J1_DCAA_Rate_Check_Form.xlsx

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NEXT GENERATION SURFACE SHIP WARFARE SYSTEMS PPTA TECHNICAL DEVELOPMENT AND DESIGN SUPPORT
Solicitation number
N0017816R3000
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J1 DCAA RATE

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Sheet1

ATTACHMENT J.1
SEAPORT-E SOLICITATION # N00024-15-R-3073
PART 1 (To Be Completed by Contractor)Page 1/2
1. Contractor Name:3. Contractor CAGE Code:

1A. Contractor POC Name/Phone: 4. RFP No. and/or Contractor's Prop. No.:

2. Contractor's Address

5. Total Dollar Amount:

6. Type of Proposal (FFP/CPFF/CPAF/CPIF/Other:
*Note: Primes may not propose T&M, subcontractors without approved accounting system may propose T&M

7. Subcontractor To: (if applicable)

8. Period of Performance:

9. PROVIDE NAME, ADDRESS, TELEPHONE NUMBER AND E-MAIL ADDRESS FOR THE FOLLOWING (if available)
A. CONTRACT ADMINISTRATION OFFICEB. AUDIT OFFICE

10. WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS WORK? (If "Yes," identify) 11A. DO YOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT?(FFP ONLY) (If "Yes," complete Item 11B) 11B. TYPE OF FINANCING (X ONE)

12. HAS THE CONTRACTOR BEEN AWARDED ANY CONTRACTS OR SUBCONTRACTS FOR THE SAME OR SIMILAR ITEMS WITHIN THE PAST 3 YEARS? (If "Yes," identify item(s), customer(s), and contract number(s)) 13. IS THIS PROPOSAL CONSISTENT WITH ESTABLISHED ESTIMATING AND ACCOUNTING PRACTICES AND PROCEDURES AND FAR PART 31 COST PRINCIPLES? (If "No," explain)

14. 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)B. HAS THE CONTRACTOR SUBMITTED A CASB DISCLOSURE STATEMENT (CASB DS-1 0R 2)? ('If "Yes,'" specify in proposal the office to which submitted and if determined to be adequate)

C. HAVE YOU BEEN NOTIFIED THAT YOU ARE OR MAY BE IN NONCOMPLIANCE WITH YOUR DISCLOSURE STATEMENT OR COST ACCOUNTING SYSTEM? ('If "Yes," explain in proposal) D. IS ANY ASPECT OF THIS PROPOSAL INCONSISTENT WITH DISCLOSED PRACTICES OR APPLICABLE COST ACCOUNTING STANDARDS? ('If "Yes," explain in proposal)

PART 2 Contractors complete 15A and 15B "Proposed" categories and rates. DCAA please complete recommendations/basis for recommendation columns and address additional request for information

15. INFORMATION REQUESTED:

15A.Proposed Labor CategoryBase YearDCAA Recommended Rate*Basis of DCAA17. Requesting Office Information (to be completed by Contract Specialist)
Employee Name (if Proposed)Proposed RatesRecommendationContracting Officer
Phone Number
E-Mail Address:

Contract Specialist

Phone Number
E-Mail Address:

*Based on Floor Check/Audit Performed, etc and Date

15B. Indirect RatesBase YearOption 1Option 2
Proposed:DCAA Rates*Proposed:DCAA RatesProposed:DCAA Rates
Contractor Site OH:
Government Site OH:
Fringe:
Material Handling:
G&A:
Cost of Money:
Escalation:
*Include basis of recommendation/date
16. ADDITIONAL INFORMATION (Contract specialist list information requested to be addressed by DCAA):
1). If no audit has been performed within the last 12 months, please provide a copy of the contractor's most recent payroll run and a copy of the last audit report, if available.

2). Please indicate if contractor has an approved accounting system in order to award a cost type contract. Include Audit Report Number and Date of when the accounting system was approved

3). Additional info requested (uncompensated overtime, weighted averages, etc)

SeaPort-e DCAA Rate Check Request

Page &P of &N

Yes No Yes No

ADVANCE PAYMENTS

GUARANTEED LOANS

Yes No Yes No Yes No Yes No

PROGRESS PAYMENTS

Yes No Yes No

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