcm3$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
fcm4$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
Total FCCM$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Fee$ - 00.000%$ - 0$ - 00.000%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
Total Estimated Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -

Phase III Cost Proposal - Phase III

Instructions:This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor).
Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet.
Totals
04/01/2028 - 09/30/202910/01/2025 - 03/31/2027
18 Months18 Months
Direct Labor
Labor CategoryNameHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursHourly Labor RateDirect Labor CostHoursTotal $
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
0$ -
Total Labor Costs0$ - 00$ - 00$ - 00$ - 00$ - 00$ - 00$ - 0
Fringe000000$ -
000000$ -
000000$ -
000000$ -
Total Fringe Benefit Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Overhead000000$ -
000000$ -
Total Overhead Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Subcontracts$ -
$ -
$ -
$ -
$ -
$ -
Total Subcontract Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Consultants$ - 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$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Consultant Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Other Direct CostsTravel (see tab E.)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Materials - Supplies (see tab C.)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Equipment (see tab D.)$ - 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$ - 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$ - 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$ - 0$ - 0
Total Other Direct Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Material Handlingmh100.00%$ - 000.00%00.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
mh200.00%$ - 000.00%00.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
Total Material Handling Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
G&A/F&Aga100.00%$ - 000.00%00.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
ga200.00%$ - 000.00%00.00%$ - 000.00%$ - 000.00%$ - 000.00%$ - 0$ -
Total G&A/F&A Costs$ - 0ERROR:#REF!$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Facilities - Cost of Money (FCCM)fcm1$ - 00.00%$ - 0$ - 00.00%$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
fcm2$ - 00.00%$ - 0$ - 00.00%$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
fcm3$ - 00.00%$ - 0$ - 00.00%$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
fcm4$ - 00.00%$ - 0$ - 00.00%$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
Total FCCM$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -
Fee$ - 00.000%$ - 0$ - 00.000%$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 00.00%$ - 0$ - 0
Total Estimated Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ -

A. Labor Rates Labor Rates

Instructions: Enter labor categories, notes/names, and hourly rates under the appropriate period in the green cells. Include basis for rate and/or how rate was derived in notes section to the right.

Phase I RATESBasis of Labor Rate
10/01/2025 - 03/31/2027
18 Months
Proposer's Labor CategoryName or CommentHourly Labor RateHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalation
Phase II LABOR RATESBasis of Labor Rate
04/01/2027 - 03/31/2028
12 Months
Proposer's Labor CategoryName or CommentHourly Labor RateHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalation
Phase III LABOR RATESBasis of Labor Rate
04/01/2028 - 09/30/2029
18 Months
Proposer's Labor CategoryName or CommentHourly Labor RateHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalationHourly Labor RateEscalation

B. Indirect Rates & Fee Indirect Rates and Fee

Instructions: Enter indirect rates that correspond to the rate categories in column A, and the performance periods in row 5. Include the basis for the rates in the comments section to the right.

PHASE IBasis of RateDocuments
Rate CategoryProposer's Indirect Rate Name10/01/2025 - 03/31/2027
Fringe
Fringe
Fringe
Fringe
Overhead
Overhead
Material Handling
Material Handling
General and Adminstrative / Facilities and Adminstration
General and Adminstrative / Facilities and Adminstration
Facilities Cost of Money 1
Facilities Cost of Money 2
Facilities Cost of Money 3
Facilities Cost of Money 4
Fee
PHASE IIBasis of RateDocuments
Rate CategoryProposer's Indirect Rate Name04/01/2027 - 03/31/2028
Fringe1f10.000%0.000%0.000%0.000%0.000%0.000%
Fringe2f20.000%0.000%0.000%0.000%0.000%0.000%
Fringe3f30.000%0.000%0.000%0.000%0.000%0.000%
Fringe4f40.000%0.000%0.000%0.000%0.000%0.000%
Overhead5oh10.000%0.000%0.000%0.000%0.000%0.000%
Overhead6oh20.000%0.000%0.000%0.000%0.000%0.000%
Material Handling7mh10.000%0.000%0.000%0.000%0.000%0.000%
Material Handling8mh20.000%0.000%0.000%0.000%0.000%0.000%
General and Adminstrative / Facilities and Adminstration9ga10.000%0.000%0.000%0.000%0.000%0.000%
General and Adminstrative / Facilities and Adminstration10ga20.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 111fcm10.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 212fcm20.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 313fcm30.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 414fcm40.000%0.000%0.000%0.000%0.000%0.000%
Fee15Fee0.000%0.000%0.00%0.00%0.00%0.00%
Phase IIIBasis of RateDocuments
Rate CategoryProposer's Indirect Rate Name04/01/2028 - 09/30/2029
Fringe16f10.000%0.000%0.000%0.000%0.000%0.000%
Fringe17f20.000%0.000%0.000%0.000%0.000%0.000%
Fringe18f30.000%0.000%0.000%0.000%0.000%0.000%
Fringe19f40.000%0.000%0.000%0.000%0.000%0.000%
Overhead20oh10.000%0.000%0.000%0.000%0.000%0.000%
Overhead21oh20.000%0.000%0.000%0.000%0.000%0.000%
Material Handling22mh10.000%0.000%0.000%0.000%0.000%0.000%
Material Handling23mh20.000%0.000%0.000%0.000%0.000%0.000%
General and Adminstrative / Facilities and Adminstration24ga10.000%0.000%0.000%0.000%0.000%0.000%
General and Adminstrative / Facilities and Adminstration25ga20.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 126fcm10.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 227fcm20.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 328fcm30.000%0.000%0.000%0.000%0.000%0.000%
Facilities Cost of Money 429fcm40.000%0.000%0.000%0.000%0.000%0.000%
Fee30Fee0.000%0.000%0.00%0.00%0.00%0.00%

C. Materials-Supplies Materials - Supplies

Instructions: Enter indirect rates that correspond to the rate categories in column A, and the performance periods in row 5. Include the basis for the rates in the comments section to the right.

Phase I
ItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
11$0.0011$0.0011$0.0011$0.0011$0.0011$0.00
12$0.0012$0.0012$0.0012$0.0012$0.0012$0.00
13$0.0013$0.0013$0.0013$0.0013$0.0013$0.00
14$0.0014$0.0014$0.0014$0.0014$0.0014$0.00
15$0.0015$0.0015$0.0015$0.0015$0.0015$0.00
16$0.0016$0.0016$0.0016$0.0016$0.0016$0.00
17$0.0017$0.0017$0.0017$0.0017$0.0017$0.00
18$0.0018$0.0018$0.0018$0.0018$0.0018$0.00
Phase I Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00
Phase II
ItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
11$0.0011$0.0011$0.0011$0.0011$0.0011$0.00
12$0.0012$0.0012$0.0012$0.0012$0.0012$0.00
13$0.0013$0.0013$0.0013$0.0013$0.0013$0.00
14$0.0014$0.0014$0.0014$0.0014$0.0014$0.00
15$0.0015$0.0015$0.0015$0.0015$0.0015$0.00
16$0.0016$0.0016$0.0016$0.0016$0.0016$0.00
17$0.0017$0.0017$0.0017$0.0017$0.0017$0.00
18$0.0018$0.0018$0.0018$0.0018$0.0018$0.00
Phase II Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00
Phase III
ItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotesItemDescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
11$0.0011$0.0011$0.0011$0.0011$0.0011$0.00
12$0.0012$0.0012$0.0012$0.0012$0.0012$0.00
13$0.0013$0.0013$0.0013$0.0013$0.0013$0.00
14$0.0014$0.0014$0.0014$0.0014$0.0014$0.00
15$0.0015$0.0015$0.0015$0.0015$0.0015$0.00
16$0.0016$0.0016$0.0016$0.0016$0.0016$0.00
17$0.0017$0.0017$0.0017$0.0017$0.0017$0.00
18$0.0018$0.0018$0.0018$0.0018$0.0018$0.00
Phase III Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00Total$0.00
TOTALS
Phase I Materials/SuppliesPhase II Materials/SuppliesPhase III Materials/Supplies
PeriodTotal CostPeriodTotal CostPeriodTotal Cost
101010
202020
303030
404040
505050
606060
Total0Total0Total0

D. Equipment Equipment

Instructions: Enter description, quantity and unit price for each equipment line item.

Phase I
Item
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
Phase II
Item
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
Phase III
Item
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotesItem
DescriptionQtyUnit PriceTotal PriceNotes
1$0.001$0.001$0.001$0.001$0.001$0.00
2$0.002$0.002$0.002$0.002$0.002$0.00
3$0.003$0.003$0.003$0.003$0.003$0.00
4$0.004$0.004$0.004$0.004$0.004$0.00
5$0.005$0.005$0.005$0.005$0.005$0.00
6$0.006$0.006$0.006$0.006$0.006$0.00
7$0.007$0.007$0.007$0.007$0.007$0.00
8$0.008$0.008$0.008$0.008$0.008$0.00
9$0.009$0.009$0.009$0.009$0.009$0.00
10$0.0010$0.0010$0.0010$0.0010$0.0010$0.00
$0.00$0.00$0.00$0.00$0.00$0.00
TOTALS
Phase I EquipmentPhase II EquipmentPhase III Equipment
PeriodTotal CostPeriodTotal CostPeriodTotal Cost
1$01$01$0
2$02$02$0
3$03$03$0
4$04$04$0
5$05$05$0
6$06$06$0
Total$0Total$0Total$0

E. Travel Phase I Travel

Instructions: Enter travel details as appropriate below in the green cells.

Phase I
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Phase I
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Phase I
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Phase I
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Phase I
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Phase I
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Travel Summary
Phase I Total# of TripsTotal Cost
10$ -
20$ -
30$ -
40$ -
50$ -
60$ -
Phase I Total0$0

E. Travel Phase II Travel

Instructions: Enter travel details as appropriate below in the green cells.

Phase II
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Phase II
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
0$ -
Phase II
Purpose of TripOrigin DestinationFinal Destination# People# Days# of Trips# days at 100% Hotel per diem# days at 100% M&IE per diem# days at 75% M&IE per diemRound Trip Airfare/ Trainfare per personTotal Airfare/ Trainfare $ per TripHotel Per Diem Rate per personTotal Hotel Per Diem $ per tripM&IE Per Diem Rate per person100% M&IE Per Diem $75% M&IE Per Diem $Total M&IE Per Diem $ per tripCar Rental dollars per day including Taxes & Fees# of Cars (1-3 people per car)Total Car rental $ per tripStandard Personal Car Mileage RateEstimated Number of Round trip Miles per Car# of Personal CarsTotal Mileage Rate DollarsConference FeesOther Expenses (tolls, parking, rental gas, wi-fi)TOTAL DIRECT DOLLARS PER TRIPGRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -
000$ - 0$ - 0$0.00$0.00$ - 0$ - 0$ - 0$ -$ -

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