TO0001PWS_AttachR_Schedule_of_Values_and_Invoice_Logic_Summary.pdf

FOR�REFERENCE�ONLY

CONTRACTORS NAME [Enter IOT Contractor's Name]

CONTRACT FOR [Enter Title of Project] CONTRACT REFERENCE NO. [enter the offical date of contract award]

CONTRACT DATE 2/7/2011 [Enter the offical date of contract award] APPLICATION NO. 1 [Enter the Application No beginning with "1" for the first application]

APPLICATION DATE 2/7/2011 [Enter the day application issubmitted to Government] PERIOD TO [Enter the Period of Time that this Application Covers]

CONTRACTORS PROJECT NO. [Enter Contractors Project No. if different from Government Contract No.] PREPARED BY [Enter Name]

A

10% 50% 100%

A

35% 65%

100%

Comprehensive Equipment Planning

Definition B

Preparation of validation documents Submission of validated equipment lists with ROM and acceptance by the Government Submission of procurement packages and acceptance of packages by the Government

B Definition

Comprehensive Transisiton Planning

Preparation and submission of transition plan and accepatance of plan by the Government Submission of final tranisition plan documents, Day in the Life, Move Plans U l i f i ll i d d li f DMLSS d100%

A

90% 100%

Upon completion of Turnover & Closeout services Upon completion of installation and delivery of DMLSS date

Final Turnover, Closeout

Upon completion of installation and delivery of DMLSS date

B Definition

Keller Army Community Hospital IO&T Attachment 15.13

FOR�REFERENCE�ONLY

CONTRACTORS NAME [Enter IOT Contractor's Name] CONTRACT FOR [Enter Title of Project]

CONTRACT REFERENCE NO. [enter the offical date of contract award] CONTRACT DATE 2/7/2011 [Enter the offical date of contract award] APPLICATION NO. 1 [Enter the Application No beginning with "1" for the first application]

APPLICATION DATE 2/7/2011 [Enter the day application issubmitted to Government] PERIOD TO [Enter the Period of Time that this Application Covers]

CONTRACTORS PROJECT NO. [Enter Contractors Project No. if different from Government Contract No.] PREPARED BY [Enter Name]

A B C D E G

Previous Application This Application

0001 Comprehensive IOT Services ($1,000,000)/ GRAND TOTALS $1,000,000.00 $0.00 $500,000.00 $500,000.00 50.00% $500,000.00

000101 Comprehensive Project Management Services ($100,000) $100,000.00 $0.00 $50,000.00 $50,000.00 50.00% $50,000.00 1 [Milestone Name] $25,000.00 $0.00 $12,500.00 $12,500.00 50.00% $12,500.00 2 [Milestone Name] $25,000.00 $0.00 $12,500.00 $12,500.00 50.00% $12,500.00 3 [Milestone Name] $25,000.00 $0.00 $12,500.00 $12,500.00 50.00% $12,500.00 4 [Milestone Name] $25,000.00 $0.00 $12,500.00 $12,500.00 50.00% $12,500.00

000102 Comprehensive Equipment Planning Services ($450,000) $450,000.00 $0.00 $225,000.00 $225,000.00 50.00% $225,000.00 1 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00 2 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00 3 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00 4 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00

000103 Comprehensive Transition Planning Services ($450,000) $450,000.00 $0.00 $225,000.00 $225,000.00 50.00% $225,000.00 1 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00 2 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00 3 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00 4 [Milestone Name] $112,500.00 $0.00 $56,250.00 $56,250.00 50.00% $56,250.00

Balance to Finish

Scheduled ValueDescritptionCLIN or

Sub-CLIN

F

Work Completed Total Completed to date

(F ÷ C)

Keller Army Community Hospital IO&T Attachment 15.13