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§1-16.901-1443 Contractor's request for progress payment. (a) Page 1 of Standard Form 1443.

CONTRACTOR'S REQUEST FOR PROGRESS PAYMENT

IMPORTANT: This form is to be completed in accordance with Instructions on reverse.
SECTION I-IDENTIFICATION INFORMATION

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I certify that the above statement (with attachments) has been prepared from the books and records of the above-named contractor in acordance with the contract and the instructions hereon, and to the best of my knowledge and belief, that it is correct, that all the costs of contract performance (except as herewith reported in writing) have been paid to the extent shown herein, or where not shown as paid have been paid or will be paid currently, by the contractor, when due, in the ordinary course of business, that the work reflected above has been performed, that the quantities and amounts involved are consistent with the requirements of the contract. That there are no encumbrances iexcept as reported in writing herewith, or on previous progress payment request No. ) against the property acquired or produced for, and allocated or properly chargeable to the contract which would affect or impair the Government's title, that there has been no materially adverse change in the financial condition of the contractor since the submission of the most recent written information dated by the contractor to the Government in connection with the contract, that to the extent of any contract provi sion limiting progress payments pending first article approval, such provision has been complied with, and that after the making of the requested progress payment the unliquidated progress payments will not exceed the maximum unliquidated progress payments permitted by

the contract.

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STANDARD FORM 1443 (10-82)
Prescribed by GSA (FPR 1-16 800)
FAR (48 CFA 53.232)

(b) Page 2 of Standard Form 1443.

INSTRUCTIONS

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For large business contracts, costs to be shown in Item 9 shall include only those recorded costs which have resulted at time of request in payment made by cash, check, or other form of actual payment for items or services purchased directly for the contract. This includes items delivered, accepted and paid for, resulting in liquidation of subcontractor progress payments.

Costs to be shown in Item 9 are not to include advance payments, downpayments, or deposits, all of which are not eligible for reimbursement; or progress payments made to subcontractors, suppliers or others, which are to be included in Item 14 See Cost Basis"

above.

Item 10. INCURRED COSTS ELIGIBLE UNDER PROGRESS PAYMENT CLAUSE For all Small Business Contracts, Item 10 will show total costs incurred for the contract.

Costs to be shown in Item 10 are not to include advance payments, downpayments, deposits, or progress payments made to subcontractors, suppliers or others.

For large business contracts, costs to be shown in Item 10 shall include all costs incurred (see "Cost Basis" above) for: materials which have been issued from the stores inventory and placed into production process for use on the contract; for direct labor; for other direct in-house costs, and for proper, allocated and allowable indirect costs as set forth under "Cost Basis" above.

Item 12a. Enter the total contract costs incurred to date; if the actual armount is not known, enter the best possible estimate. If an estimate is used, enter E) after the amount.

Item 12b ter the estimated cost to complete the contract. The estinate may be the last estimate made, adjusted for costs incurred Since the last estimate however, estimates shall be made not less Mequently than every six months.

SPECIN

Item 7. DATE OF INITIAL AWARD - Enter the las

the calendar year. Use two digits to indicate the month. Axample show Janaury 1982 as 82/01.

Item 8A. PROGRESS PAYMENT REQUEST NO. Enter the number assigned to this request. All requests under a single contract must be numbered consecutively, beginning with 1. Each subsequent request under the same contract must continue in se quence, using the same series of numbers without omission.

Item 88. Enter the date of the request.

SECTION II- GENERAL INSTRUCTIONS. DATE. In the space provided in the heading enter the date through which costs have been accumulated from inception for inclusion in this request. This date is applicable to item entries in Sections II and III.

Cost Basis. For all contracts win small dusiness concerns, the bas for progress payments is total costs incurred. For contracts with concerns other than Small Business, the progress payment base will be the total recorded paid costs, together with the incurred costs per the Computation of Amounts paragraph of the progress pay. ment clause in FPR 1-30.510-1 (a) or FAR 52.232-16, as appropriate. Total costs include all expenses paid and incurred, including applicable manufacturing and production expense, general and administrative expense for performance of contract, which are reasonable, allocable to the contract, consistent with sound and generally accepted accounting principles and practices, and which are not otherwise excluded by the contract.

Manufacturing and Production Expense General and Administrative Expense. In connection with the first progress payment request on a contract, attach an explanation of the method, bases and period used in determining the amount of each of these two types of expenses. If the method, bases or periods used for computing these expenses differ in subsequent requests for progress payments under this contract, attach an explanation of such changes to the progress payment request involved.

Incurred Costs Involving Subcontractors for Contracts with Small Business Concerns. If the incurred costs eligible for progress pay. ments under the contract include costs shown in invoices of subcontractors, suppliers and others, that portion of the costs computed on such invoices can only include costs for: (1) completed work to which the prime contractor has acquired title; (2) materials delivered to which the prime contractor has acquired title; (3) services rendered; and (4) costs billed under cost reimburse. ment or time and material subcontracts for work to which the prime contractor has acquired title.

SECTION II-SPECIFIC INSTRUCTIONS

Item 9. PAID COSTS ELIGIBLE UNDER PROGRESS PAYMENT CLAUSE Line 9 will not be used for Small Business Contracts.

[47 FR 57025, Dec. 22, 1982]

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Items through 14e. Include only progress payments on subcontracts which conform to progress payment provisions of the prime contract.

Item 14a. Enter only progress payments actually paid.

Item 14b. Enter total progress payments recouped from subcontractors.

Item 14d. For Small Business prime contracts, include the amount of unpaid subcontract progress payment billings which have been approved by the contractor for the current payment in the ordinary course of business. For other contracts, enter "O" amount. SECTION III - SPECIFIC INSTRUCTIONS. This Section must be completed only if the contractor has received advance payments against this contract, or if items have been delivered, invoiced and accepted as of the date indicated in the heading of Section II above. EXCEPTION: Item 27 must be filled in by the Contracting Officer.

Item 20a. Of the costs reported in Item 11, compute and enter only costs which are properly allocable to items delivered, invoiced and accepted to the applicable date. In order of preference, these costs are to be computed on the basis of one of the following: (a) The actual unit cost of items delivered, giving proper consideration to the deferment of the starting load costs or, (b) projected unit costs (based on experienced costs plus the estimated cost to complete the contract), where the contractor maintains cost data which will clearly establish the reliability of such estimates.

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81-16.902 Optional forms.

Optional forms are illustrated in this section in the same manner and for the same purpose as is stated in § 1-16.901 for standard forms.

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§ 1-16.902-OF 59 Optional form 59, Contract Pricing Proposal. (a) Page 1 of Optional Form 59.

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HAS ANY EXECUTIVE AGENCY OF THE UNITED STATES GOVERNMENT PERFORMED ANY REVIEW OF YOUR ACCOUNTS OR RECORDS IN CONNECTION WITH ANY OTHER GOVERNMENT PRIME CONTRACT OR SUBCONTRACT WITHIN THE PAST TWELVE MONTHS?

YES

NO (If yes, identfy below)

NAME AND ADDRESS OF REVIEWING OFFICE AND INDIVIDUAL

TELEPHONE NUMBER/EXTENSION

I WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS PROPOSED CONTRACT?

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(b) Page 2 of Optional Form 59.

IV. HAVE YOU BEEN AWARDED ANY CONTRACTS OR SUBCONTRACTS FOR SIMILAR ITEMS WITHIN THE PAST THREE YEARS?

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NOTE 8. Include standard commercial items normally fabricated in shole or in part by you which are generally stocked in inventory. Provide explanation for inclusion at other than the lower of cost of urrent market price.

NOTE 2. The use of this column is optional for eple Tine itan
proposals, except where the contracting officer deer
arate Optional Form 59 is required for selected ligi m

NOTE 5. Attach separate pages as necessary and enfy in the Col.
umn the attachment in which the information pping the specific
cost element may be found. No standard for prescribed; how
ever, the cost or pricing data must be accurate, complete and current.
and the judgment factors used in projecting from the data to the esti
mates must be stated in sufficient detail to enable the Contracting
Ofhcer to evaluate the proposal. For example, provide the basis used
for pricing the bill of materials such as by vendor quotations, shop
estimates, or invoice prices; the reason for use of overhead rate hich
depart significantly from experienced rates (reduced volume, a planned
major rearrangement, etc.): or justification for an increase in labor rates
(anticipated uage and salary increases, etc.). Identify and explain any
contingencies which are included in the proposed price, such as antic-
ipated costs of rejects and defective work, anticipated costs of engineer-
ing redesign and retesting, or anticipated technical difficulties in
designing high-risk components.

NOTE 4. Provide a list of principal items within each category of material indicating known or anticipated source, quantity, unit price, competition obtained, and basis of establishing source and reasonable ness of cost.

NOTE 5. Include material for the proposed contract other than material described in the other footnotes under the cost element entitled "Direct Material."

NOTE 7. Include raw and processed material for the proposed contract in a form or state which requires further processing.

0.decate the rates used and provide an appropriate exthere agreement has been reached with Government repreives on the use of forward pricing rates, describe the nature of The agreement. Provide the method of computation and application of Your overhead expense, including cost break down, and showing trends and budgetary data as necessary to provide a basis for evaluation of the reasonableness of proposed rates.

NOTE 14. If the total cost entered here is in excess of $250, provide on a separate page the following information on each separate item of royalty or license fee: name and address of licensor; date of license agreement; patent numbers, patent application serial numbers, or other basis on which the royalty is payable; brief description, including any part or model numbers of each contract item or component on which the royalty is payable; percentage or dollar rate of royalty per unit; unit price of contract item; number of units; and total dollar amount of royalties. In addition, if specifically requested by the contracting officer, a copy of the current license agreement and identification of applicable claims of specific patents shall be provided.

See Reverse for Instructions

OPTIONAL FORM 59 (10-17)

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