Attachment_J_-_Sample_SO_Submission_Form.xlsm

XLSM spreadsheet 43 KB Posted Jun 14, 2018

Attached to: W912GB18R0031 Recurring Maintenance and Minor Repair (RMMR) Services in Spain
Solicitation number: W912GB18R0031
Issued by: Department of the Army Corps of Engineers Engineering District Europe

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Attachment J - Sample SO Submission Form

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File	Type	Posted
W912GB18R0031-0002.pdf	PDF	Jul 10, 2018
Attachment_C_-_NAVSTA_Rota_Capitalized_Petroleum_Facilities.pdf	PDF	Jul 10, 2018
W912GB18R0031-0001.pdf	PDF	Jun 29, 2018
Appendix_A_Pricing_Schedule_w_labor_cat_28_June_2018_REV2.xlsx	XLSX spreadsheet	Jun 29, 2018
Appendix_B_Pricing_Schedule_w_labor_cat_7_June_2018.xlsx	XLSX spreadsheet	Jun 14, 2018
Attachment_D_-_Real_Property_Inventory.pdf	PDF	Jun 14, 2018
Attachment_I_-_Country_Clearance_Requirements_Contractor_Instructions.doc	DOC document	Jun 14, 2018
Appendix_C_Experience_Information_Sheet.pdf	PDF	Jun 14, 2018
Appendix_A_-_Template_for_Schedule_of_Items_and_Price_8_June_2018.xlsx	XLSX spreadsheet	Jun 14, 2018
Attachment_C_-_NAVSTA_Rota_Capitalized_Petroleum_Facilities.docx	DOCX document	Jun 14, 2018
W912GB18R0031_Spain_RMMR.pdf	PDF	Jun 14, 2018
Attachment_E_-_EBS_Navy_List.XLSX	XLSX spreadsheet	Jun 14, 2018
Attachment_B_-_Sample_Operational_ISR.pdf	PDF	Jun 14, 2018
Attachment_F_-_EBS_AF_List_19_April_2018.xls	XLS spreadsheet	Jun 14, 2018
Attachment_G_-_Sample_SO_Request_Form.pdf	PDF	Jun 14, 2018
Attachment_H_-_SO_SSJ_Form.pdf	PDF	Jun 14, 2018
Attachment_A_-_Sample_Bulk_ISR.pdf	PDF	Jun 14, 2018

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Service Order

CORRECTIVE MAINTENANCE SERVICE ORDER FORM
PART I - SERVICE ORDER INFORMATION
CONTRACTOR:	CONTRACT & TO NO.:	W912DY-XX-D-XXXX TO#XXXX
CUSTOMER ORGANIZATION:	SERVICE ORDER NAME:
FACILITY NAME/NUMBER:	SO REQUEST NO:
SERVICE ORDER DATE:	CLIN TO BE CHARGED:
SO DESCRIPTION: (include LOCATION - attach additional sheets as required):

							1
							FALSE
One of these boxes must be checked:		ROUTINE		URGENT		EMERGENCY
Safety Verification to be completed by Contractor						CEHNC Safety Initial
One of these boxes must be checked:		Contractor confirms there is an AHA associated with the work being performed in this SO included in the Accident Prevention Plan (APP)				NA
		Contractor acknowledges there is NOT an AHA associated with the work being performed in this SO included in the APP. AHA is attached for review with the SO.
Check if applicable:		Contractor acknowledges there is an activity associtated with the SO that requires an additional plan or program that will be included in an APP addendum.
PART II - COST SUMMARY
LABOR UTILIZED
Labor Classification	Reg Labor Hours	Reg Labor Rate	Reg Labor Amount	OT Hours	Contr O/T Rate	OT Amount
Program Manager	2.00	$161.39	$322.77	0.00	$161.39	$0.00
	0.00	$0.00	$0.00	0.00	$0.00	$0.00
	0.00	$0.00	$0.00	0.00	$0.00	$0.00
	0.00	$0.00	$0.00	0.00	$0.00	$0.00
	0.00	$0.00	$0.00	10.00	$0.00	$0.00
		$0.00	$0.00		$0.00	$0.00
Labor Notes:				Total Regular Labor		$322.77
Safety Officer will inspect before, during and after work. Quality Control Officer will inspect during testing.				Total OT Labor		$0.00
				Profit On Labor: 10.5%		$33.89
				TOTAL LABOR COST		$356.66
MATERIALS/SUPPLIES/EQUIPMENT
Description			Qty	Unit	Unit Price	Amount
						$0.00
						$0.00
						$0.00
MSE Notes:				Freight/Shipping
				Subtotal MSE		$0.00
				MSE Charge Rate: 9.49%		$0.00
				State Tax: Maryland 6%		$0.00
				Fully Burdened MSE		$0.00
				Profit On MSE: 10.5%		$0.00
NOTE: Profit shall not be applied to GSA/JCI Catalog Materials.				TOTAL MSE COST		$0.00
SUBCONTRACTOR COSTS
Description						Amount
						$0.00
						$0.00
SUB Notes:				Freight/Shipping		$0.00
				SUB Charge Rate: 8.05%		$0.00
				TOTAL SUB COST		$0.00
OTHER DIRECT COSTS
Description						Amount
						$0.00
						$0.00
						$0.00
						$0.00
ODC Notes:				G&A: 8.05%		$0.00
Equipment room flooded. Need to remove excess water for safety purposes.				Profit on Outside Vendor: 10.5%		$0.00
				TOTAL ODC COST		$0.00
TRAVEL
Description						Amount
						$0.00
						$0.00
						$0.00
Travel Notes:				G&A: 8.05%		$0.00
				TOTAL TRAVEL COST		$0.00
		TOTAL SO COSTS TO BE INVOICED			$356.66
PART III - AUTHORIZATION
CONRACTOR: Receipt & Acceptance Acknowledged.
E-SIGNED & DATED:
CUSTOMER: SO is accepted and requests NTP from KO.
E-SIGNED & DATED:
HNC PROJECT ENGINEER: for non-emergency >$2,500 (Verified following items adequate: labor categories, hours allotted, duration, equipment utilzation, subcontact hours)
E-SIGNED & DATED:
CONTRACTING OFFICER OR OO:

Ordering Officer may sign for <$2,500

E-SIGNED & DATED:

This is a Firm Fixed Price order and the contractor is held to the prices as agreed upon herein under "TOTAL SO COSTS TO BE INVOICED". This SO is considered technically acceptable and within scope. The cost/price has been determined to be fair and reasonable.

PART IV - CERTIFICATION OF SERVICES

I certify that the services under the above Service Order have been satisfactorily completed.

QUAILITY ASSURANCE EVALUATOR:

E-SIGNED & DATED:

DATE/TIME WORK COMPLETED

CEHNC-UMCS SO FROM DTD 02 MAR 2016 SO FORM AUTHOR: CEHNC-UMCS KO

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Rates:	Non-Emergency	Emergency
Profit on Labor:	10.5%	9.0%
Profit on MSE:	10.5%	0.0%
Profit on Outside Vendor:	10.5%	9.0%
Indrect Rate (applied to Direct Labor):	107.33%	<-- year 1
Escalation Rate (applied to Direct Labor):	0.00%	<-- year 1

State:	Maryland
Tax Rate:	6.00%
MSE Handling Charge Rate:	9.49%
SUB Handling Charge Rate:	8.05%
G&A Rate:	8.05%
Labor Classification	BASE RG	BASE OT
Program Manager	$77.84	$77.84
Project Manager	$57.43	$57.43
Contract Administrator	$44.68	$44.68
Maintenance Manager	$56.82	$56.82
Administrative Assistant	$30.00	$45.01
General Engineer	$40.75	$40.75
Mechanical Engineer	$49.97	$49.97
Electrical Engineer	$47.41	$47.41
Electronic Security Engineer	$53.29	$53.29
Systems Engineer	$45.58	$45.58
Network Specialist	$47.54	$47.54
Data Manager	$42.01	$42.01
CADD Operator	$34.67	$50.96
Engineering Technician/Technical Writer	$40.75	$61.12
Estimator	$41.73	$44.40
Quality Control Officer	$54.16	$55.55
Safety Officer	$35.70	$35.70
Planner/Scheduler	$38.90	$53.10
General Clerk	$22.41	$33.62
Maintenance Supervisor	$51.36	$60.59
Trades Supervisor	$33.52	$33.52
Active Vehicle Barrier Technician	$43.22	$64.83
Electronic Security Systems Technician	$31.77	$47.65
Electrical Technician	$32.83	$49.24
Mechanical Technician	$39.89	$59.83
Fire Alarm Technician	$31.77	$47.65

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