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Form A - Crewing
| Offeror: |
| Vessel: |
| Contract Period: |
| This form shall be completed for each period for each vessel. |
| Crewing should be based upon FOS: ROS and RAV rates should not include crew. |
| Deck Dept | | | | Engine Dept | | | |
| | Total billets: | | | | Total billets: | |
| Position | Complement Aboard | | Total Daily Wages (e.g. Base wage, fringes/payroll taxes, watch overtime, pension) | Position | Complement Aboard | | Total Daily Wages (e.g. Base wage, fringes/payroll taxes, watch overtime, pension) |
| Steward Dept | | | | | | | |
| | Total billets: | | | | | |
| Position | Complement Aboard | | Total Daily Wages (e.g. Base wage, fringes/payroll taxes, watch overtime, pension) | Other Aboard | | | |
| | | | | | Total billets: | |
| | | | Position | Complement Aboard | | Total Daily Wages (e.g. Base wage, fringes/payroll taxes, watch overtime, pension) |
Form A
&A Page &P
Form B-Reimbursable OT
| Offeror: |
| Vessel: |
| Contract Period: |
| This form shall be completed for each period for each vessel. | | | |
| Offerors shall complete this form for the reimbursable overtime for vessel crews. | | | |
| In the box to the right of "Total billets" fill in the number of billets proposed for each department. | | | |
| Note: The contractor must meet the mimumnim manning requirements found in the TAGS & WATERS TM Section 19. | | | |
| Deck Dept | | Engine Dept | |
| Total billets: | | Total billets: |
| Position | Fully Burdened overtime wage per hour (not including watch overtime) | Position | Fully Burdened overtime wage per hour (not including watch overtime) |
| Steward Dept | | | |
| Total billets: | Other Aboard | |
| Position | Fully Burdened overtime wage per hour (not including watch overtime) | | Total billets: |
| | Position | Fully Burdened overtime wage per hour (not including watch overtime) |
Form C-Basic Pricing Data
| Offeror: |
| Vessel: |
| Contract Period: |
| This form shall be completed for each period for each period for each vessel. |
| The sum of all amounts in each column shall equal the Daily Rate for this contract for that vessel |
| in a specific period and FOS, RAV, ROS and FAM condition. |
| Direct Expenses: | | | | | |
| Category | FOS Amount | RAV Amount | ROS Amount | FAM Amount |
| Crew (i.e., total Daily Wages) | | N/A | N/A | N/A |
| Port Engineers | | | | |
| Port Captains | | | | |
| Training Costs (Crew) | | | | |
| Provisioning (Afloat) | | N/A | N/A | N/A |
| Sponsor Meals (no fewer than the average # of sponsor personnel outline in technical Manual) | | N/A | N/A | N/A |
| Durable movable property & consumables | | | | |
| Transportation/handling of items and material | | | | |
| Other ashore expenses (itemize) | | | | |
| 1) | | | | |
| 2) | | | | |
| 3) | | | | |
| 4) | | | | |
| Other afloat expenses (itemize) | | | | |
| 1) | | | | |
| 2) | | | | |
| 3) | | | | |
| 4) | | | | |
| Insurance (Itemize) | | | | |
| 1) | | | | |
| 2) | | | | |
| 3) | | | | |
| Indirect Expenses: | |
| Indirect Expenses |
| General & Administrative Expenses: | |
| G&A Expenses |
Summation of Expenses: $ - 0 $ - 0 $ - 0 $ - 0
&A
Form D-1 Per Diem BOWDITCH
| Offeror: | | | | | |
| Vessel: | | USNS BOWDITCH | | | |
| Offerors shall complete this form. | | | | | |
| The estimated quantities provided are for evaluation only and are not guaranteed. | | | | | |
| *Offerors shall propose number of days of familiarization based on the familiarization plan | | | | | |
| submitted IAW section C-1.7.1.5.7 of the soliciation | | | | | |
| Firm Period: | | | | | |
| FOS | RAV | ROS | Familiarization* | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 1st Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 366 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 2nd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 3rd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 4th Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
VESSEL'S EVALUATED PRICE $ - 0
Form D-1 Per Diem BRUCECHEEZEN
| Offeror: | | | | | |
| Vessel: | | USNS BRUCE C HEEZEN | | | |
| Offerors shall complete this form. | | | | | |
| The estimated quantities provided are for evaluation only and are not guaranteed. | | | | | |
| *Offerors shall propose number of days of familiarization based on the familiarization plan | | | | | |
| submitted IAW section C-1.7.1.5.7 of the soliciation | | | | | |
| FOS | RAV | ROS | Familiarization* | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | | |
| Est. Qty. | 365 | 0 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 1st Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 366 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 2nd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 3rd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 4th Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
VESSEL'S EVALUATED PRICE $ - 0
Form D-1 Per Diem HENSON
| Offeror: | | | | | |
| Vessel: | | USNS HENSON | | | |
| Offerors shall complete this form. | | | | | |
| The estimated quantities provided are for evaluation only and are not guaranteed. | | | | | |
| *Offerors shall propose number of days of familiarization based on the familiarization plan | | | | | |
| submitted IAW section C-1.7.1.5.7 of the soliciation | | | | | |
| Firm Period: | | | | | |
| FOS | RAV | ROS | Familiarization* | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | | |
| Est. Qty. | 365 | 0 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 1st Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 366 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 2nd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 3rd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 4th Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
VESSEL'S EVALUATED PRICE $ - 0
Form D-1 Per Diem MARY SEARS
| Offeror: | | | | | |
| Vessel: | | USNS MARY SEARS | | | |
| Offerors shall complete this form. | | | | | |
| The estimated quantities provided are for evaluation only and are not guaranteed. | | | | | |
| *Offerors shall propose number of days of familiarization based on the familiarization plan | | | | | |
| submitted IAW section C-1.7.1.5.7 of the soliciation | | | | | |
| Firm Period: | | | | | |
| FOS | RAV | ROS | Familiarization* | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 1st Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 366 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 2nd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 3rd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 4th Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
VESSEL'S EVALUATED PRICE $ - 0
Form D-1 Per Diem PATHFINDER
| Offeror: | | | | | |
| Vessel: | | USNS PATHFINDER | | | |
| Offerors shall complete this form. | | | | | |
| The estimated quantities provided are for evaluation only and are not guaranteed. | | | | | |
| *Offerors shall propose number of days of familiarization based on the familiarization plan | | | | | |
| submitted IAW section C-1.7.1.5.7 of the soliciation | | | | | |
| Firm Period: | | | | | |
| FOS | RAV | ROS | Familiarization* | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | | |
| Est. Qty. | 365 | 0 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 1st Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 366 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 2nd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 3rd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 4th Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
VESSEL'S EVALUATED PRICE $ - 0
Form D-1 Per Diem MAURY
| Offeror: | | | | | |
| Vessel: | | USNS MAURY | | | |
| Offerors shall complete this form. | | | | | |
| The estimated quantities provided are for evaluation only and are not guaranteed. | | | | | |
| *Offerors shall propose number of days of familiarization based on the familiarization plan | | | | | |
| submitted IAW section C-1.7.1.5.7 of the soliciation | | | | | |
| Firm Period: | | | | | |
| FOS | RAV | ROS | Familiarization* | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | | |
| Est. Qty. | 365 | 0 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 1st Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 366 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 2nd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 3rd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 4th Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
VESSEL'S EVALUATED PRICE $ - 0
Form D-1 Per Diem WATERS
| Offeror: | | | | | |
| Vessel: | | USNS WATERS | | | |
| Offerors shall complete this form. | | | | | |
| The estimated quantities provided are for evaluation only and are not guaranteed. | | | | | |
| *Offerors shall propose number of days of familiarization based on the familiarization plan | | | | | |
| submitted IAW section C-1.7.1.5.7 of the soliciation | | | | | |
| Firm Period: | | | | | |
| FOS | RAV | ROS | Familiarization* | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | | |
| Est. Qty. | 365 | 0 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 1st Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 366 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 2nd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 3rd Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| 4th Optional Period: | | | | |
| FOS | RAV | ROS | |
| Daily Rate | $ - 0 | $ - 0 | $ - 0 | |
| Est. Qty. | 365 | 0 | 0 | TOTAL |
| Subtotal: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
VESSEL'S EVALUATED PRICE $ - 0
Form D-2 Total Evaluated Price Offeror:
| Offerors shall complete this form for the total evaluated price of the life of the contract. |
| Offerors shall add each vessel's evaluated price from Form D-1 for each period below. |
Firm Period:
1st Optional Period:
2nd Optional Period:
3rd Optional Period:
4th Optional Period:
TOTAL EVALUATED PRICE $ - 0 - 0
Form D-4