A07_Attachment_0001_W56KGU-15-R-0022.pdf

APPENDIX A

1.SOLICITATION/CONTRACT/MODIFICATION FORM APPROVED OMB NO.

CONTRACT PRICING PROPOSAL COVER SHEET NO. 9000-0013

NOTE: This form is used in contracting actions if submission of cost or pricing data is required. (See FAR 15.804-6 (b))

2. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 3A. NAME AND TITLE OF OFFEROR'S POINT 3B. TELEPHONE NO.

OF CONTACT

4. TYPE OF CONTRACT ACTION (Check )

A. NEW CONTRACT D. LETTER CONTRACT

B. CHANGE ORDER E. UNPRICED ORDER

C. PRICE REVISION/ F. OTHER (SPECIFY )

REDETERMINATION

5. TYPE OF CONTRACT (CHECK ) 6. PROPOSED COST (A+B=C)

FFP CPFF CPIF CPAF A. COST B. PROFIT/FEE C. TOTAL

FPI OTHER (Specify ) $ $ $

7. PLACE(S) AND PERIOD(S) OF PERFORMANCE

8. List and reference the identification, quantity and total price proposed for each contract line item. A line item cost breakdown supporting this recap is required unless otherwise specified by the Contracting Officer. (Continue on reverse, and then on plain paper, If necessary. Use same headings .)

A. LINE ITEM NO. B. IDENTIFICATION C. QUANTITY D. TOTAL PRICE E. REF.

9. PROVIDE NAME, ADDRESS, AND TELEPHONE NUMBER FOR THE FOLLOWING (If available )

A. CONTRACT ADMINISTRATION OFFICE B. AUDIT OFFICE

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

THIS PROPOSED CONTRACT (If "Yes," ADVANCE PROGRESS complete Item 11B PAYMENTS PAYMENTS

YES NO YES NO GUARANTEED LOANS

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

YES NO YES NO

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? B. HAVE YOU SUBMITTED A CASB DISCLOSURE STATEMENT (CASB DS 1 or 2)?

(If "No," explain in proposal) (If "Yes," specify in proposal the office to which submitted and if determined to be adequate)

YES NO YES NO

C. HAVE YOU BEEN NOTIFIED THAT YOU ARE OR MAY BE IN NON- D. IS ANY ASPECT OF THIS PROPOSAL INCONSISTENT WITH YOUR

COMPLIANCE WITH YOUR DISCLOSURE STATEMENT OR COST DISCLOSED PRACTICES OR APPLICABLE COST ACCOUNTING ACCOUNTING STANDARDS? (If "Yes," explain in proposal) STANDARDS? (If "Yes," Explain in proposal)

YES NO YES NO

This proposal is submitted in response to the RFP, contract, modification, etc. in Item 1 and reflects our best estimates and/or actual costs as of this date and conforms with the instructions in FAR 15.804-6(b) (2), Table 15-2. By submitting this proposal, the offeror, if selected for negotiation, grants the contracting officer or an authorized representative the right to examine, at any time before award, those books, records, documents and other types of factual information, regardless of form or whether such supporting information is specifically referenced or included in the proposal as the basis for pricing, that will permit an adequate evaluation of the proposed price.

15. NAME AN TITLE (Type) 16. NAME OF FIRM

17. SIGNATURE 18. DATE OF SUBMISSION

NSN 7540-01-142-9645 1411-102 STANDARD FORM 1411 (REV.7-87)

Prescribed by GSA

FAR (48 CFR) 53.215-2(c)