ESSCA_RFP_Amendment_3_Attachment_L-3A_Cost_Forms_IDIQ.xlsx
XLSX spreadsheet 110 KB Posted
- Attached to
- Engineering Services and Science Capability Augmentation (ESSCA) Federal contract opportunity
- Solicitation number
- NNM16568754R
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ESSCA RFP Amendment 3 Attachment L-3A Cost Form IDIQ
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Index Engineering Services and Science Capability Augmentation (ESSCA), Number NNM16568754R
| Tab | Description and Instruction |
| A | IDIQ Rate Development - Contractor Specific - This form details the development of the fully burdened labor rate. The offeror must map their labor categories to the NASA provided standard labor categories for this procurement. The offeror then applies fringe, overhead, and G&A to the base labor rate. The final burdened rate by category should be shown in the last column on the right side of the excel spreadsheet |
| B | Compensation Form Salaries and Wages - This form requires the Offeror to categorize the Exempt and Non-Exempt employees in accordance with their classification as the Offeror defines it. The offeror must also include the hourly rate by category. This is used to confirm compliance with the SCA or CBA requirements |
| C | Contract Management Overhead- This form provides detail to support the Contract Management Overhead Rate. The labor categories identified are examples of what may be included in management overhead. This form is to be completed by the Offeror Only. |
| D | Contractor Overhead, G&A and Other Indirect Rates Calculation - This form requires input for detail to the make-up of the offerors indirect rates. |
| E | Fringe Benefit Rate Calculation/Detail - This form includes the development of the fringe rate, payroll additive computation and the fringe per hour calculation that is required by SCA. |
| F | Phase-In Form (PIF) - Details the cost of phase-in. |
| G | Productive Hours per WYE Conversion Table - Specify the number of Productive Hours per WYE for each contract year. For each, specify in the notes how the figure was calculated (e.g.. 2080 hours per year - 100 hours vacation - 40 hours sick - 80 hours holiday = 1860 Productive hours) This Section Pertains to all CLINS and the factors should be used for all such calculations. Include Uncompensated Overtime hours if applicable. |
| H | Cognizant Audit Office Form - Required to indicate the audit office assigned to the offeror and subcontractors. |
| I | Fringe Policy Questionnaire - Required of Offeror and Subcontractors. This form provides visibility, by employee category, into personnel policies and fringe benefits, consistent with the Offeror's Compensation Plan. |
NNM16568754R
L3a-&P
Tab A-1
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | |
| Contract Year 1 (Base Period 1) |
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Identify Prime Contractor's burden(s) to be applied to Government provided ODC figures below. | ||||||||||
| CY 1 | CY 2 | CY 3 | CY 4 | CY 5 | CY 6 | CY 7 | CY 8 | |||
| ODC $ | Burden % | Burden % | Burden % | Burden % | Burden % | Burden % | Burden % | Burden % | ||
| Travel/Training | $ 800,000 | |||||||||
| Material | $ 3,900,000 | |||||||||
| Rationale for composition of burden rates and basis of application: |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-1 L3a-&P
Tab A-2
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | Contract Year 2 (Base Period 2) |
| Escalation Rate | |||||||||||
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-2 L3a-&P
Tab A-3
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | Contract Year 3 (Base Period 3) |
| Escalation Rate | |||||||||||
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-3 L3a-&P
Tab A-4
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | Contract Year 4 (Base Period 4) |
| Escalation Rate | |||||||||||
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-4 L3a-&P
Tab A-5
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | Contract Year 5 (Option Period 1 Year 1) |
| Escalation Rate | |||||||||||
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-5 L3a-&P
Tab A-6
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | Contract Year 6 (Option Period 1 Year 2) |
| Escalation Rate | |||||||||||
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-6 L3a-&P
Tab A-7
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | Contract Year 7 (Option Period 2 Year 1) |
| Escalation Rate | |||||||||||
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-7 L3a-&P
Tab A-8
IDIQ RATES DEVELOPMENT - CONTRACTOR SPECIFIC
| [ ] Prime Contractor: | |
| [ ] Subcontractor: _________________ | Contract Year 8 (Option Period 2 Year 2) |
| Escalation Rate | |||||||||||
| NASA Labor Category Descriptions (LCDs) | Direct Labor Rate | Burdens | |||||||||
| Offeror's Labor Category | Fringe % | Fringe $ | OH1 % | OH1 $ (a) | OH2 % | OH2 $ (b) | G&A % | G&A $ (c) | FBR* | ||
| Subject Matter Expert 3 (SME-3) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 2 (SME-2) | $1.00 | $0.00 | $1.00 | ||||||||
| Subject Matter Expert 1 (SME-1) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 5 (ES-5) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 4 (ES-4) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 3 (ES-3) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 2 (ES-2) | $1.00 | $0.00 | $1.00 |
| Engineer/Scientist 1 (ES-1) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 6 (ET-6) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 5 (ET-5) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 4 (ET-4) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 3 (ET-3) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 2 (ET-2) | $1.00 | $0.00 | $1.00 |
| Engineering Technician 1 (ET-1) | $1.00 | $0.00 | $1.00 |
| Notes: |
| (a) The Offeror must add a formula that computes the overhead according to the allocation base described in their accounting practices |
| (b) If applicable, the Offeror must add a formula that computes any additional overhead allocation proposed according to the allocation base described in their accounting practices |
| (c) The Offeror must add a formula that computes the G&A according to the allocation base described in their accounting practices |
| (d) The Prime should include the Contract Mangement Rate on this Tab for inclusion into the composite rates |
NNM16568754R
Tab A-8 L3a-&P
Tab B Compensation Form Salaries and Wages
| [ ] Prime Contractor:________________ |
| [ ] Subcontractor:_______________ |
| This column Linked to Tab A-1 | |||||||
| LABOR CATEGORY | Contract Year 1 | ||||||
| NASA Labor Category Descriptions (LCDs) | Offerors Labor Category | Exempt | Non-Exempt | Category as per | |||
| SCA (if applicable) | Average Annual Salary | Proposed Avg Direct | |||||
| Labor Rate | Source | ||||||
| (Mapped to LCD) | (Check One) | ||||||
| Subject Matter Expert 3 (SME-3) | |||||||
| Subject Matter Expert 2 (SME-2) | |||||||
| Subject Matter Expert 1 (SME-1) |
| Engineer/Scientist 5 (ES-5) |
| Engineer/Scientist 4 (ES-4) |
| Engineer/Scientist 3 (ES-3) |
| Engineer/Scientist 2 (ES-2) |
| Engineer/Scientist 1 (ES-1) |
| Engineering Technician 6 (ET-6) |
| Engineering Technician 5 (ET-5) |
| Engineering Technician 4 (ET-4) |
| Engineering Technician 3 (ET-3) |
| Engineering Technician 2 (ET-2) |
| Engineering Technician 1 (ET-1) |
NNM16568754R
Tab B L3a-&P
Tab C
| Offeror Only | Offeror Only | Offeror Only | Offeror Only | Offeror Only |
| Contract Management Overhead Rate Development by Offeror Fiscal Year | ||||
| and Conversion of Offeror Fiscal Year Rates to Contract Year Rates |
Base of Application = __________________________
OFFEROR'S FISCAL YEAR BEGINS ____________ AND ENDS ____________.
| Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | |||
| Cost Elements within | Total | Total | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year |
| the Overhead Burden Pool | WYE | Hours | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
| Examples: | |||||||||||
| Program Manager | |||||||||||
| Business Manager | |||||||||||
| List additional labor categories needed | |||||||||||
| List additional labor categories needed | |||||||||||
| List additional labor categories needed | |||||||||||
| List additional labor categories needed | |||||||||||
| List additional labor categories needed | |||||||||||
| List additional labor categories needed |
| Contract Management Expenses: |
| List |
| List |
| List |
| List |
| Total Pool Expenses | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Application Base ($) | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | ||
| Prime Labor | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | ||
| Add Base elements i.e. (subs) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Add Base elements i.e. (subs) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Add Base elements i.e. (subs) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| Offeror FY Rate (%) | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | ||
| CONVERSION OF BURDEN RATE TO CONTRACT YEAR | Contract Yr 1 | Contract Yr 2 | Contract Yr 3 | Contract Yr 4 | Contract Yr 5 | Contract Yr 6 | Contract Yr 7 | Contract Yr 8 | |||
| Percentage Usage by Year | Offerors Fiscal Year | ||||||||||
| Portion of Offerors Fiscal Year 1 | 20% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | ||
| Portion of Offerors Fiscal Year 2 | 80% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | ||
| Conversion to Proposed Contract Year Rate | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | |||
| Instructions: | |||||||||||
| 1. The conversion to contract year above is an example to assist in understanding the formula | |||||||||||
| 2. Areas in yellow require Offeror input. Add additional rows as necessary. | |||||||||||
| 3. Provide detail by including all account dollars that compose this indirect cost pool. This is required regardless of whether a forward pricing rate package exists. |
NNM16568754R
Tab C L3a-&P
Tab D CONTRACTOR OVERHEAD, G&A and OTHER INDIRECT RATES CALCULATION
General and Administrative (G&A) Rate Development by Offeror Fiscal Yr
Offeror or Subcontractor Name:
Base of Application = __________________________ Red Italic Font indicates an example that should be overwritten
OFFEROR'S FISCAL YEAR BEGINS ____________ AND ENDS ____________.
| Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | |
| Cost Elements | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year |
| Within the G&A Expense Pool | Prior Yr 2 | Prior Yr 1 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
| Labor: (Identify) | |||||||||||
| Indirect Labor - Gen Admin Functions | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Labor Related Cost: (Taxes & Fringes Etc.) 0 0 1 1 0 0 0 0 0 0 0
| B&P | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| IR&D | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Corporate Allocations: |
| Other (Specify): | |||||||||||
| Facilities | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Depreciation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ADD ACCOUNTS AS NECESSARY | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ADD ACCOUNTS AS NECESSARY | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ADD ACCOUNTS AS NECESSARY | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total G&A Expenses | $1 | $1 | $2 | $2 | $1 | $1 | $1 | $1 | $1 | $1 | $1 |
| Distribution Base Dollars: | |||||||||||
| Existing Business Base | $2 | $500 | $500 | $500 | $500 | $500 | $500 | $500 | $500 | $500 | $500 |
| This Contract Base | $3 | $70 | $70 | $70 | $70 | $70 | $70 | $70 | $70 | $70 | $70 |
| Forecasted Business Base | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Total Distribution Base $ | $5 | $570 | $570 | $570 | $570 | $570 | $570 | $570 | $570 | $570 | $570 |
| Calculated G&A Rates (%) | 20.0% | 0.2% | 0.4% | 0.4% | 0.2% | 0.2% | 0.2% | 0.2% | 0.2% | 0.2% | 0.2% |
| CONVERSION OF BURDEN RATE TO CONTRACT YEAR | Percentage | Contract Yr 1 | Contract Yr 2 | Contract Yr 3 | Contract Yr 4 | Contract Yr 5 | Contract Yr 6 | Contract Yr 7 | Contract Yr 8 | ||
| Usage by Year | Offerors Fiscal Year | ||||||||||
| Portion of Offerors Fiscal Year 1 | 20% | 0.1% | 0.1% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | ||
| Portion of Offerors Fiscal Year 2 | 80% | 0.3% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | ||
| Conversion to Proposed Contract Year Rate | 0.4% | 0.2% | 0.2% | 0.2% | 0.2% | 0.2% | 0.2% | 0.2% | |||
| Instructions: | |||||||||||
| 1. The conversion to contract yr above is an example to assist in understanding the formula-Designate contractors accounting period in accordance with 48 CFR 9904.406 Cost Accounting Period. | |||||||||||
| 2. Areas in yellow require Offeror input. Add additional rows as necessary. | |||||||||||
| 3. Describe allocation bases for each indirect rate | |||||||||||
| 4. Provide detail by including all account dollars that compose this indirect cost pool. This is required regardless of whether a forward pricing rate package exists. |
| Overhead/Service Center Pool Rate Development by Offeror Fiscal Year |
| and Conversion of Offeror Fiscal Year Rates to Contract Year Rates |
Offeror or Subcontractor Name:
Base of Application = __________________________
OFFEROR'S FISCAL YEAR BEGINS ____________ AND ENDS ____________.
| Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | |
| Cost Elements within | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year |
| the Overhead Burden Pool | Prior Yr 2 | Prior Yr 1 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Indirect Labor (DL Support) | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Related Fringes | |||||||||||
| Licenses & Certs | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Add Labor OH Exp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Add Labor OH Exp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Add Labor OH Exp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Add Labor OH Exp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Add Labor OH Exp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Add Labor OH Exp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Add Labor OH Exp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total Overhead Pool Expenses | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 |
| Application Base ($) | $100 | $100 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 |
| Offeror FY Rate (%) | 1.0% | 1.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| CONVERSION OF BURDEN RATE TO CONTRACT YEAR | Percentage | Contract Yr 1 | Contract Yr 2 | Contract Yr 4 | Contract Yr 5 | Contract Yr 6 | Contract Yr 7 | Contract Yr 8 | |||
| Usage by Year | Offerors Fiscal Year | Contract Yr 3 | |||||||||
| Portion of Offerors Fiscal Year 1 | 20% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | ||
| Portion of Offerors Fiscal Year 2 | 80% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | ||
| Conversion to Proposed Contract Year Rate | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | |||
| Instructions: | |||||||||||
| 1. The conversion to contract yr above is an example to assist in understanding the formula-Designate contractors accounting period in accordance with 48 CFR 9904.406 Cost Accounting Period. | |||||||||||
| 2. Areas in yellow require Offeror input. Add additional rows as necessary. | |||||||||||
| 3. Describe allocation bases for each indirect rate | |||||||||||
| 4. Provide detail by including all account dollars that compose this indirect cost pool. This is required regardless of whether a forward pricing rate package exists. |
| Other Indirect Rate Template |
| Offeror or Subcontractor Name: |
| Other Indirect Rate Development by Offeror Fiscal Year |
| and Conversion of Offeror Fiscal Year Rates to Contract Year Rates |
Base of Application = __________________________
OFFEROR'S FISCAL YEAR BEGINS ____________ AND ENDS ____________.
| Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | Offeror | |
| Cost Elements within | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year | Fiscal Year |
| the Overhead Burden Pool | Prior Yr 2 | Prior Yr 1 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
ADD ACCOUNTS AS NECESSARY 1 1 1 1 1 1 1 1 1 1 1
| Total Pool Expenses | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 | $1 |
| Application Base ($) | $100 | $100 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 | $1,000 |
| Offeror FY Rate (%) | 1% | 1% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% |
| CONVERSION OF BURDEN RATE TO CONTRACT YEAR | Percentage | Contract Yr 1 | Contract Yr 2 | Contract Yr 3 | Contract Yr 4 | Contract Yr 5 | Contract Yr 6 | Contract Yr 7 | Contract Yr 8 | ||
| Usage by Year | Offerors Fiscal Year | ||||||||||
| Portion of Offerors Fiscal Year 1 | 20% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | ||
| Portion of Offerors Fiscal Year 2 | 80% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | ||
| Conversion to Proposed Contract Year Rate | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | 0.1% | |||
| Instructions: | |||||||||||
| 1. The conversion to contract year above is an example to assist in understanding the formula. | |||||||||||
| 2. Areas in yellow require Offeror input. Add additional rows as necessary. | |||||||||||
| 3. Provide detail by including all account dollars that compose this indirect cost pool. This is required regardless of whether a forward pricing rate package exists. |
NNM16568754R
Tab D L-3A-&P
Fill-in and add templates as necessary to support rates used Optional
Tab E
Fringe Benefit Rate Calculation/Detail
| Part A | ||||||||
| Contract | Contract | Contract | Contract | Contract | Contract | Contract | Contract | |
| DESCRIPTION | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Year 6 | Year 7 | Year 8 |
| GROUP HEALTH INSURANCE |
| GROUP LIFE INSURANCE |
| RETIREMENT |
| SHORT TERM DISABILITY |
| LONG TERM DISABILITY |
| PROFESSIONAL LIABILITY INS. |
| LEAVE (sick, annual, personal) |
| OTHER (SPECIFY) |
| Employee Awards |
| Health and Welfare |
| Training |
TOTAL EXPECTED COST OF FB $0 $0 $0 $0 $0 $0 $0 $0
TOTAL LABOR BASE $1 $1 $1 $1 $1 $1 $1 $1
| Fringe Rate before Payroll Additive | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% |
| Payroll Additive Rate From PART B BELOW | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% |
FRINGE BENEFIT RATE 0% 0% 0% 0% 0% 0% 0% 0%
Please do not insert rows above this line as it may interfere with those cells that are linked to other workbooks.
Please Describe the Labor Base: (e.g. 90% DL, 10% Indirect Labor)
Form PH - PAYROLL ADDITIVES RATE DEVELOPMENT
| Location - MSFC State: Alabama | ||||||||
| Part B | ||||||||
| Contract | Contract | Contract | Contract | Contract | Contract | Contract | Contract | |
| DESCRIPTION | Year | Year | Year | Year | Year | Year | Year | Year |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |
| FICA CALCULATIONS: | ||||||||
| SOCIAL SECURITY (SS) | ||||||||
| BASE WAGES | ||||||||
| X SS RATE | ||||||||
| = SUBTOTAL | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| MEDICARE | ||||||||
| BASE WAGES | ||||||||
| X MEDICARE RATE | ||||||||
| = SUBTOTAL | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| UNEMPLOYMENT TAX: | ||||||||
| FUTA | ||||||||
| BASE WAGES | ||||||||
| X TAX RATE | ||||||||
| = SUBTOTAL | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| SUTA | ||||||||
| BASE WAGES | ||||||||
| X TAX RATE | ||||||||
| = SUBTOTAL | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| WORKERS' COMPENSATION: | ||||||||
| BASE WAGES | ||||||||
| X TAX RATE | ||||||||
| = SUBTOTAL | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| OTHER (SPECIFY): | ||||||||
| BASE WAGES | ||||||||
| X TAX RATE | ||||||||
| = SUBTOTAL | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
TOTAL PAYROLL ADDITIVES: $0 $0 $0 $0 $0 $0 $0 $0
TOTAL LABOR BASE $0 $0 $0 $0 $0 $0 $0 $0
= PAYROLL ADDITIVE RATE 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
| Part C | |||||||||
| Indicate Hourly Health & Welfare cost by Employee Category (per yr) | |||||||||
| * Per the SCA instructions, Hrly H&W is computed based on all hours paid not productive factor. | |||||||||
| TOTAL | |||||||||
| # of | GROUP | Pension | Short | Long | Sick | Hourly* H&W | |||
| Labor Category | WYE | HEALTH | LIFE | AD&D | Plan | Term Disability | Leave | COST | |
| Subject Matter Expert 3 (SME-3) | 1.0 | $1.00 | $1.00 | $1.00 | $1.00 | $1.00 | $1.00 | $0.00 | $6.00 |
| Subject Matter Expert 2 (SME-2) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Subject Matter Expert 1 (SME-1) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineer/Scientist 5 (ES-5) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineer/Scientist 4 (ES-4) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineer/Scientist 3 (ES-3) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineer/Scientist 2 (ES-2) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineer/Scientist 1 (ES-1) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineering Technician (ET-6) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineering Technician (ET-5) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineering Technician (ET-4) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineering Technician (ET-3) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineering Technician (ET-2) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Engineering Technician (ET-1) | 1.0 | $0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
NNM16568754R
Tab E L-3A-&P
Offerors that have submitted and are using a Forward Pricing Rate Agreement are not required to complete this form.
Tab F
Phase-In Form (PIF)
[ ] Prime Contractor: _____________
| Phase In 90 Days | |
| Labor Hours | |
| Regular | |
| Overtime | |
| Total Hours | 0 |
| Labor Dollars | |
| Regular | |
| Overtime Base | |
| Overtime Premium | |
| Shift Premium | |
| Total Phase-in Labor | $0 |
| Labor Burdens | |
| Fringe | |
| Labor Overhead | |
| Total Labor Burdens | $0 |
| Subcontracts | |
| List | |
| List | |
| List | |
| Total Subcontract Cost | $0 |
| ODC | |
| Relocation | |
| Travel | |
| Training | |
| Suplies, Material, & Equipment | |
| Other | |
| Total ODCs | $0 |
| Subtotal | $0 |
| G&A | |
| Fee | |
| TOTAL PHASE-IN | $0 |
| Less Company Investment | -$300,000 |
| TOTAL PHASE-IN | $300,000 |
NNM16568754R
Tab F L-3A-&P
Tab G
| PRODUCTIVE HOURS PER WYE CONVERSION TABLE |
| Productive Hours Conversion Template - Team: |
| XYZ Corporation |
| Productive Hours Template | |||||||||
| Enter Amount of Productive Hours per Contract Year | |||||||||
| CY 1 | CY 1 | CY 2 | CY 3 | CY 4 | CY 5 | CY 6 | CY 7 | CY 8 | |
| Start | 8/1/17 | 2/1/18 | 8/1/18 | 8/1/19 | 8/1/20 | 8/1/21 | 8/1/22 | 8/1/23 | 8/1/24 |
| End | 1/31/18 | 7/31/18 | 7/31/19 | 7/31/20 | 7/31/21 | 7/31/22 | 7/31/23 | 7/31/24 | 7/31/25 |
| 1056 | 1032 | 2088 | 2096 | 2080 | 2080 | 2088 | 2096 | 2088 | |
| Uncompensated Overtime Hours |
| Exempt Productive Factor Less |
| Holidays |
| Sick |
| Vacation |
| Other |
DIRECT PROD. LABOR HOURS: 1056 1032 2088 2096 2080 2080 2088 2096 2088
| SCA Productive Factor Less |
| Holidays |
| Sick |
| Vacation |
| Other |
DIRECT PROD. LABOR HOURS: 1056 1032 2088 2096 2080 2080 2088 2096 2088
Notes/Calculation EXAMPLE: Total Available Hours 2088 Hr Yr - xxx Leave/Vacation Hours - xx Sick Hours - xx Holiday Hours - xx Other Hours >> xxxx Total Productive Hours per WYE
Notes/Calculation CY1:
Notes/Calculation CY2:
Notes/Calculation CY3:
Notes/Calculation CY4
Notes/Calculation CY5
Notes/Calculation CY6
Notes/Calculation CY7
Notes/Calculation CY8
NNM16568754R
Tab G L-3A-&P
Tab H
| Cognizant Audit Office Form |
| Check Appropriate Box |
| [ ] Prime Contractor |
| [ ] Teaming Member (This form must be completed for each Teaming Agreement Participant) |
| [ ] Joint Venture Member (This form must be completed for each Joint Venture Participant) |
| [ ] Partnership (This form must be completed for each partner) |
| [ ] Subcontractor (This form must be completed for each subcontractor) |
| Submitting Entity: | Cognizant DCAA Field Office |
| Company Name: | DCAA FAO: |
POC: POC:
Phone Number: Phone Number:
FAX Number: FAX Number:
E-Mail Address: E-Mail Address:
Street: Street:
P.O.Box: P.O.Box:
City: City:
State: State:
Zip: Zip:
Disclosures:
| Note: The submitting entity audit point of contact (POC) and address provided above, must be at a location where auditable records supporting the |
| proposed amounts physically reside. In the Disclosure area include any disclosures that may assist in the performance of a DCAA audit such: |
| a recent proposal audit was performed on xx/xx/xx, a revision to the disclosure statement is underway, the financial records reside at; |
| however, the proposal team is located at XYZ and that is where the technical data resides. |
NNM16568754R
Tab H L-3A-&P
Tab I
| FRINGE POLICY QUESTIONNAIRE | ||||
| Company XYZ | ||||
| This form is to be completed by Offeror and all subs | ||||
| Please attach additional details on each benefit as necessary. | ||||
| Please indicate whether the dollar amount provided is per pay period, monthly etc… | ||||
| Compensation Form (b)- Personnel and Fringe Benefits Policies (Health & Welfare) | ||||
| [ ] Offeror:________________ | ||||
| [ ] Subcontractor/Team Members:_______________ | ||||
| Details / Description | Exempt | Non-Exempt | Ref. | |
| Health Insurance | ||||
| Please indicate whether the dollar amount provided is per week, monthly etc… | ||||
| Provider | (e.g. HMO, FFS, High Deductible Health Plan, Consumer Directed Health Plan, Self Insured) | |||
| Eligibility Start Date | ||||
| Employee Share $ | ||||
| Employee Share + One $ | ||||
| Employee Share Family $ | ||||
| Employer Share for Employee $ | ||||
| Employer Share for Employee + one $ | ||||
| Employer Share for Employee plus family $ | ||||
| Opt Out Payment | ||||
| Calendar Year Deductible Per Person | ||||
| Calendar Year Deductible Per Family | ||||
| Offered | % cost | |||
| YES | NO | to employee | ||
| Dental | ||||
| Vision | ||||
| Life Insurance |
| Retirement | Details/Description | Exempt | NonExempt |
| Provider | |||
| Pension | |||
| 401(k) | |||
| Matching $ & % | |||
| Maximum Matching | |||
| Employee Maximum | |||
| 100% Vesting # Years | |||
| Stock Options | |||
| ESOP | |||
| Paid Time Off | Details/Description | Exempt | NonExempt |
| Holidays | |||
| Vacation | |||
| Other (I.e. sick, bereavement, civic, military, etc.) Reference S.4, para 4 | |||
| Overtime | Details/Description | Exempt | NonExempt |
| Overtime | |||
| Comp Time | |||
| Uncompensated Overtime | |||
| Performance Awards/Bonus | Details/Description | Exempt | NonExempt |
| Bonus | |||
| Maximum $ & % | |||
| Eligibility: | |||
| __Yrs to __ Yrs & Amount | |||
| Spot Bonus | |||
| Maximum $ & % | |||
| Other | Details/Description | Exempt | NonExempt |
| Other | |||
| Other | |||
| Other | |||
| Other |
NNM16568754R
Tab I L-3A-&P
File details come from the government source that posted it. Updated .