Office of Management and Budge Approval No. 29-RO183 CONTRACT PRICING PROPOSAL ' Tis form ts for use when submission of cost or prong dats (ore FPR 13.8073) is required. CRE mami OF OFFERSA mOQ PaGl mO. OF PAGES SUPPLEES AMD /O8 SEAVICES TO BE PURMISHED MOmE CPFICE ADORESS QuaNTiry TOTAL AMOUNT OF PROPOSAL $ GOV! SOUCITATION NO. BIVISION(S) AMD LOCATIONS) WHERE WORK IS TO Gf PERFORMED PROPOSED CONTRACT ESTIMATE COST ELEMENTS TOTAL COST! " UNIT Cost? MEPERENCE * b. SUBCONTRACTED (TES * fl) @aw maT” ¢. Otwer matental ¥. DMECT MATERIAL ‘ = PURCHASED Pants * (2) STanOald COmMERCIAL (TEs * (J) WMTEROIMSIONAL fat ether than east}" 2. MATERIAL OVERHEAD ‘* 3. INTEROMIS/ON4L YRANSPERS aT COST '' 4, OURECT ENGINEERING Lasoe "* 5. ONGINETEING OVERMEAD '° 6. CIRECT MANUFACTURING LasOa '! 7, MANUFACTURING OVERMEAD '“ 8. OtgEe Costs '* 9. SUBTOTALS as 10. GENERAL aNd ADOPASTRATIVE EXPENSES '* V1. GovalTEs '* 12, FRDERAL EXCee Tax ** _ SUBTOTALS r 13. ld. PROOTT C8 FEE tg. TOTAL PRICE (Amount} 1, MAS ANY EXECUTIVE AGENCY OF THE UNITED STATES GOVERNMENT PERFORMED ANY REVIEW OF YOUR ACCOUNTS O8 RECORDS WN CONNECTION WITH ‘ANY OTIMNER GOVERNMENT PRime CONTAACT Of SUBCONTRACT WITHIN THE PAST TWELVE mONTHS? C0 ves (m0 sly pa. identfy below) Mame AND ADORESS OF REVIEWING OFFICE an INDIVIDUAL TELEPHONE MUUABER /EXTEMGION S. Wil YOU REQUULE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF TraS PROPOSED CONTRACT? oO VES O WO (Ef pes, identify on reverse or ueparate page} WW. BO TOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT? Doves [m0 ifye. idewtfy) ([() advamct pavments [7] rocarss pavmerts OR [_] Quatanteen Loans OPTIONAL PORM 39 Ocmnber 1971 General Services Admunussranan * FPR 1~16.806 anaa_int