EXHIBIT D - Calculation of Self Performance Tomo.pdf

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C1DZ--Design Build Project for Radiation Therapy Tomotherapy Upgrade at VAPHS University Drive
Solicitation number
36C24420R0066
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This document contains a calculation worksheet for a design build project solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4. The solicitation seeks proposals for a design build project to upgrade the radiation therapy tomotherapy at the VA Pittsburgh Healthcare System University Drive campus. Offerors must provide at least 25% of the total contract costs from personnel expenses from the prime contractor or other eligible service-disabled veteran owned small businesses. The worksheet requires offerors to break down costs by specification division for personnel, materials, equipment, overhead, profit, and bonds. Instructions are provided on how to calculate the percentage of work to be self-performed.

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1. CALCULATION WORKSHEET FOR SELF-PERFORMED AND SUBCONTRACTED

WORK

CALCULATION OF SELF-PERFORMED/SUBCONTRACTED WORK (Phase II).

Offerors for Construction (NAICS code 236220) must provide at least 25 percent (25% performance compliance for this specialty trade NAICS code) of the cost of the contract performance incurred for personnel as spent on the concern's employees or on the employees of other eligible service-disabled veteran-owned small business concerns. Provide a breakdown of material and personnel costs, by specification division listed, for the project. Home Office overhead, profit/fee and bond costs shall be added after a subtotal of personnel and material/Equipment costs has been calculated. Clearly identify the personnel costs you will be performing, and the personnel costs of other eligible service disabled veteran-owned small business concerns. Below is a suggested format.

Specification

Division

SDVOSB Vendor (Y or N) Personnel Cost Material/Equipment Costs

Division 01 $ $

Division 02 $ $

Division 03 $ $

(Add additional lines as necessary for each Division applicable to this project)

Sub Total (Personnel Costs, Material / Equipment Costs)

Profit $

Home Office Overhead $

Bond $

Grand Total $

Calculation of self-performed personnel costs:

1. Total personnel costs * both prime and all subcontractors: $_______________

2. Subtract all subcontractor personnel costs* that are not SDVOSB companies that will perform work on this contract: $_______________

3. Remainder is ‘Total amount of work to be self-performed this Contract’: $_______________

4. Self-performed work = Line 3/Line 1 x 100 = ______________%

*personnel costs include labors, mechanics, other tradesmen, and office personnel directly charged to the project (includes project manager, job superintendent, administrative, estimators, etc.)

I certify the above representations are true and correct to the best of my knowledge.

(Signature and Typed Name of Authorized Representative) Date

(Title of Authorized Representative)

1. CALCULATION WORKSHEET FOR SELF-PERFORMED AND SUBCONTRACTED WORK

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