VLTD_RFP_J.1(b)_Attachment_3_JA038_Proposal_Cover_Sheet.docx

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Attached to
Vertical Lift Technology Development - 80ARC018R0005 Federal contract opportunity
Solicitation number
80ARC018R0005
Issued by
National Aeronautics and Space Administration Ames Research Center

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VLTD RFP J.1(b) Attachment 3 JA038 Proposal Cover Sheet

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80ARC018R0005Attachment J.1(b)3
PROPOSAL COVER SHEET

Offeror’s Commercial and Government Entity (CAGE) Code:

1. SOLICITATION/CONTRACT/MODIFICATION NUMBER

80ARC018R0005

2a. NAME OF OFFEROR
3a. NAME OF OFFEROR’S POINT OF CONTACT
3c. TELEPHONE
2b. FIRST LINE ADDRESS
3b. TITLE OF OFFEROR’S POINT OF CONTACT
AREA CODE
NUMBER
2c. STREET ADDRESS
3d. EMAIL
2d. CITY
2e. STATE
2f. ZIP CODE
4. TYPE OF CONTRACT ACTION (Check)
X
A. NEW CONTRACT

D. LETTER CONTRACT

5. TYPE OF CONTRACT (Check)

B. CHANGE ORDER

E. UNPRICED OPTION

|X| FFP

|_| FPI

|X| CPFF |_| CPIF

|_| OTHER (Specify)

|_| CPAF

C. PRICE REVISION/

REDETERMINATION

F. OTHER (Specify)

6. PERFORMANCE

P L A C E (S)

a.
P

E R I O D (S) a.

b.

b.

c.

c.

7. List and reference the identification, quantity and total price proposed for each contract line item. (Continue on reverse, if necessary. Use same headings.)

a. LINE ITEM NO.
b. IDENTIFICATION
c. QUANTITY
d. TOTAL PRICE
e. PROP. REF. PAGE

8. PROVIDE THE FOLLOWING

NAME OF DCMA CONTRACT ADMINISTRATION OFFICE (if applicable)
NAME OF COGNIZANT DCAA AUDIT OFFICE
STREET ADDRESS
STREET ADDRESS
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE

TELEPHONE

AREA CODE
NUMBER
TELEPHONE
AREA CODE
NUMBER
EMAIL
EMAIL

9. WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS WORK? (If “yes” identify)

|_| NO |_| YES

10. COST ACCOUNTING STANDARDS BOARD (CASB) DATA (Public Law 91-379 as amended and FAR PART 30)

a. WILL THIS CONTRACT ACTION BE SUBJECT TO CASB REGULATIONS?

(If “No,” explain in proposal.)

|_| YES|_| NO
b.HAVE YOU SUBMITTED A CASB DISCLOSURE STATEMENT (CASB DS-1 or 2)?

(If “Yes,” specify in proposal the office to which submitted and if determined to be adequate.)

|_| YES |_| NO

c. HAVE YOU BEEN NOTIFIED THAT YOU ARE OR MAY BE IN NONCOMPLIANCE WITH YOUR DISCLOSURE STATEMENT OR COST ACCOUNTING STANDARDS?

(If “Yes,” explain in proposal.)

|_| YES|_| NO
d.IS ANY ASPECT OF THIS PROPOSAL INCONSISTENT WITH YOUR DISCLOSED PRACTICES OR APPLICABLE COST ACCOUNTING STANDARDS?

(If “Yes,” explain in proposal.)

|_| YES |_| NO

This proposal is submitted in response to the solicitation, contract, modification, etc., in Item 1. By submitting this proposal, the offeror, if selected for discussions, grants the contracting officer or an authorized representative the right to examine, at any time before award, any of those books, records, documents, or other records directly pertinent to the information requested or submitted. See instructions at Table 15-2 at FAR 15.408.

11a. NAME OF OFFEROR (Typed)
12. NAME OF FIRM

11b. TITLE OF OFFEROR (Typed)

11c. EMAIL

13. SIGNATURE
14. DATE OF SUBMISSION

JA 038 (Nov 2016)

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