ATTH 3 Incentives Summary .docx

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HUD Nationwide Construction Inspection Services
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SOLICITATION-86614121R00001
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ATTACHMENT #3

SAMPLE

INCENTIVES/DISINCENTIVES

SUMMARY

Sample Invoice and Incentives/Disincentives Summary

SAMPLE INVOICE

(on Company Letterhead)

INVOICE NO.
NAME (Contractor):DATE:
ADDRESS (Contractor):PHONE NO.

FAX NO.

HUD CONTRACT NO.

I(A)
(13)

PROJECT NAME

Task Order # TOOOX

LOCATION (city/state)
Date of

Insp.

(see attached 95379's)

Date Contractor Signed Builders Requisition
Monthly Inspections which Include a Builder's Draw, Final Completion Draw ( fixed price)
Monthly Construction Inspections & Warranty Inspection if needed

( fixed price)

(type of funds, MFTDP, CAV, or IAC) One Page for Each Task Order

$
$
$
$
$
$
$
$
$
$
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$
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$
$
$
$
$
$
$
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$
$
$
$
$
SUBTOTALS-*
$

List of Documents and Other Attachments CONSTRUCTION INSPECTION SERVICES Sample Invoice and Incentives/Disincentives Summary Sample incentives/disincentives summary

INCENTIVES (PRS#)

5.1, 5.2, 5.3, 5.4 2% of Column A & B Subtotals from previous page = $ (> 98% of HUD-95379’s, photographs and other attachments acceptable to HUD and submitted within 7 business days of inspection)

5.3.2.3 2% of Column A Subtotal from previous page = $ (> 98% of all builder’s requisition copies submitted to HUD for the month are acceptable and submitted within 7 business days of signing)

TOTAL (INCENTIVES)= $

DISINCENTIVES (PRS#)

5.1.2.3 5% of the fixed price per inspection. Construction start letters to HUD within 07 business days of receipt. List all projects failing for month and sum.

5.1, 5.2, 5.3, 5.4 3% of Column A & B Subtotals from previous page = $ (under 95% of HUD-95379’s, photographs and other attachments acceptable to HUD and submitted within 7 business days of inspection)

5.1.2 5% of Column A Subtotal from previous page = $ (under 100% of contractor’s monthly site visits/inspections coincide with date contractor signs builder’s requisition)

5.3.2.3 3% of Column A Subtotal from previous page = $ (under 95% of all builder’s requisition copies submitted to HUD for the month are acceptable and submitted within 7 business days of signing) 5.3.8, 5.3.8.1 5% of the fixed price per inspection times the number of inspections completed for the project(s) listed below. Complete Construction Record not submitted to HUD within 7 business days after the HUD final completion.

List all projects failing and sum disincentives.

= $
TOTAL (DISINCENTIVES)=$
TOTAL (INCENTIVES)= $
TOTAL (DISINCENTIVES)= $(subtract from Total Incentives)
DIFFERENCE= $(If positive number enter on line A below,

if negative number enter on line B.)

A. $ (1) _____ % to be paid from Task Order # ______ (MTF) = $

(2) _____ % to be paid from Task Order # ______ (CAV) = $

(3) _____ % to be paid from Task Order # ______ (CAI) = $ (Calculate percentage based on the number of inspections performed under each funding code within the total number of inspections performed during the month.)

B. $ Indicate from which Task Order voucher(s) this amount is deducted:

(divide equally among all projects which had unacceptable work T.O. #_______ (Project Name) = $ T.O. #_______ (Project Name) = $ T.O. #_______ (Project Name) = $ T.O. #_______ (Project Name) = $ T.O. #_______ (Project Name) = $

CONTRACTOR SIGNATURE

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