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This document contains a self-performance worksheet and related federal contract opportunity for HVAC replacement services at a Veterans Affairs medical center. The self-performance worksheet requires offerors to provide pricing details and calculate the percentage of work to be self-performed, with a minimum of 50% required. Subcontracting information and a list of self-performed work activities must also be provided. The federal contract opportunity is for HVAC replacement work at the OR Suite in Building 1 of the San Diego VA Healthcare System with an estimated value between $2-5 million. The acquisition is set aside for Service-Disabled Veteran-Owned Small Businesses. The solicitation will be available on SAM.gov and bids must be submitted to the contracting officer by email by the response date. The period of performance is 365 calendar days from notice to proceed.

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Section J, Attachment 2

Attachment 2, Self Performance Worksheet

SELF-PERFORMED WORK AND LIMITATIONS ON SUBCONTRACTING

This procurement is a 100% SDVOSB set-aside. FAR 52.219-27 (OCT 2019) and VAAR 852.219-10 (JUL 2019)(DEVIATION) are incorporated into this solicitation and resulting contract. Offeror to complete and submit this worksheet with their bid documents. The period of time used to determine offeror’s compliance with the requirements for self-performance of work and the limitations on subcontracting will be the period the Agency uses to evaluate the bid of this pending Contract.

OFFEROR’S SELF PERFORMANCE WORKSHEET

Offeror’s are required to complete this Worksheet for this Contract.

a) Offeror’s total proposed price $___________

b) Subtract profit or fees $

c) Subtract cost of materials $

d) Offeror’s total estimated cost of contract performance for personnel (a-b-c=d) $____________

e) Offeror’s total estimated self-performed cost of contract performance incurred for personnel who are offeror’s employees or the employees of other SDVOSBC’s $___________

f) Offeror’s percentage of self-performed work (e/d X 100 = %) __________%

List of Proposed Subcontractors for this project /Value of those subcontracts:

Subcontractor $Value

Subcontractor $Value

Subcontractor $Value

Subcontractor $Value

Subcontractor $Value

Subcontractor $Value

List of “Self Performed” work activities to be performed by the SDVOSB:

Section J, Attachment 2

Attachment 2, Self Performance Worksheet

At completion of this Contract, the awardee shall complete and submit calculations to the Contracting

Department for the actual results achieved.

a) Offeror’s total proposed price $___________

b) Subtract profit or fees $

c) Subtract cost of materials $

d) Offeror’s total estimated cost of contract performance for personnel (a-b-c=d) $____________

e) Offeror’s total self-performed cost of contract performance incurred for personnel who are offeror’s employees or the employees of other SDVOSBC’s $___________

f) Offeror’s percentage of self-performed work (e/d X 100 = %) __________%

Definitions: (from 13 CFR 125.6)

Cost of the contract. All allowable direct and indirect costs allocable to the contract, excluding profit or fees.

Cost of contract performance incurred for personnel. Direct labor costs and any overhead which has only direct labor as its base, plus the concern's General and Administrative rate multiplied by the labor cost.

Cost of materials. Includes costs of the items purchased, handling and associated shipping costs for the purchased items

(which includes raw materials), off-the-shelf items (and similar proportionately high-cost common supply items requiring additional manufacturing or incorporation to become end items), special tooling, special testing equipment, and construction equipment purchased for and required to perform on the contract. In the case of a supply contract, the acquisition of services or products from outside sources following normal commercial practices within the industry are also included.

Personnel. Individuals who are “employees” under §121.106 of this chapter except for purposes of the HUBZone program, where the definition of “employee” is found in §126.103 of this chapter.

Subcontracting. That portion of the contract performed by a firm, other than the concern awarded the contract, under a second contract, purchase order, or agreement for any parts, supplies, components, or subassemblies which are not available off-the-shelf, and which are manufactured in accordance with drawings, specifications, or designs furnished by the contractor, or by the government as a portion of the solicitation. Raw castings, forgings, and moldings are considered as materials, not as subcontracting costs. Where the prime contractor has been directed by the Government to use any specific source for parts, supplies, components subassemblies or services, the costs associated with those purchases will be considered as part of the cost of materials, not subcontracting costs.

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