Att (6) SCA Price Adjustment Form_10 Oct 19.xls

XLS spreadsheet 73 KB Posted Nov 20, 2019

Attached to: Surface Fire Fighter and Damage Control Contractor Operation & Maintenance Services Federal contract opportunity
Solicitation number: N61340-20-R-0005
Issued by: Department of the Navy Naval Air Systems Command

About this file

Written by GovTribe AI · Dec 28, 2023

This document provides templates for a contractor to request price adjustments on a federal contract. It includes a wage adjustment form and summary sheet for contractors to input employee names and wage rates. Contractors must include the applicable contract and modification numbers, as well as location and wage determination number. For wage increases, contractors provide the current and new rates and the adjustment is automatically calculated. For fringe benefit changes, contractors must fully justify the requested adjustment. The total dollar amount of the requested price adjustment should be included.

This related federal contract opportunity is a solicitation for Surface Fire Fighter and Damage Control Contractor Operation and Maintenance Services at various Navy locations. The firm-fixed-price contract has a one-year base period and four one-year options. Services include maintaining training systems and equipment in operational condition and facilitating user training. The small business set-aside is under NAICS 541330 with a $41.5M size standard. Proposals are due per the RFP. The MOPAS documentation was inadvertently distributed but did not violate the Procurement Integrity Act.

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Other files for this federal contract opportunity

Other files attached to Surface Fire Fighter and Damage Control Contractor Operation & Maintenance Services, newest first.
File	Type	Posted
Att (L-9B) Surf FF-DC Manpower Projection Workbook_23 Dec 2019.xlsx	XLSX spreadsheet	Dec 23, 2019
Att (1A) Appendix A_Surf FF-DC_Mayport_4 Dec 2019_TrkChgs.docx	DOCX document	Dec 20, 2019
ATCH 10J_CBA_Newport - NFSMWA - FINAL.PDF	PDF	Dec 20, 2019
Att (1C) Appendix C_Surf FF-DC_San Diego_4 Dec 2019_TrkChgs.docx	DOCX document	Dec 20, 2019
ATCH 10H_CBA_Norfolk - TAMP - FINAL.PDF	PDF	Dec 20, 2019
ATCH 10I_CBA_San Diego - SDAMP - FINAL.PDF	PDF	Dec 20, 2019
Att (1) Surface FF-DC COMS PWS_2 Dec 2019_TrkChgs.DOCX	DOCX document	Dec 20, 2019
Att (L-14) Consolidated Solicitation Question_19 Dec 2019 Amend 0001.xlsx	XLSX spreadsheet	Dec 20, 2019
Att (1G) Appendix G_Surf FF-DC_SWOSU Great Lakes_4 Dec 2019_TrkChgs.docx	DOCX document	Dec 20, 2019
Att (L-9B) Surf FF-DC Manpower Projection Workbook_20 Dec 2019.xlsx	XLSX spreadsheet	Dec 20, 2019
ATCH 10K_CBA_Pearl Harbor - LMS - FINAL.pdf	PDF	Dec 20, 2019
Att (1B) Appendix B_Surf FF-DC_Norfolk_4 Dec 2019_TrkChgs.docx	DOCX document	Dec 20, 2019
Att (9A) Surf FF-DC Sect B_Price Evaluation Worksht_10 Dec 2019.xlsx	XLSX spreadsheet	Dec 10, 2019
ATCH 10F_CBA_Great Lakes - GLAFFSP - FINAL.PDF	PDF	Dec 9, 2019
ATCH 10E_CBA_Pearl Harbor - LMS - FINAL.pdf	PDF	Dec 9, 2019
ATCH 10B_CBA_Norfolk - TAMP - FINAL.PDF	PDF	Dec 9, 2019
ATCH 10D_CBA_Newport - NFSMWA - FINAL.PDF	PDF	Dec 9, 2019
Surface FF_DC Washer and Dryer List_4 Dec 2019.pdf	PDF	Dec 9, 2019
Att (L-17) Past Performance Information Form Mar 2017.pdf	PDF	Nov 20, 2019
Att (L-16B) Norfolk Maint Sep 18 - Aug 19 dtd 7 Oct 19.pdf	PDF	Nov 20, 2019
Att (L-13D) CDRL A005 OTC Newport_Inventory Report_2 Jul 2019.xls	XLS spreadsheet	Nov 20, 2019
Att (L-12) Surf FF-DC COMS Consumables Report All Sites_Feb 2018 - Jan 2019.xlsx	XLSX spreadsheet	Nov 20, 2019
Att (1C) Appendix C_Surf FF-DC_San Diego_1 Oct 2019.docx	DOCX document	Nov 20, 2019
FFDC COMS MOPAS for RFP posting.pdf	PDF	Nov 20, 2019
Exhibit (A6) CDRL A006 Quality System Plan (w attach)_FF_DC_23 Oct 2019.doc	DOC document	Nov 20, 2019
ATCH 10B_WD 15-4341 (Rev.-12) Norfolk.pdf	PDF	Nov 20, 2019
Att (L-14) Solicitation QuestionResponse Form_10 Oct 19.xlsx	XLSX spreadsheet	Nov 20, 2019
Att (3) Quality Assurance Surveillance Plan_2 Jul 2019.doc	DOC document	Nov 20, 2019
Exhibit (A5) CDRL A005 Inventory Report (w attach)_FF_DC_23 Oct 2019.doc	DOC document	Nov 20, 2019
Att (L-16C) San Diego Maint Sep 18 - Aug 19 dtd 7 Oct 19.pdf	PDF	Nov 20, 2019
Exhibit (A4-1) Samplet Rpt for Annex of Exhibit A004_23 Oct 2019.xlsx	XLSX spreadsheet	Nov 20, 2019
Att (L-13E) CDRL A005 Pearl Harbor_Inventory Report_2 Jul 2019.xls	XLS spreadsheet	Nov 20, 2019
Att (L-9B) Surf FF-DC Manpower Projection Workbook_7 Oct 2019.xlsx	XLSX spreadsheet	Nov 20, 2019
Exhibit (A4) CDRL A004 Monthly Rpt (1423 and Annex only)_FF_DC COMS_23 Oct 2019.doc	DOC document	Nov 20, 2019
.N61340-20-R-0005 Surface FF_COMS_11.20.2019_FINAL.pdf	PDF	Nov 20, 2019
Att (1) Surface FF-DC COMS PWS_20 Nov 2019.pdf	PDF	Nov 20, 2019
Att (1F) Appendix F_Surf FF-DC_RTC Great Lakes_1 Oct 2019.docx	DOCX document	Nov 20, 2019
.Announcement_FinalRFP_11.20.2019.pdf	PDF	Nov 20, 2019
Att (4) Data Item Transmittal_Acceptance_Rejection_ Form.pdf	PDF	Nov 20, 2019
.N61340-20-R-0005 Surface FF_COMS_11.20.2019_FINAL.docx	DOCX document	Nov 20, 2019
Att (1B) Appendix B_Surf FF-DC_Norfolk_1 Oct 2019.docx	DOCX document	Nov 20, 2019
Att (1) Surface FF-DC COMS PWS_20 Nov 2019.DOCX	DOCX document	Nov 20, 2019
Att (L-13F) CDRL A005 RTC Great Lakes_Inventory Report_2 Jul 2019.xls	XLS spreadsheet	Nov 20, 2019
ATCH 10C_WD 15-5635 (Rev.-11) San Diego.pdf	PDF	Nov 20, 2019
Att (L-13B) CDRL A005 Norfolk_Inventory Report_2 Jul 2019.xls	XLS spreadsheet	Nov 20, 2019
Att (L-16E) Pearl Harbor Maint Sep 18 - Aug 19 dtd 7 Oct 19.pdf	PDF	Nov 20, 2019
Exhibit (A1) CDRL A001 CFSR w attach_FF_DC COMS_23 Oct 2019.doc	DOC document	Nov 20, 2019
Exhibit (A2) CDRL A002 Conference Minutes_FF_DC COMS_23 Oct 2019.doc	DOC document	Nov 20, 2019
Evaluation Factor Guide Version 1.3 July 2019.docx	DOCX document	Nov 20, 2019
.Section J Attachments_11.20.19.docx	DOCX document	Nov 20, 2019

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Page_1

PRICE ADJUSTMENTS REQUEST FORM

INFORMATION TO BE PROVIDED WITH REQUEST FOR PRICE ADJUSTMENTS

Contract Number:

Modification Number:

Location:

Applicable Wage

Determination Number/ Collective Bargaining Agreement:

	Submission
	(Please use additional workbooks, if required.)
	I. The following guidance should be followed in preparing and submitting such notification.
	Alternative request submissions may be acceptable. Contact the assigned Contract Specialist for more information.
	a. CHANGES REQUIRED AS A RESULT OF INCREASES OR DECREASES IN WAGES:
	The Contractor shall complete the attached forms for all applicable requests. Separate forms
	should be utilized for each separate location.
	- Completion of Page 1 shall be as follows:
	Top Section (ie. Contract Number,
Task Order Number, etc.)	Complete as required
	Bottom Section	Insert current applicable rates
	- Completion of "Wage" page shall be as follows:
	Column	Description
	(a)	Insert CBA/WD Wage Classification
	(b)	Insert Employee Name for each area of wage
		affected (wage, H&W, shift differential, etc.)
	(c)	Insert Current Wage, H&W, Shift Differential, etc.
	(d)	Insert New Wage, H&W, Shift Differential, etc.
	(e)	Hourly increase is automatically calculated
	- Completion of "Summary" page shall be as follows:
	Column	Description
	(a)	Employee Name is automatically inserted
	(b)	Hourly salary increase is automatically inserted
	(c)	Insert number of hours affected by increase
	(d)	Total salary increase is automatically calculated
	(e) thru (i)	Resultant increases/decreases in FICA, FUI,
		SUI, SDI and WCI are automatically calculated
	(j)	Total adjustment for each area is automatically calculated
	Complete the rates for the following items:
	FICA		0.00%	%
	Federal Unemployment Insurance (FUI)		0.00%	%
	State Unemployment Insurance (SUI)		0.00%	%
	Workmen's' Compensation Insurance (WCI)		0.00%	%
	Note: These rates shall be applied to column (d). If adjustment is required to a rate, rates shall be
	apportioned to reflect the effective period of the rate (i.e. FICA rate 7.65% effective 1 January 1990).
	b. CHANGES REQUIRED AS A RESULT OF INCREASES OR DECREASES IN FRINGE
	BENEFITS: The Contractor shall provide complete rationale in a similar format to Attachment (1)
	to justify any change requested due to revisions in Health and Welfare, Vacation or Holiday
	requirements.
	c. COLLECTIVE BARGAINING AGREEMENTS: For those items where the Contractor is
	requesting an adjustment due to changes in a Collective Bargaining Agreement, the following
	information shall be provided:
	(1) Detailed statement as to why the adjustment is justified/applicable under the terms
	of the contract.
	(2) Copy of applicable pages of both the Current and Previous agreements covering the
	item for which the adjustment is requested.
	(3) Detailed pricing information in accordance with the applicable requirement of
	paragraphs A and B, above.
	III. The Contractor shall provide the total requested dollar amount for Price Adjustment by
	referring to the Total Request Cell on the Summary Worksheet.
	NOTE: Please complete cells in BLUE only.

&RSurf FF/DC COMS Attachment (6) Page &P

Wage

PRICE ADJUSTMENTS REQUEST FORM
INFORMATION TO BE PROVIDED WITH REQUEST FOR PRICE ADJUSTMENTS
Contract Number:	0
Modification Number:	0
Location:	0
Applicable Wage

Determination Number/

Collective Bargaining Agreement:	0
	(a)	(b)	(c)	(d)	(e)
	CBA/WD Classification	Employee Name	Employee
Houly Salary	WD/CBA
Rate	Hourly Salary

Increase

$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0

&CAttachment (6) &RSurf FF/DC COMS Attachment (6) Page &P

Summary

PRICE ADJUSTMENTS REQUEST FORM
INFORMATION TO BE PROVIDED WITH REQUEST FOR PRICE ADJUSTMENTS
Contract Number:	0
Modification Number:	0
Location:	0
Applicable Wage

Determination Number/

Collective Bargaining Agreement:	0
	(a)	(b)	(c)	(d)		(e)	(f)	(g)	(h)	(I)	(k)
	Employee Name	Hourly Salary
Increase	FY Hours	Total Salary
Increase		FICA	FUI	SUI	SDI	WCI	Total Adjustment
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
		$ - 0		$ - 0		$ - 0	$ - 0	$0.00	$ - 0	$ - 0	$ - 0
											$ - 0
	Total Request

&CAttachment (6) &RSurf FF/DC COMS Attachment (6) Page &P

File details come from the government source that posted it. Updated Nov 20, 2019.