412.

CONTRACTOR'S DATA

The bidder(or offeror) hereby certifies that he [| has, {1 has not,

selivered or Li is obligated, Lt is not obligated, to deliver to the Government
t.cer another contract or subcontract the game data as specified by this Request
‘or Quotation (or Proposal).
Contracts and/or subcontracts under which the same
seta has been or is to be delivered are as follows, including identification of
«he administering activities for the contract(s)

4

‘>.

or subcontract(s):

FLACE OF PERFORMANCE AND MAIN OFFICE

Following is the name and location of the main office and of the plant or
1.:2t¢ of business where the item(s) will be produced or supplied from stock or
~.-re@ the services will be performed:
.. cf Performance (City, County, and State)
‘."

fice

"4%.

KCCEPTANCE PERIOD

(City, County, and State)

Tne offeror agrees that he will allow

(Congressionai District No.)
.
(Congressional District No.)

-* this proposal for acceptance thereof by the Government.

TE

days from the

DISCLOSURE STATEMENT OF COST ACCOUNTING PRACTICES AND CERTIFICATION

er.

Any contract in excess of $100,000 resulting from this solicitation except
(1) when the price negotiated is based on (a) established catalog or market prices

of commercial items sold in substantial quantities to the general public or (b)
y7ices set by law or reguiation, or (2) contracts which are otherwise exempt (see
4 Crp 331.30(b) and FPR 1-3.1203(a)(2))}, shall be subject to the requirements of
the Cost Accounting Standards Board. Any offeror submitting a proposal which, if
acce;ted, will result in a contract subject to the requirement of the Cost

Kecounting Standards Board mist, as a condition of contracting, submit a Disclosure

Cratement as required by requiations of the Board. The Disclosure Statement must
me gurmitted as a part of the offeror's proposal under this solicitation [see (1)
below] unless (i) the offeror, together with all divisions, subsidiaries, ar

effiliates under common control, did not receive net awards exceeding the monetary

txexnption for disclosure as established by the Cost Accounting Standards Board
{see (II) below); (ii) the offeror exceeded the monetary exemption in the Federal
Fiscal Year immediately preceding the year in which this proposal was submitted
rut, in accordance with the regulations of the Cost Accounting Standards Board,
it not yet required to submit a Disclosure Statement [see (III) below); (iii) the
cif.ror has already submitted a Disclosure Statement disclosing the practices

ure? in connectior with the pricing of this proposal (see (IV) below}; or (iv)
rst award submission has been authorized by the Contracting Officer. See 4 CFR
321.70 for submission of a copy of the Disclosure Statement to the Cost Accounting
fctandards Board.

Select target paragraph3