Self-Performed and Subcontracted Worksheet.docx

This is a Self-Performed and Subcontracted Work Worksheet that establishes compliance requirements for offerors on a General Construction project (NAICS code 236220) at the Department of Veterans Affairs. Offerors must demonstrate that at least 15 percent of contract performance costs for personnel will be spent on the concern's own employees or employees of other eligible service-disabled veteran-owned small business (SDVOSB) concerns; this requirement increases to 25 percent for specialty trade NAICS codes. The worksheet requires a detailed breakdown of personnel costs and material/equipment costs organized by specification division, with separate identification of SDVOSB vendor participation. Home office overhead, profit/fee, and bond costs are calculated after subtotals of personnel and material/equipment expenses. The form includes a specific four-step calculation methodology to determine self-performed work percentages, where total personnel costs minus non-SDVOSB subcontractor personnel costs are divided by total personnel costs and multiplied by 100 to yield the self-performed work percentage.

The worksheet applies to the VA contract Z2DA--554-26-101 for resloping shower floors in Buildings H and K at Rocky Mountain Regional VA Medical Center in Aurora, Colorado, affecting 60 patient rooms. The work involves demolition of existing tile or resinous flooring, concrete grinding, installation of new mortar base with proper 1:48 slope specifications, waterproofing membranes, and new tile flooring to correct drainage issues. The worksheet requires an authorized representative's signature certifying the accuracy of all representations and cost allocations provided.