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be subject to the requirements of the Cost Accounting Standards Board must, as a condition of contracting, submit a Disclosure Statement as required by regulations of the Board. The Disclosure Statement must be submitted as a part of the offeror's proposal under this solicitation (see (I) below) unless (i) the offeror, together with all divisions, subsidiaries, and affiliates under common control, did not receive net awards exceeding the monetary exemption for disclosure as established by the Cost Accounting Standards Board (see (II) below); (ii) the offeror exceeded the monetary exemption in his cost accounting period immediately preceding the cost accounting period in which this proposal was submitted but, in accordance with the regulations of the Cost Accounting Standards Board, is not yet required to submit a Disclosure Statement (see (III) below); (iii) the offeror has already submitted a Disclosure Statement disclosing the practices used in connection with the pricing of this proposal (see (IV) below); or (iv) post-award submission has been authorized by the Contracting Officer. See 4 CFR 351.78 for submission of copy of Disclosure Statement to the Cost Accounting Standards Board.

CAUTION: A practice disclosed in a Disclosure Statement shall not, by virtue of such disclosure, be deemed to be a proper, approved, or agreed to practice for pricing proposals or accumulating and reporting contract performance cost data.

Check the appropriate box below.

() I. CERTIFICATE OF CONCURRENT SUBMISSION OF DISCLOSURE STATEMENT (S)

The offeror hereby certifies that he has submitted, as a part of his proposal under this solicitation, copies of the Disclosure Statement(s) as follows: (i) original and one copy to the cognizant Administrative Contracting Officer (ACO) (see DoD Directory of Contract Administration Components (DOD 4105.59H)); and (ii) one copy to the cognizant contract auditor.

Date of Disclosure Statement(s) : ̧

Name (s) and Address (es) of
Cognizant ACO (s) where filed:

The offeror further certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in the Disclosure Statement(s).

() II. CERTIFICATE OF MONETARY EXEMPTION

The offeror hereby certifies that he, together with all divisions, subsidiaries, and affiliates under common control, did not receive net awards of negotiated national defense prime contracts and subcontracts subject to Cost Accounting Standards totaling more than $18,000,000 in his cost accounting period immediately preceding the period in which this proposal was submitted. The offeror further certifies that if his status changes prior to an award resulting from this proposal he will advise the Contracting Officer immediately. CAUTION: Offerors who submitted a Disclosure Statement under the filing requirements reviously established by the Cost Accounting Standards Board may claim this exemption only if the dollar volume of CAS covered national defense prime contract and subcontract

PLATE NO 23030

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awards in their preceding cost accounting period did not exceed the $10,000,000 threshold and the amount of this award will be less than $10,000,000. Such offerors will continue to be responsible for maintaining the Disclosure Statement and following the disclosed practices on CAS covered prime contracts and subcontracts awarded during the period in which a Disclosure Statement was required.

( ) III. CERTIFICATE OF INTERIM EXEMPTION

The offeror hereby certifies that (i) he first exceeded the monetary exemption for disclosure, as defined in (II) above, in his cost accounting period immediately preceding the cost accounting period in which this proposal was submitted, and (ii) in accordance with the regulations of the Cost Accounting Standards Board (4 CFR 351.40 (f)), he is not yet required to submit a Disclosure Statement. The offeror further certifies that if an

award resulting from this proposal has not been made within ninety (90) days after the end of that period he will immediately submit a revised certificate to the Contracting Officer, in the form specified under (I) above or (IV) below, as appropriate, to verify his submission of a completed Disclosure Statement.

CAUTION: Offerors may not claim this exemption if they are currently required to disclose because they were awarded a CAS covered national defense prime contract or subcontract of $10,300,000 or more in the current cost accounting period. Further, the exemption applies only in connection with proposals submitted prior to expiration of the ninety (90) day period following the cost accounting period in which the monetary exemption was exceeded. ( X ) IV.

CERTIFICATE OF PREVIOUSLY SUBMITTED DISCLOSURE STATEMENT(S)

The offeror hereby certifies that the Disclosure Statement(s) were filed as follows:

Date of Disclosure Statement(s) : 1 January 1979

Name (s) and Address (es) of
Cognizant ACO (s) where filed:

Air Force Plant Representative

Hughes Aircraft Company, George Gavora, Jr.,
CACO, Culver City, CA 90230

The offeror further certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in the Disclosure Statement(s).

B4a

COST ACCOUNTING STANDARDS-EXEMPTION FOR CONTRACTS OF $500,000 OR LESS (1978 MAR) If this proposal is expected to result in the award of a contract of $500,000 or less, the offeror shall indicate whether the exemption of the Cost Accounting Standards clause (7-104.83(a) (1)) under the provisions of 4 CFR 331.30 (b) (8) is claimed. Failure to check the box below shall mean that the resultant contract is subject to the Cost Accounting Standards clause or that the offeror elects to comply with such clause.

) The offeror hereby claims an exemption from the Cost Accounting Standards clause nder the provisions of 4 CFR 331.30 (b) (8) and certifies that he has received notification of final acceptance of all deliverable items on (i) all prime contracts or subcontracts in

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excess of $500,000 which contain the Cost Accounting Standards clause, and (ii) all prime contracts or subcontracts of $500,000 or less awarded after January 1, 1975 which contain the Cost Accounting Standards clause. The offeror further certifies he will immediately notify the Contracting Officer in writing in the event he is awarded any other contract or subcontract containing the Cost Accounting Standards clause subsequent to the date of this certificate but prior to the date of any award resulting from this proposal.

B4b ADDITIONAL COST ACCOUNTING STANDARDS APPLICABLE TO EXISTING CONTRACTS (1978 MAR) The offeror shall indicate below whether award of the contemplated contract would, in accordance with paragraph (a) (3) of the Cost Accounting Standards clause (7-104.83(a)(1)), require a change in his established cost accounting practices affecting existing contracts and subcontracts.

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NOTE: If the offeror has checked "yes" above, and is awarded the contemplated contract, he will be required to comply with the Administration of Cost Accounting Standards clause (7-184.83(b)).

B4C COST ACCOUNTING STANDARDS-ELIGIBILITY FOR MODIFIED CONTRACT COVERAGE (1978 MAR)

If the offeror is eligible to use the modified provisions of 4 CFR 332, and elects to do so, he shall indicate by checking the box below. Checking the box below shall mean that the resultant contract is subject to the Disclosure and Consistency of Cost Accounting Practices clause (DAR/ASPR 7-184.83 (a) (2)) in lieu of the Cost Accounting Standards clause (DAR/ASPR 7-184.83(a)(1)).

() The offeror hereby claims an exemption from the Cost Accounting Standards clause (DAR/ASPR 7-184.83(a)(1)) under the provisions of 4 CFR 331.30 (b) (2), and certifies that he is eligible for use of the Disclosure and Consistency of Cost Accounting Practices clause (DAR/ASPR 7-184.83(a) (2)) because (i) during his cost accounting period immediately preceding the period in which this proposal was submitted, he received less than $10,000,300 in awards of CAS covered national defense prime contracts and subcontracts, and (ii) the sum of such awards equaled less than 10 percent of his total sales during that cost accounting period. The offeror further certifies that if his status changes prior to an award resulting from this proposal he will advise the Contracting Officer immediately.

CAUTION: Offerors may not claim the above eligibility for modified contract coverage if this proposal is expected to result in the award of a contract of $10,000,000 or more or if, during their current cost accounting period, they have been awarded a single CAS covered national defense prime contract or subcontract of $10,000,000 or more.

38

PERSONS AUTHORIZED TO CONDUCT NEGOTIATIONS

PLATE NO 72030

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The offeror/quoter is requested to list below the names and telephone numbers of persons authorized to conduct negotiations.

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B9

PLACE OF PERFORMANCE (INSPECTION AND ACCEPTANCE AT DESTINATION)

The bidder or offeror shall furnish the following information:

A.

Name and location of principal producing facility of the supplies or services to be furnished:

B.

Hughes Aircraft Company, 1901 W. Malvern Ave., Fullerton, CA 92634 (Name)

(Street)

(City, State, Zip Code)

Name (s) and address(es) of the firm(s) or person(s) owning or operating the facility in "A" above, if other than bidder/offeror:

(Name)

(Street)

(City, State, Zip Code)

NOTE: If this procurement is a set aside for small business, bidder/offeror represents that the firm whose name is inserted above is a small business manufacturer.

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Bidder/Offeror is required to check this block if the supplies being offered are unused Government surplus material (unless otherwise provided in this solicitation used supplies or components are prohibited.)

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PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (1973 APR)

The offeror represents that he ( X ) has, () has not, participated in a previous contract or subcontract subject either to the Equal Opportunity clause herein or the clause originally contained in Section 301 of Executive Order No. 18925, or the clause contained in Section 201 of Executive Order No. 11114; that he ( ) has, () has not, filed all required compliance reports; and that representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained prior to subcontract awards. (The above representation need not be submitted in connection with contracts or subcontracts which are exempt from the clause.)

AFFIRMATIVE ACTION COMPLIANCE (1978 SEP)

The offeror represents that it ( X ) has, ( ) has not, developed and maintained at each of its establishments a written Affirmative Action Compliance Program, pursuant to 41 CFR Part 60.2.

EQUAL EMPLOYMENT COMPLIANCE (1978 SEP)

By submission of this offer, the offeror represents that, to the best of his knowledge and belief, except as noted below, up to the date of this offer no written notice such as a show cause letter, a letter indicating probable cause, or any other written notification citing specific deficiencies, has been received by the offeror from any Federal Government agency or representative thereof that the offeror or any of its divisions or affiliates or known first-tier subcontractors is in violation of any of the provisions of Executive Order 11246 of September 24, 1965, as amended, or rules and regulations of the Secretary of Labor (41 CFR, Chapter 60) and specifically as to not having an acceptable affirmative action compliance program or being in noncompliance with any other aspect of the Equal Employment Opportunity Program. It is further agreed that should there be any change (i) in the offeror's status or circumstances between this date and the date of expiration of this offer or any extension thereof, or (ii) during any contract or extension thereof resulting from this solicitation, the Contracting Officer will be notified promptly.

B38 CLEAN AIR AND WATER CERTIFICATION (1977 JUN)

Applicable if the bid or offer exceeds $100,000, or the contracting officer has determined that orders under an indefinite quantity contract in any year will exceed $100,000, or a facility to be used has been the subject of a conviction under the Clean Air Act (42 U.S.C. 1857c-8 (c) (1)) or the Federal Water Pollution Control Act (33 U.S.C. 1319 (c)) and is listed by EPA, or is not otherwise exempt.

The bidder or offeror certifies as follows:

(i) any facility to be utilized in the performance of this proposed contract is ( ), is not ( X ), listed on the Environmental Protection Agency List of Violating Facilities;

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