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
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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 *
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matental
¥. DMECT MATERIAL ‘
= PURCHASED Pants *
(2) STanOald
COmMERCIAL (TEs *
(J) WMTEROIMSIONAL
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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?
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(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
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(Ef pes, identify on reverse or ueparate page}
WW. BO TOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT?
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[7] rocarss pavmerts OR [_] Quatanteen Loans
OPTIONAL PORM 39
Ocmnber 1971
General Services Admunussranan
*
FPR 1~16.806
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