PART III - SITE VISITS
COSTS
EMPLOYEE TRIPS
TOTAL HOURS
HOURLY
A. SALARY COSTS
LINE
SALARIES
A/E
VA
A/E
VA
A/E
VA
NO.
PRE-CONSTRUCTION CONFERENCE
NO. VISITS
NO. DAYS
EMP. PER DAY
61A
SITE VISITS
61B
NO. VISITS ONE EMPLOYEE - DAY EACH
INTERMEDIATE A/C INSPECTIONS
61C
NO. INSP.
NO. DAY EACH
EMP. PER DAY
FINAL INSPECTION
61D
NO. DAYS
EMPLOYEES PER DAY
61E
61F
62
SALARY COSTS:
SITE VISITS
63
OVERHEAD
% OF LINE 62
64
PROFIT
TOTAL SALARY COSTS (Lines 62 + 63 + 64)
65
COSTS
EMP. TRIPS
TRAVEL COSTS
EMP. DAYS
PER DIEM
A. TRAVEL COSTS
A/E
VA
A/E
VA
A/E
VA
A/E
VA
A/E
VA
PRE-CONSTRUCTION CONFERENCE
66A
NO. VISITS
NO. DAYS
EMP. PER DAY
SITE VISITS
66B
NO. VISITS, ONE EMPLOYEE - DAY EACH
INTERMEDIATE A/C INSPECTIONS
66C
NO. INSP.
NO. DAY EACH
EMP. PER DAY
FINAL INSPECTION
66D
NO. DAYS
EMPLOYEES PER DAY
66E
66F
67
TOTAL TRAVEL COSTS
68
TOTAL PROPOSAL FOR
SITE VISITS (Lines 65 + 67)
PART IV - CAPITULATION OF A/E PROPOSALS
69
*PART I - CONTRACT DRAWINGS AND SPECIFICATIONS (Line 31)
$
$
70
PART II - CONSTRUCTION PERIOD DUTIES (Line 60)
$
$
PART III - SITE VISITS,
AT $
PER VISIT
71
FOR A MAXIMUM OF: (Line 68)
$
$
72
TOTAL A/E PROPOSAL (Lines 31 + 60 + 68)
$
$
*NOTE: This part of the fee is that which falls within the 6% limitation. See VAAR Section 836.606-73 for definitive information.
PART V - CERTIFICATIONS
CERTIFICATION OF CURRENT COST OR PRICING DATA
This is to certify that, to the best of my knowledge and belief, the cost or pricing data (as defined in section 15.801 of the Federal Acquisition Regulation (FAR) and required under FAR
subsection 15.804-2 submitted, either actually or by specific identification in writing to the contracting officer or to the contracting officer's representative in support of . . . . . are accurate,
complete, and current as of . . . . . . This certification includes the cost or pricing data supporting any advance agreements between the offeror and the Government that are part of the proposal.
Name
Firm
Tit le
Signat ure
Date of Execut ion
VA FORM
1 0 -6 2 9 8
PAGE 8 OF 9
JAN 1999 (R)
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