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(b) Page 2 of Format 803-9.
INSTRUCTIONS FOR USE-TERMINATION INVENTORY SCHEDULE (Short form)

FOR USE WITH FORMAT 102-3 ONLY

A. CLASSIFICATION. -No specific classification required but similar items should be grouped together. Soveral classifications may be listed on one

or components, common in nature to both the terminated contract and other work of the contractor, are not to be listed except for items the delivery of which has been required by the Government and except for Government. furnished property (See Inventory Schedule Certificate.)

form.

I. PROCEEDS OF AUTHORIZED SALE (Column 9).- Insert the letter "A" after the amount if the sole (or credit for acquisition) has been outhorized or approved by the contracting officer or customer. Insert the letter "C" if the amount represents your offer to acquire or sell. In either cose, Quantity should be oho shown (on a second line) if less than the full quontity shown in Column d.

1. DESCRIPTION (Column b).- A full commercial description is required
for all items which have commercial value. For other items, furnish only
wch description os is sufficient to enable the contracting officer or the cut-
tomer to determine the appropriate disposition.
C. CONDITION (Column c). -For purposes of indicating condition of me.
terial, the code indicated below should be used. It requires the combino
tion of a letter and a number in ooch instance las EA or N2). Use the
lonter "X," without a number for material considered to have no further
value for use as originally intended, but of possible solvago value other
than as scrap. I considered crop, insert on "S."
CODE: N-Now

1-Excellent "E-Used-reconditioned

2-Good 0 -Ured-usable without repairs

3-Fair R-Ured-repains required

4-toor D. COST (Columns • ond fl. - Any generally recognized basis for conting inventory may be used, provided it has been regularly used by the contractor and properly rollects his costs.

G. GOVERNMENT-OWNED PROPERTY

(o) Government-furnished property should be listed on separate sheets, marked to show that the items are Government-furnished

(b) Where title to materials purchased by the contractor is vested in the Government, such materials should be listed and cost data supplied.

M. MISCELLANEOUS

(a) Separate Schedules.-If the space provided for any information called for is insulin anoch reparate supporting schedules.

(6) Nyalabels.-The number of sets of inventory schedules ro quin d icated by the contracting officer or the customer from

hories of primation is recoived.

L. COMMON TEMS.-Any items of inventory reasonably usable, without loss to the contractor on his other work, because they are materials, porte

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SPECIME

8 1-8.804 Formats of miscellaneous forms.

1-8.804–1 Format 804–1, Schedule of Accounting Information. (a) Page 1 of Format 804–1.

SCHEDULE OF ACCOUNTING INFORMATION

To be used by prime contractors submitting termination claims under Part 1-8 of the Federal Procurement Regulations (41CFR 1-8). Also suitable for use by subcontractor in effecting subcontract settlements with prime contractor or intermediate subcontractors. THIS PROPOSAL APPLIES TO (Check one)

COMPANY A PRIME CONTACT WITH

SUICONTRACT OR U THE GOVEDNMENT

J PURCHASE ORDER SURCONTRACT OR PURCHASE ORDER NO.(S)

STREET ADDRESS

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1. NDIVIDUAL IN YOUR ORGANIZATION FROM WHOM ADDITIONAL INFORMATION MAY BE REQUESTED ON QUESTIONS RELATING TO: ACCOUNTING MATTERS

PROPERTY DISPOSAL NAM:

NAME

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; ARE THE ACCOUNTS OF THE CONTRACTOR SUBJECT TO REGULAR PERIODIC EXAMINATION AV ADIPENDENT PUBLIC ACCOUNTANTS?

YES ONO (Name and address of accountants)

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SPECIMENTO

YED OR ASSISTED IN THE PREPARATION OF THE ATTACHED PROPOSAL

NAME

ADDRESS

4. GOVERNMENTAL AGENCY WHICH HAS REVIEWED YOUR ACCOUNTS IN CONNECTION WITH A PRIOR SETTLEMENT PROPOSAL DURING THE CURRENT AND PRECEDING FISCAL YEAR NAME

ADORESS

S. HAVE THERE BEEN ANY SIGNIFICANT DEVIATIONS FROM YOUR REGULAR ACCOUNTING PROCEDURES AND POLICIES IN ARRIVING AT THE COSTS

SET FORTH IN THE ATTACHED MOPOSAL? O YES ONO. IF "YES," EXPLAIN BRIEFLY

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6. WERE THE DETAILED COST RECORDS USED IN PREPARING THE PROPOSAL CONTROLLED IY AND IN AGREEMENT WITH YOUR GENERAL BOOKS OF 1 ACCOUNT? YES NO 7. WERE INVENTORY QUANTITIES BASED ON A PHYSICAL COUNI AS OF THE DATE OF TERMINATION? YES NO. IF "NO," EXPLAIN EXCEPTIONS

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WHERE THE SPACE PROVIDED FOR ANY INFORMATION IS INSUFFICIENT, ANTACH SEPARAR SCHEDULES

(b) Page 2 of Format 804-1.

8. IS THIS SETTLEMENT PROPOSAL BASED ON STANDARD COSTS

MENT FOR ANY SIGNIFICANT VARIATIONS BEEN MADE? O YES

YES
NO.

NO. "YES," HAS ADJUSTMENT TO ACTUAL COST OR ADJUST.
IF 'NO," EXPLAIN

9. DOES THIS PROPOSAL INCLUDE CHARGES FOR MWOR INVENTORY ITEMS AND CLAIMS OF SUBCONTRACTORS COMMON TO THIS TERMINATED

CONTRACT AND OTHER WORK OF THE CONTRACTOR? YES NO. IF "YES," EXPLAIN THE METHOD USED IN ALLOCATING AMOUNTS TO THE TERMINATED PORTION OF THIS CONTRACT

10. EXPLAIN BRIEFLY YOUR METHOD OF PRICING INVENTORIES, INDICATING WHETHER MATERIAL HANDLING COST HAS BEEN INCLUDED IN

CHARGES FOR MATERIALS

11. ARE ANY PARTS, MATERIALS, OR FINISHED PRODUCT, KNOWN TO DE DEFECTIVE, INCLUDED IN THE INVENTORIES?

EXTUIN

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13. DOES THIS PROPOSAL INCLUDE ANY ELEMENTOS PROFIT TO THE CONTRACTOR OR A RELATED ORGANIZATION, OTHER THAN PROFIT SET FORTH

SEPARATELY IN THE PROPOSAL OR INCLUDED IN THE CONTRACT PRICE AT WHICH ACCEPTABLE FINISHED PRODUCT, IF ANY, 13 INCLUDED IN THE PROPOSAL? YES NO. IF "YES," EXPLAIN BRIEFLY

14. DESCRIBE BRIEFLY THE NATURE OF INDIRECT EXPENSE ITEMS INCLUDED IN INVENTORY COSTS (see Schedule 1, Formal 802-1): AND EX.

PLAIN YOUR METHOD OF ALLOCATION USED IN PREPARING THIS PROPOSAL, INCLUDING IF PRACTICABLE, THE RATES USED AND THE PERIOD OF TIME UPON WHICH THEY ARE BASED

15. DO THE COSTS SET FORTH IN THE ATTACHED PROPOSAL INCLUDE PROVISIONS FOR ANY RESERVES OTHER THAN DEPRECIATION RESERVES?

YES NO. IF "YES," LIST SUCH RESERVES

10. STATE METHOD OF ACCOUNTING FOR TRADE AND CASH DISCOUNTS EARNED, REDATES, ALLOWANCES, AND VOLUME PRICE ADJUSTMENTS.

ARE SUCH ITEMS EXCLUDED FROM COSTS CLAIMED? O YES O NO

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

(c) Page 3 of Format 804-1.

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

10. DOES CONTRACTOR HAVE A PENSION PLAN?

RENT PENSION SERVICE COSTS

YES

NO. OF "YES," STATE METHOD OF FUNDING AND ABSORPTION OF PAST AND CUR.

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

20. STATE POLICY OR PROCEDURE FOR RECOTON

OR RECOSUD

NO WRITING OFF STARTING LOAD

SRECIMEN

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

ISHING BETWEEN CHARGES TO CAPITAL (hised) ASSET ACCOUNTS AND TO REPAIR AND MAINTENANCE

22. POLICIES FOR DISTINGUISHING METWEEN CHARGES TO CAPITAL Mixed) ASSET ACCOUNTS AND TO REPAIR AND MAINTENANQ ACCOUNTS

WHERE THE SPACE PROVIDED FOR ANY INFORMATION IS INSUFFICIUNT, ATTACH SEPARAT SCHEDULES

(d) Page 4 of Format 804-1.

23. METHOD OF RECORDING ANO ADSORDING (0) GENERAL ENGINEERING ANO GENERAL DEVELOPMENT EXPENSE ANO (2) ENGINEERING AND

DEVELOPMENT EXPENSE DIRECTLY TUCAIU 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 FACRITIES TO OUTSIOR PARTIES, ETC.

25. ARE COSTS AND INCOME FROM CHANGE ORDERS SEGREGATED FROM OTHER CONTRACT COSTS AND INCOME?

IY WHAT METHOO?

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20. ARE SETIEM AUT EXPENSES APPLICAS

26. ARE SETTLEMENT EXPENSES APLICANLE TO PREVIOUSLY TERMINATED CONTRACTS EXCLUDED FROM THE ATTACHED PROPOSALS? O

IF "NO" EXPLAIN

NO.

SCHALEN

27. STATE POLICY AND PROCEDURE FOR VERIFICATION ANON

PAUL

TS WITH SUBCONTRACTORS AND VENDORS

20. METHOD OF COMPUTING PROFIT CLAIMED IN THE ANTACHED PROPOSAL AND REASON FOR SELECTING THE METHOD USED. FURNISH ESTI

MATE OF AMOUNT OR RATE OF PROFIT IN DOLLARS OR PERCENT ANTICIPATED MAD 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.
NAAE OF CONTRACTOR

DY (Signature of superr'isory accounting official)

TITLE

DATE

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

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