EXHIBIT 2B - FORM 60.xlsx

XLSX spreadsheet 31 KB Posted

Attached to
Third Party Administrator (TPA) Conflict Claims. Amendment 1 added. update 8/27
Solicitation number
PS143950
Issued by
California

About this file

Summary

This is Form 60, a Professional Services Cost/Price Summary template used by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for solicitations and contract proposals. The form is designed for vendors bidding on professional services contracts to provide detailed cost and pricing data breakdowns. The template encompasses direct labor costs organized by position type (Claims Adjuster, Claims Supervisor, Claims Assistant), labor overhead calculations, direct materials, equipment, subcontractor costs, other direct costs, travel expenses, general and administrative expenses, and profit/fee margins. All cost elements are structured to roll up into a total estimated price, with provisions for milestone or task-based payment schedules. The form requires proposers to identify their home office address, divisions and locations where work will be performed, and the applicable LACMTA solicitation or contract number.

The document includes mandatory certification sections requiring proposers to affirm that cost or pricing data is accurate, complete, and current as of the date of submission, and that labor rates and overhead costs reflect generally accepted accounting principles. Proposers must disclose any prior government agency audits of their accounts, overhead rates, and general and administrative rates within the past twelve months, and must grant LACMTA's Contracting Officer the right to examine supporting records, books, documents, accounting procedures, and other cost substantiation materials. The certificate also requires disclosure of any third-party solicitation or commission arrangements related to contract procurement, with authorized representatives required to sign and date the submission to certify the accuracy of all cost and pricing data presented.

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File Type Posted
EXHIBIT 7 - LIST OF COMPLETED CONTRACTS - LAST FIVE (5) YEARS.pdf PDF
EXHIBIT 5 - PROPOSAL LETTER.pdf PDF
FORM 4 - SBE AFFIRMATION.pdf PDF
FORM 1 - SBE PROPOSED SUBCONTRACTORS & SUPPLIERS.pdf PDF
RFP No. PS143950 - Third Party Administrator (TPA) Conflict Claims.pdf PDF
EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS).pdf PDF
EXHIBIT 6 - LIST OF CURRENT CONTRACTS - BACKLOG.pdf PDF
EXHIBIT B - PRICING AGREEMENT.pdf PDF
EXHIBIT 9 - GENERAL CERTIFICATIONS.pdf PDF
EXHIBIT 2A - SCHEDULE OF QUANTITIES AND PRICES.xlsx XLSX spreadsheet
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
FORM 3 - SBE BUSINESS DATA SHEET.pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
EXHIBIT 8 - ETHICS DECLARATION.pdf PDF
EXHIBIT A - SCOPE OF SERVICES.pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL (SET-ASIDE).pdf PDF
FORM 5 - SBE BIDDERS LIST.pdf PDF
EXHIBIT 4 - LIST OF CERTIFIED FIRMS (RESERVED).pdf PDF
EXHIBIT 2B - FORM 60 INSTRUCTIONS - PROFESSIONAL SERVICES COST_PRICE SUMMARY.pdf PDF
RFP No. PS143950 - Amendment No. 1.pdf PDF
EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf PDF
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY PROPOSER.pdf PDF
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS (RESERVED).pdf PDF
EXHIBIT F - RELEASE OF CLAIMS.pdf PDF
EXHIBIT 3 - EVALUATION CRITERIA.pdf PDF
FORM 2 - SBE AFFIDAVIT.pdf PDF
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Text version

Sheet1 Name of Offeror/Contractor End-Item Deliverable

Home office address

Division(s) and Locations where Work is to be performed LACMTA Solicitation/Proposal/Contract Number/Change Notice/Change Order Number:

NOTE: For proper calculations of cost elements link additional sheets to this summary page.
1.Direct LaborEst. HoursRate Per HourEst. CostTOTAL
2.Claims Adjuster0.00$0.00$0.00
3.Claims Supervisor0.00$0.00$0.00
4.Claims Assistant0.00$0.00$0.00
5.TOTAL DIRECT LABOR HOURS0.00TOTAL DIRECT LABOR$0.00
6.Labor Overhead (O/H)O/H Ratex BaseEst. Cost
7.0%$0.00
8.TOTAL LABOR OVERHEAD$0.00
9.Direct MaterialEst. Cost
10.a. Purchase Parts$0.00
11.b. Subcontracted items$0.00
12.c. Other$0.00
13.TOTAL DIRECT MATERIAL$0.00
14.EquipmentUnit CostEst. Cost
15.$0.00$0.00
16.$0.00$0.00
17.TOTAL EQUIPMENT$0.00
18.SubcontractorsEst. Cost
19.$0.00
20.$0.00
21.$0.00
22.TOTAL SUBCONTRACTORS$0.00
23.TOTAL BURDENED COST (add lines 5, 8, 13, 17 and 22)$0.00
24.Other Direct CostsEst. Cost
25.$0.00
26.$0.00
27.$0.00
28.TOTAL OTHER DIRECT COSTS$0.00
29.TravelEst. Cost
30.a. Transportation$0.00
31.b. Per Diem or Subsistence$0.00
32.TOTAL TRAVEL$0.00
33.General and Administrative ExpenseRate %% x Line 23
34.0%$0.00
35.TOTAL GENERAL AND ADMINISTRATIVE EXPENSE$0.00
36.TOTAL ESTIMATED COSTS (Total Lines 23, 28, 32 and 35)$0.00
37.Profit/FeeTotal Labor and Overhead
(line 5 + line 8)Rate %% x Total Labor and Overhead
38.$0.000%$0.00
39.TOTAL FEE$0.00
40.TOTAL ESTIMATED PRICE (Total of Lines 36 and 39)$0.00
41.Milestone
/Task NumberMilestones/TasksHoursCompletion DatePayment Amount
42.$0.00
43.$0.00
44.$0.00
45.TOTAL MILESTONES/TASKS (Must equal line 40)$0.00
* Attach Form 60 for all proposed subcontracts.
46.Fill in applicable sections only
47. Has any Agency of the United States Government, State government, local public agency or the Los Angeles County Metropolitan Transportation Authority (LACMTA) performed any review of your account or records, overhead rates and general and administrative rates in connection with any public prime contract or subcontract within the past twelve months? Yes No If yes, when? Reference Contract No.

48.a. Agency Name/Address 48.b. Individual to contact/Telephone Number

49. As required by LACMTA, firms not audited, as described above, shall submit financial data and calculations in sufficient detail to support all proposed direct costs and subcontractor costs.
50. The proposal reflects our estimates and/or actual costs as of the date and by submitting this proposal, Proposer/Consultant grants to LACMTA Contracting Officer and authorized representative(s) the right to examine, at any time before award, those records, which include books, documents, accounting procedures and practices, and other supporting data, regardless of type and form or whether such supporting information is specifically referenced or included in the proposal as the basis for pricing, that will permit an adequate evaluation of such cost or pricing data, along with the computations and projections used therein, for the purpose of verifying the cost or pricing data submitted. This right may also be exercised in connection with any negotiations/discussions prior to contract award or execution of contract modification.
51.CERTIFICATE
The labor rates and overhead costs are current and other estimated costs have been determined by generally accepted accounting principles. Proposer/Consultant represents: (a) that it has , has not , employed or retained any company or person (other than a full time bona fide employee working solely for the Proposer/Consultant) to solicit or secure a contract, and (b) that it has , has not , paid or agreed to pay to any company or person (other than a full time bona fide employee working solely for the Proposer/Consultant) any fee, commission, percentage or brokerage fee, contingent upon or resulting from the award of this contract, and agrees to information relating to (a) and (b) above, as requested by the Contracting Officer.
52.CERTIFICATE OF CURRENT COST OR PRICING DATA
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 Regulations (FAR) and required under subsection 15.403-4) submitted, either actually or by specific identification in writing, to LACMTA's Contracting Officer or to LACMTA's 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 Proposer/Consultant/Contractor and LACMTA that are a part of the proposal.
53. This proposal as submitted represents our best estimates and/or actual costs as of this date.
54. Type Name and Title of Authorized RepresentativeSignatureDate***
55.* Identify the proposal, quotation, request for price adjustment, or other submission involved, giving appropriate identifying number (e.g. Information For Bid No., Request for Proposal No., Change Order No., Modification No., etc.)
56.** Insert the day, month and year when price negotiations were concluded and price agreement was reached.
57.*** Insert the day, month and year of signing (i.e., When price negotiations were concluded and mutual agreement was reached on contract price).

&"Arial,Bold"&22FORM 60

PROFESSIONAL SERVICES

COST/PRICE SUMMARY

PS Rev 06.02.17 Page&P

Sheet2

Sheet3

File details come from the government source that posted it. Updated .