Date: Date: COST PROPOSAL SUMMARY Change Order Request No.: Design Builder Name: University of California, {Facility Name} (1) (2) (3) (4) 2nd & Lower Tier Contractor 1st Tier Subs Subs Total 1. Straight Time - Labor 2. Fringe Benefits and Payroll - Labor 3. Overtime Wages/Salaries - Labor 4. Fringe Benefits and ACTUAL Payroll Taxes - Overtime COSTS 5. Materials and Consumable Items 6. Sales Taxes (On line 5) 7. Rental Charges 8. Royalties 9. Permits 10.Total Direct Expense (Sum of lines 1-9) 11. Insurance & Bonds (up to 2% of line 10) 12. Sub-Sub (15% of line 10; col. 3) 13. Subcontractor (5% of line 10; col. 3) Design Builder 14. Subcontractor (15% of line 10; col. 2) FEE 15. Design Builder (5% of line 10; col. 2 & 3) 16. Design Builder (15% of line 10; col. 1) 17. Design Builder Fee (Sum of lines 12-16) TOTAL 18. Sum of lines 10, 11, & 17 Actual Costs are taken from line 12 of the attached forms titled, Documentation For the Cost Proposal Summary” for Design Builder “Supporting and each Subcontractor involved in the Extra Work. SUPPORTING DOCUMENTATION FOR THE COST PROPOSAL SUMMARY Design Builder/Subcontractor Name: Change Request No.: Work Activity: University of California, {Facility Name} COST ITEM DESCRIPTION (1) COST 1. Straight Time Wages/Salaries -- Labor 2. Fringe Benefits and Payroll -- Labor: % of line 1 3. Overtime Wages/Salaries - Labor (Attach University Representative's written authorization) ACTUAL 4. Fringe Benefits and Payroll Taxes -- Overtime: % of line 3 5. Materials and Consumable items 6. Sales Taxes: % of line 5 7. Rental Charges (attach CalTrans’ Schedule) 8. Royalties 9. Permits 10. Total Direct Expense -- sum of lines 1-9
Date: Date: COST PROPOSAL SUMMARY Change Order Request No.: Design Builder Name: University of California, {Facility Name} (1) (2) (3) (4) Contractor 1st Tier Subs 2nd & Lower Tier Subs Total 1. Straight Time - Labor 2. Fringe Benefits and Payroll - Labor 3. Overtime Wages/Salaries - Labor ACTUAL 4. Fringe Benefits and Payroll Taxes - Overtime COSTS 5. Materials and Consumable Items 6. Sales Taxes (On line 5) 7. Rental Charges 8. Royalties 9. Permits 10.Total Direct Expense (Sum of lines 1-9) 11. Insurance & Bonds (up to 2% of line 10) 12. Sub-Sub (15% of line 10; col. 3) 13. Subcontractor (5% of line 10; col. 3) Design Builder 14. Subcontractor (15% of line 10; col. 2) FEE 15. Design Builder (5% of line 10; col. 2 & 3) 16. Design Builder (15% of line 10; col. 1) 17. Design Builder Fee (Sum of lines 12-16) TOTAL 18. Sum of lines 10, 11, & 17 Actual Costs are taken from line 12 of the attached forms titled, “Supporting Documentation For the Cost Proposal Summary” for Design Builder and each Subcontractor involved in the Extra Work. SUPPORTING DOCUMENTATION FOR THE COST PROPOSAL SUMMARY Design Builder/Subcontractor Name: Change Request No.: Work Activity: University of California, {Facility Name} COST ITEM DESCRIPTION COST (1) 1. Straight Time Wages/Salaries -- Labor 2. Fringe Benefits and Payroll -- Labor: % of line 1 3. Overtime Wages/Salaries - Labor (Attach University Representative's written authorization) ACTUAL 4. Fringe Benefits and Payroll Taxes -- Overtime: % of line 3 5. Materials and Consumable items 6. Sales Taxes: % of line 5 7. Rental Charges (attach CalTrans’ Schedule) 8. Royalties 9. Permits 10. Total Direct Expense -- sum of lines 1-9
db_cost_proposal.docx