Understanding the intricacies of the EPA Form 5700-41 proves crucial for entities engaged in securing or managing subagreements under U.S. Environmental Protection Agency (EPA) assistance programs. This form serves as a comprehensive platform outlining the cost or price summary necessary for these subagreements, ensuring transparency and accountability in financial dealings. Part I lays the foundational information including recipient details, assistance identification, contractor information, and the type of service to be furnished. Meanwhile, Part II dives into the financial aspects, breaking down the estimated costs into categories like direct labor, indirect costs, and other direct costs—encompassing everything from travel to subcontracting. Critical to this process, the form also includes a section for certifications, underscoring the authenticity and accuracy of the provided data, alongside affirmations of financial management capabilities. By compiling all essential cost components and corresponding justifications, the EPA Form 5700-41 emerges as a pivotal document, ensuring that pricing proposals are both comprehensive and justified, hence facilitating a smoother evaluation and award process for subagreements aligned with EPA's objectives.
| Question | Answer |
|---|---|
| Form Name | 5700 41 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | cost price summary sample, cost summary pricing get, subtotal categories subcontractor form, price summary |
COST OR PRICE SUMMARY FORMAT FOR SUBAGREEMENTS UNDER U.S. EPA ASSISTANCE
PART I - GENERAL
1. RECIPIENT
2. ASSISTANCE IDENTIFICATION NO.
3. NAME OF CONTRACTOR OR SUBCONTRACTOR
4. DATE OF PROPOSAL
5. ADDRESS OF CONTRACTOR OR SUBCONTRACTOR
6. TYPE OF SERVICE TO BE FURNISHED
PART II - COST SUMMARY
7. DIRECT LABOR (Specify labor categories) |
ESTIMATED |
HOURLY |
ESTIMATED COST |
TOTALS |
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HOURS |
RATE |
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DIRECT LABOR TOTAL: |
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$ |
8. INDIRECT COSTS (Specify indirect cost pools) |
RATE |
X BASE = |
ESTIMATED COST |
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INDIRECT COSTS TOTAL: |
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$ |
9. OTHER DIRECT COSTS |
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a. TRAVEL |
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ESTIMATED COST |
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(1) TRANSPORTATION |
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$ |
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(2) PER DIEM |
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$ |
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TRAVEL SUBTOTAL: |
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$ |
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b. EQUIPMENT, MATERIALS, SUPPLIES |
QTY |
COST |
ESTIMATED COST |
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(Specify categories) |
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$ |
$ |
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EQUIPMENT SUBTOTAL: |
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c. SUBCONTRACTS |
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ESTIMATED COST |
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$ |
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SUBCONTRACTS SUBTOTAL: |
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$ |
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d. OTHER (Specify categories) |
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ESTIMATED COST |
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$ |
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OTHER SUBTOTAL: |
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$ |
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OTHER DIRECT COSTS TOTAL: |
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$ |
10. TOTAL ESTIMATED COST |
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$ |
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11. PROFIT |
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$ |
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12. TOTAL PRICE |
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$ |
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PART III - CERTIFICATIONS
13. CONTRACTOR OR SUBCONTRACTOR
EPA Form
This proposal is submitted for use in connection with and in response to (1) ____________________________________________
_______________________________________________________ . This is to certify to the best of my knowledge and belief that
the cost and pricing data summarized herein are complete, current, and accurate as of (2) ________________________________
and that a financial management capability exists to fully and accurately account for the financial transactions under this project.
I further certify that I understand that the subagreement price may be subject to downward renegotiation and/or recoupment where the above cost and pricing data have been determined, as a result of audit, not to have been complete, current and accurate as of the date above.
(3) |
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DATE OF EXECUTION |
SIGNATURE OF COMPOSER |
TITLE OF COMPOSER
14. LOAN RECIPIENT
I certify that I have reviewed the cost/price summary set forth herein and the proposed costs/price appear acceptable for subagreement award.
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DATE OF EXECUTION |
SIGNATURE OF REVIEWER |
TITLE OF REVIEWER
EPA Form