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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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/LOGODO NOT ADD ANY EXTRA COLUMNS!
GRAND TOTAL $
Client Name:CDLE/OPSInvoice#:
Billing Address:633 17th Street, Suite 500Invoice date:
City, State, Zip:Denver, CO 80202Page:
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 DESCRIPTIONUNITSQUANTITYUNIT RATE REQUESTED REIMBURSEMENTSUBTOTAL REQUESTED REIMBURSEMENTMARKUP REQUESTED REIMBURSEMENTSUBTOTAL BY ACTIVITY AND TASK GROUPTOTAL REQUESTED REIMBURSEMENT
1AContaminated soil excavation oversight & sampling
i.Data review & reporting
$ -
Activity Code i. Subtotal$ -
l.Excavation
Activity Code l. Subtotal$ -
TOTAL 1A COSTS:$ - 0
1BEmergency 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.DrillingNumber of wells:
Activity Code k. Subtotal$ -
o.Soil vapor/indoor air sampling
Activity Code o. Subtotal$ -
TOTAL 1B COSTS:$ - 0
1CFree-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.DrillingNumber of wells:
Activity Code k. Subtotal$ -
m.TrenchingLinear 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
2ADrilling & direct push
j.Direct push
Activity Code j. Subtotal$ -
k.DrillingNumber of wells:
Activity Code k. Subtotal$ -
TOTAL 2A COSTS:$ - 0
2BGroundwater 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
2CSCR report preparation
i.Data review & reporting
Activity Code i. Subtotal$ -
p.Modeling
Activity Code p. Subtotal$ -
TOTAL 2C COSTS:$ - 0
2DAdditional 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.DrillingNumber 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
3APilot tests & pumping/slug tests
a.Pilot and/or aquifer test
Activity Code a. Subtotal$ -
j.Direct push
Activity Code j. Subtotal$ -
k.DrillingNumber of wells:
Activity Code k. Subtotal$ -
o.Soil vapor/indoor air sampling
Activity Code o. Subtotal$ -
TOTAL 3A COSTS:$ - 0
3CCAP report preparation
c.CAP preparation
Activity Code c. Subtotal$ -
p.Modeling
Activity Code p. Subtotal$ -
TOTAL 3C COSTS:$ - 0
3DRemediation system installation/excavation
d.System installation
Activity Code d. Subtotal$ -
j.Direct push
Activity Code j. Subtotal$ -
k.DrillingNumber of wells:
Activity Code k. Subtotal$ -
l.Excavation
Activity Code l. Subtotal$ -
m.TrenchingLinear feet of trench:
Activity Code m. Subtotal$ -
n.System enclosure
Activity Code n. Subtotal$ -
TOTAL 3D COSTS:$ - 0
3ERemediation 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
3FRemediation system operation & maintenance
f.System O & M
Activity Code f. Subtotal$ -
TOTAL 3F COSTS:$ - 0
3GMonitoring 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.DrillingNumber 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
3HRemediation system decommissioning
h.System decommissioning
Activity Code h. Subtotal$ -
i.Data review & reporting
Activity Code i. Subtotal$ -
k.DrillingNumber of wells:
Activity Code k. Subtotal$ -
m.TrenchingLinear feet of trench:
Activity Code m. Subtotal$ -
TOTAL 3H COSTS:$ - 0
PHASE OF WORK COST SUMMARY
INVOICE
PHASE OF WORK CODE AND DESCRIPTIONTOTAL COSTS
1AContaminated soil excavation; oversight & sampling$ - 0
1BEmergency response; oversight & sampling$ - 0
1CFree-product/contaminated groundwater removal$ - 0
2ADrilling & direct push$ - 0
2BGroundwater monitoring (well sampling & groundwater measurement)$ - 0
2CSCR report preparation$ - 0
2DAdditional data collection survey, soil samples, etc.$ - 0
3APilot tests & pumping/slug tests$ - 0
3BRemediation system design$ - 0
3CCAP report preparation$ - 0
3DRemediation system installation/excavation$ - 0
3ERemediation system startup & implementation report$ - 0
3FRemediation system operation & maintenance$ - 0
3GMonitoring plan implementation & report preparation$ - 0
3HRemediation 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 .