10-6298 Architect - Engineer Fee Proposal

OMB Number 2900-0208
Estimated Burden: 4 hours

ARCHITECT - ENGINEER FEE PROPOSAL
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of
1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all
individuals who must complete this form will average 4 hours. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This form or other agreed upon
format, is used by VA Resident Engineers to supervise your work and verify the work progression so that you may be paid.
DATE OF PROPOSAL

ESTIMATED NUMBER OF CONTRACT DRAWINGS
DESCRIPTION

A/E

VA
PROJECT

ARCHITECTURAL
SITE AND LANDSCAPING
STRUCTURAL AND BORINGS
SANITARY
PLUMBING

NAME OF ARCHITECT/ENGINEER

HEATING AND AIR CONDITIONING
ELECTRICAL
TOTAL NUMBER OF DRAWINGS

PART I - PREPARATION OF CONTRACT DRAWINGS AND SPECIFICATIONS
LINE
NO.

EMPLOYEE HOURS

A. SALARY COSTS

A/E

COSTS

HOURLY
SALARIES

VA

A/E

VA

ARCHITECTURAL
1A

SUPERVISORS

1B

DESIGNERS

1C

DRAFTERS

1D

SPECIFICATION WRITERS

1E

TYPISTS

1F

ESTIMATORS

$

$

$

1G
1H
SUB-TOTAL

1I
SITE AND LANDSCAPING
2A

SUPERVISORS

2B

DESIGNERS

2C

DRAFTERS

2D

SPECIFICATION WRITERS

2E

TYPISTS

2F

ESTIMATORS

2G
2H
SUB-TOTAL

2I
STRUCTURAL AND BORINGS
3A

SUPERVISORS

3B

DESIGNERS

3C

DRAFTERS

3D

SPECIFICATION WRITERS

3E

TYPISTS

3F

ESTIMATORS

3G
3H
SUB-TOTAL

3I
SANITARY
4A

SUPERVISORS

4B

DESIGNERS

4C

DRAFTERS

4D

SPECIFICATION WRITERS

4E

TYPISTS

4F

ESTIMATORS

4G
4H
SUB-TOTAL

4I
VA FORM
JAN 1999 (R)

10-6298

PAGE 1 OF 9

PART I - PREPARATION OF CONTRACT DRAWINGS AND SPECIFICATIONS (Continued)
LINE
NO.

EMPLOYEE HOURS

A. SALARY COSTS

A/E

COSTS

HOURLY
SALARIES

VA

A/E

VA

PLUMBING
5A

SUPERVISORS

5B

DESIGNERS

$

5C

DRAFTERS

5D

SPECIFICATION WRITERS

5E

TYPISTS

5F

ESTIMATORS

$

$

5G
5H
SUB-TOTAL

5I
HEATING AND AIR CONDITIONING
6A

SUPERVISORS

6B

DESIGNERS

6C

DRAFTERS

6D

SPECIFICATION WRITERS

6E

TYPISTS

6F

ESTIMATORS

6G
6H
6I

SUB-TOTAL
ELECTRICAL

7A

SUPERVISORS

7B

DESIGNERS

7C

DRAFTERS

7D

SPECIFICATION WRITERS

7E

TYPISTS

7F

ESTIMATORS

7G
SUB-TOTAL

7H
8A
8B
8C
8D
8E
8F
8G
8H
8I

SUB-TOTAL

9A
9B
9C
9D
9E
9F
9G
9H
9I

SUB-TOTAL

10

TOTAL SALARY COSTS

B. MISCELLANEOUS SALARY COSTS
DESIGN REVIEW TRIPS

11A

NO. REQUIRED

11B

SUPERVISORS

11C

DESIGNERS

11D

DRAFTERS

11E

SPEC. WRITERS

VA FORM
JAN 1999 (R)

# DAYS

10-6298

# PERS. REQUIRED

EMPLOYEE-DAYS

A/E

VA

EMPLOYEE-HOURS

A/E

VA

HOURLY
SALARIES

COSTS

A/E

VA

PAGE 2 OF 9

B. MISCELLANEOUS SALARY COSTS (Continued)
LINE
NO.

DESIGN REVIEW TRIPS
NO. REQUIRED

# DAYS

# PERS. REQUIRED

EMPLOYEE-HOURS

EMPLOYEE-DAYS

A/E

VA

A/E

11F

COSTS

HOURLY
SALARIES

VA

$

A/E

$

VA

$

11G
11H

SUB-TOTAL
DESIGN STAFF SITE TRIPS

12A

NO. REQUIRED

12B

SUPERVISORS

12C

DESIGNERS

12D
12E
12F

SUB-TOTAL
PRE-BID (CPM) CONFERENCE

13A

NO. REQUIRED

13B

SUPERVISORS

13C

DESIGNERS

13D
13E
SUB-TOTAL

13F

ANSWERING INQ. & ISSUING AMENDMENTS

14A

SUPERVISORS

14B

DESIGNERS

14C

DRAFTERS

14D

SPEC. WRITERS

14E

TYPISTS

14F
14G
SUB-TOTAL

14H
15

TOTAL MISCELLANEOUS SALARY COSTS

16

TOTAL SALARY COSTS - (Lines 10 + 15)

17

OVERHEAD:

18

PROFIT

19

TOTAL SALARY PROPOSALS - (Lines 16 + 17

% OF LINE 16

C. INCIDENTAL COSTS
LINE
NO.

DESIGN REVIEW TRIPS
NO. REQUIRED

20A

FIRST

20B

SECOND

20C

THIRD

20D

FOURTH

# DAYS

# PERS. REQUIRED

EMP. TRIPS

A/E

TRAVEL COSTS

VA

A/E

$

VA

$

EMP. DAYS

A/E

PER DIEM

VA

A/E

$

COSTS

VA

$

A/E

$

VA

$

20E
20F
20G

SUB-TOTAL
DESIGN STAFF SITE TRIPS

21A

NO. REQUIRED

21B

SUPERVISORS

21C

DESIGNERS

21D
21E
SUB-TOTAL

21F

PRE-BID (CPM) CONFERENCE

22A

NO. REQUIRED

22B

SUPERVISORS

22C

DESIGNERS

22D
22E
SUB-TOTAL

22F
VA FORM
JAN 1999 (R)

10-6298
PAGE 3 OF 9

C. INCIDENTAL COSTS (Continued)
EMP. TRIPS

LINE
NO.

A/E

23A

TRAVEL COSTS

VA

A/E

$

VA

$

EMP. DAYS

A/E

COSTS

PER DIEM

A/E

VA

$

VA

$

A/E

VA

$

$

$
$

$
$

23B
23C
23D
23E
23F

SUB-TOTAL

24A
24B
24C
24D
24E
24F

SUB-TOTAL

25A
25B
25C
25D
25E
25F

SUB-TOTAL
REPRODUCTION OF REVIEW MATERIAL

26A
26B
26C
26D
26E
26F

SUB-TOTAL
RENDERING (PERSPECTIVES)
NO. REQUIRED

27A
27B
27C
27D
27E
27F

SUB-TOTAL

28A
28B
28C
28D
28E
28F

SUB-TOTAL

29A
29B
29C
29D
29E
SUB-TOTAL

29F
30

TOTAL INCIDENTAL COSTS

31

*TOTAL PROPOSAL (LINE 19 + LINE 30)

*NOTE: This part of the fee is that which falls within the 6% limitation. See VAAR Section 836.606-73 for definitive information.
REMARKS

VA FORM
JAN 1999 (R)

10-6298

PAGE 4 OF 9

PART II - CONSTRUCTION PERIOD SERVICES
A. SHOP DRAWINGS, SUBMITTALS, ETC.,
SALARY COSTS

LINE
NO.

EMPLOYEE-HOURS

A/E

COSTS

HOURLY
SALARIES

VA

A/E

VA

ARCHITECTURAL
32A
32B
32C
32D
32E

SUPERVISORS

32F

ESTIMATORS

$

$

$

DESIGNERS
DRAFTERS
SPECIFICATION WRITERS
TYPISTS

32G
32H

SUB-TOTAL
SITE AND LANDSCAPING

33A
33B
33C
33D
33E
33F
33G

SUPERVISORS
DESIGNERS
DRAFTERS
SPECIFICATION WRITERS
TYPISTS
ESTIMATORS

SUB-TOTAL

33H
STRUCTURAL AND BORINGS
34A
34B
34C
34D
34E

SUPERVISORS
DESIGNERS
DRAFTERS
SPECIFICATION WRITERS
ESTIMATORS

34F
34G

SUB-TOTAL
SANITARY

35A
35B
35C
35D
35E

SUPERVISORS
DESIGNERS
DRAFTERS
SPECIFICATION WRITERS
ESTIMATORS

35F
35G

SUB-TOTAL
PLUMBING

36A
36B
36C
36D
36E
36F

SUPERVISORS
DESIGNERS
DRAFTERS
SPECIFICATION WRITERS
ESTIMATORS

36G

SUB-TOTAL
HEATING AND AIRCONDITIONING

37A
37B
37C

SUPERVISORS

37D

SPECIFICATION WRITERS

37E

ESTIMATORS

DESIGNERS
DRAFTERS

37F
SUB-TOTAL

37G
ELECTRICAL
38A
38B
38C

SUPERVISORS

38D

SPECIFICATION WRITERS

38E

ESTIMATORS

DESIGNERS
DRAFTERS

38F
SUB-TOTAL

38G
VA FORM
JAN 1999 (R)

10-6298

PAGE 5 OF 9

PART II - CONSTRUCTION PERIOD SERVICES
A. SHOP DRAWINGS, SUBMITTALS, ETC.,
SALARY COSTS (Continued)

LINE
NO.

EMPLOYEE-HOURS

A/E

$

39A

COSTS

HOURLY
SALARIES

VA

A/E

$

VA

$

39B
39C
39D
39E
39F
39G

SUB-TOTAL

40A
40B
40C
40D
40E
40F
40G

SUB-TOTAL

41
LINE
NO.

TOTAL SALARY COSTS
B. RECORD (AS BUILT) DRAWINGS AND SPECIFICATIONS
SALARY COSTS
SUPERVISORS

42B

DESIGNERS

42C

DRAFTERS

42D

SPECIFICATION WRITERS

A/E

COSTS

HOURLY
SALARIES

VA

$

ARCHITECTURAL
42A

EMPLOYEE-HOURS

A/E

$

VA

$

42E
42F
SUB-TOTAL

42G
SITE AND LANDSCAPING
43A

SUPERVISORS

43B

DESIGNERS

43C

DRAFTERS

43D

SPECIFICATION WRITERS

43E
43F
SUB-TOTAL

43G
STRUCTURAL AND BORINGS
44A

SUPERVISORS

44B

DESIGNERS

44C

DRAFTERS

44D

SPECIFICATION WRITERS

44E
44F
44G

SUB-TOTAL
SANITARY

45A

SUPERVISORS

45B

DESIGNERS

45C

DRAFTERS

45D

SPECIFICATION WRITERS

45E
45F
45G

SUB-TOTAL
PLUMBING

46A

SUPERVISORS

46B

DESIGNERS

46C

DRAFTERS

46D

SPECIFICATION WRITERS

46E
SUB-TOTAL

46F
VA FORM
JAN 1999 (R)

10-6298

PAGE 6 OF 9

PART II - CONSTRUCTION PERIOD SERVICES
LINE
NO.

EMPLOYEE-HOURS

B. RECORD (AS BUILT) DRAWINGS AND SPECIFICATIONS
SALARY COSTS (Continued)

A/E

COSTS

HOURLY
SALARIES

VA

A/E

VA

HEATING AND AIR CONDITIONING

$

47A

SUPERVISORS

47B

DESIGNERS

47C

DRAFTERS

47D

SPECIFICATION WRITERS

$

$

47E
47F
47G

SUB-TOTAL
ELECTRICAL

48A

SUPERVISORS

48B

DESIGNERS

48C

DRAFTERS

48D

SPECIFICATION WRITERS

48E
48F
SUB-TOTAL
49A
49B
49C
49D
49E
49F

SUB-TOTAL

50A
50B
50C
50D
50E
50F

SUB-TOTAL

51

TOTAL SALARY COSTS

52

TOTAL SALARY COSTS (Lines 41 + 51)

53

OVERHEAD

54

PROFIT

55

TOTAL LABOR PROPOSAL (Lines 52 + 53 + 54)
C. INCIDENTAL COSTS

56A

EMP. TRIPS

A/E

TRAVEL COSTS

VA

VA

A/E

$

$

EMP. DAYS

A/E

PER DIEM

VA

$

COSTS

VA

A/E

$

A/E

$

VA

$

56B
56C
56D
56E

SUB-TOTAL

57A
57B
57C
57D
SUB-TOTAL

57E
58A
58B
58C
58D
58E

SUB-TOTAL

59

TOTAL TRAVEL COSTS
TOTAL PROPOSAL (Lines 55 + 59)

60
REMARKS

VA FORM
JAN 1999 (R)

10-6298

PAGE 7 OF 9

PART III - SITE VISITS
EMPLOYEE TRIPS

A. SALARY COSTS

LINE
NO.

A/E

TOTAL HOURS

VA

A/E

VA

COSTS

HOURLY
SALARIES

A/E

VA

PRE-CONSTRUCTION CONFERENCE

61A

NO. VISITS

NO. DAYS

EMP. PER DAY

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

65

TOTAL SALARY COSTS (Lines 62 + 63 + 64)
A. TRAVEL COSTS

EMP. TRIPS

TRAVEL COSTS

EMP. DAYS

A/E

A/E

A/E

VA

VA

VA

COSTS

PER DIEM

A/E

VA

A/E

VA

PRE-CONSTRUCTION CONFERENCE

66A

NO. VISITS

66B

NO. VISITS, ONE EMPLOYEE - DAY EACH

NO. DAYS

EMP. PER DAY

SITE VISITS

INTERMEDIATE A/C INSPECTIONS

66C

NO. INSP.

NO. DAY EACH

EMP. PER DAY

FINAL INSPECTION

66D

NO. DAYS

EMPLOYEES PER DAY

66E

66F
67
68

TOTAL PROPOSAL FOR

TOTAL TRAVEL COSTS
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)

71

PART III - SITE VISITS,

72

AT $

$
$

$
$

$
$

$
$

PER VISIT

FOR A MAXIMUM OF: (Line 68)
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
Signature
VA FORM
JAN 1999 (R)

Title
Date of Execution

10-6298

PAGE 8 OF 9

NOTE: The Architect-Engineer shall check the certification below which is applicable to their enterprise, and if required, provide the necessary
substantiating information.
CERTIFICATION OF CONCURRENT SUBMISSION OF DISCLOSURE STATEMENTS

The offeror hereby certifies submission, as part of the proposal under this solicitation, copies of the Disclosure Statements as follows: (i) Original and one copy
to the cognizant Contracting Officer; (ii) one copy to the cognizant contract auditor; and (iii) one copy to the Cost Accounting Standards Board, 441 G. Street,
NW, Washington, DC 20548
DATE OF DISCLOSURE STATEMENT

NAME AND ADDRESS OF COGNIZANT CONTRACTING OFFICERS WHERE FILED

The offeror further certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices in the Disclosure Statements.
CERTIFICATION OF MONETARY EXEMPTION

The offeror hereby certifies that, together with all divisions, subsidiaries, and affiliates under common control, they did not (1) receive a single CAS-covered contract
award if $10 million or more; (2) Receive $10 million or more in CAS-covered contract awards during its preceding accounting period; (3) Receive less than $10 million
in CAS-covered contract awards during its preceding cost accounting period but such awards were 10 percent or more of total sales.
CERTIFICATION OF PREVIOUSLY SUBMITTED DISCLOSURE STATEMENTS
The offeror hereby certifies that the Disclosure Statements were filed as follows:
DATE OF DISCLOSURE STATEMENT

NAME AND ADDRESS OF COGNIZANT CONTRACTING OFFICERS WHERE FILED

The offeror hereby certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in this Disclosure Statement
CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER

DATE

CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER

DATE

CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER

DATE

CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER

DATE

CONCUR - SIGNATURE AND TYPED NAME OF CONTRACTING OFFICER

DATE

DISTRIBUTION: (082A) - CC: A/E and Proposed File
VA FORM
JAN 1999 (R)

10-6298

PAGE 9 OF 9