Exhibit 2 - DeCA Form 40-106B - SKU BASED PERPETUAL INVENTORY CERTIFICATION Part B.pdf

SKU BASED PERPETUAL INVENTORY CERTIFICATION- PART B

(For use of this form, see DeCAD 40-21; OPR is MPO)

Section A Contract Number:

SKU Based Inventory Conducted At (Name of Store):

Task Order: Contractor Name:

Section B DATES CONDUCTED

First Day (Date): Scheduled Start Time: Scheduled End Time:

Actual Start Time: Actual End Time:

Second Day (Date) (If Applicable):

Scheduled Start Time: Scheduled End Time:

Actual Start Time: Actual End Time:

Number of Contractor Work Hours, including supervisors, used to conduct Inventory:

ENDING TIME EXCEEDED DUE TO: (Enter "Not applicable" if inventory was completed prior to required end time):

Section C

TOTAL GROCERY DEPARTMENT NUMBER OF UNITS AND VALUE OF SKUs WITH COST AVAILABILITY:

# Units $ Value Sales Floor Total:

Warehouse Total:

Subtotal

Signature, Contractor Representative/Printed Title Signature, Store Director

Section D

TOTAL GROCERY DEPARTMENT NUMBER OF UNITS OF SKUs WITH NO COST AVAILABILITY:

# Units Sales Floor Total:

Warehouse Total:

Subtotal

Signature, Contractor Representative/Printed Title Signature, Store Director

Section E

WE, THE UNDERSIGNED, CERTIFY THE FOLLOWING:

a. Performance Period (Dates, Starting and End Times) indicated above are correct.

b. # of Units and Values in all sections on this certification are current to the best of our knowledge.

c. No tobacco products are included in the inventory values shown above.

d. All Sections were counted.

Signature, Contractor Representative/Printed Title Signature, Store Director

DeCA Form 40-106B

Instructions for Completing DeCA Form 40-106B

Section A

• Contract Number and Task Order shall be indicated as is on the contract award.

• Name of Store and Contractor should also be completed.

Section B

• Indicate the scheduled and actual inventory start and end times for each applicable inventory day.

• Calculate and record total number of contractor hours worked.

• Explain reason for exceeded estimated time.

Section C

• Specify the number and dollar value of all grocery items on Sales Floor and in Warehouse, and provide the subtotal for all SKUs with cost availability.

• Signatures from both contractor and store management are required.

Section D

• Specify the number of all grocery items on Sales Floor and in Warehouse, and provide the subtotal for all SKUs with no cost availability.

• Signatures from both contractor and store management are required.

Section E

• Signatures from both the contractor and store management are required indicating all information is correct, there were no tobacco products included, and all sections were counted.

• Form must be completed and sent to inventorydocs@deca.mil prior to leaving the store.

mailto:inventorydocs@deca.mil