Attachment J.23 - Facilities Capital Cost of Money Factors Computation Template.pdf
PDF 53 KB Posted
- Solicitation number
- 75D301-22-R-72142
About this file
This document provides details for the World Trade Center Health Program Clinical Centers of Excellence solicitation. The National Institute for Occupational Safety and Health intends to competitively award cost-reimbursement contracts of five to eight years to provide limited health care delivery services to responders and survivors of the 9/11 attacks. Services include contract management and implementation, quality assurance controls to prevent fraud and abuse, member services and outreach, care coordination and case management, program communications, administering health care services such as monitoring, screening and treatment, and coordination of benefits. Offerors are to regularly check the website for any amendments to the solicitation released after the original posting, as no telephone or written requests will be accepted. Questions must be submitted by email using the provided template, as questions by phone will not be accepted.
View the file
Other files
Show all 35
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
FORM CASB-CMF FACILITIES CAPITAL
COST OF MONEY FACTORS COMPUTATION fcmm.xls
CONTRACTOR: ADDRESS:
BUSINESS UNIT:
1 2 3 4 5 6 7
COST ACCOUNTING PERIOD: Applicable Cost Accumulation & Allocation Total Net Cost of Money Allocation Base Facilities Capital of Direct Distribution of Book for the Cost for the Cost of
Money Rate - ___% of N.B.V. Undistributed Value Accounting Period Period Money Factors
RECORDED
Basis of
Allocation Columns
2 + 3 Columns
1 x 4 In Unit(s) of
Measure Columns
5 ÷ 6
LEASED PROPERTY
CORPORATE OR GROUP
TOTAL
UNDISTRIBUTED
DISTRIBUTED
TOTAL
BUSINESS
UNIT
FACILITIES
CAPITAL
OVERHEAD
POOLS
G&A EXPENSE
POOLS
| Contractor: |
| Business Unit: |
| Address/1: |
| Address/2: |
| Address/3: Note: Provide documentation to support the computation once per period.year. |
| Rate Percent: |
| Recorded: |
| Leased: |
| Corporate/Group: |
| Total/1: |
| Undistributed: |
| Distributed: |
| Accumulation/1: |
| Allocation/1: |
| Book Value/1: |
| Cost/1: |
| Base/1: |
| FCCMF/1: |
| Pool/1: |
| Pool/2: |
| Accumulation/2: |
| Book Value/2: |
| Cost/2: |
| Base/2: |
| FCCMF/2: |
| Pool/3: |
| Accumulation/3: |
| Allocation/2: |
| Allocation/3: |
| Book Value/3: |
| Cost/3: |
| Base/3: |
| FCCMF/3: |
| Pool/4: |
| Accumulation/4: |
| Allocation/4: |
| Book Value/4: |
| Cost/4: |
| Base/4: |
| FCCMF/4: |
| Pool/5: |
| Accumulation/5: |
| Allocation/5: |
| Book Value/5: |
| Cost/5: |
| Base/5: |
| FCCMF/5: |
| Pool/6: |
| Accumulation/6: |
| Allocation/6: |
| Book Value/6: |
| Cost/6: |
| Base/6: |
| Accumulation/7: |
| Pool/7: |
| Allocation/7: |
| Book Value/7: |
| Cost/7: |
| Base/7: |
| FCCMF/6: |
| FCCMF/7: |
| Pool/8: |
| Accumulation/8: |
| Allocation/8: |
| Book Value/8: |
| Cost/8: |
| Base/8: |
| FCCMF/8: |
| Pool/9: |
| Accumulation/9: |
| Allocation/9: |
| Book Value/9: |
| Cost/9: |
| Base/9: |
| FCCMF/9: |
| Pool/10: |
| Accumulation/10: |
| Allocation/10: |
| Book Value/10: |
| Cost/10: |
| Base/10: |
| FCCMF/10: |
| Accu Total: |
| Allocation Total: |
| Value Total: |
| Cost Total: |
File details come from the government source that posted it. Updated .