Technical Proposal Submission

Form TECH-1: Technical Proposal Submission Form

[Location, Date]

To: PT Jakarta Propertindo (JakPro)

Gedung Thamrin City Lantai 1, Lobby Timur Jl. Thamrin Boulevard,
Jakarta 10340, Indonesia

Dear Sirs:

We, the undersigned, offer to provide the consulting services for Feasibility Study, Funding Scheme, and Basic
Engineering Design for LRT Jakarta in accordance with your Request for Proposals dated Februari 26, 2019 and our
Proposal. “We are hereby submitting our Proposal, which includes this Technical Proposal and a Financial
Proposal”.

[If the Consultant is a joint venture (JV) or association, insert the following: We are submitting our Proposal as a
joint venture or association with: [Insert a list with full name and the legal address of each member, and indicate
the lead member]. We have attached a copy [insert: “of our letter of intent to form a joint venture or association”
or, if a JV or association is already formed, “of the JV agreement” or “of the Association Agreement”] signed by
every participating member, which details the likely legal structure of and the confirmation of joint and severable
liability of the members of the said joint venture or association.

If the Consultant’s Proposal includes Sub-consultants insert the following: We are submitting our Proposal with the
following firms as Sub-consultants: [Insert a list with full name and address of each Sub-consultant.]

We hereby declare that:

(a) All the information provided and statements made in this Proposal are true and we accept that any
misinterpretation or misrepresentation contained in this Proposal may lead to our disqualification
by the Employer.

(b) Our Proposal shall be valid and remain binding upon us for the period of time specified in the Data
Sheet, Clause 7.1.

(c) We have no conflict of interest in accordance with ITC 3.

(d) We meet the eligibility requirements as stated in ITC 5, and we confirm our understanding of our
obligation to abide the descriptions in regard to corrupt and fraudulent practices as per ITC 4.
(e) We will receive a termination of the contract in the future as long as the work is still in progress
known proven involved criminal acts

(f) We are not as an employee of PT Jakarta Propertindo

(g) We are not involvement in criminal offenses

(h) We are not currently and will not engage conflict with the parties concerned, directly or indirectly in
this procurement process;
 (i) Business entity, we represent is not included in the blacklist, it is not within the supervision of the
Court, not bankruptcy, and its business activities not being terminated;

(j) For one and/or all administrators business entity I represent is not included in the black list;
(k) We will receive a termination of the contract in the future as long as the work is still in progress
known proven involved criminal acts

We undertake to negotiate a Contract on the basis of the proposed Experts. We accept that the substitution of
Experts for reasons other than those stated in ITC 7.5 and ITC 14.4 may lead to the termination of Contract
negotiations.

Our Proposal is binding upon us and subject to any modifications resulting from the Contract negotiations.

We understand that the Employer is not bound to accept any Proposal that the Employer receives.

We remain,

Yours sincerely,

Authorized Signature [In full and initials]: Name and Title of

Signatory: Name of Consultant [company’s name or
JV’s or Association’s name]: In the caoacity of:

Address: Contact information [phone and e-mail]:

[For a joint venture or association, either all members shall sign or only the lead member, in which case the power
of attorney to sign on behalf of all members shall be attached]
Form TECH-2: Consultants’s Organization and Experience

A - Consultant’s Organization

[Provide here a brief (two pages) description of the organization and general experience of the Consultant and, if
applicable, each joint venture partner or association for this consulting sevices.]
B - Consultant’s Experience

[Using the format below, provide information on each consulting services for which your firm and each joint
venture or association member for this assignment, was legally contracted either individually as a corporate entity
or as a lead firm or one of members within a joint venture or association, for carrying out the relevant services
similar to the ones requested under this consulting services in the last ten (10) years.]

Assignment Name: Country:

Location within Country: Professional Staff Provided by Your Firm/entity

(Profiles: name and kind of professional):

Name of Employer: No. of Staff (Total and by Your Firm) (Divid-ing into
international and local)
Total :
By Your Firm :
Address: No. of Staff-Months (Total and by Your Firm)
(Dividing into international and local)
Total :
By Your Firm :
Start Date (Month/Year): Completion Date Duration of Assignment:
(Month/Year):

Contract Amount (In Current US$): Fund Source:

Approx. Value of Services Provided by Your Firm under the Contrcat (in Current US$):

Name of Associated Consultants, if Any: No. of Months of Professional Staff Provided by Each
of Associated Consultants (Dividing into international
and local):

Narrative Description of Project:

Description of Actual Services Provided in Total and by Your Firm (If the actual provided services
involved the service subjects defined in the Clause 13.2 of the Data Sheet of ITC, please clearly note
what service subjects were involved.)

Firm's Name:
Form TECH-3: Descriptions of Approach, Methodology and Work Plan for Performing the Assignment

[Technical approach, methodology and work plan are key components of the Technical Proposal. You are
suggested to present your Technical Proposal (inclusive of charts and diagrams) divided into the following three
chapters:

a) Technical Approach and Methodology,

b) Work Plan, and
c) Organization and Staffing,

a) Technical Approach and Methodology. In this chapter you should explain your understanding of the
objectives of the assignment, approach to the services, methodology for carrying out the activities and
obtaining the expected output, and the degree of detail of such output. You should highlight the problems
being addressed and their importance, and explain the technical approach you would adopt to address
them. You should also explain the methodologies you propose to adopt and highlight the compatibility of
those methodologies with the proposed approach. Staffing for training should also be explained, if so
required in the TOR. Please do not repeat/copy the TOR in here.
b) Work Plan. In this chapter you should propose the main activities of the assignment, their content and
duration, phasing and interrelations, milestones (including interim approvals by the Employer), and delivery
dates of the reports. The proposed work plan should be consistent with the technical approach and
methodology, showing understanding of the TOR and ability to translate them into a feasible working plan.
A list of the final documents, including reports, drawings, and tables to be delivered as final output, should
be included here. The work plan should be consistent with the Work Schedule of Form TECH-8.
c) Organization and Staffing. In this chapter you should propose the structure and composition of your team.
You should list the main disciplines of the assignment, the Experts, and proposed technical and
administrative support staff. You shall also specify if you will be the lead firm in a joint venture/association
or in being teamed with Sub-consultants. For joint ventures or associations, you must attach a copy of the
joint venture agreement/association agreement or a letter of intention to form a Joint Venture or
Association, as specified in Form TECH-1.]
Form TECH-4: Team Composition, Task Consultancy Service and Summary of CV Informations
.

Employment No. of Years CV Signature

No. Family Name, Firm Area of Position Task Assigned Nationality Status with Education / of Relevant (by expert/by
First Name Acronym Expertise Assigned Firm (full-time, Degree (Year / Project other)
or other) Institution) Experience
1.

2.

3.

4.

5.

6.

7.

8.

9.

27
Form TECH-5: Curriculum Vitae (CV) for Proposed Experts

1. Proposed Position [only one candidate shall be nominated for each position]:

2. Name of Firm [insert name of firm proposing the expert]:

3. Name of Expert (insert ful name):

4. Date of Birth: Nationality:

5. Education [indicate college/university and other specialized education of expert, giving names of
institutions, degrees obtained, and dates (Day/Month/Year) of obtainment together with copy of
obtained deploma]:

6. Membership in Professional Associations:

7. Other Trainings [insert significant training since degrees under No.5 Education were obtained]

8. Countries of Work Experience [list countries where expert has worked in the last ten years]:

27

9. Languages [For each language indicate proficiencies: excellent, good, average, below average, or
poor in speaking, reading, and writing, please attach the last two (2) years
TOEFL/IELTS/TOEIC/EIKEN results as reference]:

10. Employment Record [Starting with present position, list in reverse order every employement held
by expert since graduation, giving for each employement (see frormat here below): dates of
employement, name of employing organization, position held]:

From (Month/Year): To (Month/Year):

Name of employing organization:
Employment status: Position held:
 11. List of Task Performed [List 12. Detailed Contents of Task Performed
all tasks performed up to now] [Among the tasks in which the expert has been involved up to now,
indicate the following information]

Name of assignment or project: From (Month/Year): To

(Month/Year):

Duration (Years):

Location: Assignment or project employer:

Main assignment or project features: Positions
held1:
Activities performed1:

13. Certifcation:

I, the undersigned, certify to the best of my knowledge and belief that:

(i) this CV correctly describes my qualifications and my experience;

(ii) In the absence of medical incapacity, I will undertake this assignment for the duration and in
terms of the inputs specified for me in the Expert Schedule in Form TECH-7 provided team
mobilization takes place within the validity of this proposal or any agreed extension thereof;
(iii) I am committed to undertake the assignment within the validity of Proposal;
(iv) I am not part of the team who wrote the Terms of Reference for this consulting services
assignment;

I understand that any willful missstatement described herein may lead to my disqualification or
dismissal, if engaged.

Date:
[Signature of exper] [Day/Month/Year]

Full name and signature of authorized representative: _____________________________

29
1 The Consultant is requested to provide detailed informations in terms of field concerned, kind of
responsibility or duty, job description, etc. Furthermore, if the same or similar assignment being
proposed for this time consulting service has already been experienced in the past assignment or project,
please describe those facts.

29
Form TECH-6: Expert Schedule

Professional Expert Input (in the form of a bar chart)

Position Total Man-
No. Name of Expert /Category (Interna- Month
tional or Local) 1 2 3 4 5 6 7 8 9 10 11 12 n
1.
2.
3.

n.
Form TECH-7: Work Schedule

No. Activity1 Months2

1 2 3 4 5 6 7 8 9 10 11 12 n
1.
2.
3.
4.
5.

n.

1 Indicate all main activities of the assignment, including delivery of reports (e.g.: inception, monthly, and final reports), and other benchmarks such as Employer
approvals. For phased assignments indicate activities, delivery of reports, and benchmarks separately for each phase.
2 Duration of activities shall be indicated in the form of a bar chart.
31
Form TECH-8: Joint Venture or Association Agreement

Joint Venture or Association Agreement

To PT Jakarta Propertindo (JakPro)

Gedung Thamrin City Lantai 1, Lobby Timur Jl. Thamrin Boulevard,
Jakarta 10340, Indonesia

The undersigned of this declaration of cooperation are by means of attached Power of Attorney legally
authorized to act with regard to Procurement of Consultant of Feasibility Study, Funding Scheme, and
Basic Engineering Design for LRT Jakarta
and on behalf of their organizations. They hereby declare:
1. that they will legalize a Joint Venture Letter or Association Agreement in case that a Contract for
the Consultant Feasibility Study, Funding Scheme, and Basic Engineering Design for LRT Jakarta, is
awarded to their group;
2. that they have nominated [name of the lead partner] as the Sponsor Firm of the group for the
purpose of this Bid;
3. that they authorized Mr./Ms. [name of the person, who authorized to act as the
Representative on behalf of the Joint Venture or Association] to act as the Bidder’s Representative in
the name and on behalf of their group;
4. that either lead consultant shall be liable solely, or all partners of the Joint Venture or Association
shall be liable jointly and severally [to be selected as applicable one] for the execution of the
Contract;
5. that this Joint Venture or Association is a group of consuming firms constituted for the purpose of
the execution of the Consultant of Feasibility Study, Funding Scheme, and Basic Engineering Design
for LRT Jakarta) under this Contract;
6. that if the Employer accepts the Bid of this Joint Venture or Association, it shall not be modified in
its composition or constitution until the completion of Contract without the prior consent of the
Employer.
7. that the share of work in the contract amount by each partner of Joint Venture or Association will
be estimated as follows.

Joint Venture or Name of Firm Shared Work of Contract

Association Amount (%)
Lead Partner 1.
Partner 1.
2.
3.
4.

n.

Total Shared Work of Joint Venture or Association 100%

(Note): The percentage shown in the table above is only provisional at the proposal stage. The final one
will be fixed after the negoatiation of all matters with the Employer is finished if we were awarded.

32
Give names and positions of the proposed Joint Venture or Association Representatives, as well as
organization's names and addresses:

Lead Partner

1. Name : Signature :
Position : Date :
Representative of : (Organization's Name)

Partner

1. Name : Signature :
Position : Date :
Representative of : (Organization's Name)

2. Name : Signature :
Position : Date :
Representative of : (Organization's Name)

3. Name : Signature :
Position : Date :
Representative of : (Organization's Name)
4. Name : Signature :
Position : Date :
Representative of : (Organization's Name)

5. Name : Signature :
Position : Date :
Representative of : (Organization's Name)

6. Name : Signature :
Position : Date :
Representative of : (Organization's Name)
7. Name : Signature :
Position : Date :
Representative of : (Organization's Name)

33
Form TECH-9: Integrity Declaration

I, the undersigned :
Name:
Position :

In accordance with the powers of representation given to me be by the Company’s regulations and
Articles of Association, on behalf of :
Company Name:
Address:

For the implementation of the LRT Jakarta Project – Consultant Services Feasibility Study, Funding
Scheme, and Basic Engineering Design at Provicial Government of DKI Jakarta, hereby state that I:

1. Will not undertake or take part in any Collusion, Corruption or Nepotism practice;
2. Will report to the relevant Authorities any knowledge of any acts or indication of Collusion,
Corruption or Nepotism during project implementation period;
3. Will carry out this duty and obligation in the most honest, transparent and professional way and
will deploy all necessary capabilities and resources to provide the best works results, from
mobilisation, design, manufacturing, testing and commissioning project activities until the final
acceptance of all project deliverables on site;
4. Will accept and be prepared to receive moral sanction, administration sanction and legal
sanction in accordance with the Republic of Indonesia applicable Law, if I breach or conflict in
any way with all that I stated in this INTEGRITY DECLARATION.
Jakarta, 2019

< >

34
Section 3. Financial Proposal – Standard Forms
Table of Financial Forms
Form FIN-1: Financiall Proposal Submission Form 36
Form FIN-2: Summary of Costs 37
Form FIN-3: Remuneration 38
Form FIN-4: Breakdown of Remuneration 39
Form FIN-5: Breakdown of Reimbursable Expenses 40
Appendix: Instructions for Preparing Financial Proposal Forms FIN-1 to FIN-5 41

35
Form FIN-1: Financial Proposal Submission Form
[Location, Date]

To: PT Jakarta Propertindo (JakPro)

Gedung Thamrin City Lantai 1, Lobby Timur Jl. Thamrin Boulevard,
Jakarta 10340, Indonesia

Dear Sirs:

We, the undersigned, offer to provide the consulting services for Feasibility Study, Funding Scheme, and
Basic Engineering Design for LRT Jakarta in accordance with your Request for Proposal dated February 26,
2019 and our Technical Proposal. Our attached Financial Proposal is for the sum of [insert amount(s) in
words and figures1].

Our Financial Proposal shall be binding upon us subject to the modifications resulting from Contract
negotiations, up to expiration of the validity period of the Proposal, i.e. before the date indicated in
Clause 7.1 of the Data Sheet.

We understand you are not bound to accept any Proposal you receive.

We remain,

Yours sincerely,

Authorized Signature [In full and initials]: Name

and Title of Signatory: Name of Firm:
Address:

1 Amounts must coincide with the ones indicated under Total in Form FIN-2. This amount is inclusive of
the local indirect taxes, which shall be confirmed during negotiations, and included in the Contract price.

36
Form FIN-2: Summary of Costs

Invitation No.

Forein Currency (US$) Local Currency (Rupiah)

Competitive Components:
1. Remuneration
2. Reimbursable Expenses

Sub Total1

Non-Competitive Components
3. Indirect Taxes Estimates2
Sub-Total

Total

37
1 Indicate the aggregate costs, which are exclusive of local indirect taxes, to be fixed by the Employer in
each currency for remuneration and reimbursable expenses. Such aggregate costs must coincide with the
sum of the relevant subtotals indicated in Form FIN-3 and Form FIN-5 provided with the Proposal.
2 Indirect taxes to be discussed and finalized at the negotiations if the Contract is awarded.

38
Form FIN-3: Remuneration

Invitation No.

Name of Personnel Firm Employment Position Month Rate per Month Total (Currency)
Acronym Status1 (Currency)
International Expert
1.
2.
3.

n.
Total

Local Expert
1.
2.
3.

n.
Total

Local Supporting Staff

1.
2.
3.

n.
Total

39
1 Full-time (FT) – employee of the lead firm or joint venture/association member or Sub-consultant; Other Source (OS) – an Expert provided by another source
that is not a joint venture//association member or a Sub-consultant firm; Independent Expert (IP) – independent, self-employed Expert

39
 Form FIN-4: Breakdown of Remuneration
Invitation No.

Basic Social
Expert Monthly Charges Overhead Sub Total Fee Home Office Others4 Field Rate / Multiplier Support
Salary Rate / Month Document
Full Employme Currency3 Amount Amount Amount Amount Month Amount
Name Firm1 nt Status2 % of 1 % of 1 % of 4 %/ of 1
Position 1 2 3 4=1+2+3 5 6=4+5 7 8=6+7 9=6/1 10
1.
2.
3.
4.
5.

Note:
1. Initials of firm, Joint Venture/Association member or Sub-consultant (please indicatein the box Certified as Correct :
below, the firm represented
by intials).
2. FT - Full time with firm or Joint Venture/Association
member or Sub-consultant Initials Firm Name
OS - Expert being provided by other source (other than lead
firm or Joint Venture/Association member or Sub-consultant Name :
IP - Independent, self-employed Expert
39
3. Currency is Rupiah
4. If applicable, please provide explanations.
Position in Firm :

Date :

39
Form FIN-5: Breakdown of Reimbursable Expenses

Invitation No.

Reimbursable Expenses Unit Currency Unit Qty Total Cost

Cost Foreign Local
Expense Expense
1. International travel
2. Miscellaneous travel expenses
3. Per diem
4. Local transportation cost
5. Accommodation expenses
6. Communication cost
7. Printing, reproduction of reports
8. Office rental, car rental, etc.
9. Miscellaneous administrative and
office support costs
10.Other required costs for the
services

Total

40
Appendix: Instructions for Preparing Financial Proposal Forms FIN-1 to FIN-5

1 Forms FIN-1 to FIN-5 must be completed and submitted to the Employer in hard and soft copies, strictly in
accordance with the instructions.

2 It is the Consultant’s responsibility to ensure the correct Financial Proposal format.

3 Form FIN-1: Financial Proposal Submission Form shall be filled in following the instructions provided in
the Form.

4 Form FIN-2: Form FIN-2 provides a summary of the elements of estimated costs for implementation of
the proposed Consultant services.

5 Form FIN-3: The purpose of Form FIN-3 is to identify the monthly billing rates for each Personnel to be
fielded by the Consultant as part of its proposed team of the Consultant.

6 Form FIN-4: The full details showing how the remuneration rate was determined must be provided in
Form FIN-4. These include basic salary, social charges, overhead fee and other special loadings to the basic
salary that may be applicable, and these shall be shown in complete detail on Form FIN-4.

The following provides guidance as to the meaning of these terms.

(i) The Basic Monthly Salary is the actual base salary payable on a regular basis by the Consultant, or its
Sub-consultant to its regular full-time employee based on the employee’s contract of employment
with the firm. This is before any supplemental payments or any deductions are made to or from the
salary. During contract negotiations, the Consultant will be required to provide certified copies of
salary slips, contracts of employment or other relevant documents to be regarded as equivalent to
the said documents to support salaries the Consultant shows in the Financial Proposal.

(ii) Social Charges represent costs to the Consultant of specific employee benefits such as paid vacation,
contributions to pension funds, insurance and similar costs directly attributable to the employee.
These costs should be distinguished from the generalized overhead costs of the firm.

(iii) The Overhead Cost represents the Consultant’s normal overhead expense at the home office that is
attributable to its consulting activity. The Consultant and its Joint Venture member/Association or its
Sub-consultant should each show one overall average percentage figure to be applied for all of their
own experts who are regular full-time employees. In the case of independent individual Experts
contracted from outside the Consultant’s own regular full time employees, a suitably reduced
overhead may be shown as a percentage of their contracted cost.

(iv) The Fee, or profit to be earned by the Consultant is computed as a percentage of the summation of
the basic monthly salary, the social charges and the overhead cost.

(v) Other Allowances provide for inclusion of any other payment the Consultant is obligated in
accordance with the Consultant’s employment policies, to add to the Expert’s home office basic
monthly salary when the Expert is working outside its home country. For such cases during contract
negotiations the Consultant must provide a copy of the Expert’s employment conditions showing the
Consultant’s obligation to make this payment. When this allowance is accepted by the Employer, it is
computed at a percentage of the Expert’s basic salary and is not subject to social charges, overhead
cost or fee additions. The maximum allowance the Employer will accept is limited to 20 percent of
the Expert’s basic salary.
41
(vi) The Multiplier shows the ratio between the home office rate per month and the basic monthly
salary. These multipliers are subject to negotiation.

(vii) Support Documentation in the form of salary slips, contract of employment or other relevant
documents to be regarded as equivalent to the said documents to support basic salaries shown by
the Consultant in the Financial Proposal and a copy of the Consultant’s (or Sub-Consultant’s latest

42
set of annual statement of income and expense will be required for review by the Employer during contract
negotiations. Annual statement should be a copy certified by an independent auditor.

7 Form FIN-5 The purpose of Form FIN-5 is to identify all reimbursable expenses in foreign and local
currencies considered by the Consultant necessary to carry out the assignment.

(i) All required reimbursable expense is an international or a local expense.

a. Type - whether the expense is an international or local expense.

b. Unit - type of unit (monthly, daily lump sum, etc.)
c. Currency - currency of expense
d. Per unit cost - unit rate for the item
e. Quantity - quantity of the item

(ii) International Travel

International travel costs will show the airfares needed by International Experts to travel from their home office,
or regular place of work, to the field, by the most appropriate and the most direct practicable route.

For International Experts spending twenty-four (24) consecutive months or more in the Employer’s country, one
extra round trip will be reimbursed for every twenty-four (24) months of assignment in the Employer’s country.
Such International Experts will be entitled to such extra round trip only if upon their return to the Employer’s
country, such International Experts are scheduled to serve for the purposes of the Project for a further period of
not less than six (6) consecutive months.

The number of round trips, the cost for each trip and destinations should be shown under “air travel”.

(iii) Miscellaneous Travel Expenses

A separate item “Miscellaneous Travel Expenses” should be shown to cover a lump sum allowance per round trip
for processing necessary travel documents (passport, visas, travel permits), airport taxes, transport to and from
airports, inoculations, the cost of excess baggage up to ten (10) kilograms per person, or the equivalent in cost of
unaccompanied baggage or air freight for each International Expert.

(iv) Miscellaneous Costs

Miscellaneous costs include, but are not limited to:

a. The costs of international and local communication reasonably required by the Consultant for
the purposes of the Services;
b. The cost of printing, reproducing and shipping of the documents, reports, drawings, etc.;
c. The cost of acquisition, shipment and handling of the equipment, instruments, materials and
supplies required for the Services;
d. Miscellaneous administrative and support costs.

43
Standard Form A
Breakdown of Social Charges
(As claimed in Form FIN-4 Column (Social Cahrges) and Shown as a Percentage of Total Salary Cost of Firm's
Regular Professional Staff)

Item Description Reference1 Amount As % of Total Comments

(Currency) Basic Salary2
1.
2.
3.
4.

5.

Total3 0.00%

44
1 You may refer to an income statement or an equivalent financial report.
2 An independent auditor should also certify these figures as correct.
3 This figure should correspond to the total percentage for social charges claimed in FIN-4 Column (Social Charges)
for the experts shown.

45
Illustrative Example of Computing Social Charges (Form A)

Breakdown of Social Charges

(As claimed in Form FIN-4 Column (Social Charges) and Shown as a Percentage of Total Salary Cost ofFirm's
Regular Professional Staff)1

Item Description Reference2 Amount As % of Total Comments

(Currency) Basic Salary
1. Statutory Holidays n/a n/a 3.84%4

2. Vacation Leave n/a n/a 7.69%5

3. Sick Leave n/a n/a 1.92%6

4. 13th month pay IS (1) 1,605 0.74%

5. Incentive pay IS (2) 1,350 0.62%

6. Retirement/Super Annuation Fund IS (3) 5,958 2.76%

7. Social Security Contribution IS (4) 3,670 1.70%

8. Health and Medical Expense IS (5) 2,025 0.94%

9. Meal Allowance IS (6) 1,826 0.84%

10. Education/Training Benefits IS (7) 1,675 0.77%

IS (T)3 Total 21.82%7

1 Certified correct by an independent auditor.

2 IS = Income Statement.
3 IS reference (T) = 216,131.
4
Example: 2 weeks/52 weeks = 3.84%.
5 Example: 4 weeks/52 weeks = 7.69%.
6 Example: 1 week/52 weeks = 1.92%.
46
7 Corresponds to the total percentage for social charges claimed in FIN-4 Column (Social Charges) for the experts
shown.

47
Standard Form B

Breakdown of Overhead Costs

(As claimed in Form FIN-4 Column (Overhead) and Shown as a Percentage of Total Salary Cost of Firm's Regular
Professional Staff)

Item Description Reference1 Amount As % of Total Comments

(Currency) Basic Salary2
1.
2.
3.
4.
5.

Total3 0.00%

1 You may refer to an income statement or an equivalent financial report.

48
2 Copies of the firm’s recent annual statements of income and expenditure should support these figures, where
relevant items of cost including the total basic salaries used in the computation can be shown. An independent
auditor should also certify these figures as correct.
3 This figure should correspond to the total percentage for overhead cost claimed in FIN-4 Column (Overhead) for
the experts shown.

49
Illustrative Example of Computing Overhead Costs (Form B)

Breakdown of Overhead Costs

(As claimed in Form FIN-4 Column (Overhead) and Shown as a Percentage of Total Salary Cost of
Firm's Regular Professional Staff)1

Item Description Reference2 Amount As % of Total Comments

(Currency) Basic Salary
1. Amortization Expense IS (A) 13,587 6.29%
2. Depreciation Expense IS (B) 12,097 5.60%
3. Rent IS (C) 24,000 11.10%
4. Insurance Expense IS (D) 9,594 4.44%
5. Professional Fees IS (E) 18,000 8.33%
6. Light, Power and Water IS (F) 19,521 9.03%
7. Telephone/Communications Facilities IS (G) 9,117 4.22%
8. Travel and Transportation IS (H) 11,726 5.42%
9. Data Processing Costs IS (I) 12,735 5.89%
10. Federal/State Taxes and Licenses IS (J) 1,814 0.84%
11. Representation IS (K) 12,503 5.78%
12. Office Supplies IS (L) 12,496 5.78%
13. Advertising and Promotion IS (M) 10,255 4.74%
14. Repairs and Maintenance IS (N) 7,891 3.65%
15. Personnel Training and Development IS (O) 5,145 2.38%
16. Research and Development IS (P) 8,675 4.01%
17. Subscription Dues IS (Q) 1,275 0.59%
18. Membership Dues IS (R) 4,600 2.13%
19. Salary - Non-Billable/Administrative IS (S) 43,483 20.12%
Staff

IS (T) Total3 110.34%4

1
Certified correct by an independent auditor.
2
IS = Income Statement.
3
Reference (T) = 216,131.
4
Corresponds to the total percentage for overhead cost claimed in FIN-4 column 3 for the experts
shown.

50