Revised_Attachment_O-_Form_A_Pricing_Sheets-_Lot_2-_Gordon_ _Shughart_Class.xls

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Surge Large Medium Speed Roll-On/Roll-Off (LMSR) Ships Operation and Maintenance, Lot 2
Solicitation number
N32205-16-R-3000
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Revised Attachment O- Pricing Sheet- Lot 2

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Revised_Attachment_K_-_Technical_Proposal_Datasheets.docx DOCX document
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Q_ _As_28_June_2016.docx DOCX document
Attachment_L-_Projected_Overhaul_Schedule.docx DOCX document
Attachment_H-_Invoice_Requirements-_Report_of_Expenditures.doc DOC document
Attachment_R-_Technical_Past_Performance_Questionnaire.doc DOC document
Attachment_P_-_Mission_Essential_Contractor_Services_Plan_Worksheet.doc DOC document
N32205-16-R-3000_Conformed_through_Amd_0001.pdf PDF
Attachment_A-_Surge_LMSR_Technical_Manual.pdf PDF
Attachment_I-_Past_Performance_Narrative.docx DOCX document
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Form_A_Pricing_Sheets-_Lot_2-_Gordon_ _Shughart_Class.xls XLS spreadsheet
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Attachment_J_-_Govmt_Est_Reimb_Costs_ _Ship_Availabilities.pdf PDF
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Attachment_B-_Wage_Determinations.pdf PDF
Attachment_I_-_Monthly_Budget_Status_Report.xlsx XLSX spreadsheet
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Instructions

Instructions to Offerors
Offeror Name:Enter offeror name here
1) Offerors shall complete the following tabs in this file:
Tab NameContents
CrewingCrewing arrangements for FOS, ROS-5, RAV and Dock Trial statuses.
C - FOSCrew wage information for vessels in Full Operating Status (FOS) that do not carry enough ammunition to warrant the ammunition bonus
C - ROS-5Crew wage information for vessels in Reduced Operating Status (ROS)-5.
C - RAVCrew wage information for vessels in Repair Availability Status (RAV).
C - Dock TrialCrew wage information above ROS for Dock Trials.
Form ADirect and Indirect Costs for all OPTEMPOs.
Tab NameNotes
All TabsCells shaded blue are locked to prevent editing, and will be populated automatically.

The offeror's name must be entered in the yellow box above, as it will populate other tabs "Form B" and "Rate Schedule" These tabs will populate automatically from the information provided in other tabs.

Form B, the Total Contract Price Summary, represents the total evaluated price.

Form A: Complete all unlocked white cells in the table, providing the average daily cost and profit for one ship in each status.

Crewing

Crewing Information
Note: Values entered into this sheet will automatically be reflected in the other tabs.
Name of Requirement:Surge LMSR Operation & Maintenance- Lot 2- G & S Class
Manning Arrangements:
FOSROS-5RAVDock Trial
Billet#Billet#Billet#Billet#
Deck Department:Deck Department:Deck Department:Deck Department:
Master1Master1Master1Master1
Chief Mate1Chief Mate0Chief Mate0Chief Mate0
2nd Mate12nd Mate12nd Mate12nd Mate1
3rd Mate23rd Mate03rd Mate13rd Mate0
AB/Bosun1AB/Bosun1AB/Bosun1AB/Bosun1
Able Seamen5Able Seamen1Able Seamen1Able Seamen1
Ordinary Seamen3Ordinary Seamen1Ordinary Seamen0Ordinary Seamen1
Total Deck Department14Total Deck Department5Total Deck Department5Total Deck Department5
Engine Department:Engine Department:Engine Department:Engine Department:
Chief Engineer1Chief Engineer1Chief Engineer1Chief Engineer1
1st Assistant Engineer11st Assistant Engineer11st Assistant Engineer11st Assistant Engineer1
2nd Assistant Engineer12nd Assistant Engineer12nd Assistant Engineer12nd Assistant Engineer1
3rd Assistant Engineer23rd Assistant Engineer13rd Assistant Engineer13rd Assistant Engineer2
Electronics Officer1Electronics Officer1Electronics Officer1Electronics Officer1
Storekeeper1Storekeeper1Storekeeper1Storekeeper1
QMED/Electrician1QMED/Electrician0QMED/Electrician0QMED/Electrician0
QMED3QMED1QMED1QMED1
Wiper1Wiper0Wiper0Wiper0
Total Engine Department12Total Engine Department7Total Engine Department7Total Engine Department8
Steward Department:Steward Department:Steward Department:Steward Department:
Steward/Baker1Steward/Baker1Steward/Baker1Steward/Baker1
Chief Cook1Chief Cook1Chief Cook1Chief Cook1
Steward Assistant2Steward AssistantSteward AssistantSteward Assistant
Total Steward Department4Total Steward Department2Total Steward Department2Total Steward Department2
TOTAL FOS CREW30TOTAL ROS-5 CREW14TOTAL RAV CREW14TOTAL DOCK TRIAL CREW15
Evaluated OPTEMPO
ItemYear 1 (FY17)Year 2 (FY18)Year 3 (FY19)Year 4 (FY20)Year 5 (FY21)
FOS5040404070
ROS-51,3651,4201,4201,4241,255
RAV45000135
Dock Trial44444
Total Number of Days1,4601,4601,4601,4641,460
Total Number of Days / Ship365365365366365
Name of Each Period:
PeriodWill be called:
Contract Year 1Contract Year 1 (FY17)
Contract Year 2Contract Year 2 (FY18)
Contract Year 3Contract Year 3 (FY19)
Contract Year 4Contract Year 4 (FY20)
Contract Year 5Contract Year 5 (FY21)
52.217-8 (6 Months)52.217-8 (FY 22)

Form A

Form A - Schedule of Basic Pricing Data
See "Instructions" tab for additional information.
Form A - Schedule of Basic Pricing Data - Contract Year 1 (FY17)
Enter offeror name here
RatingFOSROS-5RAVDock Trial- Cost above ROS-5
CREW PAYROLL COSTS
Total Crew Wage Cost$ - 0$ - 0$ - 0$ - 0
Total Crew Fringe Benefits & Payroll Taxes$ - 0$ - 0$ - 0$ - 0
Subtotal Crew Payroll Costs$ - 0$ - 0$ - 0$ - 0
OTHER DIRECT COSTS:
Overlapping Crew Wages$ - 0$ - 0$ - 0$ - 0
Port Engineers/Port Captains$ - 0$ - 0$ - 0$ - 0
Provisions$ - 0$ - 0$ - 0$ - 0
Travel$ - 0$ - 0$ - 0$ - 0
Training$ - 0$ - 0$ - 0$ - 0
Loose Equipment & Consumables$ - 0$ - 0$ - 0$ - 0
Transportation & Handling of Items$ - 0$ - 0$ - 0$ - 0
Other Ship Expenses (Itemize)$ - 0$ - 0$ - 0$ - 0
Insurance (Itemize)$ - 0$ - 0$ - 0$ - 0
Subtotal - Crew Payroll & Other Direct Costs$ - 0$ - 0$ - 0$ - 0
INDIRECT COSTS
Indirect Expenses*$ - 0$ - 0$ - 0$ - 0
General & Administrative Expenses*$ - 0$ - 0$ - 0$ - 0
Subtotal - Direct & Indirect Costs$ - 0$ - 0$ - 0$ - 0
Profit$ - 0$ - 0$ - 0$ - 0
TOTAL PER DIEM PRICE$ - 0$ - 0$ - 0$ - 0
TOTAL COST PER DOCK TRIAL ABOVE THE ROS-5 RATE/EVENT$ - 0
*Itemize Rate/Base Amt
Form A - Schedule of Basic Pricing Data - Contract Year 2 (FY18)
Enter offeror name here
RatingFOSROS-5RAVDock Trial- Cost above ROS-5
CREW PAYROLL COSTS
Total Crew Wage Cost$ - 0$ - 0$ - 0$ - 0
Total Crew Fringe Benefits & Payroll Taxes$ - 0$ - 0$ - 0$ - 0
Subtotal Crew Payroll Costs$ - 0$ - 0$ - 0$ - 0
OTHER DIRECT COSTS:
Overlapping Crew Wages$ - 0$ - 0$ - 0$ - 0
Port Engineers/Port Captains$ - 0$ - 0$ - 0$ - 0
Provisions$ - 0$ - 0$ - 0$ - 0
Travel$ - 0$ - 0$ - 0$ - 0
Training$ - 0$ - 0$ - 0$ - 0
Loose Equipment & Consumables$ - 0$ - 0$ - 0$ - 0
Transportation & Handling of Items$ - 0$ - 0$ - 0$ - 0
Other Ship Expenses (Itemize)$ - 0$ - 0$ - 0$ - 0
Insurance (Itemize)$ - 0$ - 0$ - 0$ - 0
Subtotal - Payroll & Other Direct Costs$ - 0$ - 0$ - 0$ - 0
INDIRECT COSTS
Indirect Expenses*$ - 0$ - 0$ - 0$ - 0
General & Administrative Expenses*$ - 0$ - 0$ - 0$ - 0
Subtotal - Direct & Indirect Costs$ - 0$ - 0$ - 0$ - 0
Profit$ - 0$ - 0$ - 0$ - 0
TOTAL PER DIEM PRICE$ - 0$ - 0$ - 0$ - 0
TOTAL COST PER DOCK TRIAL ABOVE THE ROS-5 RATE/EVENT$ - 0
*Itemize Rate/Base Amt
Form A - Schedule of Basic Pricing Data - Contract Year 3 (FY19)
Enter offeror name here
RatingFOSROS-5RAVDock Trial- Cost above ROS-5
CREW PAYROLL COSTS
Total Crew Wage Cost$ - 0$ - 0$ - 0$ - 0
Total Crew Fringe Benefits & Payroll Taxes$ - 0$ - 0$ - 0$ - 0
Subtotal Crew Payroll Costs$ - 0$ - 0$ - 0$ - 0
OTHER DIRECT COSTS:
Overlapping Crew Wages$ - 0$ - 0$ - 0$ - 0
Port Engineers/Port Captains$ - 0$ - 0$ - 0$ - 0
Provisions$ - 0$ - 0$ - 0$ - 0
Travel$ - 0$ - 0$ - 0$ - 0
Training$ - 0$ - 0$ - 0$ - 0
Loose Equipment & Consumables$ - 0$ - 0$ - 0$ - 0
Transportation & Handling of Items$ - 0$ - 0$ - 0$ - 0
Other Ship Expenses (Itemize)$ - 0$ - 0$ - 0$ - 0
Insurance (Itemize)$ - 0$ - 0$ - 0$ - 0
Subtotal - Payroll & Other Direct Costs$ - 0$ - 0$ - 0$ - 0
INDIRECT COSTS
Indirect Expenses*$ - 0$ - 0$ - 0$ - 0
General & Administrative Expenses*$ - 0$ - 0$ - 0$ - 0
Subtotal - Direct & Indirect Costs$ - 0$ - 0$ - 0$ - 0
Profit$ - 0$ - 0$ - 0$ - 0
TOTAL PER DIEM PRICE$ - 0$ - 0$ - 0$ - 0
TOTAL COST PER DOCK TRIAL ABOVE THE ROS-5 RATE/EVENT$ - 0
*Itemize Rate/Base Amt
Form A - Schedule of Basic Pricing Data - Contract Year 4 (FY20)
Enter offeror name here
RatingFOSROS-5RAVDock Trial- Cost above ROS-5
CREW PAYROLL COSTS
Total Crew Wage Cost$ - 0$ - 0$ - 0$ - 0
Total Crew Fringe Benefits & Payroll Taxes$ - 0$ - 0$ - 0$ - 0
Subtotal Crew Payroll Costs$ - 0$ - 0$ - 0$ - 0
OTHER DIRECT COSTS:
Overlapping Crew Wages$ - 0$ - 0$ - 0$ - 0
Port Engineers/Port Captains$ - 0$ - 0$ - 0$ - 0
Provisions$ - 0$ - 0$ - 0$ - 0
Travel$ - 0$ - 0$ - 0$ - 0
Training$ - 0$ - 0$ - 0$ - 0
Loose Equipment & Consumables$ - 0$ - 0$ - 0$ - 0
Transportation & Handling of Items$ - 0$ - 0$ - 0$ - 0
Other Ship Expenses (Itemize)$ - 0$ - 0$ - 0$ - 0
Insurance (Itemize)$ - 0$ - 0$ - 0$ - 0
Subtotal - Payroll & Other Direct Costs$ - 0$ - 0$ - 0$ - 0
INDIRECT COSTS
Indirect Expenses*$ - 0$ - 0$ - 0$ - 0
General & Administrative Expenses*$ - 0$ - 0$ - 0$ - 0
Subtotal - Direct & Indirect Costs$ - 0$ - 0$ - 0$ - 0
Profit$ - 0$ - 0$ - 0$ - 0
TOTAL PER DIEM PRICE$ - 0$ - 0$ - 0$ - 0
TOTAL COST PER DOCK TRIAL ABOVE THE ROS-5 RATE/EVENT$ - 0
*Itemize Rate/Base Amt
Form A - Schedule of Basic Pricing Data - Contract Year 5 (FY21)
Enter offeror name here
RatingFOSROS-5RAVDock Trial- Cost above ROS-5
CREW PAYROLL COSTS
Total Crew Wage Cost$ - 0$ - 0$ - 0$ - 0
Total Crew Fringe Benefits & Payroll Taxes$ - 0$ - 0$ - 0$ - 0
Subtotal Crew Payroll Costs$ - 0$ - 0$ - 0$ - 0
OTHER DIRECT COSTS:
Overlapping Crew Wages$ - 0$ - 0$ - 0$ - 0
Port Engineers/Port Captains$ - 0$ - 0$ - 0$ - 0
Provisions$ - 0$ - 0$ - 0$ - 0
Travel$ - 0$ - 0$ - 0$ - 0
Training$ - 0$ - 0$ - 0$ - 0
Loose Equipment & Consumables$ - 0$ - 0$ - 0$ - 0
Transportation & Handling of Items$ - 0$ - 0$ - 0$ - 0
Other Ship Expenses (Itemize)$ - 0$ - 0$ - 0$ - 0
Insurance (Itemize)$ - 0$ - 0$ - 0$ - 0
Subtotal - Payroll & Other Direct Costs$ - 0$ - 0$ - 0$ - 0
INDIRECT COSTS
Indirect Expenses*$ - 0$ - 0$ - 0$ - 0
General & Administrative Expenses*$ - 0$ - 0$ - 0$ - 0
Subtotal - Direct & Indirect Costs$ - 0$ - 0$ - 0$ - 0
Profit$ - 0$ - 0$ - 0$ - 0
TOTAL PER DIEM PRICE$ - 0$ - 0$ - 0$ - 0
TOTAL COST PER DOCK TRIAL ABOVE THE ROS-5 RATE/EVENT$ - 0
*Itemize Rate/Base Amt
PER DIEM RATE SUMMARY
Enter offeror name here
FOSROS-5RAVDock Trial Cost above ROS-5 per Event
Contract Year 1 (FY17)$ - 0$ - 0$ - 0$ - 0
Contract Year 2 (FY18)$ - 0$ - 0$ - 0$ - 0
Contract Year 3 (FY19)$ - 0$ - 0$ - 0$ - 0
Contract Year 4 (FY20)$ - 0$ - 0$ - 0$ - 0
Contract Year 5 (FY21)$ - 0$ - 0$ - 0$ - 0
52.217-8 (FY 22)$ - 0$ - 0$ - 0$ - 0

Form B

FORM B - PER DIEM RATES - TOTAL CONTRACT PRICE SUMMARY
(No data entry required. Columns will automatically populate.)
Contract Year 1 (FY17) - Enter offeror name here
Surge LMSR Operation & Maintenance- Lot 2- G & S Class
EXP
TYPEDescription (See Section B)Per Diem (1 ship)# of Days or Events / PeriodExtended Price
25213FOS$ - 050$ - 0
25213ROS-5$ - 01,365$ - 0
25213RAV$ - 045$ - 0
25213Dock Trial above ROS-5 Rate per Event$ - 04$ - 0
Total$ - 0
Contract Year 2 (FY18) - Enter offeror name here
Surge LMSR Operation & Maintenance- Lot 2- G & S Class
EXP
TYPEDescription (See Section B)Per Diem (1 ship)# of Days or Events / PeriodExtended Price
25213FOS$ - 040$ - 0
25213ROS-5$ - 01,420$ - 0
25213RAV$ - 00$ - 0
25213Dock Trial above ROS-5 Rate per Event$ - 04$ - 0
Total$ - 0
Contract Year 3 (FY19) - Enter offeror name here
Surge LMSR Operation & Maintenance- Lot 2- G & S Class
EXP
TYPEDescription (See Section B)Per Diem (1 ship)# of Days or Events / PeriodExtended Price
25213FOS$ - 040$ - 0
25213ROS-5$ - 01,420$ - 0
25213RAV$ - 00$ - 0
25213Dock Trial above ROS-5 Rate per Event$ - 04$ - 0
Total$ - 0
Contract Year 4 (FY20) - Enter offeror name here
Surge LMSR Operation & Maintenance- Lot 2- G & S Class
EXP
TYPEDescription (See Section B)Per Diem (1 ship)# of Days or Events / PeriodExtended Price
25213FOS$ - 040$ - 0
25213ROS-5$ - 01,424$ - 0
25213RAV$ - 00$ - 0
25213Dock Trial above ROS-5 Rate per Event$ - 04$ - 0
Total$ - 0
Contract Year 5 (FY21) - Enter offeror name here
Surge LMSR Operation & Maintenance- Lot 2- G & S Class
EXP
TYPEDescription (See Section B)Per Diem (1 ship)# of Days or Events / PeriodExtended Price
25213FOS$ - 070$ - 0
25213ROS-5$ - 01,255$ - 0
25213RAV$ - 0135$ - 0
25213Dock Trial above ROS-5 Rate per Event$ - 04$ - 0
Total$ - 0
Summary of Evaluated Prices - Enter offeror name here
Contract Year 1 (FY17)$ - 0
Contract Year 2 (FY18)$ - 0
Contract Year 3 (FY19)$ - 0
Contract Year 4 (FY20)$ - 0
Contract Year 5 (FY21)$ - 0
52.217-8 (FY 22)$ - 0
Total$ - 0

C - FOS

Form C - FOS - Schedule of Total Daily Crew Costs
Offerors shall complete columns C, D, F, G, H, and I below.
Form C - FOS - Schedule of Total Daily Crew Costs - Contract Year 1 (FY17)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department12$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department4$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - FOS - Schedule of Total Daily Crew Costs - Contract Year 2 (FY18)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department12$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department4$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - FOS - Schedule of Total Daily Crew Costs - Contract Year 3 (FY19)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department12$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department4$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - FOS - Schedule of Total Daily Crew Costs - Contract Year 4 (FY20)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department12$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department4$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - FOS - Schedule of Total Daily Crew Costs - Contract Year 5 (FY21)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department12$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department4$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

C - ROS-5

Form C - ROS-5 - Schedule of Total Daily Crew Costs
Offerors shall complete columns C, D, F, G, H, and I below.
Form C - ROS-5 - Schedule of Total Daily Crew Costs - Contract Year 1 (FY17)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Engine Department:0
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Steward Department:0
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - ROS-5 - Schedule of Total Daily Crew Costs - Contract Year 2 (FY18)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Engine Department:0
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Steward Department:0
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - ROS-5 - Schedule of Total Daily Crew Costs - Contract Year 3 (FY19)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Engine Department:0
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Steward Department:0
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - ROS-5 - Schedule of Total Daily Crew Costs - Contract Year 4 (FY20)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Engine Department:0
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Steward Department:0
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - ROS-5 - Schedule of Total Daily Crew Costs - Contract Year 5 (FY21)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Engine Department:0
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0
Steward Department:0
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

C - RAV

Form C - RAV- Schedule of Total Daily Crew Costs
Offerors shall complete columns C, D, F, G, H, and I below.
Form C - RAV- Schedule of Total Daily Crew Costs - Contract Year 1 (FY17)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - RAV- Schedule of Total Daily Crew Costs - Contract Year 2 (FY18)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - RAV- Schedule of Total Daily Crew Costs - Contract Year 3 (FY19)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - RAV- Schedule of Total Daily Crew Costs - Contract Year 4 (FY20)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - RAV- Schedule of Total Daily Crew Costs - Contract Year 5 (FY21)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Electronics Officer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department7$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:14$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

C - Dock Trial

Form C - Dock Trial - Schedule of Total Daily Crew Costs
Offerors shall complete columns C, D, F, G, H, and I below.
Form C - Dock Trial - Schedule of Total Daily Crew Costs - Contract Year 1 (FY17)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Deck Department0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Engine Department:
Chief Engineer0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1st Assistant Engineer0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Assistant Engineer0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Assistant Engineer1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0Fill in this line only
Electronics Officer0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Storekeeper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED/Electrician0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
QMED0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Wiper0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Engine Department1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Department:
Steward/Baker0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Cook0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Steward Assistant0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Steward Department0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TOTAL PER DAY/PER SHIP:1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Form C - Dock Trial - Schedule of Total Daily Crew Costs - Contract Year 2 (FY18)
Enter offeror name here
RatingTotal BilletsDaily Base
Wage (1 billet)Daily OT
(1 billet)Total Daily Wages
(total billets)Pension & Welfare
(1 billet)Vacation
(1 billet)Other**
(1 billet)Payroll Taxes
(1 billet)Total Fringes & PayrollTaxes
(all billets)Total Wages/Fringes/ Payroll Taxes

(all billets)

Deck Department:
Master0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Chief Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
2nd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3rd Mate0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
AB/Bosun0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Able Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ordinary Seamen0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

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