J.1(b)_Attachment_2_JA038.doc
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- Attached to
- NASA Advanced Computing Services (NACS) Federal contract opportunity
- Solicitation number
- NNA17554082R
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J.1(b) Attachment 2 JA038
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(SAMPLE ONLY, THIS SPECIFIC FORM IS NOT REQUIRED.
HOWEVER, PLEASE INCLUDE SIMILAR INFORMATION IN YOUR COMPANY PROPOSAL COVER SHEET)
PROPOSAL COVER SHEET
(Cost or Pricing Data Not Required)
1. SOLICITATION/CONTRACT/MODIFICATION NUMBER
| 2a. NAME OF OFFEROR |
| 3a. NAME OF OFFEROR’S POINT OF CONTACT |
| 3c. TELEPHONE |
| 2b. FIRST LINE ADDRESS |
| 3b. TITLE OF OFFEROR’S POINT OF CONTACT |
| AREA CODE |
| NUMBER |
| 2c. STREET ADDRESS |
| 3d. EMAIL |
| 2d. CITY |
| 2e. STATE |
| 2f. ZIP CODE |
| 4. TYPE OF CONTRACT ACTION (Check) |
A. NEW CONTRACT
D. LETTER CONTRACT
5. TYPE OF CONTRACT (Check)
B. CHANGE ORDER
E. UNPRICED OPTION
FORMCHECKBOX
FFP
FORMCHECKBOX
FPI
FORMCHECKBOX
CPFF FORMCHECKBOX
CPIF
FORMCHECKBOX
OTHER (Specify)
FORMCHECKBOX
CPAF
C. PRICE REVISION/
REDETERMINATION
F. OTHER (Specify)
6. PERFORMANCE
a.
a.
b.
b.
c.
c.
7. List and reference the identification, quantity and total price proposed for each contract line item. (Continue on reverse, if necessary. Use same headings.)
| a. LINE ITEM NO. |
| b. IDENTIFICATION |
| c. QUANTITY |
| d. TOTAL PRICE |
| e. PROP. REF. PAGE |
8. PROVIDE THE FOLLOWING (If available)
| NAME OF CONTRACT ADMINISTRATION OFFICE |
| NAME OF AUDIT OFFICE |
| STREET ADDRESS |
| STREET ADDRESS |
| CITY |
| STATE |
| ZIP CODE |
| CITY |
| STATE |
| ZIP CODE |
TELEPHONE
| AREA CODE |
| NUMBER |
| TELEPHONE |
| AREA CODE |
| NUMBER |
9.
WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS WORK? (If “yes” identify)
FORMCHECKBOX
NO
FORMCHECKBOX
YES
10. 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.)
FORMCHECKBOX
YES
FORMCHECKBOX
NO
b.
HAVE YOU SUBMITTED A CASB DISCLOSURE STATEMENT (CASB DS-1 or 2)?
(If “Yes,” specify in proposal the office to which submitted and if determined to be adequate.)
FORMCHECKBOX
YES
FORMCHECKBOX
NO
c.
HAVE YOU BEEN NOTIFIED THAT YOU ARE OR MAY BE IN NONCOMPLIANCE WITH YOUR DISCLOSURE STATEMENT OR COST ACCOUNTING STANDARDS?
(If “Yes,” explain in proposal.)
FORMCHECKBOX
YES
FORMCHECKBOX
NO
d.
IS ANY ASPECT OF THIS PROPOSAL INCONSISTENT WITH YOUR DISCLOSED PRACTICES OR APPLICABLE COST ACCOUNTING STANDARDS?
(If “Yes,” explain in proposal.)
FORMCHECKBOX
YES
FORMCHECKBOX
NO
This proposal is submitted in response to the solicitation, contract, modification, etc., in Item 1. By submitting this proposal, the offeror, if selected for discussions, grants the contracting officer or an authorized representative the right to examine, at any time before award, any of those books, records, documents, or other records directly pertinent to the information requested or submitted. See instructions at Table 15-2 at FAR 15.408.
| 11a. NAME OF OFFEROR (Typed) |
| 12. NAME OF FIRM |
11b. TITLE OF OFFEROR (Typed)
11c. EMAIL
| 13. SIGNATURE |
| 14. DATE OF SUBMISSION |
JA 038 (Nov 2002)
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