Attachment 8_Change Request Proposal Form.xls
XLS spreadsheet 217 KB Posted
- Attached to
- USCG STRATTON FY25 FQ4 DS
- Solicitation number
- 70Z08525QLREP0008
About this file
The document is a Change Request Proposal Form for the U.S. Coast Guard, specifically for the USCGC STRATTON (WMSL-752) dockside repairs. The form is a detailed estimating template for independent contractors to provide labor, materials, and subcontractor costs for potential contract modifications. The form includes sections for tracking labor hours across multiple trade categories (such as welders, shipfitters, electricians), material costs, and subcontractor expenses, with spaces to calculate total labor, material, and overall estimate costs.
The associated federal contract opportunity involves dockside repairs for the USCGC STRATTON, a 418-foot National Security Cutter, located at Coast Guard Island in Alameda, CA. The performance period is scheduled from 09/03/2025 to 11/25/2025 during Fiscal Year 2025, Quarter 4. Contractors are requested to provide a detailed price proposal within 3 calendar days of the Contracting Officer's issuance, with the understanding that no obligation is created until a bilateral contract modification is executed. The solicitation requires vendors to supply all necessary materials, equipment, and personnel to complete the specified dockside repairs.
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Govt Est
| Department of Transportation // U.S. Coast Guard // Naval Engineering // Form 002 (Rev 12/00) | ||||||||||||||||||||||
| Independent Contractor Estimate | Page | |||||||||||||||||||||
| Contract Availability | CR | 1 | of | 1 | ||||||||||||||||||
| Auto fill | USCGC STRATTON | Item: | Estimate Prepared By: | Date Prepared | ||||||||||||||||||
| Auto fill | TBD | AFC: | ||||||||||||||||||||
| CFR Nr. | ||||||||||||||||||||||
| Welder | Labor Scale | Ship Fitter | Sheet Metal | Sandblaster | Rigger | Pipefitter | Painter | Lagger | Layout | Machinist | Shipwright | Equip Oper | Electrician | Steel Work | NDT | Competent | ||||||
| Person | Quality Assurance | Firewatch | ||||||||||||||||||||
| Totals From Page 2: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Trade Totals(inlcudes page 2): | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| SUMMARY OF LABOR | ||||||||||||||||||||||
| Total Regular Labor Hours Cost | $ - 0 | |||||||||||||||||||||
| Total Overtime Labor Hours Cost | $ - 0 | |||||||||||||||||||||
| Total Cost of Labor | $ - 0 | |||||||||||||||||||||
| SUMMARY OF SUB-CONTRACTOR | ||||||||||||||||||||||
| Sub-Contractor | Cost | |||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| Totals From Page 2: | ||||||||||||||||||||||
| Total: | $ - 0 | |||||||||||||||||||||
| SUMMARY OF MATERIALS | ||||||||||||||||||||||
| Item | U/I | QTY | Cost | Total Cost | ||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| $ - 0 | ||||||||||||||||||||||
| Totals From Page 2: | ||||||||||||||||||||||
| Total: | 0 | $ -0 | $ - 0 | |||||||||||||||||||
| SUMMARY OF ESTIMATE | The above work will require an extension of | days beyond the current delivery | ||||||||||||||||||||
| Labor | $ - 0 | date of | ||||||||||||||||||||
| Material | $ - 0 | |||||||||||||||||||||
| Sub Contractor | $ - 0 | |||||||||||||||||||||
| mark-up/loading rate for materials and subcontractors | $ - 0 | |||||||||||||||||||||
| Total Estimate | $ - 0 | |||||||||||||||||||||
| MLCPAC(vr) Approval: | Spec Review Required? | |||||||||||||||||||||
| Department of Transportation // U.S. Coast Guard // Naval Engineering // Form 002 (Rev 12/00) | ||||||||||||||||||||||
| Independent Government Estimate (Cont.) | Page | |||||||||||||||||||||
| Contract Availability | Work Request Nr: | 2 | of | 2 | ||||||||||||||||||
| USCGC STRATTON | Item: | Estimate Prepared By | Estimate Prepared By: | Date Prepared | Date Prepared | |||||||||||||||||
| TBD | CFR Nr: | |||||||||||||||||||||
| 0 | Welder | Labor Scale | Ship Fitter | Sheet Metal | Sandblaster | Rigger | Pipefitter | Painter | Lagger | Layout | Machinist | Shipwright | Equip Oper | Electrician | Steel Work | NDT | Competent |
Person
| Trade Totals: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| SUMMARY OF LABOR | ||||||||||||||||||||
| Total Regular Labor Hours | 0 | |||||||||||||||||||
| Total Overtime Labor Hours | ||||||||||||||||||||
| Total of All Labor Hours | 0 | |||||||||||||||||||
| Total Cost of Labor | $ - 0 | |||||||||||||||||||
| SUMMARY OF SUB-CONTRACTOR | ||||||||||||||||||||
| Sub-Contractor | Cost | |||||||||||||||||||
| Total | $ - 0 | |||||||||||||||||||
| SUMMARY OF MATERIALS | ||||||||||||||||||||
| Item | U/I | QTY | Cost | Total Cost | ||||||||||||||||
| Total | $ - 0 | |||||||||||||||||||
| SUMMARY OF ESTIMATE | ||||||||||||||||||||
| Labor | $ - 0 | |||||||||||||||||||
| Material | $ - 0 | |||||||||||||||||||
| Sub Contractor | $ - 0 | |||||||||||||||||||
| Profit | $ - 0 | |||||||||||||||||||
| Total Estimate | $ - 0 |
Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.
The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.
Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:
The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
See page 1 for info on need for contract extension.
Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.
The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.
Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:
The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.
The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.
Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:
The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of Part I. This is a request for proposal only. You are requested to provide a detailed price proposal within 3 calendar days from the date of issuance by the Contracting Officer or earlier. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached and a bilateral contract modification is executed between the Government and the Contractor.
The work described below is withing the scope fo the subject contract. All terms and conditions of the subject contract are applicable to this work request.
Provide all labor and materials to accomplish the following additional work. This work request is in response to the Contractor's CFR listed above:
The above work will require an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
The above work will require an extension of days beyond the current delivery date of ____.
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and of Provide all labor and materials to accomplish the following:
The above work will reuire an extension of ______ days beyond the current delivery date of __________.
FOR COAST GUARD USE ONLY
Operational Commander (___________________) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phoncon between _____________________ and _________________________ Of _________________________________________________________________ Remarks:
FOR COAST GUARD USE ONLY
Operational Commander ( ___ ) notified of potential delay and concures or acknowledges that potential schedule impact may result from this change.
Ref: Phonecon between and _______ of You are requested to provide a detailed price proposal for the work described below to the Contracting Officer within 3 calendar days (or earlier if requested) from the date of issuance. No obligation is created for the United States Government to award any work until an agreement on price and performance period is reached. Following agreement on price and performance period a bilateral contract modification is executed between the Government and the Contractor.
The work described below is within the scope of the subject contract. All terms and conditions of the subject contract are applicable to this work request.
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