ATTACHMENT V VA Form 6298 Oct 2021 PDF.pdf

PDF 500 KB Posted

Attached to
AE MATOC IDIQ (NCO 22) SOLICITATION Federal contract opportunity
Solicitation number
36C26224R0013_1
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

About this file

This document is a VA Architect-Engineer (A/E) Fee Proposal form, VA Form 6298, used for A/E design services procurements. The form is divided into four main parts:

Part I - Investigative Services / Schematic Design / Other Related Services Costs

Part II - Design Development Costs

Part III - Construction Documents Costs

Part IV - Construction Period Services and Site Visits Costs

The form provides a detailed breakdown of the A/E's hourly labor costs, employee-hours, miscellaneous salary costs, travel costs, and other incidental costs for each phase of the design services. It includes line items for various A/E disciplines such as architectural, structural, mechanical, electrical, and others. The form also includes sections for certifications by the A/E and concurrence by the Contracting Officer.

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Text version

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

A/E VA

1A 1B 1C 1D 1E 1F 1G 1H 1I 1J

2A 2B 2C 2D 2E 2F 2G 2H 2I 2J 2K 2L 2M

3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K

4A 4B 4C 4D 4E 4F 4G 4H 4I

Drafter / CADD Technician Administrative Assistant

Junior Fire Protection Engineer

Senior Cost Estimator

FIRE PROTECTION

Senior Project Fire Protection Engineer

SUBTOTAL

Drafter / CADD Technician

Engineering Technician

Senior Cost Estimator

Senior Project Geotechnical Engineer Junior Structural Engineer

Junior Geotechnical Engineer

Specification / Technical Writer

Junior Landscape Architect Senior Project Environmental Engineer

Junior Civil Engineer Senior Project Landscape Architect

SITE AND LANDSCAPING

Senior Project Civil Engineer

SUBTOTAL

Administrative Assistant

Senior Cost Estimator Drafter / CADD Technician

Junior Interior Designer Specification / Technical Writer

Junior Architect Senior Project Interior Designer

PART I - INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

COSTS

ARCHITECTURAL

Senior Project Architect

A. SALARY COSTS HOURLY

SALARIES

LINE

NO.

ELECTRICAL NAME OF ARCHITECT / ENGINEER

TOTAL NUMBER OF DRAWINGS

ARCHITECTURAL PROJECT TITLE AND LOCATION

SITE AND LANDSCAPING

STRUCTURAL AND BORINGS

FIRE PROTECTION

HEATING AND AIR CONDITIONING

PLUMBING

SUBTOTAL

ARCHITECT - ENGINEER FEE PROPOSAL

Investigative Services / Schematic Design / Other Related Services

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

ESTIMATED NUMBER OF CONTRACT DRAWINGS DATE

Senior Project Structural Engineer

Specification / Technical Writer

Senior Cost Estimator Drafter / CADD Technician

STRUCTURAL AND BORINGS

Administrative Assistant

Administrative Assistant

SUBTOTAL

A/E VA

EMPLOYEE-HOURS

A/E VA

VA FORM

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 1 of 146298

Engineering Technician Junior Environmental Engineer

Engineering Technician Specification / Technical Writer

A/E A/E VA

5A 5B 5C 5D 5E 5F 5G 5H 5I

6A 6B 6C 6D 6E 6F 6G 6H 6I

7A 7B 7C 7D 7E 7F 7G 7H 7I

8A 8B 8C 8D 8E

9A 9B 9C 9D 9E 9F 9G 9H

9I SUBTOTAL

11A 11B 11C 11D 11E 11F

12A 12B 12C 12D 12E 12F

SUBTOTAL

Junior Designer

Project Designer

A/E VA A/E VA A/E

HOURLY

SALARIES

COSTS

NO.

DAYS

NO. PERS.

REQUIRED VA

COSTS

A/E VA A/E

TOTAL SALARY COSTS

B. MISCELLANEOUS SALARY COSTS

VA A/E VANO.

DAYS

DESIGN STAFF SITE TRIPS EMPLOYEE-DAYS EMPLOYEE-HOURS HOURLY

SALARIES

Project Designer

NO. PERS.

REQUIRED

Engineering Technician

Junior Designer Engineering Technician

SUBTOTAL

Senior Project Electrical Engineer

Senior Project Fire Protection Engineer Senior Project Mechanical Engineer Senior Project Plumbing Engineer

QA/QC REVIEWS

Senior Project Architect

Senior Project Structural Engineer

DESIGN REVIEW TRIPS EMPLOYEE-DAYS EMPLOYEE-HOURS

PROJECT MANAGEMENT

Principal

Administrative Assistant

Senior Cost Estimator Drafter / CADD Technician

Junior Electrical Engineer

Specification / Technical Writer Engineering Technician

ELECTRICAL

Senior Project Civil Engineer

Senior Project Electrical Engineer

Administrative Assistant

Senior Cost Estimator Drafter / CADD Technician

Junior Plumbing Engineer

Specification / Technical Writer Engineering Technician

Administrative Assistant

SUBTOTAL

PLUMBING

Senior Project Plumbing Engineer

Senior Cost Estimator Drafter / CADD Technician

Specification / Technical Writer

Senior Project Mechanical Engineer

PART I - INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES (Continued)

COSTS

VAA. SALARY COSTS EMPLOYEE-HOURS

HEATING AND AIR CONDITIONING

Engineering Technician

HOURLY

SALARIES

Junior Mechanical Engineer

LINE

NO.

SUBTOTAL

SUBTOTAL

SUBTOTAL

VA FORM

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 2 of 14

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

13A 13B 13C 13D 13E 13F

19A 19B 19C 19D 19E 19F

20A 20B 20C 20D 20E 20F

21A 21B 21C 21D 21E 21F

22A 22B 22C 22D 22E 22F

23A 23B 23C 23D 23E 23F

24A 24B 24C 24D 24E 24F

*The 6% fee limitation does not apply to Investigative Services / Schematic Design or Other Related Services. See VAAR 836.606-71 / VAAM M836.606-73 for further details.

*Design Staff Site Trips = trips for site surveying, meeting with COR/End Users to gather data/input, etc.

*Design Review Trips = trips for the AE to present deliverables of a particular phase as an on-site meeting *The SOW will dictate how many Design Staff Site Trips & Design Review Trips are anticipated for the design project. The CO, COR and the AE will negotiate final number of trips and disciplines needed for those trips.

TOTAL INCIDENTAL COSTS

*TOTAL INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES COSTS - (Lines 18 +25)

NOTES:

SD Drawings

SUBTOTAL

EMPLOYEE-HOURS

SD Specifications SD Cost Estimate Investigative Services Reports / Material

[OTHER INCIDENTALS] COSTS

SUBTOTAL

COSTS

VA A/E VA

First Second Third

SUBTOTAL

Fourth

DESIGN REVIEW TRIPS

SUBTOTAL

A/E VA A/E

COSTS

A/E VA A/E VA A/E A/E

SURVEYS / INVESTIGATIONS, as applicable Site / Topographic Survey Soil Survey / Tests Geotechnical / Subsurface Exploration

VA A/EA/E

C. INCIDENTAL COSTS (Continued)

COSTS

VA

Second

PROFIT %

TOTAL SALARY PROPOSAL - (Lines 15 + 16 + 17)

C. INCIDENTAL COSTS

DESIGN STAFF SITE TRIPS

COSTS

A/E VA A/E VA

DETAILED DESCRIPTION OF INCIDENTAL

A/E VA

SUBTOTAL

TOTAL MISCELLANEOUS SALARY COSTS

TOTAL SALARY COSTS - (Lines 10 + 14)

OVERHEAD % OF LINE 15

NO.

DAYS

NO. PERS.

REQUIRED

Fourth

TRAVEL COSTS PER DIEM

Third

EMP. TRIPS

First Second

[OTHER AUTHORIZED TRIPS]

First

NO. PERS.

REQUIRED

COSTS

EMP. TRIPS TRAVEL COSTS

DETAILED DESCRIPTION OF INCIDENTAL

PER DIEM

SUBTOTAL

Test Borings / Test Pits

REPRODUCTION OF REVIEW DOCS, as applicable

NO.

DAYS

NO. PERS.

REQUIRED

Fourth

B. MISCELLANEOUS SALARY COSTS (Continued)

[OTHER AUTHORIZED TRIPS] HOURLY

SALARIESNO.

DAYS

DETAILED DESCRIPTION OF INCIDENTAL

EMP. TRIPS PER DIEM

VA

NO. PERS.

REQUIRED A/EVA VA

EMPLOYEE-DAYS

A/E

COSTS

A/E VA

SUBTOTAL

A/E VA A/E

LINE

NO.

EMP. TRIPS TRAVEL COSTS

Third

NO.

DAYS

REMARKS

VAVA A/E VA

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 3 of 146298

EMP. TRIPS

A/E VA

1A 1B 1C 1D 1E 1F 1G 1H 1I 1J

2A 2B 2C 2D 2E 2F 2G 2H 2I 2J 2K 2L 2M

3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K

4A 4B 4C 4D 4E 4F 4G 4H 4I

ARCHITECTURAL

Senior Project Architect

ARCHITECT - ENGINEER FEE PROPOSAL

Design Development

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form.

This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

ESTIMATED NUMBER OF CONTRACT DRAWINGS DATE

ARCHITECTURAL PROJECT TITLE AND LOCATION

SITE AND LANDSCAPING

STRUCTURAL AND BORINGS

FIRE PROTECTION

HEATING AND AIR CONDITIONING

PLUMBING

PART II - DESIGN DEVELOPMENT

COSTS

ELECTRICAL NAME OF ARCHITECT / ENGINEER

TOTAL NUMBER OF DRAWINGS

HOURLY

SALARIES

Junior Architect Senior Project Interior Designer Junior Interior Designer Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

SITE AND LANDSCAPING

Senior Project Civil Engineer Junior Civil Engineer Senior Project Landscape Architect Junior Landscape Architect Senior Project Environmental Engineer Junior Environmental Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

STRUCTURAL AND BORINGS

Senior Project Structural Engineer Junior Structural Engineer Senior Project Geotechnical Engineer Junior Geotechnical Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

FIRE PROTECTION

Senior Project Fire Protection Engineer Junior Fire Protection Engineer Enginnering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

A/E VA

A. SALARY COSTSLINE

NO.

A/E VA

EMPLOYEE-HOURS

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 4 of 146298

5B 5C 5D 5E 5F 5G 5H 5I

6A 6B 6C 6D 6E 6F 6G 6H 6I

7A 7B 7C 7D 7E 7F 7G 7H 7I

8A 8B 8C 8D 8E

9A 9B 9C 9D 9E 9F 9G 9H 9I

11A 11B 11C 11D 11E 11F

12A 12B 12C 12D 12E 12F

SUBTOTAL

Senior Project Electrical Engineer

Specification / Technical Writer Senior Cost Estimator

PART II - DESIGN DEVELOPMENT (Continued)

LINE

NO. A. SALARY COSTS EMPLOYEE-HOURS HOURLY

SALARIES

COSTS

VA

HEATING AND AIR CONDITIONING

Senior Project Mechanical Engineer Junior Mechanical Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician

PLUMBING

Senior Project Plumbing Engineer

Administative Assistant

Junior Plumbing Engineer Engineering Technician

Drafter / CADD Technician Administrative Assistant

SUBTOTAL

ELECTRICAL

Senior Project Electrical Engineer Junior Electrical Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

PROJECT MANAGEMENT

Principal

SUBTOTAL

QA/QC REVIEWS

Senior Project Architect Senior Project Civil Engineer Senior Project Structural Engineer Senior Project Fire Protection Engineer

COSTS

Senior Project Mechanical Engineer Senior Project Plumbing Engineer

A/E VA

SUBTOTAL

TOTAL SALARY COSTS

B. MISCELLANEOUS SALARY COSTS

LINE

NO.

DESIGN STAFF SITE TRIPS EMPLOYEE-DAYS EMPLOYEE-HOURS HOURLY

SALARIES A/E VA

Project Designer

NO.

DAYS

NO. PERS.

REQUIRED A/E VA

Junior Designer Engineering Technician

SUBTOTAL

DESIGN REVIEW TRIPS EMPLOYEE-DAYS EMPLOYEE-HOURS HOURLY

SALARIES

COSTS

NO.

DAYS

NO. PERS.

REQUIRED A/E VA A/E VA A/E VA

Project Designer Junior Designer Engineering Technician

SUBTOTAL

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 5 of 146298

13C 13D 13E 13F

19A 19B 19C 19D 19E 19F

20A 20B 20C 20D 20E 20F

21A 21B 21C 21D 21E 21F

22A 22B 22C 22D 22E 22F

23A 23B 23C 23D 23E 23F

24A 24B 24C 24D 24E 24F

B. MISCELLANEOUS SALARY COSTS (Continued)

[OTHER AUTHORIZED TRIPS] EMPLOYEE-DAYS EMPLOYEE-HOURS HOURLY

SALARIES

COSTS

NO.

DAYS

NO. PERS.

REQUIRED A/E A/E VAVA A/E VA

SUBTOTAL

TOTAL MISCELLANEOUS SALARY COSTS

TOTAL SALARY COSTS - (Lines 10 + 14)

OVERHEAD % OF LINE 15

PROFIT %

TOTAL SALARY PROPOSAL - (Lines 15 + 16 + 17)

C. INCIDENTAL COSTS

LINE

NO.

DESIGN STAFF SITE TRIPS EMP. TRIPS TRAVEL COSTS PER DIEM COSTS

NO.

DAYS

NO. PERS.

REQUIRED A/E VA A/E VA A/E VA A/E VA A/E VA

First Second Third Fourth

SUBTOTAL

DESIGN REVIEW TRIPS EMP. TRIPS TRAVEL COSTS PER DIEM

A/E VA

COSTS

NO.

DAYS

NO. PERS.

REQUIRED A/E VA A/E VA A/E VA A/E VA

First Second Third Fourth

SUBTOTAL

[OTHER AUTHORIZED TRIPS] EMP. TRIPS TRAVEL COSTS PER DIEM

A/E VA

COSTS

NO.

DAYS

NO. PERS.

REQUIRED A/E VA A/E VA A/E VA A/E VA

First Second Third Fourth

SUBTOTAL

C. INCIDENTAL COSTS (Continued)

REPRODUCTION OF REVIEW DOCS, as applicable DETAILED DESCRIPTION OF INCIDENTAL COSTS DD Drawings DD Specifications

SUBTOTAL

RENDERINGS DETAILED DESCRIPTION OF INCIDENTAL COSTS

Exterior Perspective Interior Perspective Site Plan Floor Plan

SUBTOTAL

[OTHER INCIDENTALS] DETAILED DESCRIPTION OF INCIDENTAL

SUBTOTAL

TOTAL INCIDENTAL COSTS

*The 6% fee limitation applies to Lines 1 - 21. It does not include incidental costs for reproduction,etc. See VAAR 836.606-71 / VAAM M836.606-73 for further details.

*Design Staff Site Trips = trips for site surveying, meeting with COR/End Users to gather data/input, etc.

*Design Review Trips = trips for the AE to present deliverables of a particular phase as an on-site meeting *The SOW will dictate how many Design Staff Site Trips & Design Review Trips are anticipated for the design project. The CO, COR and the AE will negotiate final number of trips and disciplines needed for those trips.

COSTS

*TOTAL DESIGN DEVELOPMENT COSTS - (Lines 18 +25)

NOTES:

REMARKS

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 6 of 146298

EMP. TRIPS

1B 1C 1D 1E 1F 1G 1H 1I 1J

2A 2B 2C 2D 2E 2F 2G 2H 2I 2J 2K 2L 2M

3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K

4A 4B 4C 4D 4E 4F 4G 4H

4I SUBTOTAL

Drafter / CADD Technician Administrative Assistant

Specification / Technical Writer Senior Cost Estimator

Junior Fire Protection Engineer Enginnering Technician

SUBTOTAL

FIRE PROTECTION

Senior Project Fire Protection Engineer

Administrative Assistant

Senior Cost Estimator Drafter / CADD Technician

Engineering Technician Specification / Technical Writer

Senior Project Geotechnical Engineer Junior Geotechnical Engineer

Senior Project Structural Engineer Junior Structural Engineer

SUBTOTAL

STRUCTURAL AND BORINGS

Drafter / CADD Technician Administrative Assistant

Specification / Technical Writer Senior Cost Estimator

Junior Environmental Engineer Engineering Technician

Junior Landscape Architect Senior Project Environmental Engineer

Junior Civil Engineer Senior Project Landscape Architect

SUBTOTAL

SITE AND LANDSCAPING

Senior Project Civil Engineer

Administrative Assistant

Senior Cost Estimator Drafter / CADD Technician

Junior Interior Designer Specification / Technical Writer

Junior Architect Senior Project Interior Designer

COSTS

ARCHITECTURAL

Senior Project Architect

A. SALARY COSTS HOURLY

SALARIES

EMPLOYEE-HOURS

TOTAL NUMBER OF DRAWINGS

PART III - CONSTRUCTION DOCUMENTS

STRUCTURAL AND BORINGS

FIRE PROTECTION

HEATING AND AIR CONDITIONING

PLUMBING

ELECTRICAL NAME OF ARCHITECT / ENGINEER

A/E VA

SITE AND LANDSCAPING

ARCHITECT - ENGINEER FEE PROPOSAL

Construction Documents

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form.

This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

ESTIMATED NUMBER OF CONTRACT DRAWINGS DATE

ARCHITECTURAL PROJECT TITLE AND LOCATION

LINE

NO.

A/E VA

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 7 of 146298

5B 5C 5D 5E 5F 5G 5H 5I

6A 6B 6C 6D 6E 6F 6G 6H 6I

7A 7B 7C 7D 7E 7F 7G 7H 7I

8A 8B 8C 8D 8E

9A 9B 9C 9D 9E 9F 9G 9H 9I

11A 11B 11C 11D 11E 11F

12A 12B 12C 12D 12E 12F

Senior Project Electrical Engineer

SUBTOTAL

Engineering Technician

Project Designer Junior Designer

COSTS

NO.

DAYS

NO. PERS.

REQUIRED A/E VA A/E VA A/E VA

SUBTOTAL

DESIGN REVIEW TRIPS EMPLOYEE-DAYS EMPLOYEE-HOURS HOURLY

SALARIES

Junior Designer Engineering Technician

A/E VA

Project Designer

NO.

DAYS

NO. PERS.

REQUIRED A/E VA A/E VA

SUBTOTAL

TOTAL SALARY COSTS

B. MISCELLANEOUS SALARY COSTS

LINE

NO.

DESIGN STAFF SITE TRIPS EMPLOYEE-DAYS EMPLOYEE-HOURS HOURLY

SALARIES

COSTS

Senior Project Mechanical Engineer Senior Project Plumbing Engineer

Senior Project Civil Engineer Senior Project Structural Engineer Senior Project Fire Protection Engineer

SUBTOTAL

QA/QC REVIEWS

Senior Project Architect

SUBTOTAL

PROJECT MANAGEMENT

Principal

Administrative Assistant

Senior Cost Estimator Drafter / CADD Technician

Engineering Technician Specification / Technical Writer

Senior Project Electrical Engineer Junior Electrical Engineer

SUBTOTAL

ELECTRICAL

Drafter / CADD Technician Administrative Assistant

Specification / Technical Writer Senior Cost Estimator

Junior Plumbing Engineer Engineering Technician

PLUMBING

Senior Project Plumbing Engineer

SUBTOTAL

Drafter / CADD Technician Administative Assistant

Specification / Technical Writer Senior Cost Estimator

Junior Mechanical Engineer Engineering Technician

VA

HEATING AND AIR CONDITIONING

Senior Project Mechanical Engineer

PART III - CONSTRUCTION DOCUMENTS (Continued)

LINE

NO. A. SALARY COSTS EMPLOYEE-HOURS HOURLY

SALARIES

COSTS

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 8 of 146298

13C 13D 13E 13F

19A 19B 19C 19D 19E 19F

20A 20B 20C 20D 20E 20F

21A 21B 21C 21D 21E 21F

22A 22B 22C 22D 22E 22F

23A 23B 23C 23D 23E 23F

24A 24B 24C 24D 24E 24F

27 PART I:

28 PART II:

29 PART III:

NOTES:

*The 6% fee limitation applies to Lines 1 - 21. It does not include incidental costs for reproduction,etc. See VAAR 836.606-71 / VAAM M836.606-73 for further details.

*Design Staff Site Trips = trips for site surveying, meeting with COR/End Users to gather data/input, etc.

*Design Review Trips = trips for the AE to present deliverables of a particular phase as an on-site meeting *The SOW will dictate how many Design Staff Site Trips & Design Review Trips are anticipated for the design project. The CO, COR and the AE will negotiate final number of trips and disciplines needed for those trips.

*TOTAL - CONSTRUCTION DOCUMENTS COSTS - (Lines 18 +25)

TOTAL A/E COST (Lines 27 + 28 + 29)

CAPITULATION OF A/E COSTS

(WITHOUT CPS/Site Visits)

INVESTIGATE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

DESIGN DEVELOPMENT

CONSTRUCTION DOCUMENTS

COSTS [OTHER INCIDENTALS] DETAILED DESCRIPTION OF INCIDENTAL

SUBTOTAL

TOTAL INCIDENTAL COSTS

Interior Perspective Site Plan Floor Plan

SUBTOTAL

SUBTOTAL

RENDERINGS DETAILED DESCRIPTION OF INCIDENTAL COSTS

Exterior Perspective

CD Cost Estimate

REPRODUCTION OF REVIEW DOCS, as applicable DETAILED DESCRIPTION OF INCIDENTAL COSTS CD Drawings CD Specifications

Second Third Fourth

SUBTOTAL

C. INCIDENTAL COSTS Continued

VA A/E VA A/E VA

First

PER DIEM

A/E VA

COSTS

NO.

DAYS

NO. PERS.

REQUIRED

A/E VA A/E

Second Third Fourth

SUBTOTAL

[OTHER AUTHORIZED TRIPS] EMP. TRIPS TRAVEL COSTS EMP. TRIPS

VA A/E VA A/E VA

First

PER DIEM

A/E VA

COSTS

NO.

DAYS

NO. PERS.

REQUIRED

A/E VA A/E

Second Third Fourth

SUBTOTAL

DESIGN REVIEW TRIPS EMP. TRIPS TRAVEL COSTS EMP. TRIPS

VA A/E VA

First

NO. PERS

REQUIRED.

A/E VA A/E

C. INCIDENTAL COSTS

LINE

NO.

DESIGN STAFF SITE TRIPS EMP. TRIPS TRAVEL COSTS EMP. TRIPS PER DIEM COSTS

VA A/ENO.

DAYS

TOTAL SALARY COSTS - (Lines 10 + 14)

OVERHEAD % OF LINE 15

PROFIT %

TOTAL SALARY PROPOSAL - (Lines 15 + 16 + 17)

VA A/E

SUBTOTAL

TOTAL MISCELLANEOUS SALARY COSTS

COSTS

NO.

DAYS

NO. PERS.

REQUIRED A/E VA A/E VA A/E VA

[OTHER AUTHORIZED TRIPS] EMPLOYEE-DAYS EMPLOYEE-HOURS HOURLY

SALARIES

B. MISCELLANEOUS SALARY COSTS (Continued)

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 9 of 146298

1B 1C 1D 1E 1F 1G 1H 1I 1J

2A 2B 2C 2D 2E 2F 2G 2H 2I 2J 2K 2L 2M

3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K

4A 4B 4C 4D 4E 4F 4G 4H 4I

5A 5B 5C 5D 5E 5F 5G 5H 5I

ARCHITECTURAL PROJECT TITLE AND LOCATION

SITE AND LANDSCAPING

STRUCTURAL AND BORINGS

ARCHITECT - ENGINEER FEE PROPOSAL

Construction Period Services and Site Visits

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form.

This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

ESTIMATED NUMBER OF AS-BUILT CONTRACT DRAWINGS DATE

TOTAL NUMBER OF AS-BUILT DRAWINGS

FIRE PROTECTION

HEATING AND AIR CONDITIONING

PLUMBING

ELECTRICAL NAME OF ARCHITECT / ENGINEER

Junior Interior Designer

Junior Architect

HOURLY

SALARIES

Senior Project Civil Engineer

PART IV - CONSTRUCTION PERIOD SERVICES

Specification / Technical Writer

Administative Assistant

Senior Project Architect

Junior Civil Engineer

Engineering Technician Specification / Technical Writer

Senior Project Landscape Architect Junior Landscape Architect Senior Project Environmental Engineer

Senior Project Structural Engineer

STRUCTURAL AND BORINGS

Junior Structural Engineer Senior Project Geotechnical Engineer

Engineering Technician

Senior Cost Estimator

Junior Fire Protection Engineer

Junior Geotechnical Engineer

Junior Mechanical Engineer

Administrative Assistant

Specification / Technical Writer

Administrative Assistant

HEATING AND AIR CONDITIONING

Senior Project Mechanical Engineer

Engineering Technician

Administrative Assistant Drafter / CADD Technician

SUBTOTAL

SITE AND LANDSCAPING

FIRE PROTECTION

SUBTOTAL

SUBTOTAL

Specification / Technical Writer Senior Cost Estimator

Drafter / CADD Technician

SUBTOTAL

Senior Project Fire Protection Engineer

Senior Cost Estimator Drafter / CADD Technician

Specification / Technical Writer Senior Cost Estimator

Junior Environmental Engineer

Engineering Technician

Administrative Assistant Drafter / CADD Technician

SUBTOTAL

Senior Cost Estimator Drafter / CADD Technician

1) Answering RFIs during Bidding (includes providing answers, amendment supporting docs, etc.)

2) Issuance of "For Construction Documents"

3) Post Award RFI, Submittal and Shop Drawing Reviews

4) Call-In Project Mtgs and All Other CPS Related Tasks Oultined in the Contract, excluding Site Visits/As-Built Dwgs.

EMPLOYEE-HOURS

ARCHITECTURAL

A. SALARY COSTS

LINE

NO.

A/E VA

Senior Project Interior Designer

COSTS

A/E VA

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 10 of 146298

6A 6B 6C 6D 6E 6F 6G 6H 6I

7A 7B 7C 7D 7E 7F 7G 7H 7I

8A 8B 8C 8D

A/E A/E VA

10A 10B 10C 10D 10E 10F 10G 10H

11A 11B 11C 11D 11E 11F 11G 11H 11I 11J

12A 12B 12C 12D 12E 12F 12G 12H

13A 13B 13C 13D 13E 13F

14A 14B 14C 14D 14E 14F

PART IV - CONSTRUCTION PERIOD SERVICES (Continued)

A. SALARY COSTS

Junior Electrical Engineer

Junior Plumbing Engineer

Junior Structural Engineer Senior Project Geotechnical Engineer Junior Geotechnical Engineer

Drafter / CADD Technician

4) Call-In Project Mtgs and All Other CPS Related Tasks Oultined in the Contract, excluding Site Visits/As-Built Dwgs.

Senior Project Electrical Engineer

PLUMBING

LINE

NO.

Senior Project Landscape Architect

[ADDITIONAL LABOR CATEGORY, AS APPLICABLE]

Junior Interior Designer Specification / Technical Writer

COSTS

VA

B. RECORD (AS BUILT) DRAWINGS AND SPECIFICATIONS

SALARY COSTS

SUBTOTAL

Specification / Technical Writer

Junior Architect

Drafter / CADD Technician

SUBTOTAL

STRUCTURAL AND BORINGS

FIRE PROTECTION

Drafter / CADD Technician

Senior Project Fire Protection Engineer

Senior Project Mechanical Engineer

HEATING AND AIR CONDITIONING

Senior Project Plumbing Engineer

Junior Civil Engineer

SITE AND LANDSCAPING

Senior Project Architect

LINE

NO.

Specification / Technical Writer

Junior Environmental Engineer Specification / Technical Writer

Senior Project Structural Engineer

SUBTOTAL

Junior Mechanical Engineer

SUBTOTAL

SUBTOTAL

Drafter / CADD Technician

Junior Landscape Architect

Drafter / CADD Technician

Specification / Technical Writer

Junior Fire Protection Engineer

Senior Project Civil Engineer

Senior Project Environmental Engineer

HOURLY

SALARIES

Senior Cost Estimator

TOTAL SALARY COSTS

SUBTOTAL

Drafter / CADD Technician

SUBTOTAL

Engineering Technician

Administrative Assistant

Specification / Technical Writer

Specification / Technical Writer

Drafter / CADD Technician

ELECTRICAL

Administrative Assistant

Senior Cost Estimator

Engineering Technician

VAA/E

COSTS1) Answering RFIs during Bidding (includes providing answers, amendment supporting docs, etc.)

2) Issuance of "For Construction Documents"

3) Post Award RFI, Submittal and Shop Drawing Reviews A/E VA

EMPLOYEE-HOURS HOURLY

SALARIES

SUBTOTAL

Senior Project Interior Designer

ARCHITECTURAL

EMPLOYEE-HOURS

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 11 of 146298

15A 15B 15C 15D 15E 15F

16A 16B 16C 16D 16E 16F

17A 17B 17C 17D 17E

23A 23B 23C 23D 23E

24A 24B 24C 24D 24E

25A 25B 25C 25D 25E

VA A/E A/E VA

NO. DAYS

NO. DAYS

NO. MTGS

NO. INSP. NO. DAYS

NO. INSP. NO. DAYS

VA

ELECTRICAL

COSTSHOURLY

SALARIES

Specification / Technical Writer

PLUMBING

LINE

NO.

B. RECORD (AS BUILT) DRAWINGS AND SPECIFICATIONS

SALARY COSTS

OVERHEAD % OF LINE 19

Junior Plumbing Engineer

Drafter / CADD Technician

Senior Project Plumbing Engineer Junior Plumbing Engineer

SUBTOTAL

Drafter / CADD Technician

COSTS

For Construction Drawings For Contstruction Specifications

PRE-BID CONFERENCE (BIDDING PHASE)

A. SALARY COSTS EMP. TRIPS TOTAL HOURS HOURLY

SALARIES

PRE-CONSTRUCTION CONFERENCE (POST AWARD)

TOTAL CONSTRUCTION PERIOD SERVICES COSTS - (Lines 22+ 26)

REMARKS

PART III - SITE VISITS

[OTHER INCIDENTALS]

LINE

NO. A/E

BEHIND WALL - ABOVE CEILING INSPECTION(S)

EMP. PER DAY

NO. VISITS, ONE EMPLOYEE-DAY EACH

OVERHEAD

[ADDITIONAL LABOR CATEGORY, AS APPLICABLE]

SUBTOTAL

Specification / Technical Writer

PROFIT %

TOTAL SALARY COSTS (As-Builts) TOTAL SALARY COSTS - Lines 9 + 18)

VA

SUBTOTAL

SITE VISIT(S)

FINAL INSPECTION(S)

EMP. PER DAY

% OF LINE 35

TOTAL SALARY COSTS - (Lines 35 + 36 + 37)

SALARY COSTS - Site Visits

Senior Project Plumbing Engineer

EMPLOYEE-HOURS

PART II - CONSTRUCTION PERIOD SERVICES (CONTINUED)

Detailed Description of Incidental

EMP. PER DAY

SUBTOTAL

REPRODUCTION OF "FOR CONSTRUCTION" DOCS Detailed Description of Incidental

TOTAL SALARY COSTS - (Lines 19 + 20 + 21)

C. INCIDENTAL COSTS

ON-SITE CONSTRUCTION PROGRESS MEETINGS

EMP. PER DAY

SUBTOTAL

REPRODUCTION OF AS-BUILTS

As-Built Drawings As-Built Specifications

COSTS

COSTS

Detailed Description of Incidental

28 EMP. PER DAY

SUBTOTAL

COSTS

INCIDENTAL COSTS

PROFIT

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 12 of 146298

A/E VA A/E VA A/E VA A/E VA A/E VA

NO. DAYS

NO. DAYS

NO. MTGS

NO. INSP. NO. DAYS

NO. INSP. NO. DAYS

48 PART I: INVESTIGATE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

49 PART II: DESIGN DEVELOPMENT

50 PART III: CONSTRUCTION DOCUMENTS

51 PART IV: CONSTRUCTION PERIOD SERVICES - (Line 27)

PART V: SITE VISITS, AT

CAPITULATION OF A/E PROPOSAL

(WITH CPS & SITE VISITS)

PRE-BID CONFERENCE (BIDDING PHASE)

EMP. PER DAY

ON-SITE CONSTRUCTION PROGRESS MEETINGS

EMP. PER DAY

PART III - SITE VISITS (CONTINUED)

EMP. PER DAY

SITE VISIT(S)

BEHIND WALL - ABOVE CEILING INSPECTION(S)

COSTSB. TRAVEL COSTS EMP. TRIPS TRAVEL COSTS PER DIEMEMP. DAYS

FINAL INSPECTION(S)

EMP. PER DAY40

EMP. PER DAY

42 NO. VISITS, ONE EMPLOYEE-DAY EACH

TOTAL A/E COST (Lines 48 + 49 + 50 + 51 + 52)

TOTAL COSTS FOR SITE VISITS - (Lines 38 + 46)

FOR A MAXIMUM OF: (Line 47)

PER VISIT

TOTAL TRAVEL COSTS

PRE-CONSTRUCTION CONFERENCE (POST AWARD)

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 13 of 146298

SIGNATURE:

DISTRIBUTION: (003C4A)-CC: AE and Proposed File

CERTIFICATION OF INTERIM EXEMPTION

The offeror certifies that, (i) the offeror first exceeded the monetary exemption for disclosure, as defined in (3) of this subsection, in the cost accouting period immediately proceeding the period in which this offer was submitted and (ii) in accordance with 48 CFR 9903.202-1, the offeror is not yet required to submit a Disclosure Statement. The offeror further certifies that if an award resulting from this proposal has not been made within 90 days after the end of that period, the offeror will immediately submit a revised certificate to the Contracting Officer, in the form specified under paragraph (c)(1) or (c)(2) of Part I of this provision, as appropriate, to verify submission of a completed Disclosure Statement.

Caution: Offerors currently required to disclose because they were awarded a CAS-covered prime contract of subcontract of $50 million or more in the current cost accouting period may not claim this exemption (4). Further, the exemption applies only in connection with proposals submitted before expiration of the 90-day period following the cost accounting period in which the monetary exemption was exceeed.

For Official Use Only (FOUO) To be Completed by the VA Estimator Responsible for the Preparation of the Independent Government Estimate (IGE)

DATE OF IGE: NAME AND TITLE:

ARCHITECT - ENGINEER FEE PROPOSAL

Certifications

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

Signature Date of Execution***

This is to certify that, to the best of my knowledge and belief, the cost or pricing data (as defined in section 2.101 of the Federal Acquisition Regulation (FAR) and required under FAR subsection 15.403-4) submitted, either actually or by specific identification in writing to the contracting officer or to the contracting officer's representative in support of

* are accurate, complete, and current as of **. This certification includes the cost or pricing data supporting any advance agreements and forward pricing rate agreements between the offeror and the Government that are part of the proposal.

PART VI - CERTIFICATIONS

CERTIFICATION OF CURRENT COST OR PRICING DATA

Name

NOTE: The Architect-Engineer shall check the certification below which is applicable to their enterprise, and if required, provide the necessary substantiating information.

CERTIFICATION OF CONCURRENT SUBMISSION OF DISCLOSURE STATEMENTS

Title

*Identify the proposal, request for price adjustment, or other submission involved, giving the appropriate identifying number (e.g., RFP no.).

** Insert the day, month, and year when price negotiations were concluded and price agreement was reached or, if applicable, an earlier date agreed upon between the parties that is as close as practicable to the date of agreement on price.

***Insert the day, month, and year of signing, which should be as close as practicable to the date when the price negotiations were concluded and the contract price was agreed to.

Firm

The offeror hereby certifies that, as part of the offer, copies of the Disclosure Statements as follows: (i) Original and one copy to the cognizant Contracting Officer or cognizant Federal agency official authorized to act in that capacity (Federal official), as applicable; and; (ii) one copy to the cognizant Federal auditor. (Disclosure must be on Form No. CASB DS-1 or CASB DS-2, as applicable. Forms may be obtained from the cognizant CO or Federal official.)

DATE OF DISCLOSURE STATEMENT NAME AND ADDRESS OF COGNIZANT CONTRACTING OFFICER WHERE FILED

The offeror further certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices in the Disclosure Statement.

CERTIFICATION FOR PREVIOUSLY SUBMITTED DISCLOSURE STATEMENT

The offeror hereby certifies that the Disclosure Statement was filed as follows:

DATE OF DISCLOSURE STATEMENT NAME AND ADDRESS OF COGNIZANT CONTRACTING OFFICER or FEDERAL OFFICIAL WHERE FILED

CERTIFICATION OF MONETARY EXEMPTION

The offeror hereby certifies that the offeror, together with all divisions, subsidiaries, and affiliates under common control, did not receive net awards of negotiated prime contracts and subcontracts subject to CAS totaling $50 million or more in the cost accounting period immediately proceeding the period in which the proposal was submitted. The offeror futher certifies if such status changes before an award resulting from this proposal, the offeror will advise the Contracting Officer immediately.

DATE

DATE

CONCUR - SIGNATURE AND TYPED NAME OF CONTRACTING OFFICER DATE

The offeror further certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices in the Disclosure Statement.

CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER

CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER

CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER

DATE

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

OCT 2021 INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES Page 14 of 146298

VA Form 6298, Architect-Engineer Fee Proposal Missie Vaccaro-Palomaki Bogdan Vaga

OAL

6298, Architect, Engineer, Fee, Proposal October 2021 October 2021 OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025 A/E

VA

1A 1B 1C 1D 1E 1F 1G 1H 1I 1J 2A 2B 2C 2D 2E 2F 2G 2H 2I 2J 2K 2L 2M 3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K 4A 4B 4C 4D 4E 4F 4G 4H 4I Drafter / CADD Technician Administrative Assistant Junior Fire Protection Engineer Senior Cost Estimator

FIRE PROTECTION

Senior Project Fire Protection Engineer

SUBTOTAL

Drafter / CADD Technician Engineering Technician Senior Cost Estimator Senior Project Geotechnical Engineer Junior Structural Engineer Junior Geotechnical Engineer Specification / Technical Writer Junior Landscape Architect Senior Project Environmental Engineer Junior Civil Engineer Senior Project Landscape Architect

SITE AND LANDSCAPING

Senior Project Civil Engineer

SUBTOTAL

Administrative Assistant Senior Cost Estimator Drafter / CADD Technician Junior Interior Designer Specification / Technical Writer Junior Architect Senior Project Interior Designer

PART I - INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

COSTS

ARCHITECTURAL

Senior Project Architect

A. SALARY COSTS

HOURLY SALARIES

LINE NO.

ELECTRICAL

NAME OF ARCHITECT / ENGINEER

TOTAL NUMBER OF DRAWINGS

ARCHITECTURAL

PROJECT TITLE AND LOCATION

SITE AND LANDSCAPING

STRUCTURAL AND BORINGS

FIRE PROTECTION

HEATING AND AIR CONDITIONING

PLUMBING

SUBTOTAL

ARCHITECT - ENGINEER FEE PROPOSAL

Investigative Services / Schematic Design / Other Related Services The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

ESTIMATED NUMBER OF CONTRACT DRAWINGS

DATE

Senior Project Structural Engineer Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician

STRUCTURAL AND BORINGS

Administrative Assistant Administrative Assistant

SUBTOTAL

A/E

VA

EMPLOYEE-HOURS

A/E

VA

VA FORM

OCT 2021

INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

Engineering Technician Junior Environmental Engineer Engineering Technician Specification / Technical Writer A/E A/E

VA

5A 5B 5C 5D 5E 5F 5G 5H 5I 6A 6B 6C 6D 6E 6F 6G 6H 6I 7A 7B 7C 7D 7E 7F 7G 7H 7I 8A 8B 8C 8D 8E 9A 9B 9C 9D 9E 9F 9G 9H 9I

SUBTOTAL

11A 11B 11C 11D 11E 11F 12A 12B 12C 12D 12E 12F

SUBTOTAL

Junior Designer Project Designer A/E

VA

A/E

VA

A/E

HOURLY SALARIES

COSTS

NO. DAYS

NO. PERS. REQUIRED

VA

COSTS

A/E

VA

A/E

TOTAL SALARY COSTS

B. MISCELLANEOUS SALARY COSTS

VA

A/E

VA

NO. DAYS

DESIGN STAFF SITE TRIPS

EMPLOYEE-DAYS

EMPLOYEE-HOURS

HOURLY SALARIES

Project Designer

NO. PERS. REQUIRED

Engineering Technician Junior Designer Engineering Technician

SUBTOTAL

Senior Project Electrical Engineer Senior Project Fire Protection Engineer Senior Project Mechanical Engineer Senior Project Plumbing Engineer

QA/QC REVIEWS

Senior Project Architect Senior Project Structural Engineer

DESIGN REVIEW TRIPS

EMPLOYEE-DAYS

EMPLOYEE-HOURS

PROJECT MANAGEMENT

Principal Administrative Assistant Senior Cost Estimator Drafter / CADD Technician Junior Electrical Engineer Specification / Technical Writer Engineering Technician

ELECTRICAL

Senior Project Civil Engineer Senior Project Electrical Engineer Administrative Assistant Senior Cost Estimator Drafter / CADD Technician Junior Plumbing Engineer Specification / Technical Writer Engineering Technician Administrative Assistant

SUBTOTAL

PLUMBING

Senior Project Plumbing Engineer Senior Cost Estimator Drafter / CADD Technician Specification / Technical Writer Senior Project Mechanical Engineer PART I - INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES (Continued)

COSTS

VA

A. SALARY COSTS

EMPLOYEE-HOURS

HEATING AND AIR CONDITIONING

Engineering Technician

HOURLY SALARIES

Junior Mechanical Engineer

LINE NO.

SUBTOTAL

SUBTOTAL

SUBTOTAL

VA FORM

OCT 2021

INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025 13A 13B 13C 13D 13E 13F 19A 19B 19C 19D 19E 19F 20A 20B 20C 20D 20E 20F 21A 21B 21C 21D 21E 21F 22A 22B 22C 22D 22E 22F 23A 23B 23C 23D 23E 23F 24A 24B 24C 24D 24E 24F *The 6% fee limitation does not apply to Investigative Services / Schematic Design or Other Related Services. See VAAR 836.606-71 / VAAM M836.606-73 for further details.

*Design Staff Site Trips = trips for site surveying, meeting with COR/End Users to gather data/input, etc.

*Design Review Trips = trips for the AE to present deliverables of a particular phase as an on-site meeting *The SOW will dictate how many Design Staff Site Trips & Design Review Trips are anticipated for the design project. The CO, COR and the AE will negotiate final number of trips and disciplines needed for those trips.

TOTAL INCIDENTAL COSTS

*TOTAL INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES COSTS - (Lines 18 +25)

NOTES:

SD Drawings

SUBTOTAL

EMPLOYEE-HOURS

SD Specifications SD Cost Estimate Investigative Services Reports / Material

[OTHER INCIDENTALS]

COSTS

SUBTOTAL

COSTS

VA

A/E

VA

First Second Third

SUBTOTAL

Fourth

DESIGN REVIEW TRIPS

SUBTOTAL

A/E

VA

A/E

COSTS

A/E

VA

A/E

VA

A/E A/E SURVEYS / INVESTIGATIONS, as applicable Site / Topographic Survey Soil Survey / Tests Geotechnical / Subsurface Exploration

VA

A/E A/E C. INCIDENTAL COSTS (Continued)

COSTS

VA

Second

PROFIT

TOTAL SALARY PROPOSAL -

(Lines 15 + 16 + 17)

C. INCIDENTAL COSTS

DESIGN STAFF SITE TRIPS

COSTS

A/E

VA

A/E

VA

DETAILED DESCRIPTION OF INCIDENTAL

A/E

VA

SUBTOTAL

TOTAL MISCELLANEOUS SALARY COSTS

TOTAL SALARY COSTS -

(Lines 10 + 14)

OVERHEAD

% OF LINE 15

NO. DAYS

NO. PERS. REQUIRED

Fourth

TRAVEL COSTS

PER DIEM

Third

EMP. TRIPS

First Second

[OTHER AUTHORIZED TRIPS]

First

NO. PERS. REQUIRED

COSTS

EMP. TRIPS

TRAVEL COSTS

DETAILED DESCRIPTION OF INCIDENTAL

PER DIEM

SUBTOTAL

Test Borings / Test Pits REPRODUCTION OF REVIEW DOCS, as applicable

NO. DAYS

NO. PERS. REQUIRED

Fourth B. MISCELLANEOUS SALARY COSTS (Continued)

[OTHER AUTHORIZED TRIPS]

HOURLY SALARIES

NO. DAYS

DETAILED DESCRIPTION OF INCIDENTAL

EMP. TRIPS

PER DIEM

VA

NO. PERS. REQUIRED

A/E

VA

VA

EMPLOYEE-DAYS

A/E

COSTS

A/E

VA

SUBTOTAL

A/E

VA

A/E

LINE NO.

EMP. TRIPS

TRAVEL COSTS

Third

NO. DAYS

REMARKS

VA

VA

A/E

VA

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021

INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

EMP. TRIPS

EMP. TRIPS

A/E

VA

1A 1B 1C 1D 1E 1F 1G 1H 1I 1J 2A 2B 2C 2D 2E 2F 2G 2H 2I 2J 2K 2L 2M 3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K 4A 4B 4C 4D 4E 4F 4G 4H 4I

ARCHITECTURAL

Senior Project Architect

ARCHITECT - ENGINEER FEE PROPOSAL

Design Development The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

ESTIMATED NUMBER OF CONTRACT DRAWINGS

DATE

ARCHITECTURAL

PROJECT TITLE AND LOCATION

SITE AND LANDSCAPING

STRUCTURAL AND BORINGS

FIRE PROTECTION

HEATING AND AIR CONDITIONING

PLUMBING

PART II - DESIGN DEVELOPMENT

COSTS

ELECTRICAL

NAME OF ARCHITECT / ENGINEER

TOTAL NUMBER OF DRAWINGS

HOURLY SALARIES

Junior Architect Senior Project Interior Designer Junior Interior Designer Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

SITE AND LANDSCAPING

Senior Project Civil Engineer Junior Civil Engineer Senior Project Landscape Architect Junior Landscape Architect Senior Project Environmental Engineer Junior Environmental Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

STRUCTURAL AND BORINGS

Senior Project Structural Engineer Junior Structural Engineer Senior Project Geotechnical Engineer Junior Geotechnical Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

FIRE PROTECTION

Senior Project Fire Protection Engineer Junior Fire Protection Engineer Enginnering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

A/E

VA

A. SALARY COSTS

LINE NO.

A/E

VA

EMPLOYEE-HOURS

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021

INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

A/E A/E

VA

5A 5B 5C 5D 5E 5F 5G 5H 5I 6A 6B 6C 6D 6E 6F 6G 6H 6I 7A 7B 7C 7D 7E 7F 7G 7H 7I 8A 8B 8C 8D 8E 9A 9B 9C 9D 9E 9F 9G 9H 9I 11A 11B 11C 11D 11E 11F 12A 12B 12C 12D 12E 12F

SUBTOTAL

Senior Project Electrical Engineer Specification / Technical Writer Senior Cost Estimator PART II - DESIGN DEVELOPMENT (Continued)

LINE NO.

A. SALARY COSTS

EMPLOYEE-HOURS

HOURLY SALARIES

COSTS

VA

HEATING AND AIR CONDITIONING

Senior Project Mechanical Engineer Junior Mechanical Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician

PLUMBING

Senior Project Plumbing Engineer Administative Assistant Junior Plumbing Engineer Engineering Technician Drafter / CADD Technician Administrative Assistant

SUBTOTAL

ELECTRICAL

Senior Project Electrical Engineer Junior Electrical Engineer Engineering Technician Specification / Technical Writer Senior Cost Estimator Drafter / CADD Technician Administrative Assistant

SUBTOTAL

PROJECT MANAGEMENT

Principal

SUBTOTAL

QA/QC REVIEWS

Senior Project Architect Senior Project Civil Engineer Senior Project Structural Engineer Senior Project Fire Protection Engineer

COSTS

Senior Project Mechanical Engineer Senior Project Plumbing Engineer A/E

VA

SUBTOTAL

TOTAL SALARY COSTS

B. MISCELLANEOUS SALARY COSTS

LINE NO.

DESIGN STAFF SITE TRIPS

EMPLOYEE-DAYS

EMPLOYEE-HOURS

HOURLY SALARIES

A/E

VA

Project Designer

NO. DAYS

NO. PERS. REQUIRED

A/E

VA

Junior Designer Engineering Technician

SUBTOTAL

DESIGN REVIEW TRIPS

EMPLOYEE-DAYS

EMPLOYEE-HOURS

HOURLY SALARIES

COSTS

NO. DAYS

NO. PERS. REQUIRED

A/E

VA

A/E

VA

A/E

VA

Project Designer Junior Designer Engineering Technician

SUBTOTAL

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021

INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

13A 13B 13C 13D 13E 13F 19A 19B 19C 19D 19E 19F 20A 20B 20C 20D 20E 20F 21A 21B 21C 21D 21E 21F 22A 22B 22C 22D 22E 22F 23A 23B 23C 23D 23E 23F 24A 24B 24C 24D 24E 24F B. MISCELLANEOUS SALARY COSTS (Continued)

[OTHER AUTHORIZED TRIPS]

EMPLOYEE-DAYS

EMPLOYEE-HOURS

HOURLY SALARIES

COSTS

NO. DAYS

NO. PERS. REQUIRED

A/E A/E

VA

VA

A/E

VA

SUBTOTAL

TOTAL MISCELLANEOUS SALARY COSTS

TOTAL SALARY COSTS -

(Lines 10 + 14)

OVERHEAD

% OF LINE 15

PROFIT

TOTAL SALARY PROPOSAL - (Lines 15 + 16 + 17)

C. INCIDENTAL COSTS

LINE NO.

DESIGN STAFF SITE TRIPS

EMP. TRIPS

TRAVEL COSTS

PER DIEM

COSTS

NO. DAYS

NO. PERS. REQUIRED

A/E

VA

A/E

VA

A/E

VA

A/E

VA

A/E

VA

First Second Third Fourth

SUBTOTAL

DESIGN REVIEW TRIPS

EMP. TRIPS

TRAVEL COSTS

PER DIEM

A/E

VA

COSTS

NO. DAYS

NO. PERS. REQUIRED

A/E

VA

A/E

VA

A/E

VA

A/E

VA

First Second Third Fourth

SUBTOTAL

[OTHER AUTHORIZED TRIPS]

EMP. TRIPS

TRAVEL COSTS

PER DIEM

A/E

VA

COSTS

NO. DAYS

NO. PERS. REQUIRED

A/E

VA

A/E

VA

A/E

VA

A/E

VA

First Second Third Fourth

SUBTOTAL

C. INCIDENTAL COSTS (Continued) REPRODUCTION OF REVIEW DOCS, as applicable

DETAILED DESCRIPTION OF INCIDENTAL

COSTS

DD Drawings DD Specifications

SUBTOTAL

RENDERINGS

DETAILED DESCRIPTION OF INCIDENTAL

COSTS

Exterior Perspective Interior Perspective Site Plan Floor Plan

SUBTOTAL

[OTHER INCIDENTALS]

DETAILED DESCRIPTION OF INCIDENTAL

SUBTOTAL

TOTAL INCIDENTAL COSTS

*The 6% fee limitation applies to Lines 1 - 21. It does not include incidental costs for reproduction,etc. See VAAR 836.606-71 / VAAM M836.606-73 for further details.

*Design Staff Site Trips = trips for site surveying, meeting with COR/End Users to gather data/input, etc.

*Design Review Trips = trips for the AE to present deliverables of a particular phase as an on-site meeting *The SOW will dictate how many Design Staff Site Trips & Design Review Trips are anticipated for the design project. The CO, COR and the AE will negotiate final number of trips and disciplines needed for those trips.

COSTS

*TOTAL DESIGN DEVELOPMENT COSTS - (Lines 18 +25)

NOTES:

REMARKS

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021

INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

EMP. TRIPS

EMP. TRIPS

EMP. TRIPS

A/E

VA

1A 1B 1C 1D 1E 1F 1G 1H 1I 1J 2A 2B 2C 2D 2E 2F 2G 2H 2I 2J 2K 2L 2M 3A 3B 3C 3D 3E 3F 3G 3H 3I 3J 3K 4A 4B 4C 4D 4E 4F 4G 4H 4I

SUBTOTAL

Drafter / CADD Technician Administrative Assistant Specification / Technical Writer Senior Cost Estimator Junior Fire Protection Engineer Enginnering Technician

SUBTOTAL

FIRE PROTECTION

Senior Project Fire Protection Engineer Administrative Assistant Senior Cost Estimator Drafter / CADD Technician Engineering Technician Specification / Technical Writer Senior Project Geotechnical Engineer Junior Geotechnical Engineer Senior Project Structural Engineer Junior Structural Engineer

SUBTOTAL

STRUCTURAL AND BORINGS

Drafter / CADD Technician Administrative Assistant Specification / Technical Writer Senior Cost Estimator Junior Environmental Engineer Engineering Technician Junior Landscape Architect Senior Project Environmental Engineer Junior Civil Engineer Senior Project Landscape Architect

SUBTOTAL

SITE AND LANDSCAPING

Senior Project Civil Engineer Administrative Assistant Senior Cost Estimator Drafter / CADD Technician Junior Interior Designer Specification / Technical Writer Junior Architect Senior Project Interior Designer

COSTS

ARCHITECTURAL

Senior Project Architect

A. SALARY COSTS

HOURLY SALARIES

EMPLOYEE-HOURS

TOTAL NUMBER OF DRAWINGS

PART III - CONSTRUCTION DOCUMENTS

STRUCTURAL AND BORINGS

FIRE PROTECTION

HEATING AND AIR CONDITIONING

PLUMBING

ELECTRICAL

NAME OF ARCHITECT / ENGINEER

A/E

VA

SITE AND LANDSCAPING

ARCHITECT - ENGINEER FEE PROPOSAL

Construction Documents The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This form or other agreed upon format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.

ESTIMATED NUMBER OF CONTRACT DRAWINGS

DATE

ARCHITECTURAL

PROJECT TITLE AND LOCATION

LINE NO.

A/E

VA

OMB Number: 2900-0208 Estimated Burden: 4 hours Expiration date: 2/28/2025

VA FORM

OCT 2021

INVESTIGATIVE SERVICES / SCHEMATIC DESIGN / OTHER RELATED SERVICES

A/E A/E

VA

5A 5B 5C 5D 5E 5F 5G 5H 5I 6A 6B 6C 6D 6E 6F 6G 6H 6I 7A 7B 7C 7D 7E 7F 7G 7H 7I 8A 8B 8C 8D 8E 9A 9B 9C 9D 9E 9F 9G 9H 9I 11A 11B 11C 11D 11E 11F 12A 12B 12C 12D 12E 12F Senior Project Electrical Engineer

SUBTOTAL

Engineering Technician Project Designer Junior Designer

COSTS

NO. DAYS

NO. PERS. REQUIRED

A/E

VA

A/E

VA

A/E

VA

SUBTOTAL

DESIGN REVIEW TRIPS

EMPLOYEE-DAYS

EMPLOYEE-HOURS

HOURLY SALARIES

Junior Designer Engineering Technician A/E

VA

Project Designer

NO. DAYS

NO. PERS. REQUIRED

A/E

VA

A/E

VA

SUBTOTAL

TOTAL SALARY COSTS

B. MISCELLANEOUS SALARY COSTS

LINE NO.

DESIGN STAFF SITE TRIPS

EMPLOYEE-DAYS

EMPLOYEE-HOURS

HOURLY SALARIES

COSTS

Senior Project Mechanical Engineer Senior Project Plumbing Engineer Senior Project Civil Engineer Senior Project Structural Engineer Senior Project Fire Protection Engineer

SUBTOTAL

QA/QC REVIEWS

Senior Project Architect

SUBTOTAL

PROJECT…

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