Attachment 8 Change Request Proposal Form.xlsx

XLSX spreadsheet 44 KB Posted

Attached to
Dock-side (DS): USCGC WAESCHE FY27 Quarter 2 Repair
Solicitation number
70Z08526QLREP0020
Issued by

About this file

This is a Change Request Proposal Form (Form 002, Rev 12/00) used by the U.S. Coast Guard Naval Engineering Department for requesting and estimating the cost of additional work on existing contracts. The form is specifically formatted for the USCGC WAESCHE vessel and serves as a template for vendors to submit detailed price proposals for change orders or supplemental work.

The form requires contractors to provide comprehensive labor cost estimates broken down by trade classification, including welder, ship fitter, sheet metal worker, sandblaster, rigger, pipefitter, painter, lagger, layout technician, machinist, shipwright, equipment operator, electrician, steel work specialist, NDT technician, competent person, quality assurance personnel, and firewatch. Contractors must also submit estimates for subcontractor costs, material costs with quantities and unit pricing, and any markup or loading rates applied. The proposal must include identification of any schedule extension required beyond the current delivery date, with documented notification from the Operational Commander acknowledging potential schedule impacts. Proposals are requested within three calendar days from the Contracting Officer's issuance date, and no government obligation exists until price and performance period are mutually agreed upon and a bilateral contract modification is executed. All work must fall within the scope of the existing subject contract, with all original contract terms and conditions remaining applicable to the change request.

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Vendor Estimate

Department of Transportation // U.S. Coast Guard // Naval Engineering // Form 002 (Rev 12/00)
Independent Contractor EstimatePage
Contract AvailabilityCR1of1
Auto fillUSCGC WAESCHEItem:Estimate Prepared By:Date Prepared
Auto fillTBDAFC:
CFR Nr.
WelderLabor ScaleShip FitterSheet MetalSandblasterRiggerPipefitterPainterLaggerLayoutMachinistShipwrightEquip OperElectricianSteel WorkNDTCompetent
PersonQuality AssuranceFirewatch
Totals From Page 2:0000000000000000000
Trade Totals(inlcudes page 2):0000000000000000000
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-ContractorCost
$ - 0
$ - 0
$ - 0
Totals From Page 2:
Total:$ - 0
SUMMARY OF MATERIALS
ItemU/IQTYCostTotal Cost
$ - 0
$ - 0
$ - 0
Totals From Page 2:
Total:0$ -0$ - 0
SUMMARY OF ESTIMATEThe above work will require an extension ofdays beyond the current delivery
Labor$ - 0date 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 AvailabilityWork Request Nr:2of2
USCGC WAESCHEItem:Estimate Prepared ByEstimate Prepared By:Date PreparedDate Prepared
TBDCFR 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:0000000000000000000
SUMMARY OF LABOR
Total Regular Labor Hours0
Total Overtime Labor Hours
Total of All Labor Hours0
Total Cost of Labor$ - 0
SUMMARY OF SUB-CONTRACTOR
Sub-ContractorCost
Total$ - 0
SUMMARY OF MATERIALS
ItemU/IQTYCostTotal 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:

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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