J-04_-_Post-Award_Limitations_on_Subcontracting_Report.doc

ATTACHMENT J-04

POST-AWARD CONTRACTOR’S LIMITATIONS

ON SUBCONTRACTING CERTIFICATION

From:

Contractor Name, Street Address, City, State, Zip To:

Name of Contracting Officer, Specialty Contracts Core, Naval Facilities Engineering Command, Southwest

Subj:

Contract No. N62473-13-D-2011

1. Prime contractor is to complete and submit the following for each reporting period (6 months) for each performance period (Base Year and Options) Block 1

Period of Performance

Block 2

FFP &

Task Order #

(list TO#) Block 3

Prime

Labor Cost Block 4

Subcontractor

Labor Cost Block 5

Total FFP or Task Order Labor Cost Block 6

% Cost

Performed by

Prime Block 7

% Cost

Performed by Subcontractor

Base Period

(Insert reporting period dates)

FFP

TO # 0001

TO # 0002

** add rows here

TOTAL FOR REPORTING PERIOD

Base Period

(Insert reporting period dates)

TO XXXX

TO XXXX

Etc.

** add rows here

TOTAL FOR REPORTING PERIOD

TOTAL PERFORMANCE PERIOD (Base Year)

2. Furthermore, in accordance with the provisions of FAR 52.219-14, Limitations on Subcontracting (Nov 2011), 13 CFR 124.510 and 13 CFR 125.6, in the performance of this contract, FORMCHECKBOX

In the case of a contract for services (except construction), your Company Name has performed at least 50 percent of the cost of the contract incurred for personnel with its own employees.

In the case of a contract for supplies or products (other than procurement from a non-manufacturer in such supplies or products your Company Name has performed at least 50 percent of the cost of manufacturing the supplies or products (not including the costs of materials).

In the case of a contract for general construction, your Company Name has performed at least 15 percent of the cost of the contract with its own employees (not including the costs of materials).

In the case of a contract for construction by special trade contractors, your Company Name has performed at least 25 percent of the cost of the contract with its own employees (not including the cost of materials).

I certify that to the best of its knowledge and belief, the information provided in this report is accurate, complete, and current as of the date of report.

CONTRACTOR:

SIGNATURE

NAME AND TITLE

DATE