16_Att_6 _7 _8 _9 _ _10.pdf

(Name of Company ) Price Element Breakdown for Solicitation (RFQ or RFP # ) 7/7/2016

April 2014 Version

Applicable: Prevailing WD(s)/CBA(s):

PRICING ELEMENT

Ordering Period 1

Ordering Period 2

Ordering Period

Ordering Period

Ordering Period

6 Month Extension (FAR

52.217-8) Total Reg Hours Proposed - OT Hours Proposed - Shift Differential Hours Proposed - Total Hours Proposed - - - - - - -

Hourly Wage Rate Proposed OT Wage Rate Proposed

Total Regular Wage Direct Labor (Ref Note 1) -$ -$ -$ -$ -$ -$ -$ Total Overtime Premium Direct Labor - - - - - - - Bonuses/Performance Pay -

Subtotal - Labor -$ -$ -$ -$ -$ -$ -$

Fringe Benefits Proposed Health and Welfare Hourly Rate (Ref Note 1)

Health and Welfare -$ Pension - 401K Matching - Annual Benefit - Holiday - Vacation - Sick - Personal - Jury Duty - Other -

Sub-Total Fringe Benefits -$ -$ -$ -$ -$ -$ -$

Taxes

FICA -

FUTA -

SUTA -

Other -

Sub-Total Taxes -$ -$ -$ -$ -$ -$ -$

Overhead -$

Other Direct Elements (Reference Note 2) Relief (See Relief Tab for Additional Pricing Info Required) -$ Guard Mount - Workman's Comp Insurance - General Liability Ins - Training - Basic, Range new hires - Training - Baton - Training - CPR/First Aid/AED Recertification Bi-Annually - Training - Supervisory - Training - Supervisory Re-Certification - Training - Range Recertification - Training - Triennial Refresher Training - NWDTP Instructor Training (See SOW Section 6.7.3) - NWDTP PSO Training (See SOW Section 6.7.4) - Training - OC Spray Training - Training - Other - Uniforms - Body Armor - Weapons - Ammunition - Personal Protection Equipment - Targets - Travel - Guard License Fees - Medical/Physical Fitness/Drug Screen - Other Start-Up/Transition - Vehicle (Lease or Depreciation) - Vehicle Maintenance - Vehicle Fuel Charges -

Computer Usage Charges (Storage, Mainframe, Internet) - Third Party Systems (e.g. Post Confirmation System) - Consultants/Professional fees - Other: -

XXXXX -

XXXXX -

XXXXX -

Sub-Total - Other Direct Elements -$ -$ -$ -$ -$ -$ -$

Non-PSO Positions (See Non-PSO Position Tab for additional Price Info Required) -$

General and Administrative -$

Total Price w/o Profit -$ -$ -$ -$ -$ -$ -$ 518

(Name of Company ) Price Element Breakdown for Solicitation (RFQ or RFP # ) 7/7/2016

Profit -$

Grand Total -$ -$ -$ -$ -$ -$ -$

Basic Rate

Explanatory Notes

Note 1 - Rates

Note 2 - Other Direct Element Pricing

Signature and Title of Preparer

For the purpose of this price breakdown model, these elements should be separately broken out as shown, even if it is the contractor's accounting practice to include these items in their Overhead and/or G&A rate. However, the contractor should reduce their reported Overhead and G&A amounts for the impact of these separately identified price elements to the extent they are already included in their Overhead and G&A. This will ensure that price elements are not duplicated in the breakdown.

When a weighted average of wage rates is used, the contractor shall explain the basis of their computations in this text box.

If Applicable - Basis of Weighted Average

Attachment 6 - Supplement

Attachment 6A Instructions for the Price Element Breakdown Template

Introduction

This Price Element template is a Microsoft Excel based pricing tool that provides a standardized format for costing a PSO labor hour rate. A separate template is required for each Building/CLIN. The template was designed to assist contractors in pricing their proposal.

Contractors should only complete those cost elements that apply to their proposal. The cost data provided in these worksheets are considered other than certified cost pricing data as discussed under FAR 15.403-5(b)(2).

Instructions for Completion

1. Please provide the name of your company and the solicitation number for your submission in the header section of the “Model for Price Realism” worksheet.

2. Note that the Price Breakdown file contains three worksheet tabs entitled, “Model for Price Realism”, “Relief”, “Non-PSO Positions”.

3. Cost data for the Non-PSO Positions shall be entered under the “Non-PSO Positions” worksheet tab as instructed by the notes found on the worksheet. Total costs for the Non- PSO positions identified under the “Non-PSO Position” worksheet tab will NOT automatically populate the “Model for Price Realism” worksheet tab under the Non-PSO Position line item. Vendors are required to provide a detailed narrative explaining the basis of estimate for the Non-PSO Positions. The narrative should explain how the total Non-PSO position costs by labor category were estimated and how those costs were allocated among each building/CLIN.

4. The Relief worksheet tab will NOT self-populate to the “Model for Price Realism” worksheet tabs. The purpose of this worksheet is to provide specific cost data regarding relief and breaks that was included in the offeror’s proposal. The Relief worksheet tab provides detailed instructions on completing the worksheet and requires a narrative detailing the basis of estimate. Note that the narrative requires the offeror to identify which cost elements from the "Model for Price Realism" worksheet contain the break and relief costs included in each identified element. For example, if the Breaks & Relief line item from the “Model for Price Realism” includes $1,000 for paid break costs and $200 for Relief Officer travel, the offeror would identify as such in their narrative. If the wages, taxes, and fringe cost elements include $1,200 for the PSO relief costs, such amounts shall be identified in the narrative. The narrative also requires that the offeror detail the basis of estimate for determining the paid break and/or lunch hours priced into the proposal.

Attachment 6 - Supplement

Attachment 6A Instructions for the Price Element Breakdown Template

5. Rows 8, 17, 33, 41, 83, 89, and 93 of the “Model for Price Realism” worksheet tab automatically calculate applicable totals, therefore data should not be inputted into these rows. Row 95 automatically calculates the labor hour rate applicable to the inputted data;

therefore data should not be inputted into this row.

6. Rows 79-81 provide for the option to insert “Other” price elements, which are not included in the standardized listed elements. If including “Other” price elements, list a descriptor of each element in the applicable worksheet cell. If additional “other” price elements are needed for the breakdown, please insert rows under 81 and list the additional elements.

7. Additional worksheets may be provided to explain any subsidiary calculations used to determine the pricing amounts in the template.

8. The worksheet is not locked and may be adjusted by the offeror as appropriate. It is strongly cautioned that vendors thoroughly review all calculations and formulas after making adjustments to the workbook. The offeror is responsible for ensuring that their proposed costs and prices are accurate.

Award Approval Request for Solicitation Number HSHQEC-16-R-00005

Attachment 7 Award Approval Request

For Solicitation Number (HSHQEC-16-R-00005)

This award approval request shall be completed only if an offeror represents under Homeland Security Acquisition Regulation (HSAR) clause 3052.209-76, Prohibition on Federal Protective Service guard services contracts with business concerns owned, controlled, or operated by an individual convicted of a felony, that it IS a business concern owned, controlled or operated by an individual convicted of a felony.

1. Name and Address of the business concern submitting the proposal:

2. Basis for Award Request (Please check applicable basis and provide a detailed explanation):

o Subject felony is not a serious felony as defined by (HSAR) 48 CFR 3009.171-5 o Individual does not or no longer owns, control or operate the business concern o Commission of a serious felony no longer calls into question the individual or business concern’s integrity or business ethics and that an award would be consistent with the mission of FPS

3. Name and Date of Birth of Individual Convicted of a Felony

4. Full Description of Roles and Interests (indicate what the individual owns, controls, or operates, or may own, control or operate the business concern):

5. Date Sentenced:

6. Statute/Charge:

7. Docket/Case Number:

8. Court/Jurisdiction:

9. Nature and Circumstances Surrounding the Conviction:

10. Protective Measures (taken by the individual to or business concern to reduce or eliminate the risk of further misconduct):

11. Responsibility and Restitution (actions the individual has taken to accept responsibility and make restitution for past misconduct resulting in the felony conviction):

Pursuant to HSAR 3052.209-76(e)(2), the offeror shall provide the following statement to any individual whose information will be submitted with this award request.

Privacy Notice. The collection of this information is authorized by the Federal Protective Service Guard Contracting Reform Act of 2008 (Pub.L 110-356) and Department of Homeland Security (DHS) implementing regulations at Homeland Security Acquisition Regulation (HSAR) 48 CFR 3009.171. This information is being collected to determine whether an individual that owns, controls, or operates the business concern submitting this offer has been convicted of a felony that would disqualify the offeror from receiving an award. This information will be used by and disclosed to DHS personnel and contractors or other agents who require this information to determine whether an award request should be approved or denied. Additionally, DHS may share this personal information with the U.S. Justice Department and other Federal and State agencies for collection, enforcement, investigatory, or litigation purposes, or as otherwise authorized.

Submission of this information by the individual is voluntary, however, failure to provide it may result in denial of an award to the offeror. Individuals who wish to correct inaccurate information in or to remove their information from an offer that has been submitted should contact the business concern submitting the offer and request correction. Should individuals seek to correct inaccurate information or remove their information from an offer that has been submitted in response to a solicitation for FPS guard services prior to contract award, an authorized representative of the business concern submitting the offer must contact the contracting officer of record and request that the firm’s offer be formally withdrawn or submit a correction to the award request.

After contract award, it is recommended that an authorized representative of the business concern that submitted the inaccurate or erroneous information contact the contracting officer of record. The contracting officer will handle such requests on a case by case basis.

I hereby deny this award approval request:

(Contracting Officer Signature) Date:

(Print Name)

I hereby recommend approval of this award request:

(Contracting Officer Signature) Date:

I hereby approve this award request to permit award of a contract for Federal Protective Service Protective Security Officer services to a business concern owned, controlled, or operated by an individual convicted of a felony.

(HCA Signature) Date:

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Department Building # Seniority Date Title

ARLINGTON VA1460 8/18/2015 PSO

ARLINGTON VA1460 3/7/2016 PSO

BALLSTON P VA0865/0313 4/1/2013 PSO

BALLSTON P VA0865/0313 8/30/2013 PSO

BALLSTON P VA0865/0313 3/3/2005 PSO

BALLSTON P VA0865/0313 9/11/2013 PSO

BALLSTON P VA0865/0313 10/15/2013 PSO

BALLSTON P VA0865/0313 6/3/1996 PSO

BALLSTON P VA0865/0313 7/2/2014 PSO

BALLSTON P VA0865/0313 10/1/2013 PSO

BALLSTON P VA0865/0313 2/20/2013 PSO

BALLSTON P VA0865/0313 10/15/2002 PSO

BALLSTON P VA0865/0313 3/28/2014 PSO

BALLSTON P VA0865/0313 8/9/2012 PSO

BALLSTON P VA0865/0313 2/8/2015 PSO

BALLSTON P VA0865/0313 8/1/2014 PSO

BALLSTON P VA0865/0313 10/15/2006 PSO

BALLSTON P VA0865/0313 3/28/2005 PSO

BALLSTON P VA0865/0313 6/13/2005 SUPERVISOR

COURTHOUSE VA0028 11/22/2014 PSO

COURTHOUSE VA0028 2/6/2012 PSO

COURTHOUSE VA0028 12/5/2008 PSO

COURTHOUSE VA0028 10/1/2011 PSO

COURTHOUSE VA0028 1/9/2013 PSO

COURTHOUSE VA0028 3/11/2016 PSO

COURTHOUSE VA0028 12/1/2013 PSO

DSS VA0040 4/1/2010 PSO

DSS VA0040 7/10/2007 PSO

DSS VA0040 5/25/2011 PSO

DSS VA0040 4/1/2016 PSO

DSS VA0040 8/14/1987 PSO

DSS VA0040 12/22/2014 PSO

DSS VA0040 3/21/2010 PSO

DSS VA0040 7/19/2009 PSO

DSS VA0040 6/14/2013 PSO

DSS VA0040 3/23/2016 PSO

DSS VA0040 1/7/2011 PSO

HHS- MOORE VA0354 3/22/2016 PSO

HHS- MOORE VA0354 11/16/2015 SUPERVISOR

INS VA0396 9/28/2011 PSO

INS VA0396 10/24/2014 PSO

INS VA0396 2/19/2016 PSO

INS VA0396 10/1/2011 PSO 529

SSA-ALEX VA0309 9/30/2002 PSO

STAFFORD I VA0834/0349 2/12/2015 PSO

STAFFORD I VA0834/0349 5/31/2016 PSO

STAFFORD I VA0834/0349 4/17/2012 PSO

STAFFORD I VA0834/0349 12/28/2002 PSO

STAFFORD I VA0834/0349 1/20/2010 PSO

STAFFORD I VA0834/0349 10/21/2001 PSO

STAFFORD I VA0834/0349 5/3/2014 PSO

STAFFORD I VA0834/0349 9/30/2015 PSO

STAFFORD I VA0834/0349 4/1/2001 PSO

STAFFORD I VA0834/0349 5/20/2014 PSO

STAFFORD I VA0834/0349 4/18/2014 PSO

STAFFORD I VA0834/0349 3/11/2010 PSO

STAFFORD I VA0834/0349 7/24/2015 PSO

STAFFORD I VA0834/0349 2/13/2016 PSO

STAFFORD I VA0834/0349 5/15/2013 PSO

STAFFORD I VA0834/0349 2/7/2016 PSO

STAFFORD I VA0834/0349 6/22/2009 PSO

STAFFORD I VA0834/0349 6/24/2015 PSO

STAFFORD I VA0834/0349 3/2/2009 PSO

STAFFORD I VA0834/0349 6/1/2016 PSO

STAFFORD I VA0834/0349 6/1/2016 PSO

STAFFORD I VA0834/0349 1/27/2016 PSO

STAFFORD I VA0834/0349 11/30/2015 PSO

STAFFORD I VA0834/0349 6/22/2009 PSO

STAFFORD I VA0834/0349 4/21/1997 PSO

STAFFORD I VA0834/0349 7/31/2013 PSO

STAFFORD I VA0834/0349 1/19/2010 PSO

STAFFORD I VA0834/0349 6/20/2016 PSO

STAFFORD I VA0834/0349 2/13/2016 PSO

STAFFORD I VA0834/0349 1/6/2009 PSO

STAFFORD I VA0834/0349 3/8/2004 PSO

USDA - PAR VA0208 2/21/2014 PSO

USDA - PAR VA0208 5/16/2016 PSO

USDA - PAR VA0208 10/1/2014 PSO

USDA - PAR VA0208 9/23/2013 PSO

USDA - PAR VA0208 10/2/2015 PSO

USDA - PAR VA0208 3/3/2016 PSO