S02 SELF-PERFORMED CALCULATIONS.docx

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Z2DA--575-19-105 Revise Nurse Call and Code Blue Federal contract opportunity
Solicitation number
36C25923B0006
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Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19

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INSTRUCTIONS FOR CALCULATION OF SELF-PERFORMED WORK IAW “Limitations on Subcontracting” (VAAR 852.219-75)

OFFEROR’S SELF PERFORMED ESTIMATED CALCULATIONS

At the time of proposal Offeror’s are required to complete.

a) Offeror’s total proposed price$ __________
b) Subtract profit$ __________
c) Subtract cost of materials$ __________

d) Offeror’s total estimated cost of contract performance for personnel (a-b-c =d) $ __________

e) Offeror’s total estimated self-performed cost of contract performance incurred for personnel of the Offeror’s or personnel of other SDVOSB concerns (Self-Performed) $ __________

f) Offeror’s percentage of estimated self-performed work (e/d X 100 = %) __________%

I certify the above representations are true and correct to the best of my knowledge.

___________________________________________________________
(Signature and Typed Name of Authorized Representative)Date

(Title of Authorized Representative)

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