WA1ContractAdmin.pdf

RFP/N01-CM-07014-39

Attachment 22, WA 1

NCI CONTRACT WORK ASSIGNMENT

Contractor: To be Filled In WA Title: Contract Administration

Contract No: N01-CM- WA No: 1 Modification No: 0 WA Originator: Project Officer Contracted WA Area:

Date Prepared:

Part I. INITIATOR'S REQUEST

A. Period of Performance: Contract Year 1 (12 months)

B. WA Description:

This Work Assignment will cover the time and expenditures necessary for administration of the above referenced contract during Year 1. Costs associated with conducting specific scientific studies are not included in this Work Assignment. Those tasks specifically applicable to this Work Assignment consist of and are limited to the following:

1. Preparation of responses to subsequent Work Assignments

2. Preparation of monthly Work Assignment status reports.

3. Providing interim project updates, data summaries, and/or raw data to the Project

Officer upon request.

4. Preparation of final Work Assignment reports, annual reports (years 1-4) and the final contract report (in Year 5 only).

5. Travel: (a) Attendance by the PI and/or a senior scientist at one scientific meeting per year. Note that specific approval for travel to scientific meetings must be requested in advance from the Contracting Officer with the concurrence of the Project Officer; (b) a trip by the PI to Bethesda/Rockville for discussion of technical issues with Program staff

C. WA Leader: Fill in PI name

D. Deliverables: Work Assignment responses, requested data, final Work

Assignment Reports, annual reports, and the Final Contract report (Year 5).

E. Work Assignment Response Due Date: with proposal

Contractor:

Contract No: N01-CM- WA No: 1 Modification No: 0

PART II. CONTRACTOR'S RESPONSE TO WORK ASSIGNMENT REQUEST

(The Contractor may attach additional sheets to this document to present requested information.)

A. Estimated Cost and Effort:

1. Labor Hours - List WA leader, specific individuals to be assigned, labor category and estimated hours for each.

2. Labor Costs - List by labor category and total.

3. Employee Benefits

4. Direct Materials

5. Travel

6. Subcontracts

7. Other Direct Costs

8. Indirect Costs

9. Total Estimated Costs for this WA

B. Detailed description of approach to be used and of the deliverable(s):

(Be specific.)

APPROVAL TO PROCEED

The Contractor shall not exceed the estimated labor hours, estimated WA amount, or change the WA leader without the prior written approval of the Project Officer and the Contracting Officer.

1. For the Contractor:

(Signature) (Date)

Typed Name:

2. For the Government:

(Project Officer Signature) (Date)

(Contracting Officer Signature) (Date)

Contractor:

Contract No: N01-CM- WA No: 1 Modification No: 0

PART III. CONTRACTOR'S REPORT OF WORK ASSIGNMENT COMPLETION

(The Contractor may attach additional sheets to this order to present requested data.)

A. Actual Cost and Effort:

1. Labor Hours - List specific assigned individuals, labor category and actual hours worked.

2. Labor Costs - List labor category, individual and total amount.

3. Employee Benefits

4. Direct Materials

5. Travel

6. Subcontracts

7. Other Direct Costs

8. Indirect Costs

9. Total Cost for this WA

B. Report of Deliverables:

REVIEW AND APPROVAL OF COMPLETION

1. For the Contractor:

(Signature) (Date)

Typed Name:

2. For the Government:

(Project Officer Signature) (Date)

(Contracting Officer Signature) (Date)