Attachment D CDLE OPS Sample Invoice Format with instructions 2016.xls
XLS spreadsheet 77 KB Posted
- Attached to
- KATA-8710 RFP SOLICITATION
- Solicitation number
- RFP KATA 2016000249 4
- Issued by
- Colorado
About this file
This is a standardized invoice format instruction document issued by the Colorado Department of Labor and Employment (CDLE), Division of Oil and Public Safety (OPS), for the Petroleum Storage Tank Fund remediation program under RFP KATA-2016000249-P. The document establishes mandatory invoicing procedures for all cost reimbursement requests submitted to the OPS division. Invoices must be submitted on company letterhead and include specific header information such as client name, site details, Event ID number, Invoice number and date, page number, delivery order number, task order number, percent reduction, and work dates. The invoice structure requires that each cost line item be coded using three categorical systems: Phase of Work Codes (PWC), Activity Codes (AC), and Task or Labor Codes (TLC), with codes ranging across multiple phases including contaminated soil excavation, emergency response, groundwater removal, drilling and direct push operations, groundwater monitoring, report preparation, and remediation system installation and maintenance.
Only eligible costs will be considered for reimbursement from the Petroleum Storage Tank Fund. Contractors must not combine codes within any of the three categories on a single line item and must delete any invoice rows not being requested for reimbursement. When work is performed by subcontractors, the subcontractor's name and invoice number must be provided in the task description field. For labor coded at 5.4 and above, the individual's Listed Consultant number must be included if applicable. The invoice format includes detailed subtotal and markup columns organized by activity code and task group, culminating in a phase of work cost summary and grand total section, establishing a structured cost-tracking mechanism for petroleum storage tank remediation projects.
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Text version
Instructions
| PETROLEUM STORAGE TANK FUND |
| INSTRUCTIONS FOR INVOICE |
| REVISED 3/10/2016 |
| The standardized invoice format must be utilized for all applications submitted to the Division of Oil and Public Safety (OPS) submitted. Only eligible costs will be considered for reimbursement from the Petroleum Storage Tank Fund. |
| INSTRUCTIONS |
| 1. PURPOSE |
| The purpose of the revised invoice is to allow for standardized submittals, accurate coding and streamlined reviews of all costs submitted. This invoice format will replace all other invoice formats. |
| 2. STRUCTURE |
| The example invoice form contains Phase of Work Codes (PWC), allowable Activity Codes (AC), and Task and Labor Codes (TLCs) listed below each PWC. Each invoice must be submitted on Company Letterhead and contain the following information on the top portion of each invoice: Client name and address (CDLE/OPS); site name, address, Event ID#, Invoice #, Invoice date, page #, delivery order (DO) #, task order #, percent reduction, dates of work: (Start and End Dates of work). Attached format is an example. |
| 3. PROCEDURE |
| When completing the invoice, each cost must include a code from all of the three categories (PWC, AC, TLC). Do not combine PWCs, ACs or TLCs. |
| If the work on a line item was performed by a subcontractor, please provide the name and invoice number of the corresponding subcontractor's invoice in the task description field. |
| If the work on a line item is coded 5.4 and above for labor, please provide the individual's Listed Consultant# in the Task Description field, if applicable. |
Invoice Format
| Colorado Department of Labor and Employment | |||||||||||
| RFP KATA-2016000249-P | |||||||||||
| OPS Remediation | |||||||||||
| Attachment D CDLE OPS Sample Invoice Format | |||||||||||
| OPS INVOICE FORMAT | |||||||||||
| COMPANY LETTERHEAD/LOGO | DO NOT ADD ANY EXTRA COLUMNS! | ||||||||||
| GRAND TOTAL $ | |||||||||||
| Client Name: | CDLE/OPS | Invoice#: | |||||||||
| Billing Address: | 633 17th Street, Suite 500 | Invoice date: | |||||||||
| City, State, Zip: | Denver, CO 80202 | Page: | |||||||||
| PM Name: | Event #: | ||||||||||
| Site Name: | Task Order # | ||||||||||
| Site Address: | Delivery Order (DO)# | ||||||||||
| City, State, Zip: | Percent Reduction | ||||||||||
| Start Date: | End Date: | ||||||||||
| Note delete any rows on the invoice that are not being requested for reimbursement | |||||||||||
| PHASE OF WORK CODE (PWC) | ACTIVITY CODE (AC) | TASK OR LABOR CODE (TLC) | TASK DESCRIPTION | UNITS | QUANTITY | UNIT RATE REQUESTED REIMBURSEMENT | SUBTOTAL REQUESTED REIMBURSEMENT | MARKUP REQUESTED REIMBURSEMENT | SUBTOTAL BY ACTIVITY AND TASK GROUP | TOTAL REQUESTED REIMBURSEMENT | |
| 1A | Contaminated soil excavation oversight & sampling | ||||||||||
| i. | Data review & reporting | ||||||||||
| $ - | |||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| l. | Excavation | ||||||||||
| Activity Code l. Subtotal | $ - | ||||||||||
| TOTAL 1A COSTS: | $ - 0 | ||||||||||
| 1B | Emergency response oversight & sampling | ||||||||||
| g. | Monitoring plan implementation | ||||||||||
| Activity Code g. Subtotal | $ - | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| j. | Direct push | ||||||||||
| Activity Code j. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| o. | Soil vapor/indoor air sampling | ||||||||||
| Activity Code o. Subtotal | $ - | ||||||||||
| TOTAL 1B COSTS: | $ - 0 | ||||||||||
| 1C | Free-product/contaminated groundwater removal | ||||||||||
| a. | Pilot and/or aquifer test | ||||||||||
| Activity Code a. Subtotal | $ - | ||||||||||
| b. | System design | ||||||||||
| Activity Code b. Subtotal | $ - | ||||||||||
| d. | System installation | ||||||||||
| Activity Code d. Subtotal | $ - | ||||||||||
| e. | System startup | ||||||||||
| Activity Code e. Subtotal | $ - | ||||||||||
| f. | System O&M | ||||||||||
| Activity Code f. Subtotal | $ - | ||||||||||
| g. | Monitoring plan implementation | ||||||||||
| Activity Code g. Subtotal | $ - | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| j. | Direct push | ||||||||||
| Activity Code j. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| m. | Trenching | Linear feet of trench: | |||||||||
| Activity Code m. Subtotal | $ - | ||||||||||
| n. | System enclosure | ||||||||||
| Activity Code n. Subtotal | $ - | ||||||||||
| o. | Soil vapor/indoor air sampling | ||||||||||
| Activity Code o. Subtotal | $ - | ||||||||||
| TOTAL 1C COSTS: | $ - 0 | ||||||||||
| 2A | Drilling & direct push | ||||||||||
| j. | Direct push | ||||||||||
| Activity Code j. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| TOTAL 2A COSTS: | $ - 0 | ||||||||||
| 2B | Groundwater monitoring (well sampling & groundwater measurement) | ||||||||||
| g. | Monitoring plan implementation | ||||||||||
| Activity Code g. Subtotal | $ - | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| o. | Soil vapor/indoor air sampling | ||||||||||
| Activity Code o. Subtotal | $ - | ||||||||||
| TOTAL 2B COSTS: | $ - 0 | ||||||||||
| 2C | SCR report preparation | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| p. | Modeling | ||||||||||
| Activity Code p. Subtotal | $ - | ||||||||||
| TOTAL 2C COSTS: | $ - 0 | ||||||||||
| 2D | Additional data collection (survey, soil samples, etc.) | ||||||||||
| a. | Pilot and/or aquifer test | ||||||||||
| Activity Code a. Subtotal | $ - | ||||||||||
| g. | Monitoring plan implementation | ||||||||||
| Activity Code g. Subtotal | $ - | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| j. | Direct push | ||||||||||
| Activity Code j. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| l. | Excavation | ||||||||||
| Activity Code l. Subtotal | $ - | ||||||||||
| o. | Soil vapor/indoor air sampling | ||||||||||
| Activity Code o. Subtotal | $ - | ||||||||||
| TOTAL 2D COSTS: | $ - 0 | ||||||||||
| 3A | Pilot tests & pumping/slug tests | ||||||||||
| a. | Pilot and/or aquifer test | ||||||||||
| Activity Code a. Subtotal | $ - | ||||||||||
| j. | Direct push | ||||||||||
| Activity Code j. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| o. | Soil vapor/indoor air sampling | ||||||||||
| Activity Code o. Subtotal | $ - | ||||||||||
| TOTAL 3A COSTS: | $ - 0 | ||||||||||
| 3C | CAP report preparation | ||||||||||
| c. | CAP preparation | ||||||||||
| Activity Code c. Subtotal | $ - | ||||||||||
| p. | Modeling | ||||||||||
| Activity Code p. Subtotal | $ - | ||||||||||
| TOTAL 3C COSTS: | $ - 0 | ||||||||||
| 3D | Remediation system installation/excavation | ||||||||||
| d. | System installation | ||||||||||
| Activity Code d. Subtotal | $ - | ||||||||||
| j. | Direct push | ||||||||||
| Activity Code j. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| l. | Excavation | ||||||||||
| Activity Code l. Subtotal | $ - | ||||||||||
| m. | Trenching | Linear feet of trench: | |||||||||
| Activity Code m. Subtotal | $ - | ||||||||||
| n. | System enclosure | ||||||||||
| Activity Code n. Subtotal | $ - | ||||||||||
| TOTAL 3D COSTS: | $ - 0 | ||||||||||
| 3E | Remediation system startup & implementation report | ||||||||||
| e. | System startup | ||||||||||
| Activity Code e. Subtotal | $ - | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| o. | Soil vapor/indoor air sampling | ||||||||||
| Activity Code o. Subtotal | $ - | ||||||||||
| TOTAL 3E COSTS: | $ - 0 | ||||||||||
| 3F | Remediation system operation & maintenance | ||||||||||
| f. | System O & M | ||||||||||
| Activity Code f. Subtotal | $ - | ||||||||||
| TOTAL 3F COSTS: | $ - 0 | ||||||||||
| 3G | Monitoring plan implementation & report preparation | ||||||||||
| g. | Monitoring plan implementation | ||||||||||
| Activity Code g. Subtotal | $ - | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| j. | Direct push | ||||||||||
| Activity Code j. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| o. | Soil vapor/indoor air sampling | ||||||||||
| Activity Code o. Subtotal | $ - | ||||||||||
| p. | Modeling | ||||||||||
| Activity Code p. Subtotal | $ - | ||||||||||
| TOTAL 3G COSTS: | $ - 0 | ||||||||||
| 3H | Remediation system decommissioning | ||||||||||
| h. | System decommissioning | ||||||||||
| Activity Code h. Subtotal | $ - | ||||||||||
| i. | Data review & reporting | ||||||||||
| Activity Code i. Subtotal | $ - | ||||||||||
| k. | Drilling | Number of wells: | |||||||||
| Activity Code k. Subtotal | $ - | ||||||||||
| m. | Trenching | Linear feet of trench: | |||||||||
| Activity Code m. Subtotal | $ - | ||||||||||
| TOTAL 3H COSTS: | $ - 0 | ||||||||||
| PHASE OF WORK COST SUMMARY | |||||||||||
| INVOICE | |||||||||||
| PHASE OF WORK CODE AND DESCRIPTION | TOTAL COSTS | ||||||||||
| 1A | Contaminated soil excavation; oversight & sampling | $ - 0 | |||||||||
| 1B | Emergency response; oversight & sampling | $ - 0 | |||||||||
| 1C | Free-product/contaminated groundwater removal | $ - 0 | |||||||||
| 2A | Drilling & direct push | $ - 0 | |||||||||
| 2B | Groundwater monitoring (well sampling & groundwater measurement) | $ - 0 | |||||||||
| 2C | SCR report preparation | $ - 0 | |||||||||
| 2D | Additional data collection survey, soil samples, etc. | $ - 0 | |||||||||
| 3A | Pilot tests & pumping/slug tests | $ - 0 | |||||||||
| 3B | Remediation system design | $ - 0 | |||||||||
| 3C | CAP report preparation | $ - 0 | |||||||||
| 3D | Remediation system installation/excavation | $ - 0 | |||||||||
| 3E | Remediation system startup & implementation report | $ - 0 | |||||||||
| 3F | Remediation system operation & maintenance | $ - 0 | |||||||||
| 3G | Monitoring plan implementation & report preparation | $ - 0 | |||||||||
| 3H | Remediation system decommissioning | $ - 0 | |||||||||
| GRAND TOTAL | $ - 0 |
&RPage Number &P OPS: Start date is the earliest date of work for this invoice.
OPS:
Invoices must be on Company Letterhead, and the first page must contain highlighted items.
File details come from the government source that posted it. Updated .