Spreadsheet: 04d44876-530f-4faa-93d5-d4f86b6e6dfe
Sheet: 2002-181 Bid Form

 | Table 2 - Competitive Bid Solicitation - SITE CLOSURE VIA STATEWIDE HEALTH STANDARDS (USTIF Claim #2002-181)
 | DOC's DELI-LICIOUS SITE, 477 CARBONDALE ROAD, LACKAWANNA COUNTY, CLARK'S SUMMIT, PENNSYLVANIA  18411
 | Name & Address of Bidder:
 | COST COMPONENT |  | Milestone A                                                                                                                    Quarterly Groundwater                                                                                   Monitoring and Reporting                                                                                                   (Quarterly for Six Quarters) |  | Milestone B                                                                                                                                       PADEP Meeting and File Review | Milestone C                                                                                             Discretionary Site Characterization, etc. | Milestone D                                                                                                   Discretionary Pilot Testing and Reporting |  | Milestone E                                                                                                   Preparation, Submission, and PADEP Approval of RAP | Milestone F                                                                                                                                                                                                   RAP Implementation                                                                                                                                                                                        (Two Years of Remedial System Operation, [NAME], and Associated Activities) |  |  |  |  | Milestone G                                                 Groundwater Attainment Demonstration                                                   (8 quarters) |  | Milestone H                                                                                                 Soil Attainment Demonstration | Milestone I                                                                                                 Preparation, Submission, and PADEP Approval of RACR | Milestone J                                                                                             Site Restoration and Well Abandonment | Totals for                                                                                               Milestones                                                                                   A through J                                                                                                                                            (SOW Total)
 | Associated Milestone >>> |  | Single Quarterly Event  Price for Milestones                                                        A1 through A6 | Lump Sum Price for                                  Total of Milestones                                                                            A1 through A6 | Lump Sum Price for Milestone B | Price for                              Milestone C                             ($10,000) | Lump Sum Price for Milestone D1                              [                      ] | Lump Sum Price for Milestone D2                              [                      ] | Lump Sum Price for Milestone E | Milestone F1                                                    (Lump Sum Price for Final Design, Equip. Procurement, Material  Procurement, and Preparation of Associated Work Plans, etc.) | Milestone F2                                                    (Lump Sum Price for Remedial System Permit Procurement, Remedial System Installation,  Remedial System Start-Up and Testing) | Milestone F3                                                                                   (Single Monthly O&M Price for Remedial System Operation and Maintenance) | Milestone F4                                                                                   (Single Quarterly Price for  Groundwater Monitoring and Reporting During Remedial System O&M, Price per Quarter) | Lump Sum Price for Total of Milestones                                                                            F1 through F4 | Single Quarterly Event  Price for Milestones                                                                                                             G1 through G8 | Lump Sum Price for Total of Milestones                                                                            G1 through G8 | Lump Sum Price for Milestone H | Lump Sum Price for Milestone I | Lump Sum Price for Milestone J
 | Anticipated Number of Milestone Payments >>> |  | 6 |  | 1 |  | 1 | 1 | 1 | 1 | 1 | 24 | 8 |  | 8 |  | 1 | 1 | 1
 | Labor | Bidders shall enter costs for each labor/ODC/Sub category based on the proposed payment for achieving each milestone.  The total cost for completion of each Task will be the "Subtotal" multiplied by the "Anticipated # of Milestone Payments" | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other Direct Costs1 |  | 1
 | ODC ≥$1,000 (Specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | ODC ≥$1,000 (Specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | ODC ≥$1,000 (Specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other ODC (Specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Subcontracted Costs2
 | Analytical Laboratory - Water |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Analytical Laboratory - Soil |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Analytical Laboratory - Vapor |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other Analytical |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Equipment Rental |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Geoprobe / Driller |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Geophysical Subcontractor |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Waste Disposal |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other (specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other (specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other (specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other (specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Other (specify) |  | 0 |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | 0 |  | 0 |  | 0 | 0 | 0
 | Milestone Subtotals |  |  |  |  | 10000
 | Totals by Milestone
 | Schedule of Unit Labor Rates | HOURLY                                                         RATE |  |  |  |  |  | Schedule of Unit [NAME](Describe Below) |  | [NAME] |  |  |  |  | Independent of the 24-month O&M period indicated above, all Bidders shall indicate below the number of New RAP system O&M months that are expected to be needed for the Site to achieve SHS for all COCs in groundwater under the Bidder's care.
 | Sr. Project Engineer, P.E. | 0 |  |  |  |  |  | Milestone D - |  | 0 |  |  |  |  | Months of RAP System O&M >>>
 | Sr. Hydrogeologist, P.G. | 0
 | Project Manager | 0
 | Project Geologist/ Engineer | 0
 | Associate Project Geologist/ Engineer | 0 |  |  |  |  |  | Milestone D - |  | 0
 | Staff Geologist/ Engineer | 0
 | Sr. Field Technician | 0 |  |  |  |  |  |  |  |  |  |  |  |  | Milestone A - Fixed per quarterly event price for groundwater monitoring / reporting as specified |  |  | 0
 | Field Technician | 0
 | Word Processor | 0 |  |  |  |  |  | Milestone D - |  | 0
 | Draftsman | 0
 | Project Coordinator | 0
 | Junior Professional | 0
 | Other (specify) | 0
 | Other (specify) | 0
 | Subcontractor / Vendor [NAME] (%) | 0
 | Notes:
 | 1 - Individual other direct cost line items totaling $1,000 or more must be specified (use separate sheet, if necessary).
 | 2 - Details related to subcontracted costs are requested by the Solicitor to assist in the evaluation of the costs associated with the performance of this work.
 | (A mark-up percentage no greater than 10% is acceptable to the Solicitor & USTIF)
 | 3 - Regardless of the number of "Months of RAP System O&M" that are expected to be needed for the Site to achieve SHS for all COCs in groundwater as entered on this Bid Form by any [NAME], the "Totals for Milestones A through J" will reflect 24 months of New RAP system O&M.
 | 4 - Bidders shall only enter data into Bid Form areas (Excel file cells) that are shaded in green.