Bid_Schedule _Basic_Year_Ordering_Period.docx

FA2521-14-R-0001 15 December 2014

***BID SCHEDULE PRICING WORKSHEET****

Complete all CLINs. The unit of issue for each Sub CLIN is defined as follows: CWT refers to Net Hundredweight, Miles refer to Per Loaded Mile, and Shipment refers to Each Shipment.

BASIC ORDERING PERIOD

Contractor Capacity: Contractor Capacity is the total capacity of the offeror to provide pick-up and/or delivery of personal property during one working day between 0800-1700, excluding Saturday, Sunday, National, State, and local holidays, as measured in CWT. The offeror will assure this capacity is available to meet Government requirements before being committed to non-Government requirements.

Government’s Estimated Maximum Daily Capacity Government’s Minimum Acceptable Daily Capacity Bidder’s Guaranteed Daily Capacity

Outbound Schedule I

CWT

CWT

CWT

Inbound Schedule II

CWT

CWT

CWT

Local Moves Schedule III

CWT

CWT

CWT

SCHEDULE I-OUTBOUND SERVICES

CLIN 0001. Complete Service - Outbound Household Goods (HHGs). Services must include premove survey, servicing of appliances, disassembly of furniture, packaging, inventorying, tagging, wrapping, padding, packing and bracing of household goods in Government-owned and furnished shipping containers (Shipping Container Commercial Spec ASTM-D4169-01, SDDC Pamphlet 55-12) at member’s/employee's residence, or at contractor's facility when ordered by the contracting officer, properly securing and sealing for shipment, weighing, obliterating old markings, marking, strapping, and drayage of the container within an area of performance. Service must also include loading of shipments on line-haul carrier's equipment at the contractor's facility. When containers must not accommodate all articles of any one lot, loose articles must be packed in the said containers before any over-packed articles are placed therein. Overflow, oversize and other shipments must be paid for under CLIN 0003. SDDC fuel surcharge rate will apply to 25% of the unit price for this item.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0001AA At member/employee residence: 400 NCWT _______ / ________ Container, Commercial Spec ASTM-D4169-01, or SDDC Pam. 55-12

0001AB At contractor’s Facility: Container, 50 NCWT _______ / ________ Commercial Spec ASTM-D4169-01, or SDDC Pam. 55-12

TOTAL CLIN 0001 $____________

CLIN 0002. Outbound (HHG From Nontemporary Storage). Service must be the same as CLIN 0001 above except that: (a) HHG must be picked up at a nontemporary storage facility and transported to contractor's facility; or (b) HHG must be delivered to contractor's facility; and (c) premove survey, servicing of appliances, preliminary packing and accessorial services are not included. Overflow articles requiring containerization must be paid for under CLIN 0003. SDDC fuel surcharge rate will apply to 25% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0002AA Pickup by contractor: Container, 200 NCWT _______ / ________ Commercial Spec ASTM-D4169-01, or SDDC Pam. 55-12

0002AB Delivered to contractor: Container, 150 NCWT _______ / ________ Commercial Spec ASTM-D4169-01, or SDDC Pam. 55-12

TOTAL CLIN 0002 $__________

CLIN 0003. Complete Service-Outbound (HHG-Overflow Articles and HHG Shipments requiring other than ASTM-D4169-01 or SDDC Pam. 55-12 Containers). Service must be the same as CLIN 0001 or CLIN 0002 except that the loose articles are drayed to contractor's facility when ordered by the contracting officer for containerization in Government-furnished or contractor-furnished containers. Overflow, other shipments, and oversize containers must be constructed IAW ASTMD6251. Each container must be caulked during assembly. Overflow boxes and other shipments that normally require a lesser size box than specified in ASTM-D4169-01 or SDDC Pamphlet 55-12 and oversized containers are always of a greater size than specified in Commercial Spec ASTMD4169-01 or SDDC Pamphlet 55-12. One or more of these containers may be required per shipment. Price bid for CLIN 0003 includes container plus weight of its contents. SDDC fuel surcharge rate will apply to 25% of the unit price of this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0003AA Government-Furnished Containers: 15 NCWT _______ / ________ Overseas Pack: Overflow Articles.

0003AB Government-Furnished Containers: 15 NCWT _______ / ________ Overseas Pack: Oversize Articles.

0003AC Government-Furnished Containers: 15 NCWT _______ / ________ Overseas Pack: Other Articles.

0003AD Government-Furnished Containers: 15 NCWT _______ / ________ Domestic Pack: Overflow Articles.

0003AE Government-Furnished Containers: 15 NCWT _______ / ________ Domestic Pack: Oversize Articles.

0003AF Government-Furnished Containers: 15 NCWT _______ / ________ Domestic Pack: Other Articles.

0003AG Contractor-Furnished Containers: 15 NCWT _______ / ________ Overseas Pack: Overflow Articles.

0003AH Contractor-Furnished Containers: 15 NCWT _______ / ________ Overseas Pack: Oversize Articles.

0003AJ Contractor-Furnished Containers: 15 NCWT _______ / ________ Overseas Pack: Other Articles.

0003AK Contractor-Furnished Containers: 15 NCWT _______ / ________ Domestic Pack: Overflow Articles.

0003AL Contractor-Furnished Containers:

Domestic Pack: Oversize Articles. 15 NCWT _______ / ________

0003AM Contractor-Furnished Containers: 15 NCWT _______ / ________ Domestic Pack: Other Articles.

TOTAL CLIN 0003 $_____________

CLIN 0004. Complete Service - Outbound (Unaccompanied Baggage). Service includes packaging, inventorying, packing in Government approved containers, weighing, strapping, obliteration of old markings, marking, and loading shipments on the line-haul carrier’s equipment. Service must be performed at member/employee's residence. SDDC fuel surcharge rate will apply to 25% of the unit price for this item number. (Service may be performed at contractor's facility when ordered by the Ordering Officer.)

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0004AA Government-Furnished Containers: 400 NCWT _______ / ________ Drayage Included

0004AB Government-Furnished Containers: 200 NCWT _______ / ________ Drayage Not Included

0004AC Contractor-Furnished Containers: 150 NCWT _______ / ________ Drayage Included

0004AD Contractor-Furnished Containers: 50 NCWT _______ / ________ Drayage Not Included

TOTAL CLIN 0004 $______________

CLIN 0005. Complete Service - Outbound (Unaccompanied Baggage from Nontemporary Storage). Service must be the same as CLIN 0004 except that (a) unaccompanied baggage must be picked up at a nontemporary storage facility and transported to contractor's facility; or (b) unaccompanied baggage must be delivered to contractor's facility; and (c) servicing of appliances, preliminary packing and accessorial services must not be provided. SDDC fuel surcharge rate will apply to 25% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0005AA Government-Furnished Containers: 25 NCWT _______ / ________ Drayage Included

0005AB Government-Furnished Containers: 15 NCWT _______ / ________ Drayage Not Included

0005AC Contractor-Furnished Containers: 50 NCWT _______ / ________ Drayage Included

0005AD Contractor-Furnished Containers: 15 NCWT _______ / ________ Drayage Not Included

TOTAL CLIN 0005 $______________

CLIN 0006. Outbound Service - Unaccompanied Baggage Packed by Member/employee.

Service must include weighing, strapping, banding, obliterating old markings, and marking.

Service may include (when necessary) containerization in outer shipping containers as ordered by the contracting officer. SDDC fuel surcharge rate will apply to 25% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0006AA Containerization Not Required: 15 NCWT _______ / ________ Drayage Included

0006AB Containerization Not Required: 15 NCWT _______ / ________ Drayage Not Included

0006AC Containerization Required: 15 NCWT _______ / ________ Drayage Included

0006AD Containerization Required: 15 NCWT _______ / ________ Drayage Not Included

TOTAL CLIN 0006 $____________

CLIN 0007. Outbound Service - Unaccompanied Baggage Packed By Member/employee - Consolidated Shipments/Government Facility. Service must be the same as CLIN 0006 above except that service must include two or more shipments picked up from a Government office, warehouse or facility.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0007AA Containerization Not Required: 15 NCWT _______ / ________ Drayage Included

0007AB Containerization Required: 15 NCWT _______ / ________ Drayage Included

TOTAL CLIN 0007 $_______________

CLIN 0008. Expensive and Valuable Items. Service must include inventorying each item, packing in Government-approved, contractor-furnished container(s), marking, banding and cubing at member/employee's residence. Drayage will be ordered by the contracting officer. If drayage is required, weighing must be done on properly certified scales and a certified weight ticket must be furnished. If drayage is not required, weighing must be done at member’s/employee's residence on portable or bathroom scales. In jurisdictions where local law prohibits the certification of portable scales, a weight certificate will not be required. However, upon the written authority of the contracting officer, the contractor may apply a constructive weight of 11 pounds per gross cubic foot of the container.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0008AA Drayage Included 15 NCWT _______ / ________

0008AB Drayage Not Included 15 NCWT _______ / ________

TOTAL CLIN 0008 $______________

CLIN 0009. Storage. Storage of containerized articles must be furnished when ordered by the ordering office. Charges must not commence earlier than the sixth (6th) workday following date of ordering office’s receipt of notification of completion of containerization service. Storage charges apply for each 30-day period or fraction thereof. Date of release from storage must not be considered in computation of storage charges.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

0009AA Household Goods 10 NCWT _______ / ________

0009AB Unaccompanied Baggage 10 NCWT _______ / ________

TOTAL CLIN 0009 $_____________

CLIN 0010. Containers. Service must consist of the furnishing of the following types of new containers or specially constructed wooden crates. Containers furnished or specially constructed are to be assembled and ready for loading. When a specific container from SDDC Pamphlet 55-12 is ordered, the order will indicate the SDDC approval number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

ORDER

0010AA Container (ASTM-D4169-01) 10 EA _______ / ________

0010AB Container (SDDC Pam 55-12) 10 EA _______ / ________

0010AC Crate (ASTM-D-6039/D6039M-02) 50 CU FT or _______ / ________ fraction thereof

TOTAL CLIN 0010 $______________

CLIN 0011. Remarking, Coopering and Assembly/Disassembly Service.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0011AA Remarking of Shipments for 5 EA _______ / ________ Reconsignment. Service must consist of obliteration of all old markings, stenciling of necessary information on loaded shipping containers scheduled for reconsignment, and loading on the hauling carrier's vehicle.

0011AB Coopering. Service must consist of 5 EA _______ / ________ repair of containers not to exceed 30 percent of total area of shipping container or cost of repairs must not exceed 50 percent of the container replacement cost. Minor repair, such as replacement of bolts, nails and bands must be accomplished at no expense to the Government.

0011AC Assembly of Government-Owned 15 EA _______ / ________ Containers. Contractor must assemble Government-owned containers. Component parts will be furnished by the Government.

0011AD Disassembly of Government-Owned 20 EA _______ / ________ Containers. Contractor will disassemble Government-owned containers.

Component parts will be put into a cloth bag and attached to the container.

Knocked down container sections must be banded.

TOTAL CLIN 0011 $______________

CLIN 0012. Drayage Beyond the Contract Area of Performance. Service must consist of drayage of packed shipments beyond the contract area of performance, not to exceed 100 miles.

Mileage must be computed on the shortest highway distance commencing with the point of pickup to the outer boundary of the contract area of performance. SDDC fuel surcharge rate will apply to 25% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0012AA Household Goods 25 MILES _______ / ________

0012AB Unaccompanied Baggage 25 MILES _______ / ________

TOTAL CLIN 0012 $____________

CLIN 0013. Attempted Pickup. When the initial attempt to pickup a shipment at the member’s/employee's residence is unsuccessful, charges apply provided the Contractor notified the ordering office via telephone and provided that after contractor's notification, the ordering office (a) cannot locate the member/employee within 30 minutes, (b) cannot have the member/employee at the residence within one hour after notification, and (c) the contractor left a notice of attempted pickup at the residence.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0013AA Household Goods 10 SHIPMENT _______ / ________

0013AB Unaccompanied Baggage 10 SHIPMENT _______ / ________

TOTAL CLIN 0013 $_____________

CLIN 0014. Additional Services. The contractor must provide additional services not included in the schedule, but required for satisfactory completion of the services ordered under this contract, at a rate comparable to the rate for like services as contained in tenders on file with the state regulatory bodies or SDDC, in effect at the time of the order.

SUBTOTAL FOR BASIC ORDERING PERIOD SCHEDULE I $_______________

SCHEDULE II-INBOUND SERVICES

CLIN 0015. Complete Service - Inbound (HHG). Service must include drayage from contractor's facility to storage warehouses, air and surface transportation terminals, military installation shipping offices and ocean or river terminals/piers and return, unloading from the delivering carrier's vehicle, handling into contractor's facility, drayage to member’s/employee's residence, decontainerization and unpacking of loaded containers of household goods and placing goods in appropriate rooms as directed by member/employee, unservicing appliances, assembly of any disassembled articles and removing shipping containers, barrels, boxes/crates and debris from member’s/employee's residence and drayage of empty containers to contractor's or Government facility. SDDC fuel surcharge rate will apply to 50% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0015AA 400 NCWT _______ / ________

0016. Complete Service - Inbound (HHG). Service must be same as CLIN 0015 above except that drayage of shipment to residence is not required.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0016AA 200 NCWT _______ / ________

CLIN 0017. Complete Service Inbound (HHG). Service must be the same as CLIN 0015 above except removal of items from outer container must be at the contractor's facility and articles must be drayed to member’s/employee's residence. SDDC fuel surcharge rate will apply to 50% of the unit price for this item.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0017AA 250 NCWT _______ / ________

CLIN 0018. Inbound Service - Contractor Facility (HHG). Services must include drayage from storage warehouses, air and surface transportation terminals, military installation shipping offices, and ocean or river terminals/piers to contractor’s facility, unloading from the delivering carrier’s vehicle into the contractor’s facility and delivery of articles to property member/employee, motor van carrier, or NTS contractor at the contractor’s facility.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

ORDER

0018AA 25 NCWT _______ / ________

CLIN 0019. Complete Service - Expensive and Valuable Items. Services must include drayage from the storage warehouses, air and surface transportation terminals, military installation shipping offices, and ocean or river terminals/piers to contractor’s facility, unloading from the delivering carrier’s vehicle, handling into contractor’s facility, decontainerization and unpacking of containers at member’s/employee’s residence, and removal of shipping containers and debris from the residence. SDDC fuel surcharge rate will apply to 50% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0019AA Drayage Included 15 NCWT _______ / ________

0019AB Drayage Not Included 15 NCWT _______ / ________

TOTAL CLIN 0019 $____________

CLIN 0020. Complete Service - Inbound (Unaccompanied Baggage). Service must include drayage from contractor's facility to storage warehouses, air and surface transportation terminals, military installation shipping offices and ocean or river terminals/piers and return, unloading from the delivering carrier's vehicle, handling into contractor's facility, drayage of unaccompanied baggage containers to member’s/employee's residence, unpacking of containers, reassembly of articles and removal of all shipping containers and debris from the residence. SDDC fuel surcharge rate will apply to 50% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0020AA 1500 NCWT _______ / ________

CLIN 0021. Complete Service - Inbound (Unaccompanied Baggage). Service must be same as CLIN 0020 except that drayage to residence is not required.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0021AA 40 NCWT _______ / ________

CLIN 0022. Inbound Service - Contractor Facility (Unaccompanied Baggage). Service must be the same as CLIN 0020 above except service must also include removal of unaccompanied baggage from outer shipping containers for pickup by the member/employee or release to a motor carrier or other contractor at the contractor's facility.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0022AA 50 NCWT _______ / ________

CLIN 0023. Storage. Storage of containerized articles must be furnished when ordered. Charges under this item must not commence earlier than the sixth (6th) workday following date of contractor's notification to the transportation office of arrival of shipment. Storage charges apply for each 30-day period or fraction thereof. Date of release from storage must not be considered in computation of storage charges.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0023AA 5000 NCWT _______ / ________

CLIN 0024. Remarking, Coopering and Assembly/Disassembly Service.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0024AA Remarking of Shipments 5 EA _______ / ________ for re-consignment. Services must include drayage from storage warehouses, air and surface transportation terminals, military installation shipping offices, and ocean or river terminals/piers to contractor’s facility, unloading from the delivering carrier’s vehicle, handling into contractor’s facility, obliteration of all old markings, stenciling of necessary information on loaded shipping containers schedule for re-consignment loading on the hauling carrier’s vehicle.

0024AB Coopering. Service must consist of 5 EA _______ / ________ repair of containers not to exceed 30 percent of total area of shipping container or cost of repairs must not exceed 50 percent of the container replacement cost. Minor repair, such as replacement of bolts, re-nailing and re-banding must be accomplished at no expense to the Government.

0024AC Assembly of Government-Owned 15 EA _______ / ________ Containers. Contractor will assemble Government-owned containers. Component parts will be furnished by the Government.

0024AD Disassembly of Government-Owned 20 EA _______ / ________ Containers. Contractor will disassemble Government-owned containers. Component parts must be put into a cloth bag and attached to the container. Knocked down container sections must be banded.

TOTAL CLIN 0024 $______________________

CLIN 0025. Attempted Delivery. When the initial attempt to deliver a shipment at the member’s/employee's residence is unsuccessful, charges apply provided the contractor notified the ordering office via telephone and provided that after contractor's notification, the ordering office (a) cannot locate the member/employee within 30 minutes, (b) cannot have the member/employee at the residence within one hour after notification, and (c) the contractor left a notice of attempted delivery at the residence.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0025AA Household Goods 10 SHIPMENT _______ / ________

0025AB Unaccompanied Baggage 10 SHIPMENT _______ / ________

TOTAL CLIN 0025 $____________________

CLIN 0026. Reweighing. Service must consist of weighing the loaded containers prior to delivery and weighing the empty containers after delivery.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0026AA Household Goods 100 SHIPMENT _______ / ________

55.00 11,000.00

0026AB Unaccompanied Baggage 150 SHIPMENT _______ / ________

TOTAL CLIN 0026 $___________________

CLIN 0027. Drayage Beyond the Contract Area of Performance. Service must consist of drayage of packed shipments beyond the contract area of performance, not to exceed 100 miles.

Mileage must be computed on the shortest highway distance commencing with the point of pickup to the outer boundary of the contract area of performance. SDDC fuel surcharge rate will apply to 100% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

0027AA Household Goods 5 MILES _______ / ________

0027AB Unaccompanied Baggage 5 MILES _______ / ________

TOTAL CLIN 0027 $_________________

CLIN 0028. Partial Withdrawal. Service must be the same as CLINs 0015, 0016, 0020, or 0021 except a partial removal of the items from the outer container will be performed at the contractor's facility. Articles not removed from the shipment will remain at the contractor's facility.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0028AA Household Goods Drayage 25 CWT _______ / ________ Included

0028AB Household Goods 20 CWT _______ / ________ Drayage Not Included

0028AC Unaccompanied Baggage N/A CWT _______ / ________ Drayage Included

0028AD Unaccompanied Baggage N/A CWT _______ / ________ Drayage Not Included

TOTAL CLIN 0028 $__________________

CLIN 0029. Additional Services. The contractor must provide additional services not included in the schedule, but required for satisfactory completion of the services ordered under this contract, at a rate comparable to the rate for like services as contained in tenders on file with the state regulatory bodies or SDDC, in effect at the time of the order. Extra Delivery ___________.

CLIN 0030. Reserved. Reserved for informational purposes only.

SUBTOTAL FOR BASIC ORDERING PERIOD SCHEDULE II $_______________

SCHEDULE III-INTER-COUNTY MOVES

CLIN 0031. Complete Service for Intra-City and Intra-Area Moves. Service must include a premove survey, servicing of appliances, packaging and packing at member’s/employee's residence to protect household goods properly during transit, tagging of items, inventorying, loading, weighing, drayage, unloading, unpacking, and placing of each article in member’s/employee's new residence as directed by member/employee or member’s/employee's designated representative and removal of all empty containers and materials from residence. SDDC fuel surcharge rate will apply to 25% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0031AA 8,000 NCWT _______ / ________

CLIN 0032. Attempted Pickup or Delivery. When the initial attempt to pickup or deliver a shipment at the member’s/employee's residence is unsuccessful, charges apply provided the contractor notified the ordering office via telephone and provided that after contractor's notification, the ordering office (a) cannot locate the member/employee within 30 minutes, (b) cannot have the member/employee at the residence within one hour after notification, and (c) the contractor left a notice of attempted pickup or delivery at the residence.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0032AA Attempted Pickup 5 SHIPMENT _______ / ________

0032AB Attempted Delivery 5 SHIPMENT _______ / ________

TOTAL CLIN 0032 $________________

CLIN 0033. Drayage Beyond the Contract Area of Performance. Service must consist of drayage of packed shipments beyond the contract area of performance, not to exceed 100 miles. Mileage must be computed on the shortest highway distance commencing with the point of departure from the outer boundary of the contract area of performance to the destination point. SDDC fuel surcharge rate will apply to 100% of the unit price for this item number.

CLIN SUPPLIES/SERVICES STANDARD UNIT UNIT TOTAL

QTY TO PRICE

ORDER

0033AA N/A MILES _______ / ________

CLIN 0034. Additional Services. The contractor must provide additional services not included in the schedule, but required for satisfactory completion of the services ordered under this contract, at a rate comparable to the rate for like services as contained in tenders on file with the state regulatory bodies or SDDC, in effect at the time of the order.

CLIN 0035. CDRLs. Please see Exhibit A for CDRLs. (Not Seperately Priced)

SUBTOTAL FOR BASIC ORDERING PERIOD SCHEDULE III $_______________

TOTAL FOR BASIC ORDERING PERIOD SCHEDULE I - III $_______________

(Transfer this number to CLIN 0001 in Section B for Evaluation)