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17 STATE POLICIES RELATING TO RECORDING OF OVERTIME, SHIFT PREMIUMS AND PRODUCTION BONUSES

18. DOES CONTRACTOR HAVE A PENSION PLAN? YES NO. IF YES," STATE METHOD OF FUNDING AND ABSORPTION OF PAST AND CUR. RENT PENSION SERVICE COSTS

19. STATE GENERAL POLICIES RELATING TO DEPRECIATION AND AMORTIZATION OF FIXED ASSETS; BASES, UNDERLYING POLICIES

SPECIMEN

20. STATE POLICY OR PROCEDURE FOR RECORDING

AWRITING OFF STARTING LOAD

21. ARE PERISHABLE TOOLS AND MANUFACTURING SUPPLIES CHARGED DIRECTLY TO CONTRACT COSTS OR INCLUDED IN OVERHEAD EXPENSES?

22. POLICIES FOR DISTINGUISHING BETWEEN CHARGES TO CAPITAL (fixed) ASSET ACCOUNTS AND TO REPAIR AND MAINTENANCE ACCOUNTS

WHERE THE SPACE PROVIDED FOR ANY INFORMATION IS INSUFFICIENT, ATTACH SEPARATE SCHEDULES

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23 METHOD OF RECORDING AND ABSORBING (1) GENERAL ENGINEERING AND GENERAL DEVELOPMENT EXPENSE AND (2) ENGINEERING AND DEVELOPMENT EXPENSE DIRECTLY APPLICABLE TO THE TERMINATED CONTRACT

24. TYPES AND SOURCE OF MISCELLANEOUS INCOME AND CREDITS AND MANNER OF RECORDING IN THE INCOME OR THE COST ACCOUNTS SUCH AS RENTAL OF YOUR FACILITIES TO OUTSIDE PARTIES, ETC.

25 ARE COSTS AND INCOME FROM CHANGE ORDERS SEGREGATED FROM OTHER CONTRACT COSTS AND INCOME? BY WHAT METHOD?

YESNO. IF YES

26 ARE SETTLEMENT EXPENSES APPLICABLE TO PREVIOUSLY TERMINATED CONTRACTS EXCLUDED FROM THE ATTACHED PROPOSALS? YES NO. IF NO EXPLAIN

27. STATE POLICY AND PROCEDURE FOR VERIFICATION AND NEGOTIATK

SPECIMEN

ANTS WITH SUBCONTRACTORS AND VENDORS

28. METHOD OF COMPUTING PROFIT CLAIMED IN THE ATTACHED PROPOSAL AND REASON FOR SELECTING THE METHOD USED. FURNISH ESTIMATE OF AMOUNT OR RATE OF PROFIT IN DOLLARS OR PERCENT ANTICIPATED HAD THE CONTRACT BEEN COMPLETED

29. WHAT IS LENGTH OF TIME (production cycle) REQUIRED TO PRODUCE ONE OF THE END ITEMS FROM THE TIME THE MATERIAL ENTERS THE PRODUCTION LINE TO THE COMPLETION AS THE FINISHED PRODUCT?

30. METHOD OF ALLOCATING GENERAL AND ADMINISTRATIVE EXPENSE

CERTIFICATE

I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE STATEMENTS ARE TRUE AND CORRECT.
BY (Signature of supervisory accounting official)

NAAE OF CONTRACTOR

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WHERE THE SPACE PROVIDED FOR ANY INFORMATION IS INSUFFICIENT, ATTACH SEPARATE SCHEDULES

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30-103 0-79-35

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SECTION III.-AGREEMENT OF APPLICANT

IN CONSIDERATION OF ANY PARTIAL PAYMENT WHICH MAY BE MADE, THE APPLICANT agrees as FOLLOWS:

(1) RI PAYMENT OF Excess.—If any partial payment inade to the contractor is in excess of the amount finally determined to be due on his termination claim, the excess shall be repaid to the Government upon demand, with interest at the rate established by the Secretary of the Treasury pursuant to Public Law 92-41 (50 U.S.C. App. 1215(b)(2)) for the Renegotiation Board. Interest shall be computed for the period from the date the excess payment was received by the contractor to the date of repayment, except that (i) no interest shall be charged for any such excess payment attributable to a reduction in the contract termination claim by reason of retention or other disposition of termination inventory, until 10 days after the date of such retention or disposition, or such later date as determined by the contracting officer by reason of the cir cumstances, and (11) no interest shall be charged for

overpayment under cost-reimbursement type research and development contracts (without profit or fee to the contractor) if the overpayments are repaid to the Government within 30 days after demand.

(2) PROMPT SETTLEMENT OF CLAIM.-The applicant will make every reasonable effort to expedite final settlement of the termination claim and the claims of his subcontractors, if any.

(3) DISPOSAL AND RETENTION OF INVENTORY.Whenever the amount of any proceeds hereafter received by the applicant un the disposal of termination inventory, plus the cost or agreed value, as the case may be, of any termination inventory which the applicant hereafter elects to retain, exceeds the amount stated by the applicant in this application as the amount of his charges (Section II, Line 9) and the amount of such credits has not been included on Section II, Line b (Disposal and Other Credits), the applicant within 10 days will notify the contracting agency of the amount of credits on account of such inventory disposal or

SPECIMEN

SECTION IV.—CERTIFICATE OF APPLICANT

The undersigned certifies that the amount of his own charges (exclusive of subcontractors' charges) due as of the date of this application and allocable to the terminated portion of its contract Number

dated

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is not less than S. Im S. II. Lim vi that, to the best of applicant's knowledge, the amounts received are as set forth above; and that the applicant has not assigned any moneys payable under this contract, except as set forth above.

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WHERE THE SPACE PROVIDED FOR ANY INFORMATION IS INSUFFICIENT, ATTACH SOPARATE SUPPORTING SCHEDULES

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DATE

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SECTION V.-RECOMMENDATION OF FIRST REVIEWING CONTRACTOR

The undersigned states that he has examined this application and has considered the applicant's general reputation. He has no reason to doubt the accuracy of the information contained in this ap plication or that the amount certified by the applicant as due will constitute a proper charge to be

included in the undersigned's termination claim against. recommends that the requesid partial payment be made.

He

The undersigned agrees that he will promptly pay over to the applicant or credit against amounts owing from the applicant any amount received for the benefit of the applicant under this application, and that he will repay to the Government on demand any amount not so paid or credited.

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RECIMEN

Each of the undersigned agrees the

promptly pay over to his immediate subcontractor or

credit against amounts owing to such subcontractor any amount received for the benefit of the ap plicant under this application, and

so paid or credited.

CONTRACTOR

he will repay to the Government on demand any amount not

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WHERE THE SPACE PROVIDED FOR ANY INFORMATION IS INSUFFICIENT, ATTACH SEPARATE SUPPORTING SCHEDULES

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[29 FR 10196, July 24, 1964, as amended at 42 FR 43081, Aug. 26, 1977]

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