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UDOT OH & FF Credit Adjustment Template
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For contracts executed with an Unimpacted Rate
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Consultant Firm Name
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Prime or Subconsultant
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Contract Number
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PIN Number
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Invoice Date
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Invoice Number
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Impacted ICR - Effective DateImpacted ICR - Expiration Date
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Invoice Start DateInvoice End date
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Fiscal Year-End of Impacted Rate
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Unimpacted ICR0.00%
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Impacted ICR0.00%
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Fixed Fee Rate0.00%
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Unimpacted RateImpacted RateOther Direct Cost (ODC) OH & FF Credit Adjustments
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0.00%0.00%
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Direct Labor0.000.000.00N/A
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Overhead0.000.000.00OH Credit Adjustment
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Fixed Fee0.000.000.00FF Credit Adjustment
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Other Direct Costs (ODC)0.000.000.00N/A
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Invoice Total for Subconsultant(s)
0.000.000.00N/A
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Invoice Total0.000.000.00Total Invoice Adjustment
Credit Amount
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General Instruction:
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1. This template is to be submitted with all invoices from an affected consultant until the Recovery Period Expires, and must be included in the supporting documentation for
each invoice.



 
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2. The consultant will use the template to calculate the difference between the overhead and fixed-fee calculated at the unimpacted and impacted rates to be credited to
UDOT via invoicing.
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3. All fields with blue shading must be completed by the consultant, and the consultant must verify that the calculations and Total Invoice Adjustment Credit Amount (above)
appears correct, and agrees with the total line item costs shown on the invoice prior to submission.
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4. If a Prime consultant’s recovery period expires during the middle of a typical invoice period, they must split the invoice into two periods with
unique dates (prior to and after recovery).



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5. If a subconsultant’s recovery period expires during the middle of a typical invoice period, they must split the invoice into two periods with
unique dates (prior to and after recovery) for its submission of the invoice to the prime.
The prime will not be required to split its invoice.
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6. Prime consultants will remit the template to the UDOT Project Manager, and subconsultants will remit the template to the prime consultant.
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7. After the Recovery Period expiration (Impacted ICR - Expiration Date shown above), the affected consultant will discontinue credit adjustments and will no longer need to provide the this template with invoicing.
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