Attachment 8 Change Request Proposal Form.xlsx
XLSX spreadsheet 44 KB Posted
- Attached to
- Dry-dock (DD): USCGC ALEX HALEY FY26 Repair
- Solicitation number
- 70Z08526QLREP0012
About this file
This is a Change Request Proposal Form template used by the U.S. Coast Guard Naval Engineering division for estimating additional work on existing contracts. The form is designated as Form 002 (Rev 12/00) and is specifically referenced for the USCGC ALEX HALEY dry-dock project in FY26. The template includes detailed labor category breakdowns for various maritime trades including welders, ship fitters, sheet metal workers, sandblasters, riggers, pipefitters, painters, laggers, layout personnel, machinists, shipwrights, equipment operators, electricians, steel workers, NDT technicians, competent persons, quality assurance personnel, and firewatches. It also provides sections for summarizing regular and overtime labor hours and costs, subcontractor expenses, material costs with unit pricing, and total estimate calculations including markup/loading rates.
The form requires contractors to submit detailed price proposals within three calendar days of issuance by the Contracting Officer. All proposed work must fall within the scope of the existing subject contract, with all original contract terms and conditions remaining applicable. The form includes provisions for documenting potential schedule impacts and extensions to delivery dates, requiring notification and concurrence from the Operational Commander. The document emphasizes that submission of a proposal creates no obligation for the U.S. Government to award work until price and performance period agreement is reached and a bilateral contract modification is executed between the Government and contractor.
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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 ALEX HALEY DD FY26 | Item: | Estimate Prepared By: | Date Prepared | |||
| Auto fill | 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 ALEX HALEY DD FY26 | Item: | Estimate Prepared By | Estimate Prepared By: | Date Prepared | Date Prepared | |||
| 0 | 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.
The above work will require an extension of ______ days beyond the current delivery date of __________.
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.
The above work will require an extension of ______ days beyond the current delivery date of __________.
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.
The above work will require an extension of ______ days beyond the current delivery date of __________.
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.
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.
The above work will require an extension of ______ days beyond the current delivery date of __________.
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.
The above work will require an extension of ______ days beyond the current delivery date of __________.
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.
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.
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:
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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