53.301-1411 Contract Pricing Proposal Cover Sheet. 1. SOLICITATION/CONTRACTMODIFICATION NUMBER CONTRACT PRICING PROPOSAL COVER SHEET (Cost or Pricing Data Required) OMB No.:9000-0013 Public reporting burden for this collection of information is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (VRS), Office of Federal Acquisition Policy, GSA, Washington, DC 20405. 136. NAME OF OFFEROR'S POINT OF CONTACT 28. NAME OF OFFEROR 8. List and reference the identification, quentity and total price proposed for each contrast line item. A line item east breakdown supporting this resep is required unices otherwise specified by the ntresting Offleer. (Continue on reveren, and then en plain papar, il necessary. Use sama headings.) 14. COST ACCOUNTING STANDARDS BOARD (CASB) DATA (Public Law 91-379 as amended and FAR PART 301 & WILL THIS CONTRACT ACTION BE SUBJECT TO CASH REGULATIONS? (W DISCLOSURE STATEMENT (CASE O8-1 or 217 and il determined to NCONSISTENT WITH YOUR DISCLOSED ACCOUNTING STANDARDS? "Yes" 53.301-1412 Standard Form 1412, Claim for Exemption from Submission of Certified Cost of Pricing Data. CLAIM FOR EXEMPTION FROM SUBMISSION OF CERTIFIED COST OR PRICING DATA 1. OFFEROR (Name, address, ZIP Code) FORM APPROVED OMB NO. 3090-0116 3. SOLICITATION NO. 4. ITEM OF SUPPLIES AND/OR SERVICES TO BE FURNISHED 2. DIVISION(S) AND LOCATION(S) WHERE WORK IS TO BE PERFORMED 5. QUANTITY 6. TOTAL AMOUNT PROPOSED FOR ITEM $ By submission of this form the offeror claims exemption from requirements for submitting certified cost or pricing data on the basis that the price offered is based on an established catalog or market price of a commercial item sold in substantial quantities to the general public or is a price set by law or regulation (see FAR 15.804-3). Complete Section 1, II, or ill below as applicable. SECTION I-CATALOG PRICE (See Instructions for items 7 thru 11 on reverse.) 7. CATALOG IDENTIFICATION AND DATE TO If your accounting system dose not provide precise information, insert your best estimate and explain the basis for it in Item 10, REMARKS. Continue on a separate sheet, if necessary. SECTION II - MARKET PRICE (See Instructions for item 12 on reverse.) 12. SET FORTH THE SOURCE AND DATE OR PERIOD OF THE MARKET QUOTATION OR OTHER BASE FOR MARKET PRICE, THE BASE AMOUNT, AND APPLICABLE DISCOUNTS. SECTION III-LAW OR REGULATION (See Instructions for item 13 on reverse.) 13. IDENTIFY THE LAW OR REGULATION ESTABLISHING THE PRICE OFFERED REPRESENTATION (See Instructions for item 14 on reveres.) The offeror represents that all statements made above and on attachments submitted are accurate and are submitted for the purpose of claiming exemption from requirements for submitting certified cost or pricing data. The offeror also represents that, except as stated in an attachment, a like claim for exemption involv ing the same or a substantially similar item has not been denied by a Government Contracting Officer within the last 2 years. Pending consideration of the proposal supported by this submission and, if this proposal or a modification of it is accepted by the Government, until the expiration of 3 years from the date of final payment under a contract resulting from this proposal, the Contracting Officer or any other authorized employee of the United States Government is granted access to books, records, documents, and other supporting data that will permit verification of the claim. INSTRUCTIONS TO OFFERORS SUBMITTING CLAIM FOR EXEMPTION FROM SUBMISSION OF CERTIFIED COST OR PRICING DATA Item 7. Attach a copy of the catalog, or the appropriate pages covering price and published discounts, or a statement that the catalog is on file in the buying office to which this proposal is being made. Catalog price, is a price that is included in a catalog, price list, schedule, or other form that is regularly maintained by the manufacturer or vendor, is either published or otherwise available for inspection by customers, and states prices at which sales are currently, or were last, made to a significant number of buyers constituting the general public. To justify a catalog price exemption for the Government item, the catalog item must be identical or must be so similar in material and design that any price difference or its absence can be evaluated solely by price analysis (see FAR 15.805-2). In the latter case, a statement must be attached identifying the specific differences and explaining, by price analysis of the differences, how the proposed price is derived from the catalog price. Item 8. This period should include the most recent regular monthly, quarterly, or other period for which sales data are reasonably available and should extend back only far enough to provide a total period representative of average sales. You may also attach sales data for a prior representative period if for any reason recent sales are abnormal and the prior period is sufficiently recent (not more than 2 years preceding) to support the proposed price for the Government item. In the latter case, you must explain, by price analysis only, how the proposed price is derived from the catalog sales for the prior period. Item 9. (a) Include in Category A all sales of the catalog item (a) directly to the U.S. Government and its instrumentalities and (b) for U.S. Government use (sales directly to U.S. Government prime contractors, or their subcontractors or suppliers at any tier, for use as an end item, or as part of an end item, by the U.S. Government). (b) Include in Category B all sales of the catalog item made strictly at the catalog price, less only published discounts, to the general public (i.e., catalog price sales other than those (i) to affiliates of the offeror or (ii) included in Category A (Instruction 9(a)). (c) Include in Category C all sales to the general public that were not made strictly at the catalog price or that were made at special discounts or discount rates not published in the catalog. Item 11. On line a. insert information on the lowest price at which Category B or C sales of the offered item was made during the period, regardless of quantity. On lines b. and c. insert sales information in the following manner. a. Give the lowest price Category C sales of comparable quantities. If there were no sales of comparable quantities, then give b. The lowest price Category C sales of quantities most nearly the quantity being offered. If there were no sales of Category C, then give c. The lowest price Category B sales of comparable quantities. If there were no sales of comparable quantities, then give d. The lowest price Category B sales of quantities most nearly the quantity being offered. Attach a complete explanation (i) if you, dur: ing the period covered, offered special discounts not included in the catalog, or (ii) if the price proposed is not the lowest price at which a sale was made to any customer during that period for like items and comparable quantities. Item 12. Market price is a current price, established in the usual and ordinary course of trade between buyers and sellers free to bargain, that can be substantiated from sources independent of the manufacturer or vendor. There must be a sufficient number of commercial buyers so that their purchases establish an ascertainable current market price for the item or service. The nature of this market should be described. To justify a market-price exemption, the item or service being purchased must be identical to the commercial item or service or must be so similar in material and design (for supplies) or in work and facilities (for services) that any price difference or its absence can be evaluated solely by price analysis (see FAR 15.805-2). In the latter case, a statement must be attached identifying the specific differences and explaining, by price analysis of the differences, how the proposed price is derived from the market price. Item 13. Identify the law or regulation establishing the price offered. If the price is controlled under law by periodic rulings, reviews or similar actions of a governmental body, attach a copy of the controlling document, unless it was previously submitted to the contracting office. Item 14. Insert the name, title, and firm of the person authorized by the offeror to sign this form. STANDARD FORM 1412 BACK (10-83) |