MIST II DRFP GPM Exhibits 2-11 FINAL.pdf

Offeror Direct Labor (DL) Category(s)* Fee Loaded to GPM Overhead $ Other** $ G&A $ Amount GPM

GPM-Specified Non-Management DL Category Rate % % % % DL Rate*** Fill-in Offeror DL category(s) by title that comprise GPM-Specified DL Category*

$0.00 $0.00

Labor Category 1~ 0% $0.00 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

$0.00 $0.00

Labor Category 2~ 0% $0.00 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

$0.00 $0.00

Labor Category 3~ 0% $0.00 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

$0.00 $0.00

Labor Category 4~ 0% $0.00 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

$0.00 $0.00

Labor Category 5~ 0% $0.00 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

$0.00 $0.00

Labor Category 6~ 0% $0.00 #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

~ Insert GPM-Specified Direct Labor Categories from Enclosure entitled, GPM-Specified Non-Management Direct Labor Categories, Direct Labor Hours and Position Descriptions, and adjust rows as necessary.

NON-MANAGEMENT DIRECT LABOR CATEGORY CONVERSION

Unburdened Direct Labor Rate CY Indirect Bid Rates

Offeror Rate Portion %

RFP# 80GSFC20R0006

Proposing Entity:

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 2A

(OFFEROR DIRECT LABOR CATEGORY(S) TO GPM-SPECIFIED DIRECT LABOR CATEGORY)

ONSITE, OFFSITE, or MANUFACTURING SITE

Contract Year _____

Place of Performance: [ ] Onsite or [ ] Offsite or [ ] Manufacturing Site

This exhibit contains Source Selection Information. See FAR 3.104.

*Add additional rows if more than two Offeror DL Categories are used to calculate GPM-Specified Non-Management DL Category **If applicable, insert and identify any "Other" indirect rates used to calculate loaded direct labor rates in accordance with your current accounting system (e.g., a separate fringe benefits rate) ***If this is a Prime Offeror Exhibit - Loaded Non-Management ONSITE, OFFSITE or MANUFACTURING SITE Direct Labor Bid Rate MUST match the corresponding site Prime Loaded Non-Management Bid Rate in Exhibit 1A ***If this is a Significant Subcontractor Exhibit - Loaded Non-Management ONSITE, OFFSITE OR MANUFACTURING SITE Direct Labor Bid Rate MUST match the corresponding site Significant Subcontractor Loaded Non-Management Direct Labor Bid Rate in Exhibit 1A

Offeror ONSITE Unburdened Fee Loaded Management Direct Labor Overhead $ Other** $ G&A $ Amount Direct Labor

Direct Labor Categories* Rate % % % % Rate***

Offeror OFFSITE Unburdened Fee Loaded Administrative Direct Labor Overhead $ Other** $ G&A $ Amount Direct Labor

Direct Labor Categories* Rate % % % % Rate****

ONSITE Management and OFFSITE Administrative Place of Performance

CY Indirect Bid Rates

CY Indirect Bid Rates

RFP# 80GSFC20R0006

Proposing Entity:

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 2B

OFFEROR MANAGEMENT AND ADMINISTRATIVE LABOR

Contract Year _____

****If this is a Significant Subcontractor Exhibit - Loaded OFFSITE Administrative Direct Labor Bid Rate MUST match the corresponding Significant Subcontractor Loaded OFFSITE Administrative Direct Labor Bid Rate in Exhibit 1A

This exhibit contains Source Selection Information. See FAR 3.104.

*Add additional rows if needed.

**If applicable, insert and identify any "Other" indirect rates used to calculate loaded direct labor rates in accordance with your current accounting system (e.g., a separate fringe benefits rate)

***If this is a Prime Offeror Exhibit - Loaded ONSITE Management Direct Labor Bid Rate MUST match the corresponding Prime Loaded ONSITE Management Direct Labor Bid Rate in Exhibit 1A

***If this is a Significant Subcontractor Exhibit - Loaded ONSITE Management Labor Bid Rate MUST match the corresponding Significant Subcontractor Loaded ONSITE Management Direct Labor Bid Rate in Exhibit 1A ****If this is a Prime Offeror Exhibit - Loaded OFFSITE Administrative Direct Labor Bid Rate MUST match the corresponding Prime Loaded OFFSITE Administrative Direct Labor Bid Rate in Exhibit 1A

Offeror Direct Labor (DL) Category(s)* Fee Loaded to Offeror Portion GPM Overhead $ Other** $ G&A $ Amount GPM

GPM-Specified Non-Management DL Category Rate % Rate 110.00% NA 25.00% 8.00% DL Rate*** Fill-in Offeror DL category(s) by title that comprise GPM-Specified DL Category* Position AB $20.00 50% $10.00 Position ABC $26.00 50% $13.00 CAD/Draftsman 100% $23.00 $25.30 $12.08 $4.83 $65.21 Position 12 $26.00 30% $7.80 Position 123 $28.50 35% $9.98 Position 45 $32.00 35% $11.20 Communications System Engineer 100% $28.98 $31.87 $15.21 $6.08 $82.14 Position X $48.00 100% $48.00 Configuration Management Specialist 100% $48.00 $52.80 $25.20 $10.08 $136.08

$0.00 $0.00

Labor Category 4~ 0% $0.00 $0.00 #VALUE! #VALUE! #VALUE! #VALUE!

$0.00 $0.00

Labor Category 5~ 0% $0.00 $0.00 #VALUE! #VALUE! #VALUE! #VALUE!

$0.00 $0.00

Labor Category 6~ 0% $0.00 $0.00 #VALUE! #VALUE! #VALUE! #VALUE!

~ Insert GPM-Specified Direct Labor Categories from Enclosure entitled, GPM-Specified Non-Management Direct Labor Categories, Direct Labor Hours and Position Descriptions, and adjust rows as necessary.

This exhibit contains Source Selection Information. See FAR 3.104.

* Add additional rows if more than two Offeror DL Categories are used to calculate GPM-Specified DL Category ** If applicable, insert and identify any "Other" indirect rates used to calculate loaded direct labor rates in accordance with your current accounting system (e.g., a separate fringe benefits rate)

*** If this is a Prime Offeror Exhibit - Loaded Non-Management ONSITE, OFFSITE or MANUFACTURING SITE Direct Labor Bid Rate MUST match the corresponding site Prime Loaded Non-Management Direct Labor Bid Rate in Exhibit 1A

*** If this is a Significant Subcontractor Exhibit - Loaded Non-Management ONSITE, OFFSITE OR MANUFACTURING SITE Direct Labor Bid Rate MUST match the corresponding site Significant Subcontractor Loaded Non-Management Direct Labor Bid Rate in Exhibit 1A

Unburdened Direct Labor Rate CY Indirect Bid Rates

NOTE: For purposes of this sample, Offeror Data/Rate Fill-ins are highlighted in yellow. Loaded GPM DL Rate conversion is highlighted in blue.

(OFFEROR DIRECT LABOR CATEGORY(S) TO GPM-SPECIFIED DIRECT LABOR CATEGORY)

ONSITE, OFFSITE, or MANUFACTURING SITE

Contract Year __1___

Place of Performance: [ X ] Onsite or [ ] Offsite or [ ] Manufacturing Site

NON-MANAGEMENT DIRECT LABOR CATEGORY CONVERSION

RFP# 80GSFC20R0006

Proposing Entity: XYC, Inc.

[ ] Prime Offeror OR [ X ] Significant Subcontractor

SAMPLE - EXHIBIT 2A - SAMPLE

Offeror Direct Labor (DL) Category(s)* to Offeror Loaded Portion Loaded GPM

GPM-Specified Non-Management DL Category DL Rate % DL Rate** Fill-in Offeror DL category(s) by title that comprise GPM-Specified DL Category*

$0.00 $0.00

Labor Category 1~ 0% $0.00 $0.00 $0.00

Labor Category 2~ 0% $0.00 $0.00 $0.00

Labor Category 3~ 0% $0.00 $0.00 $0.00

Labor Category 4~ 0% $0.00 $0.00 $0.00

Labor Category 5~ 0% $0.00 $0.00 $0.00

Labor Category 6~ 0% $0.00

RFP# 80GSFC20R0006

Proposing Entity:

EXHIBIT 2C

NON-MANAGEMENT DIRECT LABOR CATEGORY CONVERSION

~ Insert GPM-Specified Direct Labor Categories from Enclosure entitled, GPM-Specified Non-Management Direct Labor Categories, Direct Labor Hours and Position Descriptions, and adjust rows as necessary.

** The Non-Significant Subcontractor Loaded Non-Management ONSITE, OFFSITE or MANUFACTURING SITE Direct Labor Bid Rate MUST match the corresponding site Non-Significant Subcontractor Loaded Non-Management Bid Rate in Exhibit 1A

This exhibit contains Source Selection Information. See FAR 3.104.

NON-SIGNIFICANT SUBCONTRACTOR

* Add additional rows if more than two Offeror DL Categories are used to calculate GPM-Specified Non-Management DL Category

Burdened Direct Labor Rate

Place of Performance: [ ] Onsite or [ ] Offsite or [ ] Manufacturing Site

(OFFEROR DIRECT LABOR CATEGORY(S) TO GPM-SPECIFIED DIRECT LABOR CATEGORY)

ONSITE, OFFSITE, or MANUFACTURING SITE

Contract Year _____

RFP# 80GSFC20R0006

Proposing Entity:

EXHIBIT 2D

NON-SIGNIFICANT SUBCONTRACTOR

OFFEROR MANAGEMENT AND ADMINISTRATIVE LABOR

ONSITE Management and OFFSITE Administrative Place of Performance

Contract Year _____

ONSITE Loaded ONSITE Offeror Management Direct Labor

Direct Labor Categories* Rate**

OFFSITE Loaded OFFSITE Offeror Administrative Direct Labor

Direct Labor Categories* Rate***

*Add additional rows if needed.

This exhibit contains Source Selection Information. See FAR 3.104.

***Loaded OFFSITE Administrative Direct Labor Bid Rate MUST match the corresponding Subcontractor Loaded OFFSITE Administrative Bid Rate in Exhibit 1A

**Loaded ONSITE Management Direct Labor Bid Rate MUST match the corresponding Subcontractor Loaded ONSITE Management Bid Rate in Exhibit 1A

Proposing Entity: ABC Company

SAMPLE - EXHIBIT 2C - SAMPLE

NON-MANAGEMENT DIRECT LABOR CATEGORY CONVERSION

(OFFEROR DIRECT LABOR CATEGORY(S) TO GPM-SPECIFIED DIRECT LABOR CATEGORY)

ONSITE, OFFSITE, or MANUFACTURING SITE

Contract Year __1___

Place of Performance: [ X ] Onsite or [ ] Offsite or [ ] Manufacturing Site

Offeror Direct Labor (DL) Category(s)* to Offeror Loaded Portion Loaded GPM

GPM-Specified Non-Management DL Category DL Rate % DL Rate** Fill-in Offeror DL category(s) by title that comprise GPM-Specified DL Category* CAD Level 1 $95.00 50% $47.50 Draftsman Level 1 $98.00 50% $49.00 CAD/Draftsman 100% $96.50 Jr. System Engineer $97.00 30% $29.10 System Engineer $103.00 35% $36.05 Lead System Engineer $107.00 35% $37.45 Communications System Engineer 100% $102.60 CM Level 3 $152.00 100% $152.00 Configuration Management Specialist 100% $152.00

$0.00 $0.00

Labor Category 4~ 0% $0.00 $0.00 $0.00

Labor Category 5~ 0% $0.00 $0.00 $0.00

Labor Category 6~ 0% $0.00

NON-SIGNIFICANT SUBCONTRACTOR

** The Non-Significant Subcontractor Loaded Non-Management ONSITE, OFFSITE or MANUFACTURING SITE Direct Labor Bid Rate MUST match the corresponding site Non-Significant Subcontractor Loaded Non-Management Bid Rate in Exhibit 1A

This exhibit contains Source Selection Information. See FAR 3.104.

NOTE: For purposes of this sample, Offeror Data/Rate Fill-ins are highlighted in yellow. Loaded GPM DL Rate conversion is highlighted in blue.

Burdened Direct Labor Rate

~ Insert GPM-Specified Direct Labor Categories from Enclosure entitled, GPM-Specified Non-Management Direct Labor Categories, Direct Labor Hours and Position Descriptions, and adjust rows as necessary.

* Add additional rows if more than two Offeror DL Categories are used to calculate GPM-Specified Non-Management DL Category

RFP#80GSFC20R0006

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 3

SUMMARY BY ELEMENTS OF COST

Elements of Cost Contract Year 1 Contract Year 2 Contract Year 3 Contract Year 4 Contract Year 5 Grand Total

DIRECT LABOR HOURS

DIRECT LABOR COSTS

OVERHEAD COSTS

OTHER DIRECT COSTS (ODCs):

(LIST)

TOTAL ODCs

SUBTOTAL COSTS

G&A COSTS

TOTAL ESTIMATED COST

MAXIMUM AVAILABLE FIXED FEE

TOTAL COST PLUS FIXED FEE

Offerors may adjust elements of cost to be consistent with your current accounting system.

This exhibit contains Source Selection Information. See FAR 3.104.

GOVERNMENT PRICING MODEL

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 4

SOURCE OF PERSONNEL CHART

(FIRST GPM CONTRACT YEAR ONLY)

Total Number of Staff Labor Category/Position Title

Labor Category

Code*

Personnel Available Within Company

Personnel to be Obtained from

Incumbent Outside Hired Staff

TOTAL

* Code each Labor Cateogry: S=SALARIED; H=HOURLY; U=UNION; E=EXEMPT; NE=NON-EXEMPT DOL/WD DETERMINATION;

I=INCUMBENT; SU=SUBCONTRACTOR

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 5

SUMMARY OF INDIRECT RATES

Overhead Onsite Overhead Offsite Manufacturing G&A Expense Other (Identify)** Rate Rate Overhead Rate Rate Rate

Contract Year 1 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 1 Composite

Contract Year 2 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 2 Composite

Contract Year 3 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 3 Composite

Contract Year 4 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 4 Composite

Contract Year 5 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 5 Composite

Contract Year 6 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 6 Composite

BASE OF APPLICATION - INDIRECT RATE APPLIED

AGAINST (Specific Base)***

*Explain Basis of Allocation of Contractor FY Rates to Obtain Contract Year Composite Rates **If Multiple "Other" Indirect Rates - Add additional columns and specify each individually ***Explanation of Base of Application

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 6A

OVERHEAD EXPENSE POOL (Composition of Burden Pool)

Overhead or Service Center Pool = _______________ (Specify Type of Overhead Burden, e.g. Labor, Onsite, Offsite, Manufacturing, Engineering, Procurement, Service Center(s), etc. - See Section L - Cost Volume Instructions)

OFFEROR'S FISCAL YEAR BEGINS ____________ AND ENDS ____________.

Contractor Contractor Contractor Contractor Contractor Contractor Contractor Contractor Contractor Cost Elements within Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year the Overhead Burden Pool Prior Yr 3** Prior Yr 2** Prior Yr 1** _________ _________ _________ _________ _________ _________

Total Overhead Pool Expenses Base of Distribution (identify) Dollars:

Existing Base Forecasted Base* Contractor FY Rate (%)

Conversion of Contractor FY Overhead Rate to Contract Year (CY) Rate CY 1 CY 2 CY 3 CY 4 CY 5 CY 6 Proposed Overhead Bid Rate by CY

If more than one Overhead Pool is proposed, submit a separate Exhibit for each Pool.

*Provide details of the forecasted base.

**If 8(a) Unpopulated Joint Venture (JV), provide actual expenses for both entities that comprise the JV.

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 6B

GENERAL AND ADMINISTRATIVE (G&A) EXPENSE POOL (Composition of Burden Pool)

OFFEROR'S FISCAL YEAR BEGINS ____________ AND ENDS ____________.

Contractor Contractor Contractor Contractor Contractor Contractor Contractor Contractor Contractor Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Prior Yr 3** Prior Yr 2** Prior Yr 1** _________ _________ _________ _________ _________ _________

Labor:

Labor Related Cost:

B&P

IR&D

Corporate Allocations:

Other (Specify):

Total G&A Pool Expenses Base of Distribution (identify) Dollars:

Existing Base Forecasted Base* Contractor FY Rate (%)

Conversion of Contractor FY Overhead Rate to Contract Year (CY) Rate CY 1 CY 2 CY 3 CY 4 CY 5 CY 6 Proposed G&A Bid Rate by CY

If more than one G&A Pool is proposed, submit a separate Exhibit for each Pool.

*Provide details of the forecasted base.

**If 8(a) Unpopulated Joint Venture (JV), provide actual expenses for both entities that comprise the JV.

Cost Elements Within the G&A Expense Pool

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 7

SUMMARY OF RECURRING OTHER DIRECT COSTS (ODCs) / COST ESTIMATING RELATIONSHIPS (CERs)

Specify ODC** Specify ODC** Specify ODC** Specify ODC** Percentage/Rate/Amount*** Percentage/Rate/Amount*** Percentage/Rate/Amount*** Percentage/Rate/Amount***

Contract Year 1 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 1 Composite

Contract Year 2 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 2 Composite

Contract Year 3 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 3 Composite

Contract Year 4 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 4 Composite

Contract Year 5 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 5 Composite

Contract Year 6 *Portion of Contractor FY From:________to________ *Portion of Contractor FY From:________to________

Contract Year 6 Composite

BASE OF APPLICATION - INDIRECT RATE APPLIED

AGAINST (Specific Base)****

*Explain Basis of Allocation of Contractor FY Rates to Obtain Contract Year Rates **Type/Name of Recurring ODCs or CERs (i.e. Computer Usage, Program Management, Administrative Support, Depreciation, etc.)

***Specify ODC as either a Percentage (%), Rate, and/or Dollar amount ($) ****Explanation of Base of Application

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 8

PHASE-IN PLAN PRICE

Proposed Costs

DIRECT LABOR HOURS (Derived from Exhibit 8A )

DIRECT LABOR COST (Derived from Exhibit 8A )

OVERHEAD

OTHER DIRECT COSTS:

Relocation Training Subcontracts Travel Other (detail)

TOTAL ODCS

SUBTOTAL COSTS

G&A

TOTAL COSTS

PROFIT

TOTAL FIRM FIXED PRICE

Elements of Cost

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 8A

DIRECT LABOR PHASE-IN COSTS

Direct Labor Categories Hours Proposed Rates Proposed Costs

TOTAL PHASE-IN DIRECT LABOR

COSTS

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 9

PRODUCTIVE WORK YEAR CALCULATION

Contract Year

Contract Year

Contract Year

Contract Year

Contract Year

Contract Year 6

Total Possible Hours in Year Less:

Vacation in Hours

Holidays in Hours

Sick Leave in Hours

Miscellaneous in Hours (specifically identify)

This exhibit contains Source Selection Information. See FAR 3.104.

PRODUCTIVE WORK YEAR in Hours (Hours Actually Worked)

[ ] Prime Offeror OR [ ] Significant Subcontractor OR [ ] Non-Significant Subcontractor

EXHIBIT 10A

FRINGE BENEFITS (FB)

(Total Compensation Plan)

Exempt Employees Company Or Division Name:

Employer Location(s):

Effective:

Insurance Plans Health Life Dental Disability Other (List)

Sick Leave

Employee Savings

Severance Pay

Vacation

Holidays

Other (List)

Total Cost of FB

This exhibit contains Source Selection Information. See FAR 3.104.

NOTE: This is a SAMPLE format only and reflects examples of fringe benefit items your company package may include. All costs should be shown in cents-per-hour (9 Holidays = $.185). It is recognized that such costs will be averages for the different employee categories involved (EXEMPT, UNION, etc.). Each benefit item should be briefly highlighted. EXAMPLE: Vacation – “2 weeks after one year, 3 after seven years, and 4 after fifteen years.” Only company costs should be shown, if a specific benefit item is contributory by the employee, explain separately.

RemarksBenefit Item Percentage AND Cost Per Hour of

Employee Contribution Percentage AND Cost Per Hour of

Company Contribution Total Cost of FB per Hour

[ ] Prime Offeror OR [ ] Significant Subcontractor OR [ ] Non-Significant Subcontractor

EXHIBIT 10B

FRINGE BENEFITS (FB)

(Total Compensation Plan)

Non-Exempt Employees Company Or Division Name:

Employer Location(s):

Effective:

Insurance Plans Health Life Dental Disability Other (List)

Sick Leave

Employee Savings

Severance Pay

Vacation

Holidays

Other (List)

Total Cost of FB

This exhibit contains Source Selection Information. See FAR 3.104.

NOTE: This is a SAMPLE format only and reflects examples of fringe benefit items your company package may include. All costs should be shown in cents-per-hour (9 Holidays = $.185). It is recognized that such costs will be averages for the different employee categories involved (EXEMPT, UNION, etc.). Each benefit item should be briefly highlighted. EXAMPLE: Vacation – “2 weeks after one year, 3 after seven years, and 4 after fifteen years.” Only company costs should be shown, if a specific benefit item is contributory by the employee, explain separately.

Total Cost of FB per Hour RemarksBenefit Item

Percentage AND Cost Per Hour of Employee Contribution

Percentage AND Cost Per Hour of Company Contribution

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 11A

Cognizant Defense Contract Audit Agency (DCAA) Office Information

DCAA Online Info http://www.dcaa.mil

Company Name: DCAA FAO:

POC: POC:

Phone Number: Phone Number:

FAX Number: FAX Number:

E-Mail Address: E-Mail Address:

Street: Street:

P.O.Box: P.O.Box:

City: City:

State: State:

Zip Code: Zip Code:

Note: The submitting entity audit point of contact (POC) and address provided above must be at a location where auditable records supporting the proposed amounts physically reside.

This exhibit contains Source Selection Information. See FAR 3.104.

DCAA Field Audit Office (FAO):Submitting Entity:

http://www.dcaa.mil/

[ ] Prime Offeror OR [ ] Significant Subcontractor

EXHIBIT 11B

Cognizant Defense Contract Management Agency (DCMA) Office Information

DCMA Online Info http://www.dcma.mil

Company Name: DCMA Office

POC: POC:

Phone Number: Phone Number:

FAX Number: FAX Number:

E-Mail Address: E-Mail Address:

Street: Street:

P.O.Box: P.O.Box:

City: City:

State: State:

Zip Code: Zip Code:

Disclosures: Date Status Contractor Estimating System Review (CESR) Contractor Purchasing System Review (CPSR) Contractor Billing System Review Contractor Accounting System Review Contractor Disclosure Statement Accuracy Contractor Executive Compensation Review Contractor Property Management System Forward Pricing Rate Agreements Earned Value Management System (EVMS) Level of CAS applicability Determination of Cost Accounting Standards (CAS) applicability

Note: The submitting entity audit point of contact (POC) and address provided above must be at a location where auditable records supporting the proposed amounts physically reside.

This exhibit contains Source Selection Information. See FAR 3.104.

Submitting Entity: DCMA Cognizant Office:

Audit Report # http://www.dcma.mil/