UDOT OH & FF Debit Adjustment Template v 2.8.23.xlsx

	A	B	C	D	E
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2	UDOT OH & FF Debit Adjustment Template

3					For contracts executed with an Impacted Rate
4	Consultant Firm Name
5	Prime or Subconsultant on Contract
6	Contract Number
7	PIN Number
8	Invoice Date
9	Invoice Number
10	Impacted ICR - Effective Date		Impacted ICR - Expiration Date
11	Invoice Start Date		Invoice End date
12	Fiscal Year-End of Impacted Rate
13	Unimpacted ICR	0.00%
14	Impacted ICR	0.00%
15	Fixed Fee Rate	0.00%
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17		Impacted Rate	Unimpacted Rate	Other Direct Cost (ODC) OH & FF Debit Adjustments
18		0.00%	0.00%	Other Direct Cost (ODC) OH & FF Debit Adjustments
19	Direct Labor	0.00	0.00	0.00	N/A
20	Overhead	0.00	0.00	0.00	OH Debit Adjustment
21	Fixed Fee	0.00	0.00	0.00	FF Debit Adjustment
22	Other Direct Costs (ODC)	0.00	0.00	0.00	N/A
23	Invoice Total for Subconsultant(s)	0.00	0.00	0.00	N/A
24	Total Invoice	0.00	0.00	0.00	Total Invoice Adjustment Debit Amount
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26	General Instruction:
27	1. This template is to be submitted with all invoices from a Recovered Entity once a contract modification has been executed for the expiration of an Impacted Rate, and must be included in the supporting documentation for each invoice.
28	2. The consultant will use the template to calculate the adjustments to the overhead and fixed fee amounts to be included in each invoice for remaining work performed after the Recovery Period.
29	3. All fields with blue shading must be completed by the consultant, and the consultant must verify that the calculations and Total Invoice Adjustment Amount appears correct, and agrees with the total line item costs shown on the invoice prior to submission.
30	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).
31	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.
32	6. Prime consultants will remit the template to the UDOT Project Manager, and subconsultants will remit the template to the prime consultant.
33	7. A consultant will NOT be able to submit invoices that include OH & FF Debit Adjustments until a modification to the contract for rate expiration has been executed.
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