Attachment J-12 - Appendix A - Declaration of Completion - Final.xlsx
XLSX spreadsheet 26 KB Posted
- Solicitation number
- FTA_2024_PMO_0005
About this file
This document is a template for a contractor's declaration of completion for invoicing direct productive labor hours under a task order. It includes sections for direct labor hours billed by labor category and rate, consultants' fees, general and administrative expenses at set percentages of total direct costs for prime and subcontractors, overhead expenses at set percentages of total direct costs, fringe expenses at set percentages of total direct costs, facilities capital cost of money expenses, fixed fee amounts including allowable fee and fee due on the invoice. A signature block is provided for an authorized official. No specific products, services, response dates, or federal agencies are referenced as this appears to be a generic template rather than a solicitation document.
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Text version
DOC
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: |
| Cost Elements | ||||||
| 1) | Direct Labor | |||||
| Labor Category | Staff Assigned | Hours Billed | Rate | Total | Cumulative Category Hours Billed | |
| $ - 0 | ||||||
| $ - 0 | ||||||
| $ - 0 | ||||||
| $ - 0 | ||||||
| Total | - 0 | $ - 0 |
2) Consultants' Fee $ - 0
| 3) | General and Administrative (G&A) Expense | Total G&A Expense | $ - 0 | |
| Prime - G&A XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - G&A XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - G&A XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - G&A XXX.XX% of Total Direct Costs = | $ - 0 |
| 4) | Overhead Expense | Total Overhead Expense | $ - 0 | |
| Prime - Overhead XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - Overhead XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - Overhead XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - Overhead XXX.XX% of Total Direct Costs = | $ - 0 |
| 5) | Fringe Expense | Total Fringe Expense | $ - 0 | |
| Prime - Fringe XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - Fringe XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - Fringe XXX.XX% of Total Direct Costs = | $ - 0 | |||
| Sub - Fringe XXX.XX% of Total Direct Costs = | $ - 0 |
| Subtotal (before FCCM) | $ - 0 | |||
| 6) | FCCM Expense | $ - 0 |
| 7) | Fixed Fee (Perecntage) | ERROR:#NAME? | ||
| Fixed Fee Withholding | $ - 0 | |||
| Fixed-Fee Calculations: | ||||
| i. Total contract fixed-fee | $ - 0 | |||
| ii. 85% allowable fee | $ - 0 | |||
| iii. Total Cumulative fee billed on prior invoices | $ - 0 | |||
| iv. Fee due this invoice (not to exceed 85% of fee earned ) | ||||
| Total Fee Less Withholding | ERROR:#NAME? |
| Total DOC Claim Amount | ERROR:#NAME? | |
| “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." |
Authorized Signature Name (Please Print)
Email Number/Extension
DRAFT
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