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UDOT Contract Modification Rate Expiration Template
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For CPFF contracts executed with an Impacted Rate
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Date Modification Requested by Firm
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Consultant Name
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Prime or Subconsultant on Contract
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Contract Number
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PIN Number
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Estimated Mod NTP Date
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Impacted ICR - Effective Date
Impacted ICR - Expiration Date
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Fiscal Year-End of Impacted Rate
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Unimpacted ICR
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Impacted ICR
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Fixed Fee Rate
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Remaining Contract CostsUnimpacted ICRImpacted ICROther Direct Cost (ODC)
OH & FF Debit Adjustments
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Remaining Raw Labor Amount0.00N/A
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Remaining Overhead Amount0.000.000.00OH Debit Adjustment
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Remaining Fixed Fee0.000.000.00FF Debit Adjustment
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Remaining Other Direct Costs (ODC)0.00N/A
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Remaining Subconsultant(s) Amount0.00N/A
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Totals0.000.000.00Total Contract Modification
Debit Amount
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General Instruction:
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1. This template is to be submitted one month prior to the end of a prime or its subconsultant(s) Recovery Period to allow adjustment to the
maximum-not-to-exceed contract amount based upon the difference between overhead and fixed fee at the impacted and unimpacted rates.



 
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2. The consultant will need to calculate the amount of unperformed labor hours/cost remaining in the contract after the expiration of the Recovery Period.
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3. This template is also to be used for any and all modifications where labor hours are increased for an affected firm that has already reached Recovery.
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4. All fields with blue shading must be completed by the consultant, and the consultant must verify that the calculations and Total Contract Modification
Debit Amount
appears correct prior to submission.
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5. 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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6. A consultant will NOT be able to submit invoices that include OH & FF Debit Adjustments until this template is submitted and the modification is
executed.  If the modification is submitted after the Recovery Period Expiration Date, the affected consultant may calculate the total Contract
Modification Debit Amount (Mod template total amount) back to the date of the expired recovery period.
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