Attachment J-12 - Appendix A - Declaration of Completion Example - Draft.pdf
PDF 275 KB Posted
- Attached to
- Pre-Solicitation Draft Request for Proposal Project Management Oversight (PMO) IDIQ Contract
- Solicitation number
- FTA_2024_PMO_0003
About this file
This document contains a draft declaration of completion template for invoicing under a federal contract. It outlines cost elements including direct labor hours billed by labor category and rate, consultants' fees, general and administrative expenses calculated as percentages of total direct costs for prime and subcontractors, overhead expenses also calculated as percentages of direct costs, fringe benefits expenses, FCCM expenses, and fixed fees including withholding percentages. The related federal contract opportunity is a pre-solicitation draft RFP from the Department of Transportation's Federal Transit Administration for project management oversight services under an IDIQ contract.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DRAFT
Cost Elements
1) Direct Labor
Labor Category Staff Assigned Hours Billed Rate Total Cumulative Category Hours Billed
Total - -$
2) Consultants' Fee -$
3) General and Administrative (G&A) Expense Total G&A Expense -$ Prime - G&A XXX.XX% of Total Direct Costs = -$ Sub - G&A XXX.XX% of Total Direct Costs = -$ Sub - G&A XXX.XX% of Total Direct Costs = -$ Sub - G&A XXX.XX% of Total Direct Costs = -$
4) Overhead Expense Total Overhead Expense -$ Prime - Overhead XXX.XX% of Total Direct Costs = -$ Sub - Overhead XXX.XX% of Total Direct Costs = -$ Sub - Overhead XXX.XX% of Total Direct Costs = -$ Sub - Overhead XXX.XX% of Total Direct Costs = -$
5) Fringe Expense Total Fringe Expense -$ Prime - Fringe XXX.XX% of Total Direct Costs = -$ Sub - Fringe XXX.XX% of Total Direct Costs = -$ Sub - Fringe XXX.XX% of Total Direct Costs = -$ Sub - Fringe XXX.XX% of Total Direct Costs = -$
6) FCCM Expense -$
7) Fixed Fee (Perecntage) #NAME?
Fixed Fee Withholding -$
Fixed-Fee Calculations:
i. Total contract fixed-fee -$
ii. 85% allowable fee -$
iii. Total Cumulative fee billed on prior invoices -$
Total Fee Less Withholding #NAME?
#NAME?
Authorized Signature Name (Please Print)
Email Number/Extension
Total DOC Claim Amount
“I hereby certify that the above Declaration of Completion is correct and just, that payment therefore has not been received, and that the information is presented with the knowledge that the amount requested is passable to invoice the United States Government for payment."
Contractor’s Declaration of Completion
This notice is given in support of the request to invoice for the *Direct Productive Labor Hours (DPLH) for work completed under Task Order . The voucher represents reimbursable costs for the billing period from (START DATE) through (END DATE). Direct Labor consists of salaries and wages paid (or Billed Previously) for direct performance of the contract itemized as follows:
Direct Labor consists of salaries and wages paid (or Billed Previously) for direct performance of the contract itemized as follows: Labor Hours | Rate | Total Dollars | Cumulative Category Hours Billed.
SUPPORTING INFORMATION:
Subtotal (before FCCM)
iv. Fee due this invoice (not to exceed 85% of fee earned )
DOC
File details come from the government source that posted it. Updated .