Attachment No. 16 Financial Questionnaire.pdf

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Attached to
NIMH PSYCHOACTIVE DRUG SCREENING PROGRAM (PDSP) Federal contract opportunity
Solicitation number
NIH-NIMH-75N95023R00003
Issued by
Department of Health and Human Services National Institutes of Health National Institute on Drug Abuse

About this file

This Request for Proposals solicits proposals for the NIMH Psychoactive Drug Screening Program to be carried out under a cost reimbursement contract awarded by the National Institutes of Health National Institute on Drug Abuse. The contract term consists of a one year base period and four one year option periods, with an anticipated award date of August 6, 2023. Interested offerors should review all attachments and submit all requested information and documentation to be considered for award. Relevant details include the screening program services required, response submission process, anticipated award timing and contract type.

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75N95023R00003 RFP A00002 2.21.23.pdf PDF
75N95023R00003 A00002 SF30 2.21.23.pdf PDF
Attachment No. 23 Q+A.pdf PDF
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Attachment No. 20 NIH(RC)1.pdf PDF
Attachment No. 7 Additional Technical Proposal Instructions.pdf PDF
Attachment No. 9 Summary of Related Activities.pdf PDF
Attachment No. 21 Suitability Roster.xlsx XLSX spreadsheet
Attachment No. 8 Tech-Prop-Cost-Summary.pdf PDF
Attachment No. 1 Packaging and Delivery of Proposals for Use with the NIH eCPS website.pdf PDF
Attachment No. 5 REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS.pdf PDF
Attachment No. 4 GOVERNMENT FURNISHED PROPERTY.pdf PDF
Attachment No. 2 Proposal Intent Response Sheet.pdf PDF
Attachment No. 17 Offeror Points of Contact.pdf PDF
Attachment No. 18 2015-4281 Wage Determination.pdf PDF
Attachment No. 22 Employee Separation Checklist.pdf PDF
Attachment No. 12 Proposal Summary and Data Record, NIH NIH2043.pdf PDF
Attachment No. 3 PDSP SOW 05032022.pdf PDF
NIH-NIMH-75N95023R00003 RFP.pdf PDF
Attachment No. 19 Disclosure of Lobbying 0346 0446.pdf PDF
Attachment No. 13 VPAT2.4RevEU(March2022).pdf PDF
Attachment No. 14 Subcontracting Plan revised 2017.pdf PDF
Attachment No. 15 Breakdown of Proposed Estimated Cost.xlsx XLSX spreadsheet
Attachment No. 11 VAS contracts.pdf PDF
Attachment No. 6 CONTRACTOR NON-DISCLOSURE AGREEMENT.pdf PDF
Attachment No. 10 Section J Protection of Human Subjects Form-0990-0263 2-22.pdf PDF
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ATTACHMENT No.

FINANCIAL QUESTIONNAIRE:

EVALUATION OF FINANCIAL MANAGEMENT SYSTEMS

Financial management system requirements for contractor/grantee organizations of the National Institutes of Health (NIH) are addressed in Title 45 Code of Federal Regulations (CFR) Part

74.21. Contractor/grantee organizations are expected to have certain systems, policies, and procedures in place for managing their own funds, equipment, and personnel. A system of clear roles and responsibilities should be delineated within the organization, and should include the financial management systems. These systems include, but are not limited to, accounting, internal controls, and budgetary controls. Demonstration of an organization’s management capabilities is one of the evaluative criteria used in the administrative review process prior to issuance of an award. To encourage uniformity in the review of an organization’s financial management system, we have developed a questionnaire entitled "Evaluation of Financial Management Systems." The questionnaire is a tool designed to assist both you and NIH staff in assessing your organization’s management capabilities. Concerns related to your organization’s management capabilities must be addressed and resolved as a condition for award.

EVALUATION OF FINANCIAL MANAGEMENT SYSTEMS

YES NO COMMENT

A. GENERAL

INFORMATION

1. Does your organization have current cost-reimbursable contracts with any federal agency? If so, please provide a list and the agency point of contact.

2. Has any aspect of your organization’s activities been recently audited by a Government agency or independent public accountant? If yes, please provide copy of audit report.

3. Has your organization or any key scientific/professional employee ever been suspended/debarred from participation or award of a federal contract? Please address.

B. ACCOUNTING SYSTEM:

1. Does your organization maintain a chart of accounts?

2. Is a double entry accounting system used?

ATTACHMENT No. 20

3. Does your accounting system include the basic books of account, i.e., general ledger, operating ledger, project cost ledger (e.g., subsidiary ledger containing data by cost element for each project), payroll journal, purchase journal, etc…? If not, describe the books of account maintained.

Please document the books of account maintained in your accounting system.

4. Does your accounting system provide for the recording of expenditures for each program by required budget cost categories?

5. Does your accounting system identify receipt and disbursement for each contract/grant project?

6. Does the organization prepare financial statements at least annually? If not, how often?

7. Do you have an established payroll distribution and/or time or effort reporting system? How do employees account for their time and effort? Please explain.

8. Does your payroll distribution system utilize either plan-confirmation, after the fact activity records, or multiple confirmation records?

C. FINANCIAL

CAPABILITY:

1. Please provide a copy of your latest audited financial statements for your most recent accounting year.

ATTACHMENT No. 20

2. Does your organization have an established line(s) of credit? If so, identify source and amount.

D. BUDGETARY

CONTROLS:

1. Are there budgetary controls in effect to preclude incurring obligations in excess of (e.g., comparison of budget with actual expenditures on a monthly basis):

a. Total available for award;

and

b. Total funds available for any cost category if restricted by terms of the award.

2. Does the organization use an operating budget to control project funds?

E. INTERNAL CONTROLS

1. What safeguards have been instituted to ensure adequate internal controls in the company? Please describe. Some examples might be:

a. Accounting entries are supported by appropriate documentation; e.g. purchase orders and vouchers.

b. Separation of responsibility in the receipt, payment, and recording of cash.

c. Other

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