Pt 08N--Cert of Curr Cost or Pricing Data.doc

COMMUNITY-BASED

MAY 2017

TRAVERSE CITY, MI

CERTIFICATE OF CURRENT COST OR PRICING DATA

This is to certify that, to the best of my knowledge and belief, the cost or pricing data (as defined in section 2.101 of the Federal Acquisition Regulation (FAR) and required under FAR subsection 15.403-4) submitted, either actually or by specific identification in writing, to the Contracting Officer or to the Contracting Officer's representative in support of SFO No. VA101-15-R-0222* are accurate, complete, and current as of ______________**. This certification includes the cost or pricing data supporting any advance agreements and forward pricing rate agreements between the offeror and the Government that are part of the proposal.

Firm ________________________________________

Signature ____________________________________

Name _______________________________________

Title ________________________________________

Date of execution*** ___________________________

* Identify the proposal, request for price adjustment, or other submission involved, giving the appropriate identifying number (e.g., RFP No.).

**Insert the day, month, and year when price negotiations were concluded and price agreement was reached or, if applicable, an earlier date agreed upon between the parties that is as close as practicable to the date of agreement on price.

*** Insert the day, month, and year of signing, which should be as close as practicable to the date when the price negotiations were concluded and the contract price was agreed to.

Part VIII Forms

Lessor __________ Gov’t. __________ __________ of __________ Pages

CERTIFICATE OF CURRENT COST OR PRICING DATA