Attachment_G_-_Pricing_Form.xlsx

XLSX spreadsheet 108 KB Posted Nov 7, 2014

Attached to: OPERATION & MAINTENANCE OF FIVE ROCONS
Solicitation number: N62387-15-R-5301
Issued by: Department of the Navy Military Sealift Command

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Attachment G - Pricing Form

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File	Type	Posted
Attachment_P_-_Training_Information.pdf	PDF	Jul 2, 2015
Attachment_G_-_Pricing_Form_v3.xlsx	XLSX spreadsheet	Jul 2, 2015
N62387-15-R-5301_0007_-_Conformed.docx	DOCX document	Jul 2, 2015
N62387-15-R-5301_0007.docx	DOCX document	Jul 2, 2015
Attachment_C_-_DD254_v2_-_Box_13_Continuation_Page.pdf	PDF	Jul 2, 2015
N62387-15-R-5301_0007_-_Conformed_-_Tracked_Changes.docx	DOCX document	Jul 2, 2015
Attachment_O_-_Monthly_Budget_Status_Report.xlsx	XLSX spreadsheet	Jul 2, 2015
Attachment_A_-_Technical_Manual_v2.docx	DOCX document	Jul 2, 2015
Attachment_K_-_Invoice_Requirements.doc	DOC document	Jul 2, 2015
Attachment_C_-_DD254_v2.pdf	PDF	Jul 2, 2015
Att_A_-_Technical_Manual_v2_-_Tracked_Changes.docx	DOCX document	Jul 2, 2015
Attachment_N_-_Civilian_Equivalencies_Costing.docx	DOCX document	Jul 2, 2015
15-R-5301_-_Amend_6_-_Extension_and_Final_Wage_Det.pdf	PDF	Jan 14, 2015
Att_B-3_of_3_3_WD_2011-0179_Rev_1_for_USNS_MARTIN_ via_Amend_6 .pdf	PDF	Jan 14, 2015
Amend_005_-_ROCON_OM.pdf	PDF	Dec 31, 2014
Attachment_G_-_Pricing_Form_v2.xlsx	XLSX spreadsheet	Dec 30, 2014
Att_B_-_3_of_3_-_Partial_Wage_Det_for_MARTIN.pdf	PDF	Dec 30, 2014
Amend_005_-_ROCON_OM.pdf	PDF	Dec 30, 2014
Attachment_D_-_P_and_I.pdf	PDF	Dec 30, 2014
Att_B_-_2_of_3_-_WD_2011-0140_Rev_5_for_USNS_WHEAT.pdf	PDF	Dec 17, 2014
N62387-15-R-5301_0004.docx	DOCX document	Dec 17, 2014
Attachment_H_-_PP_Data_Sheet_v2.doc	DOC document	Dec 17, 2014
Att_B_-_3_of_3_-_Provisional_CBAs_for_MARTIN.pdf	PDF	Dec 12, 2014
Att_B_-_1_of_3_-_Wage_Det_2012-0026_Rev_2_-_KOCAK_Class.pdf	PDF	Dec 12, 2014
QA_22_-_36.pdf	PDF	Dec 12, 2014
Att_B_-_2_of_3_-_Provisional_Wage_Det_for_WHEAT.pdf	PDF	Dec 12, 2014
Amendment_003.pdf	PDF	Dec 12, 2014
QA_05-21.docx	DOCX document	Dec 2, 2014
N62387-15-R-5301_A002_RoCon_O M_Extend_Nov_2014.pdf	PDF	Nov 24, 2014
Attachment_B_-_Wage_Determination_(2012-0026_Rev-1).txt	TXT text file	Nov 20, 2014
N62387-15-R-5301_0001.pdf	PDF	Nov 20, 2014
Attachment_L_-_Technical_Forms_I-IV.xls	XLS spreadsheet	Nov 7, 2014
Attachment_J_-_GFP_-_WHEAT.xlsx	XLSX spreadsheet	Nov 7, 2014
Attachment_C_-_DD254.pdf	PDF	Nov 7, 2014
Attachment_J_-_GFP_-_PLESS.xlsx	XLSX spreadsheet	Nov 7, 2014
Attachment_A_-_ROCON_Tech_Manual.docx	DOCX document	Nov 7, 2014
N62387-15-R-5301.docx	DOCX document	Nov 7, 2014
Attachment_J_-_GFP_-_KOCAK.xlsx	XLSX spreadsheet	Nov 7, 2014
Attachment_H_-_PP_Data_Sheet.docx	DOCX document	Nov 7, 2014
Attachment_J_-_GFP_-_MARTIN.xlsx	XLSX spreadsheet	Nov 7, 2014
Attachment_I_-_PP_Questionnaire.docx	DOCX document	Nov 7, 2014
Attachment_B_-_Wage_Determination.txt	TXT text file	Nov 7, 2014
Attachment_F_-_SF_LLL.pdf	PDF	Nov 7, 2014
Attachment_J_-_GFP_-_OBREGON.xlsx	XLSX spreadsheet	Nov 7, 2014
Attachment_M_-_MECSP_Worksheet.doc	DOC document	Nov 7, 2014
Attachment_E_-_Hull_Clauses.pdf	PDF	Nov 7, 2014

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INSTRUCTIONS

Instructions to Offerors

Offeror Name: Insert Offeror Name Here

Offerors are to complete all yellow highlighted cells. These are found in the following tabs:
Tab Name	Contents
Form A	Other Direct Costs, Indirect Costs, and Profit for all OPTEMPOs.
Form B	Dock Trial Prices Per Instance (NOT Per Diem).
FORM C - Crew Cost Elements (FOS)	Crew wage and non-wage costs by billet for FOS only.
FORM C - Crew Cost Elements (ROS-5)	Crew wage and non-wage costs by billet for ROS-5 only.
FORM C - Crew Cost Elements (ROS-30)	Crew wage and non-wage costs by billet for ROS-30 only.
FORM C - Crew Cost Elements (RAV)	Crew wage and non-wage costs by billet for RAV only.

Instructions for Itemized Elements

Some elements direct the Offeror to itemize its components. This is to be done on one or more separate Excel-compatible spreadsheet(s) to be developed by the Offeror. No specific format is mandated for the additional spreadsheet(s). Elements to be itemized are listed under their associated tab(s) below:

Form A:

C - Crew Cost Elements (FOS) C - Crew Cost Elements (ROS-5) C - Crew Cost Elements (ROS-30) C - Crew Cost Elements (RAV)

Other Ship Expenses	Other
Insurance
Indirect Expenses
General & Administrative Expenses

Log of Changes to Attachment G - Pricing Form
Version	Associated Amendment	Changes
1	--	--

DELIVERY & PERFORMANCE

	Enter offeror name here
Ship	Ship Delivers
USNS MARTIN	October 1, 2015
USNS WHEAT	October 1, 2015
USNS KOCAK	October 1, 2016
USNS OBREGON	October 1, 2016
USNS PLESS	October 1, 2016
Period of Performance	Anticipated Start Date	Anticipated End Date	# Calendar Days in Period
Firm Period	October 1, 2015	September 30, 2016	366
Option Period 1	October 1, 2016	September 30, 2017	365
Option Period 2	October 1, 2017	September 30, 2018	365
Option Period 3	October 1, 2018	September 30, 2019	365
Option Period 4	October 1, 2019	September 30, 2020	366
Total Ship-Days by Operating Status for All Ships
Period of Performance	FOS	ROS-5	ROS-30	RAV
Firm Period	4	350	0	12
Option Period 1	4	349	0	12
Option Period 2	4	349	0	12
Option Period 3	4	349	0	12
Option Period 4	4	350	0	12

Deliveries and Periods of Performance

CREWING

Manning Arrangements:

Insert Offeror Name Here

NUC-1

NUC-2

NUC-3

FOS

ROS-5

ROS-30

ROS-5 Dock Trial

RAV

Billet

Deck Dept:

Master

Chief Mate

2nd Mate

3rd Mate

AB/Bosun

Able Seamen

Ordinary Seamen/GVA

Deck Subtotal

Engine Dept:

Chief Engineer

1st Asst. Engineer

2nd Asst. Engineer

3rd Asst. Engineer

Electronics Officer/Tech.

Storekeeper

QMED/Electrician

QMED Pumpman

QMED

GUDE

Eng. Dept. Subtotal

Steward Dept:

Steward/Baker

Chief Cook

Steward's Assistant

Steward Subtotal

Total NUC-1 Crew ERROR:#REF! Total NUC-2 Crew ERROR:#REF! Total NUC-3 Crew ERROR:#REF! Total FOS Crew 30 Total ROS-5 Crew 12 Total ROS-30 Crew 0 Total ROS-5 Dock Trial Crew 16 Total RAV Crew 14

FORM A

Form A - Schedule of Basic Pricing Data

See "Instructions" tab for additional information.

Form A - Schedule of Basic Pricing Data - Firm Period

FOS ROS-5 ROS-30 RAV

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
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

*Itemize Rate/Base Amt

Form A - Schedule of Basic Pricing Data - Option Period 1

Rating FOS ROS-5 ROS-30 RAV

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
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

*Itemize Rate/Base Amt

Form A - Schedule of Basic Pricing Data - Option Period 2

Rating FOS ROS-5 ROS-30 RAV

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
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

*Itemize Rate/Base Amt

Form A - Schedule of Basic Pricing Data - Option Period 3

Rating FOS ROS-5 ROS-30 RAV

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
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

*Itemize Rate/Base Amt

Form A - Schedule of Basic Pricing Data - Option Period 4

Rating FOS ROS-5 ROS-30 RAV

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
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

*Itemize Rate/Base Amt

PER DIEM RATE SUMMARY

	FOS	ROS-5	ROS-30	RAV
Firm Period	$ - 0	$ - 0	$ - 0	$ - 0
Option Period 1	$ - 0	$ - 0	$ - 0	$ - 0
Option Period 2	$ - 0	$ - 0	$ - 0	$ - 0
Option Period 3	$ - 0	$ - 0	$ - 0	$ - 0
Option Period 4	$ - 0	$ - 0	$ - 0	$ - 0

FORM B

FORM B - PER DIEM & DOCK TRIAL RATES - REIMBURSABLE VALUES - TOTAL CONTRACT PRICE SUMMARY

BASE PERIOD
Description (See Section B)	Per Diem / Instance	# Per Ship Per Period	# of Ships	Extended Price
FOS	$ - 0	4	2	$ - 0
ROS-5	$ - 0	350	2	$ - 0
ROS-30	$ - 0	0	2	$ - 0
RAV	$ - 0	12	2	$ - 0
DOCK TRIAL	$ - 0	1	2	$ - 0
			BASE PERIOD PER DIEM & DOCK TRIALS:	$ - 0
			BASE PERIOD REIMBURSABLES:	$ 9,873,606.94
			BASE PERIOD SUBTOTAL:	$ 9,873,606.94

OPTION PERIOD 1
Description (See Section B)	Per Diem / Instance	# Per Ship Per Period	# of Ships	Extended Price
FOS	$ - 0	4	5	$ - 0
ROS-5	$ - 0	349	5	$ - 0
ROS-30	$ - 0	0	5	$ - 0
RAV	$ - 0	12	5	$ - 0
DOCK TRIAL	$ - 0	1	5	$ - 0
			OPTION PERIOD 1 PER DIEM & DOCK TRIALS:	$ - 0
			OPTION PERIOD 1 REIMBURSABLES:	$ 22,372,697.70
			OPTION PERIOD 1 SUBTOTAL:	$ 22,372,697.70

OPTION PERIOD 2
Description (See Section B)	Per Diem / Instance	# Per Ship Per Period	# of Ships	Extended Price
FOS	$ - 0	4	5	$ - 0
ROS-5	$ - 0	349	5	$ - 0
ROS-30	$ - 0	0	5	$ - 0
RAV	$ - 0	12	5	$ - 0
DOCK TRIAL	$ - 0	1	5	$ - 0
			OPTION PERIOD 2 PER DIEM & DOCK TRIALS:	$ - 0
			OPTION PERIOD 2 REIMBURSABLES:	$ 11,375,751.65
			OPTION PERIOD 2 SUBTOTAL:	$ 11,375,751.65

OPTION PERIOD 3
Description (See Section B)	Per Diem / Instance	# Per Ship Per Period	# of Ships	Extended Price
FOS	$ - 0	4	5	$ - 0
ROS-5	$ - 0	349	5	$ - 0
ROS-30	$ - 0	0	5	$ - 0
RAV	$ - 0	12	5	$ - 0
DOCK TRIAL	$ - 0	1	5	$ - 0
			OPTION PERIOD 3 PER DIEM & DOCK TRIALS:	$ - 0
			OPTION PERIOD 3 REIMBURSABLES:	$ 11,603,266.69
			OPTION PERIOD 3 SUBTOTAL:	$ 11,603,266.69

OPTION PERIOD 4
Description (See Section B)	Per Diem / Instance	# Per Ship Per Period	# of Ships	Extended Price
FOS	$ - 0	4	5	$ - 0
ROS-5	$ - 0	350	5	$ - 0
ROS-30	$ - 0	0	5	$ - 0
RAV	$ - 0	12	5	$ - 0
DOCK TRIAL	$ - 0	1	5	$ - 0
			OPTION PERIOD 4 PER DIEM & DOCK TRIALS:	$ - 0
			OPTION PERIOD 4 REIMBURSABLES:	$ 17,517,649.02
			OPTION PERIOD 4 SUBTOTAL:	$ 17,517,649.02

TOTAL EVALUATED PRICE: $ 72,742,972.01

Estimated Reimbursable Values by Ship and Contract Period*
SHIP	Base Period	Option 1	Option 2	Option 3	Option 4
USNS LCPL Roy M. Wheat (T-AK 3016)	$7,686,803	$2,230,540	$2,275,150	$2,320,653	$2,367,066
USNS 1st Lt Harry L Martin (T-AK 3015)	$2,186,803	$2,230,540	$2,275,150	$2,320,653	$8,049,383
USNS SGT Matej Kocak (T-AK 3005)		$7,840,540	$2,275,150	$2,320,653	$2,367,066
USNS PFC Eugene A. Obregon (T-AK 3006)		$2,230,540	$2,275,150	$2,320,653	$2,367,066
USNS MAJ Stephen W. Pless (T-AK 3007)		$7,840,540	$2,275,150	$2,320,653	$2,367,066
*Dollar values in bold text include an anticipated drydocking with an estimated value of approximately $5,500,000.

FORM C - FOS

Form C - Crew Cost Elements (FOS)

Offerors shall complete columns B through G below.

	Form C - Crew Cost Elements (FOS) - Firm Period
	Insert Offeror Name Here
		Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	6	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

	Form C - Crew Cost Elements (FOS) - Option Period 1
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	6	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

	Form C - Crew Cost Elements (FOS) - Option Period 2
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	6	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

	Form C - Crew Cost Elements (FOS) - Option Period 3
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	6	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

	Form C - Crew Cost Elements (FOS) - Option Period 4
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	6	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0

FORM C - ROS 5

Form C - Crew Cost Elements (ROS-5)

Offerors shall complete columns B through G below.

	Form C - Crew Cost Elements (ROS-5) - Firm Period
	Insert Offeror Name Here
		Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-5) - Option Period 1
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-5) - Option Period 2
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-5) - Option Period 3
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-5) - Option Period 4
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

FORM C - ROS 30

Form C - Crew Cost Elements (ROS-30)

Offerors shall complete columns B through G below.

	Form C - Crew Cost Elements (ROS-30) - Firm Period
	Insert Offeror Name Here
		Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-30) - Option Period 1
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-30) - Option Period 2
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-30) - Option Period 3
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (ROS-30) - Option Period 4
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

FORM C - RAV

Form C - Crew Cost Elements (RAV)

Offerors shall complete columns B through G below.

	Form C - Crew Cost Elements (RAV) - Firm Period
	Insert Offeror Name Here
		Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (RAV) - Option Period 1
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (RAV) - Option Period 2
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (RAV) - Option Period 3
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

	Form C - Crew Cost Elements (RAV) - Option Period 4
	Insert Offeror Name Here
	Rating	Daily Base
Wage (1 billet)	Daily OT
(1 billet)	Pension & Welfare
(1 billet)	Vacation
(1 billet)	Other (Itemize)
(1 billet)	Payroll Taxes
(1 billet)		# of Personnel Assigned to Position	Total Base Wages + Daily OT by Position	Total Fringe + Payroll by Position

Master $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 1 $ - 0 $ - 0

Deck Dept:
Chief Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
3rd Mate	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
AB/Bosun	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Able Seamen	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Ordinary Seamen/GVA	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Engine Dept:
Chief Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
1st Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
2nd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
3rd Asst. Engineer	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	2	$ - 0	$ - 0
Electronics Officer/Tech	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
Storekeeper	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED/Electrician	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED Pump man	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0
QMED	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
GUDE	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0

Steward Dept:
Steward/Baker	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Chief Cook	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	1	$ - 0	$ - 0
Steward's Assistant	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0	$ - 0	$ - 0

File details come from the government source that posted it. Updated Nov 14, 2017.