Attachment J-12 - Appendix C - Summary of Expenditures - Final.pdf
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- Solicitation number
- FTA_2024_PMO_0005
About this file
This document is an Appendix containing a Summary of Expenditures template for a federal contract. The template collects expenditure category data for a prime contractor and any subcontractors on a federal task order, including direct labor costs, consultant costs, fringe benefits, travel costs, subcontractor costs, other direct costs, overhead costs, G&A costs, total estimated costs, fee amounts, fee withholding, and FCCM costs. The totals are broken down by current contract budget amount, amount claimed previously, previous value adjustments, and amount claimed in the current period. A certifying official must sign off that claimed costs and fees are valid and the contractor has complied with contract terms. The related federal contract opportunity is a Request for Proposal from the Department of Transportation Federal Transit Administration for Project Management Oversight services under solicitation number FTA_2024_PMO_0005.
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Text version
RFP Number 69319524R000001
Attachment J-12 Appendix C - Summary of
Expenditures
Task Order No.
Expenditure Category Current Contract Budget
Amount Claimed Previously
Previous Value Adjustments
Amount Claimed This Period Cumulative Total
Labor Costs for the Prime Contractor only Direct Labor -$ -$ -$ -$ -$ All Costs for Consultants Consultant Costs -$ -$ -$ -$ -$
Fringe Benefit Costs for the Prime Contractor only Fringe Benefits -$ -$ -$ -$ -$ Travel Costs for Prime Contractor only Staff Travel -$ -$ -$ -$ -$
All Direct and Indirect costs for subcontractors. Do not include Fee. Subcontract -$ -$ -$ -$ -$ Any other direct costs that have been approved by the Contracting Office and related to the Prime Other Direct -$ -$ -$ -$ -$
Overhead costs for Prime Contractor only. Overhead -$ -$ -$ -$ -$ The total of a-i from directly above. Total Est. Cost -$ -$ -$ -$ -$
G&A costs for the Prime Contractor only. G&A -$ -$ -$ -$ -$ Total Estimated Cost plus G&A Total Costs -$ -$ -$ -$ -$
Total Fee across Prime and Subcontractors. Fee -$ -$ -$ -$ -$ Withholding on Fixed Fee across Prime and Subcontractors. Fee Withholding -$ -$ -$ -$ -$
FCCM costs for Prime Contractor only. FCCM -$ -$ -$ -$ -$ Total Costs plus items m, n, and o. Total -$ -$ -$ -$ -$
(Typed Name of Certifying Official) (Signature)
(Title) (Date)
SUMMARY OF EXPENDITURES
SUPPORT OF REIMBURSEMENT CLAIM
The Undersigned certifies that the cost of services reimbursable to the Contractor and the amount of fees earned by the Contractor up to the date of this certificate are not more than the total costs incurred and/or paid as claimed by the Contractor under the contract (including the payment claimed herewith) and that the Contractor to the best of their knowledge and belief has fully complied with the terms and conditions of the contract.
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