Section V_Attachment 3_Offeror Information and Pricing Form_RFP 26-003.pdf

OFFEROR INFORMATION AND PRICING FORM

TO: PRINCETON UNIVERSITY

PRINCETON PLASMA PHYSICS LABORATORY

JAMES FORRESTAL CAMPUS

P.O. BOX 451

PRINCETON, NEW JERSEY 08543

ATTENTION: PPPL PROCUREMENT

SUBJECT: REQUEST FOR PROPOSAL (RFP) 26-003 FOR Internal Audit Services

OFFEROR NAME:

BUSINESS ADDRESS:

The Offeror proposes to provide the services required by PPPL Request for Proposals 26-003.

The proposed rates for these services are included in this Proposal, under Attachment 3a_Labor Rates and Cost Estimate Worksheet) RFP 26-003.

PART I - OFFEROR LABOR RATES

• Fully Burdened Rate: Costs include but are not limited to payroll taxes, pension costs, health insurance, dental insurance, and any other benefits provided to subcontractors’ personnel.

• Using Attachment 3a_RFP 26-003 Labor Rates and Cost Estimate Worksheet.xls, enter the Offeror’s proposed Direct Labor Rates for each fiscal year in the tab titled “Direct Labor Rate”.

PART II – COST ESTIMATE

• Using the worksheet and rates from Part I, Offeror must complete the tab titled “FY 2027 Annual Risk Assessment and Work Plan”

• TOTAL COSTS FOR FY 2027 Annual Risk Assessment and Work Plan

(pricing to be inserted from attachment 3a)

PART III: TRAVEL

• Travel will be estimated for all requests using the Subcontractor Guideline for Travel Policy. All travel will be in accordance with PPPL’s General Guidelines for Subcontractor Travel, Attached within Section II and labeled as Schedule C.

PART IV: ADDITIONAL PRICING:

Please indicate any additional costs that would be charged to PPPL:

PART V: ACCEPTANCE OF PPPL TERMS AND CONDITIONS

Please initial the applicable statement below in the space provided (initial one statement only):

I hereby affirm that I have reviewed the terms and conditions set forth in the Sample Subcontract Agreement contained in Section II of the Subject RFP and will accept the terms and conditions set forth therein without exception if a Subcontract is awarded to my firm.

Or

I have reviewed the terms and conditions set forth in the Sample Subcontract Agreement contained in Section II of the Subject RFP. In the event that my firm is selected for award of a Subcontract, I request that the exceptions and/or proposed revisions set forth in the attached sheet(s) be considered by PPPL. I understand that my proposal may be considered to be non-responsive depending on the extent and nature of the proposed exceptions/revisions and my firm’s willingness to discuss or negotiate these proposed exceptions/revisions with PPPL

PART VI: PRINCETON PRIME

Please initial the applicable statement below in the space provided (initial one statement only):

________ I affirm that I have registered on Princeton Prime

_________ I affirm that our firm is already fully registered on Princeton Prime

PART VII: AMENDMENTS

We acknowledge receipt of the following Amendments (if applicable):

Amendment Number Date of Amendment

PART VIII: AUTHORIZED INDIVIDUALS:

The following individual(s) are authorized to conduct discussions and provide information related to this proposal on behalf of the Offeror:

NAME: NAME:

TITLE: TITLE:

PHONE: PHONE:

FAX: FAX:

EMAIL: EMAIL:

By submission of this signed Offeror Information and Pricing Form, the undersigned hereby certifies that the information provided is current, accurate, and complete as of the date submitted.

The Offeror agrees that this proposal will remain valid for 90 days from the closing date specified for this RFP.

Signature of Authorized Individual

Typed Name

Title

Date

AFFIX

CORPORATE

SEAL