Attachment_IV_PriceElementBreakdown(1).pdf

(Name of Company ) Price Element Breakdown for Solicitation HU0001-11-R-1428

12/21/2011

ATTACHMENT IV

Base Period Additional Period 1 Additional Period 2

PRICING ELEMENT WD or CBA # WD or CBA # WD or CBA # Total WD or CBA # WD or CBA # WD or CBA # Total WD or CBA # WD or CBA # WD or CBA # Total WD or CBA # WD or CBA #

Reg Hours Bid

OT Hours Bid

Total Hours Bid - - -

WD or CBA Rate

Reg. Labor Rate Used (Ref Note 1)

OT Labor Rate Used

Direct Labor - - - - - - - - - - -

Overtime Premium Labor - - - - - - - - - - -

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

Fringe Benefits

Health and Welfare Rate Used (Ref Note 1)

Health and Welfare

Pension Rate Used (Ref Note 1)

Pension

401K Matching

Annual Benefit Rate Used (Ref Note 1)

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 -$

Mount -$

Workman's Comp Insurance -$

General Liability Ins -$

Training - Basic, Range new hires -$

Training - CBT & Screener

Training - Recurrent Annual Training

Training - OC & Baton -$

Training - CPR/AED Recertification Yearly

Training - First Aid Triennial Recertification -$

Training - Supervisory -$

Training - Supervisory Re-Certification -$

Training - Range Recertification -$

Training - Triennial Recertification training -$

Training - Other -$

Uniforms -$

Body Armor -$

Weapons -$

Ammunition -$

Targets -$

Travel -$

PSO License Fees -$

Medical/Physical Fitness/Drug Screen -$

Start up -$

Vehicle (Lease or Depreciation) -$

Other: -$

XXXXX -$

XXXXX -$

Base Period Optional/Additional Ordering Period 1 Optional/Additional Ordering Period 2 Optional/Additional Ordering Period 3

Attachment No. 4 USUHS - December 2011 1 of 4

XXXXX

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

Management Approach (Ref: Note 3)

Material Handling

General and Administrative

Total Price w/o Profit and IFF -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$

Profit

Industrial Funding Fee

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

Basic Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Explanatory Notes

Note 1 - Rates

Note 2 - Other Direct Element Pricing

Note 3 - Pricing for Management Approach Items

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 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.

For the purpose of this price breakdown model, this amount represents the price associated with the advantageous aspects of the contractor's management approach, which are above the minimum requirements of the SOW. However, the contractor should reduce their reported Overhead, Other Direct Elements, and G&A to the extent these elements are included under the Management Approach pricing. This will ensure that price elements are not duplicated in the breakdown.

Additionally, the contractor should include a brief description of the items priced under the Management Approach and may include subsidiary calculations of the pricing on a separate worksheet. For example, if the contractor proposes to conduct weekly QC inspections on 25% of posts, then they should explain that the Management Approach pricing is specifically for weekly QC inspections.

The contractor should explain the basis of the rates used including providing the calculations when a weighted average of applicable rates is used.

Attachment No. 4 USUHS - December 2011 2 of 4

Additional Period 3 Additional Period 4 Grand

WD or CBA # Total WD or CBA # WD or CBA # WD or CBA # Total Total

Optional/Additional Ordering Period 4Optional/Additional Ordering Period 3

Attachment No. 4 USUHS - December 2011 3 of 4

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

heir reported Overhead, Other Direct Elements, and G&A to the extent these elements are

Attachment No. 4 USUHS - December 2011 4 of 4