S02 EXHIBIT D Statement of Proposed Items_Aknowl of Amendments_Calculation Sheet.pdf

36C241240065, 650-CSI-351 Renovate and Upgrade Angio OR Suite, VAMC Providence, RI

STATEMENT OF PROPOSAL ITEMS

The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of the solicitation, if this offer is accepted by the Government in writing within two-hundred and forty (240) calendar days after the date offers are due.

PROPOSAL ITEM I (Base Proposal): Contractor shall completely prepare site for building operations, including demolition and removal of existing structures/equipment, and furnish labor and materials and perform work for Renovate and Upgrade Angio OR Suite at VA Providence HS, Providence, Rhode Island as required by drawings and specifications. Shall include, but not be limited to general construction, demolition, utility installation, finish work and other items as contained within the construction documents. Refer to the attached contract documents (drawings, specifications, etc.) for complete details of project work. All work, including final cleanup and completion of any punch list items, shall be performed within 240 calendar days after the date of receipt of notice to proceed.

PROPOSAL ITEM I $_______________________________

NOTE: Offerors must submit an itemized breakdown of costs (Itemized Schedule of Values Cost Breakdown) for all Proposal Items, in sufficient detail to permit a complete analysis of labor burden, materials, equipment, transportation, supervision, disposal costs, overhead and profit and shall cover all work involved in the Task Order.

Submitted for:

Company Name _______________________________________

Submitted by:

Authorized Signature _______________________________________ Date: _______

Printed Name: _______________________________________

ACKNOWLEDGMENT OF AMENDMENTS

The person submitting the proposal on behalf of the offeror shall sign the area below titled “Acknowledged by” and shall initial/date in the space(s) below to acknowledge any Amendment(s). This individual must be a legally authorized signatory of the company.

NOTE: Failure to acknowledge Amendments may render your offer unacceptable.

CERTIFICATION

I/we have received and considered the following Amendment(s) in the submitted proposal for this project.

Amendment Number None A00001 A00002 A00003 A00004 A00005

Date

Initials

Acknowledged by: ________________________________________

Printed Name: ___________________________________________

CALCULATION OF SELF-PERFORMED WORK

SUBMITTED IN RESPONSE TO RFP 36C241240065, 650-CSI-351 Renovate and Upgrade Angio OR Suite, VAMC Providence, RI

Use a format similar to the following to identify and calculate cost of the work to be self-performed.

Refer to the definitions pertaining to “Self-performance of work”, “On the Site” and “Total amount of work to be performed under the contract”.

(Includes mobilization and utilization of owned or rented plant and equipment to be operated by the prime contractor’s own employees; only those materials which will be both purchased and installed by the prime’s own forces; labor associated with those aforementioned materials or equipment; only those supplies to directly support work performed by the contractor’s own employees; and the contractor’s own job overhead costs.)

Clearly describe the work to be self-performed:

Show Calculation of Self-Performed work: __________________________________

B.1) Total Offer Price: $_________________

B.2) If applying for consideration as a General Contractor (multi-discipline projects) work must be self-performed

B.3) Subtract G&A, home office overhead, prime contractor’s markups for profit, bond, state use tax, etc.

B.4) Remainder is “Total amount of work to be performed under the Contract” = $_________________

B.5) “Work to be self-performed”: = $_________________ Amount shown on this line should match the amount shown for “Show Calculation of Self-Performed work”?

B.6) 15 % Self-performed Work = Line B.5 / B.4 X 100% = ________________________%