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TOTAL ESTIMATED COST 11. PROFIT 12. TOTAL PRICE PART III - CERTIFICATIONS 13. CONTRACTOR OR SUBCONTRACTOR EPA Form 5700-41 This proposal is submitted for use in connection with and in response to 1. COST OR PRICE SUMMARY FORMAT FOR SUBAGREEMENTS UNDER U*S* EPA ASSISTANCE PART I - GENERAL 1. RECIPIENT 2. ASSISTANCE IDENTIFICATION NO. 3. NAME OF CONTRACTOR OR SUBCONTRACTOR 4. DATE OF PROPOSAL 5. ADDRESS OF CONTRACTOR OR SUBCONTRACTOR 6. TYPE OF SERVICE TO BE FURNISHED PART II - COST SUMMARY 7. DIRECT LABOR Specify labor categories ESTIMATED HOURLY HOURS RATE DIRECT LABOR TOTAL 8. INDIRECT COSTS Specify indirect cost pools TOTALS X BASE 9. OTHER DIRECT COSTS a* TRAVEL 1 TRANSPORTATION 2 PER DIEM TRAVEL SUBTOTAL b. EQUIPMENT MATERIALS SUPPLIES QTY COST Specify categories EQUIPMENT SUBTOTAL c* SUBCONTRACTS d. OTHER Specify categories OTHER SUBTOTAL 10. This is to certify to the best of my knowledge and belief that the cost and pricing data summarized herein are complete current and accurate as of 2 and that a financial management capability exists to fully and accurately account for the financial transactions under this project. I further certify that I understand that the subagreement price may be subject to downward renegotiation and/or recoupment where the above cost and pricing data have been determined as a result of audit not to have been complete current and accurate as of the date above. DATE OF EXECUTION SIGNATURE OF COMPOSER TITLE OF COMPOSER 14. LOAN RECIPIENT I certify that I have reviewed the cost/price summary set forth herein and the proposed costs/price appear acceptable for subagreement award. COST OR PRICE SUMMARY FORMAT FOR SUBAGREEMENTS UNDER U*S* EPA ASSISTANCE PART I - GENERAL 1. RECIPIENT 2. ASSISTANCE IDENTIFICATION NO. 3. NAME OF CONTRACTOR OR SUBCONTRACTOR 4. DATE OF PROPOSAL 5. ADDRESS OF CONTRACTOR OR SUBCONTRACTOR 6. ASSISTANCE IDENTIFICATION NO. 3. NAME OF CONTRACTOR OR SUBCONTRACTOR 4. DATE OF PROPOSAL 5. ADDRESS OF CONTRACTOR OR SUBCONTRACTOR 6. TYPE OF SERVICE TO BE FURNISHED PART II - COST SUMMARY 7. DIRECT LABOR Specify labor categories ESTIMATED HOURLY HOURS RATE DIRECT LABOR TOTAL 8. TYPE OF SERVICE TO BE FURNISHED PART II - COST SUMMARY 7. DIRECT LABOR Specify labor categories ESTIMATED HOURLY HOURS RATE DIRECT LABOR TOTAL 8. INDIRECT COSTS Specify indirect cost pools TOTALS X BASE 9. OTHER DIRECT COSTS a* TRAVEL 1 TRANSPORTATION 2 PER DIEM TRAVEL SUBTOTAL b. INDIRECT COSTS Specify indirect cost pools TOTALS X BASE 9. OTHER DIRECT COSTS a* TRAVEL 1 TRANSPORTATION 2 PER DIEM TRAVEL SUBTOTAL b. EQUIPMENT MATERIALS SUPPLIES QTY COST Specify categories EQUIPMENT SUBTOTAL c* SUBCONTRACTS d. OTHER Specify categories OTHER SUBTOTAL 10. This is to certify to the best of my knowledge and belief that the cost and pricing data summarized herein are complete current and accurate as of 2 and that a financial management capability exists to fully and accurately account for the financial transactions under this project. I further certify that I understand that the subagreement price may be subject to downward renegotiation and/or recoupment where the above cost and pricing data have been determined as a result of audit not to have been complete current and accurate as of the date above. .

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