TS-2663-1101135-A3.doc

Jet Propulsion Laboratory

California Institute of Technology

Government Property (RFP Attachment A-3)

1.0 Instructions

1.1 Complete the Government Property Questionnaire (Section 2.0 of this form).

1.2 Include as an enclosure with your proposal the original and one copy of the cognizant Contracting Officer's consent letter, with copies of the Facilities or Equipment exhibit (referenced in paragraph 2.1.2.2, below).

2.0 Government Property Questionnaire

2.1 Government Property:

2.1.1 Will existing Government property be used in performing JPL-proposed work?

FORMCHECKBOX

Yes FORMCHECKBOX No 2.1.2 If "Yes:"

2.1.2.1 In accordance with FAR 45.301, request from the cognizant Contracting Officer a consent letter to use Government property on a rent-free, noninterference use basis.

2.1.2.2 Prepare a Facilities or Equipment exhibit stating the name, address and telephone number of the cognizant Contracting Officer, facilities subcontract number, location where work will be performed, purpose for which facilities or equipment will be used and projected period of intended use (first, last and intervening months). Identify the facilities or equipment by item, quantity, and Government property number. Estimate the facilities or equipment rental by monthly rate or total amount which would otherwise be an additional cost item, computed in accordance with FAR 45.301.

2.2 Government-Furnished Property:

2.2.1 Will JPL be required to supply Government-furnished property (GFP) beyond the GFP (if any) listed in the Specimen Subcontract?

FORMCHECKBOX

Yes FORMCHECKBOX No 2.2.2 If "Yes," prepare as a separate section on the above exhibit (if any; see paragraphs 2.1.2 & 2.1.2.2) a list of the required GFP. Identify the desired GFP by item, quantity, and use (e.g., expendable or nonexpendable, built into end item, returned to JPL). Indicate the additional costs required if such GFP is not available for performing JPL-proposed work.

JPL 0544 R X/96

JPL 0544, R 12/11