Atch 15 Rate Request Information.doc

W91260-09-R-0002

Attachment 15

Attachment 15

REQUEST FOR RATE INFORMATION FORM

Complete the following Request for Rate Information Form for the prime Contractor, for each interdivisional, and for each subcontract proposal greater than $650,000.

Request for Rate Information (Note to Contractor: Please verify that this is the correct DCAA and DCMA that has cognizance over you and that you are providing their latest correct addresses and phone numbers.)

DCAA Address

DCMA Address Voice Phone Number:

Voice Phone Number:

E-Mail Address:

E-Mail Address:

Fax Phone Number:

Fax Phone Number:

Type of Contract: CPFF ( ) CPFF LOE ( ) CPAF ( ) CPAF LOE ( )

CPIF ( ) CPIF LOE ( ) FPI ( ) FPI LOE ( ) FFP ( ) FFP LOE ( )

OTHER __________( )

Proposed $ Amount:

(Note to Contractor: If this is not a straight addition to a contract or new contract, provide explanation, i.e. $_______ Deleted from contract; $_______Added to contract; $ Net change to contract______________.)

Proposal Identifying Numbers:

(Note to Contractor: Such as RFP number, Contractor Proposal No. - Explain type of identifier.)

Contractor Name:

Contractor Address: (Note to Contractor: include division and zip code) Prime Contractor ( ) Subcontractor ( ) If Subcontractor, provide Prime Contractor name

Small Business ( ) Large Business ( ) 8a Contractor ( ) Title of Effort:

(Note to Contractor: Include any applicable contract modification numbers here.)

Point of Contact at Contractor’s Facility:

POC’s phone number:

POC’s E-Mail Address:

POC’s Fax number:

Note to Contractor: Provide in the following chart ALL rates, (Base Direct Labor, Indirect, and Other Direct Cost rates) which are included in your proposal. Insure that DCAA AND THE EVALUATION TEAM have a complete

“full-up” copy of your proposal. Also insure that DCAA AND THE EVALUATION TEAM have the backup to all proposed rates. Include a full description to enable DCAA to identify category referenced. Referencing other pages in the proposal as a substitute for completing the Chart is UNACCEPTABLE.

Rate is Applied

* Examples of Bases: For Direct Labor the base might be hours; for Overhead the base might be Direct Labor Dollars; For Fee the base might be Labor plus Overhead plus Other Direct Cost.

Accounting System

Cost Accounting Standards Disclosure Statement

Purchasing System

Estimating System

Material Management Accounting System