Use the steps below to fill out the EPA 5700-41 form accurately. Each field must be completed before submitting your cost proposal to the EPA or prime recipient organization.
Step 1: Click the "Get Form" button at the top of this page to open the PDF editor. No additional software is needed.
Step 2: Fill in Part I with the required identifying information.
1. Recipient Name and Address: Enter the full legal name and mailing address of the EPA grant recipient or prime contractor overseeing the project.
2. Assistance Identification Number: Provide the EPA grant or cooperative agreement number assigned to the specific assistance program.
3. Subcontractor Name: Enter the name and address of the organization submitting the cost proposal for the proposed work.
4. Type of Service: Briefly describe the scope of work or services to be delivered under the subagreement.
Step 3: Complete Part II with a detailed breakdown of all proposed costs.
5. Direct Labor: List each labor category, the number of estimated hours, and the applicable hourly rate. Calculate the total cost for each category and enter it in the cost column.
6. Indirect Costs: Apply your current fringe benefit, overhead, and G&A rates to the correct cost bases. If a federally negotiated rate agreement exists, reference it here.
7. Other Direct Costs: Itemize all remaining allowable costs, including travel, subcontracts to lower-tier vendors, equipment purchases, and consumable materials. Provide a brief justification for each item.
8. Profit or Fee: If a fee is proposed, enter the amount separately. Fee must not be included within any cost element.
Step 4: Review and sign the Certifications section. An authorized official must sign and date the form, confirming that all cost data is accurate and complete.
Once all sections are finished, download the completed form and submit it with your full proposal package to the prime recipient or EPA program office. For related proposal documents, visit our construction proposal form or the bid proposal template.