Contract Att01 - CDRL B002 - OTA Invoice Review Report_Template_08.12.2025.docx

Volume I Proposal Title Goes Here

Transmittal Number: ## U.S. Department of Homeland Security Transportation Security Administration

Attention: OTA COR

References: (1) Contract Number:

(2) Task Order:

Dear Mr. / Mrs.

The Invoice Review Team has reviewed the subject invoice and makes the following recommendation:

Total Invoice:

Airport Adjustment:

Technically Questioned

TSA Eligible:

TSA Share @ 90%:

TSA Retainage @ -10%:

Rounding Adjustment:

Net Recommended Payment:

Net Paid to Date:

Total Obligated:

Contingency NTE:

Contingency Used:

Contingency Remaining:

Overall Approved Funds NTE:

Overall Approved Funds Used:

Overall Approved Funds Remaining:

% of Approved Funds Used:

This invoice recommendation package contains all supporting documents and pertinent comments. Should you or your staff have any questions or require additional information, please contact the undersigned.

Sincerely, cc: Contracting Officer

Airport Code OTA XXX Invoice # Month/Day/Year

Project: Short description of project

Budget: Summary of costs, costs share, contingency, NTE Amount

OTA funding is outlined as follows:

A percentage of all submitted costs identified by TSA as allowable, allocable, and reasonable shall be retained by TSA until certain milestones of the Project are completed, and will be reimbursed to the CCAA upon successful completion of the following Milestones:

Note 1

Note 2:

Schedule: The term of this Agreement shall be from the date of execution of the Agreement XXXX until XXXX. (POP of the OTA)

Proof of payment: Description of proof of payment

VENDOR INVOICES: $00.00

XYZ Engineering: $00.00 XYZ Engineering provides Project Management and Construction Administration services for the new CBIS construction project at ABC Airport.

Two (2) invoices were submitted from XYZ Engineering totaling $00.00, of which 100% was allowable and allocable. Work was performed during the months of March and April YYYY The reviewer requested and received the subcontractor invoices to document the XYZ Engineering invoices. Reconciliation to subcontractor invoices was enabled when informed that the Personnel Management portion of the invoice is progress based and includes a 5% mark-up.

The amount eligible for TSA reimbursement is $00.00

ABC Construction Corp.: $XXX.XX ABC Construction Corporation serves as the Prime Construction Contractor for the new CBIS construction project at XXX Airport.

Two (2) invoices were submitted from ABC Construction totaling $XXX.XX. ABC pay application 6-Revised contained a change order in the amount of $XX.XX prior to Sponsor retainage. After the Sponsor retainage of 10% is applied, the TSA eligible is reduced by $XX.XX. Work was performed during the months of January and February YYYY.

The amount eligible for TSA reimbursement is $XXX.XX

ACME Personnel: $XXX.XX ACME Personnel provide Project Management services. The OTA specifies a Not to Exceed TSA share of $XX.XX for XXX airport personnel costs.

Two (2) invoices were submitted from XXX Airport Authority for personnel project management services totaling $XXX.XX of which 100% was allowable and allocable. Work was performed during the months of January and February YYYY. The TSA share of these costs is 100%.

The amount eligible for TSA reimbursement is $X,XXX.XX.

PROGRESS REPORT:

Status as of March 15, YYYY:

· Airport reports 10% of the work scheduled completed.

· XX% of total costs budgeted for the project have been spent to date.

· Airport reports project within budget.

Work Performed this Pay Period:

· Continued installation for the electrical power and data raceways for the Temporary Screening Facility (TSF).

· Completed installation of the HVAC system for the TSF.

· Installation started for the BHS to support the TSF.

· Final activities to complete the BHS right of way continued.

Upcoming Activities:

· Continue current activities toward the completion of the Temporary BHS installation.

CURRENT WORK ESTIMATE (CWE):

BHS COSTS

OTHER CONSTRUCTION COSTS

CONTRACTOR MARK UPS

CCTV IT

HARD COSTS

SOFT COSTS

TOTAL COSTS

* To Date totals in the CWE reflect the actual cost of work performed prior to Airport/Sponsor retainage.

SITE LEAD COMMENTS:

FINANCIAL SUMMARY:

Invoice 03R Reimbursement Request 4

CBIS Project Costs

Contingency

Airport Personnel Project Management*

Total Request:

Adjustments:

Net Recommended Payment:

Paid to Date (including this invoice):

OTA Obligated Remaining Balance:

(to Date) Balance

CBIS Project Costs

Contingency

Airport Personnel Project Management*

TOTALS (including this invoice):

* Airport Personnel Project Management reimbursed at a TSA Share of 100% until NTE

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