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Cost Proposal
| Instructions: | Fill in the yellow boxes with the required information. |
| DO NOT adjust any of the formulas or fill information in the white boxes. The white boxes will auto populate based upon inputs from yellow boxes. |
| If awarded, Awardees will be held to the Total Capital Costs, Total O&M Costs, and the Maximum Total Project Reimbursement (and percentages). Actual costs can shift within those categories. |
| * O&M Requested Reimbursement Percentage (%) must be the same for all 5 years |
| **The Maximum Total Project Reimbursement is subject to confirmation by the SCDOT that all proposed costs outlined in this proposal are eligible per 23 CFR 680. |
| *** Proposers can only submit warranty costs in Capital Costs OR O&M Costs, but NOT BOTH. |
| **** Proposers can only submit EVSE costs in Capital Costs OR O&M Costs, but NOT BOTH. If the EVSE is shared between NEVI and non-NEVI ports, proposers can only include costs proportional to the power rating of the equipment that can supply the NEVI port simultaneously. |
| NOTE: Please complete a separate ATTACHMENT 5 – Business/Cost Proposal for each Lot for which you are bidding. Each Business/Cost Proposal shall be clearly labeled indicating the respective Lot, and shall be a separate file or attachment. |
| Proposer Business Name | |
| Federal UEI | |
| Zone Number (Lot) | |
| Location Address | |
| Capital Costs | Year 1 O&M Costs | Year 2 O&M Costs | Year 3 O&M Costs | Year 4 O&M Costs | Year 5 O&M Costs | Description (As Needed) |
| Capital Costs | $ - 0 | | | | | | |
| Pre-construction Costs | $ - 0 | | | | | | |
| Final Site Design/Engineering | $ - 0 | | | | | | |
| Environmental Review Documentation | $ - 0 | | | | | | |
| Local Permitting | $ - 0 | | | | | | |
| Other - (Describe in cell I19) | $ - 0 | | | | | | |
| Construction Costs (Done by Proposer) | $ - 0 | | | | | | |
| Concrete/Site Work | $ - 0 | | | | | | |
| Electrical work and equipment not provided by utility | $ - 0 | | | | | | |
| Striping | $ - 0 | | | | | | |
| Signage | $ - 0 | | | | | | |
| Communications Equipment | $ - 0 | | | | | | |
| Other - (Describe in cell I26) | $ - 0 | | | | | | |
| EV Charger Acquisition Costs | $ - 0 | | | | | | |
| EVSE**** | $ - 0 | | | | | | |
| NACS Connectors/Adaptors | $ - 0 | | | | | | |
| Other - (Describe in cell I30) | $ - 0 | | | | | | |
| Utility Upgrades (Done by Utility) | $ - 0 | | | | | | |
| Minor Grid Upgrades | $ - 0 | | | | | | |
| Utility work and equipment to provide power to the site | $ - 0 | | | | | | |
| Other - (Describe in cell I34) | $ - 0 | | | | | | |
| Workforce Development Activities | $ - 0 | | | | | | |
| Recruitment | $ - 0 | | | | | | |
| Training | $ - 0 | | | | | | |
| Other - (Describe in cell I38) | $ - 0 | | | | | | |
| Miscellaneous Capital Costs | $ - 0 | | | | | | |
| Site Upgrades to meet RFP Requirements | $ - 0 | | | | | | |
| Commissioning Costs | $ - 0 | | | | | | |
| Reporting Costs | $ - 0 | | | | | | |
| Battery for EVSE peak power or resilience | $ - 0 | | | | | | |
| Site Upgrades to meet ADA Requirements | $ - 0 | | | | | | |
| Pre-purchased 5-Year Warranty*** | $ - 0 | | | | | | |
| Other - (Describe in cell I46) | $ - 0 | | | | | | |
| O&M Costs | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Warranty Costs for each port*** | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Site Maintenance (e.g. snow removal, etc.) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Internet and Charger Network Fees | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Software Fees | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Other Fees (Payment processing, etc.) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| EVSE Maintenance and Repair Costs | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Data Sharing and Reporting Costs | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Cybersecurity and Data Management Costs | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| EVSE Lease Fees **** | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Insurance | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Customer Service Line | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Workforce Development Activities (Recruitment) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Workforce Development Activities (Training) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Direct Administrative Costs | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Other - (Describe in cell I65) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Requested Reimbursement Percentage (%) | 80% | 80% | 80% | 80% | 80% | 80% |
| Annual Reimbursement Amount ($) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Retainage Withheld ($) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Retainage Released ($) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Maximum Total Reimbursement Including Retainage ($) | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Proposer Cost Share (%) | 100% | 100% | 100% | 100% | 100% | 100% |
| Total Capital Costs | $ - 0 |
| Total O&M Costs | $ - 0 |
| Total Project Costs | $ - 0 |
| Maximum Total Capital Reimbursement Amount ($) | $ - 0 | |
| Maximum Total O&M Reimbursement Amount ($) | $ - 0 | |
| Maximum Total Project Reimbursement** | $ - 0 | NOTE: This number shall be entered into the respective Lot |
The Contractor will be reimbursed according to the submitted Business/Cost Proposal. If actual expenses are less than the costs included in the Business/Cost Proposal, the Contractor will be reimbursed for no more than their Requested Reimbursement Percentage (%) of eligible costs for both capital and operations and maintenance (O&M) costs.
The total obligation of the State for all capital reimbursements to Contractor under this Agreement will not exceed $ - 0 or 80% percent of the total incurred eligible capital costs.
The total obligation of the State for all O&M reimbursements to Contractor under this Agreement will not exceed $ - 0 80% percent of the total incurred eligible O&M costs.
Contractor shall provide the Proposer Cost Share in the Business/Cost Proposal, which shall be no less than 20 percent of the total Project Costs. Contractor is responsible for all costs that exceed the Total Obligation.
| Proposer (Legally Responsible Entity) |
| Authorized Signature (e.g. S-Signature/Name/) |
| Print Name/Title |
| Date |
Bidding Schedule
| Instructions: Complete the Unit Price and the Extended Price for the Lot that corresponds to this Business/Cost Proposal. DO NOT complete more than a single Lot in this tab. |
| NOTE: Each of the bid items below is a Lot, and each Lot corresponds directly to one of the AFC Zones as detailed in Section III, Table 1. The Unit Price should be the same as the Extended Price |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 1 | 1 | each | | |
| Item Description: LOT 1 - AFC ZONE 1 (I-85) |
| Tendering Text: LOT 1 Charging Stations for AFC Zone 1 includes Exits 2, 4, 11, 14, and 19 on I-85. Please enter the number from cell C78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 2 | 1 | each | | |
| Item Description: LOT 2 - AFC Zone 2 (I-85) |
| Tendering Text: LOT 2 Charging Stations for AFC Zone 2 includes Exits 36,48, and 51 on I-85. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing /cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 3 | 1 | each | | |
| Item Description: LOT 3 - AFC Zone 3 (I-85) |
| Tendering Text: LOT 3 Charging Stations for AFC Zone 3 includes Exits 83, 87, 90, 92, 95, and 96 on I-85. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 4 | 1 | each | | |
| Item Description: LOT 4 - AFC Zone 4 (I-26) |
| Tendering Text: LOT 4 Charging Stations for AFC Zone 4 includes Exits 10, 15, 16, 17, 19, 21, and 22 on I-26. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 5 | 1 | each | | |
| Item Description: LOT 5 - AFC Zone 5 (I-26) |
| Tendering Text: LOT 5 Charging Stations for AFC Zone 5 includes Exits 52, 54, and 60 on I-26. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing /cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 6 | 1 | each | | |
| Item Description: LOT 6 - AFC Zone 6 (I-26) |
| Tendering Text: LOT 6 Charging Stations for AFC Zone 6 includes Exits 97 and 101 on I-26. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 7 | 1 | each | | |
| Item Description: LOT 7 - AFC Zone 7 (I-26) |
| Tendering Text: LOT 7 Charging Stations for AFC Zone 7 includes Exits 129, 136, 139, and 145 on I-26. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 8 | 1 | each | | |
| Item Description: LOT 8 - AFC Zone 8 (I-26) |
| Tendering Text: LOT 8 Charging Stations for AFC Zone 8 includes Exits 159, 165, 169, 172, and 177 on I-26. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 9 | 1 | each | | |
| Item Description: LOT 9 - AFC Zone 9 (I-26) |
| Tendering Text: LOT 9 Charging Stations for AFC Zone 9 includes Exits 197, 199, 203, 205, 209A, and 209B on I-26. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 10 | 1 | each | | |
| Item Description: LOT 10 - AFC Zone 10 (I-77) |
| Tendering Text: LOT 10 Charging Stations for AFC Zone 10 includes Exits 73, 75, 77, 79, 82, 83, 85, 88, and 90 on I-77. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 11 | 1 | each | | |
| Item Description: LOT 11 - AFC Zone 11 (I-77) |
| Tendering Text: LOT 11 Charging Stations for AFC Zone 11 includes Exits 41, 46, 48, 55, 62, and 65 on I-77. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 12 | 1 | each | | |
| Item Description: LOT 12 -AFC Zone 12 (I-20/I-77) |
| Tendering Text: LOT 12 Charging Stations for AFC Zone 12 includes Exits 74 and 17 on I-20/I-77. Applicants for this lot must be within 1-mile of BOTH exit 74 on I-20 and exit 17 on I-77 to be eligible. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as th e Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 13 | 1 | each | | |
| Item Description: LOT 13 - AFC Zone 13 (I-20) |
| Tendering Text: LOT 13 Charging Stations for AFC Zone 13 includes Exits 11, 18, and 22 on I-20. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 14 | 1 | each | | |
| Item Description: LOT 14 - AFC Zone 14 (I-20) |
| Tendering Text: LOT 14 Charging Stations for AFC Zone 14 includes Exits 51, 55, and 58 on I-20. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 15 | 1 | each | | |
| Item Description: LOT 15 - AFC Zone 15 (I-20) |
| Tendering Text: LOT 15 Charging Stations for AFC Zone 15 includes Exits 116, 120, and 123 on I-20. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the p ricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 16 | 1 | each | | |
| Item Description: LOT 16 - AFC Zone 16 (1-95) |
| Tendering Text: LOT 16 Charging Stations for AFC Zone 16 includes Exits 5, 8, 18, 21, and 22 on I-95. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 17 | 1 | each | | |
| Item Description: LOT 17 - AFC Zone 17 (I-95) |
| Tendering Text: LOT 17 Charging Stations for AFC Zone 17 includes Exits 38, 42, 53 on I-95. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/ cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 18 | 1 | each | | |
| Item Description: LOT 18 - AFC Zone 18 (I-95) |
| Tendering Text: LOT 18 Charging Stations for AFC Zone 18 includes Exits 77 and 82 on I-95. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 19 | 1 | each | | |
| Item Description: LOT 19 - AFC Zone 19 (I-95) |
| Tendering Text: LOT 19 Charging Stations for AFC Zone 19 includes Exits 115 and 119 on I-95. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing /cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 20 | 1 | each | | |
| Item Description: LOT 20 - AFC Zone 20 (I-95) |
| Tendering Text: LOT 20 Charging Stations for AFC Zone 20 includes Exits 150, 153, 157, 160, and 164 on I-95. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |
| Line Number | Quantity | Unit of Measure | Unit Price | Extended Price |
| 21 | 1 | each | | |
| Item Description: LOT 21 - AFC Zone 21 (I-95) |
| Tendering Text: LOT 21 Charging Stations for AFC Zone 21 includes Exits 1, 181, 190, and 193 on I-95. Please enter the number from cell C 78 (Maximum Total Project Reimbursement) from the pricing/cost spreadsheet as the Unit Price. |