Att G Performance Distribution Statement.pdf

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Apache Alert Mission Complex
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W912ER26RA016
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About this file

This is a blank Performance Distribution Statement template (CETAM-CT Form 2403, May 2024) used for federal contract proposals to document work allocation between the prime contractor and subcontractors.

The form requires offerors to identify their self-performed work scope and percentage in Line 1, then list all major subcontractors (those performing 20% or more of total contract dollar value) in Lines 2 through 20, with corresponding work scopes and percentages. The total percentage of work across all entities must not exceed 100%. The template includes an example showing a prime contractor performing 60% of work (management, safety, quality control, paving, surveying, masonry), a major subcontractor performing 22% (mechanical, electrical, plumbing), and a minor subcontractor performing 3% (specialty doors). Page 3 provides definitions aligned with FAR Clause 52.236-1, clarifying that self-performed work includes mobilization of owned or rented equipment operated by prime contractor employees, materials both purchased and installed by prime forces, associated labor, direct support supplies, and jobsite overhead costs. Excluded from self-performance are prime contractor profit markups, general and administrative overhead, bonds, owner-operated equipment, equipment rentals for subcontractor use, and materials purchased for subcontractor installation. The form concludes with signature blocks for printed name, position, company, signature, and date, with a certification statement attesting to the accuracy and completeness of the information provided.

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Text version

PERFORMANCE DISTRIBUTION STATEMENT

INSTRUCTIONS

1. Offeror’s scope and percentage of self-performed work must be identified in Line 1.

2. Identify major and minor subcontractor scopes and percentage of work in Lines 2 through 20.

3. Although not all subcontractors need to be listed, statement must include all major subcontractors, defined as those performing 20% or more of the total dollar value ($) of the contract.

4. The “% of Work” column must total no more than 100%.

5. See example below for details.

6. Various definitions which may be helpful in completing this form can be found on Page 3.

EXAMPLE

Line Company / Entity Offeror Major

Sub Minor Sub Scope of Work % of

Work

1 XYZ Company LLC (offeror) X Management, safety, QC, paving, surveying, masonry, misc.

60%

2 Hamid & Sons, Inc. X MEP 22%

3 Overhead Door Company X Specialty roll-up doors 3%

TOTAL 85%

PERFORMANCE DISTRIBUTION

Line Company / Entity Offeror Major

Sub Minor Sub Scope of Work % of

Work

1 X

CETAM-CT FORM 2403

MAY 2024

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104

Line Company / Entity Offeror Major Sub

Minor Sub Scope of Work % of

Work

TOTAL

I certify that the above information is current, accurate and complete to the best of my knowledge and that I have the authority to provide the information requested on this form.

PRINTED NAME POSITION COMPANY

SIGNATURE DATE

CETAM-CT FORM 2403

MAY 2024

DEFINITIONS

The following are definitions concerning self-performance of work by the Prime Contractor, in accordance with FAR Clause 52.236-1 Performance of Work by the Contractor (APR 1984).

"Self-performance of work", "On the site" and "Total amount of work to be performed under the contract" are defined below.

“Self-performance of work” generally includes mobilization and utilization of owned or rented plant and equipment to be operated by the prime contractor's own (not subcontract) employees; only those materials which will be both purchased and installed by the prime's own (not subcontract) 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.

The following is NOT self-performed work for purposes of the clause: Prime contractor markups for profit, general and administrative overhead, bonds, or other indirect costs on self-performed or subcontracted work; "Owner-operated equipment", rental of plant or equipment for operation by subcontractors; purchase of materials for installation by subcontractors.

"On the site" includes the construction site(s) as well as off-site fabrication plant or other facilities necessary to manufacture assemblies or provide materials to be incorporated into the construction project.

“Total amount of work to be performed under the contract" is comprised of all direct (variable, fixed, one-time, and semi-variable) costs to the contractor, including jobsite overhead costs, to construct the project. It generally includes all self-performed work, as defined above, and cost of all supplies, materials, and subcontracts. It does not include design costs, home or branch office overhead costs or prime contractor markups for bond, profit, etc.”

CETAM-CT FORM 2403

MAY 2024

PERFORMANCE DISTRIBUTION STATEMENT
INSTRUCTIONS
EXAMPLE
PERFORMANCE DISTRIBUTION
DEFINITIONS
PRINTED NAME:
POSITION:
DATE:
COMPANY:
C1:
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WTL: 0
Group2: Off
Group3: Off
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Group10: Off
Group20: Off
Group11: Off
Group12: Off
Group19: Off
Group18: Off
Group17: Off
Group16: Off
Group15: Off
Group14: Off
Group13: Off
CLEAR:

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