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(d) Page 4 of Format 804-1.

23. METHOD OF RECORDING AND ASSORBING (IGENERAL ENGINEERING AND GENERAL DEVELOPMENT EXPENSE AND (2) ENGINEERING AND

DEVELOPMENT EXPENSE DIRECTLY APPLICABLE TO THE TERMINATED CONTRACT

24. TYRES 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?

IY WHAT METHOD?

YES NO. IF YES**

103

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 ANE MRE

FERENTS WITH SUBCONTRACTORS AND VENDORS

SPECIMEN

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

MATE 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.
NAME OF CONTRACTOR

DY (Signature of sperrisory accounting official)

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

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Wat ATION FOR PARTIAL PAYMENT ontractor under contracts terminated for the convenience of the Government

ALICANT 1 OR RDER

STREET ADDRESS ITION

CITY AND STATE
7. GIVE DE ROLOV NAME OF GOVERNMENT AGENCY

GOVERNMENT PRIME CONTRACT NUMBER
CONTRACTOR'S REFERENCE NUMBER
EMUTIVE DATE OF TERMINATION

DATE OF THIS APLICATION
AMOUNT REQUESTE

APPLICATION SUR VADER THIS TENTATION
$
NTRACT OR ORDER AT EFFECTIVE DATE OF TERMINATION
FINISHED

UNFINISHED OR
ON HAND
NOT COMMENCED

TOTAL

COVERED TY
SLY
UND
PAYMENT TO W

CONTRACT
RECEIV
Nchop

TO BE
NOT TO NE

OR ORDER ED

IC FION

COMPLETED COMPLETED

Application for Partial Payment. 070 R19 ()

(3) DISPO Whenever

ceived by tion inver the case which the ceeds the application

been ins Olba FA

SPECIM

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SECTION 1V.--CERTIFICATE OF AP

due as of the date of this application and allocable to

that, to the best of applicant's knowledge, the amounts i applicant has nos assigned any moneys payable under this

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MOUNTS RECEIVED

ECEIVED

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WARM SPACE MOVIDED FOR ANY INFORMATION IS INSURI

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(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.

(1) REPAYMENT OF Excess. – If any partial payment
made 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 Gover-
mene upon demand, with interest at the rate of 6
percent per annum. Interese shall be computed for
the period from the date of the excess payment to
the date of repayment, excepe that (i) no interest
shall be charged for any such excess payment al-
tributable to a reduction in the contract termina-
tion claim by reason of retention or other disposi-
tion of termination inventory, until 10 days after
the date of such retention or disposition, or such
later dare as determined by the contracting officer
by reason of the circumstances, and (ii) no interest
shall be charged for overpayment under cost-reim-
bursement type research and development concorso
(without prope or fee to the contractor) if she drap

(3) DISPOSAL AND RETENTION OF INVENTORY.– Whenever the amount of any proceeds hercafter received by the applicant on the disposal of termina. tion inventory, plus the cost or agreed valuc, as the case may be, of any termination inventory which the applicant hercafter 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 incloucale Section II, Line b (Disposal and Open Endid the applicant within 10 days will nalifyllno

setelding agency of the amount of A sount of such inventory disposal or

SPECIME

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

wich

-, is not less than $. that, to the best of applicant's knowledge, the amounts received are as set forth above; and that the applicant has not assigned any moncys payable under this contract, except as set forth above.

(From Sar. II, Line 9)

Mume Of APPLICANT

BY (Signature of authorized oficial)

TITLE

DATE

Want me WALL PROVIDED FOR ANY INFORMATION IS INSUFFICIENT, ATTACH SEPARAT SUPPORTING SCHEDULES

2

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BAMENDATION OF FIRST REVIEWING CONTRACTOR

- examined this applicacion and has considered the applicant's o doubt the accuracy of the information contained in this apoy the applicant as due will .constitute a proper charge to be

SON claim against

Hc -yment be made.

in part,

shall deter: A warranty in the general format set the best i forth below shall be executed by a pur that the chaser of material as scrap (on direct Officer may

of the amo purchase from the Government or on subsequent resale) in accordance with by reason

WHEREAS the requlrements of $ 1-8.504. SCRAP WARRANTY

Contractor In consideration of the transfer to the

the contrac undersigned of the property covered by this

ernment; a Agreement at & value based upon its being

WHEREAS need a scrap, the undersigned represents

terms shall and warrants to the United States of America

set forth: as follows:

(a) The (8) The property covered by this Agreement will be used only as scrap, either in chased, sup te existing condition or after further prep

or otherwis eration, unless and until the undersigned 18

contract as

promptly pay over to the applicant or credit against amounts ceived for the benefit of the applicant under this application, ut on demand any amount not so paid or credited.

morit Barn

means any

ITIONS OF OTHER REVIENIORTRACTORS has na person to oth that the amount of the partial

entegre will constitute a proper charge

GIME

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nated por released from this warranty.

does not in b) In the event the undersigned 18 re

duction or leased from this warranty, or any payment

Ing, which agreed om as consideration for such release

or & spect shall be made to the United States, regard

use or di less of whether this warranty shall have

ventory been executed at the request of the United

property (6) In the event the undersigned sells the

erty as a

(1) "C
property covered by this Agreement prior to
release of this warranty, the undersigned will

property

the Cont
obtain from the purchaser and tender to the
Onlted States & warranty Identical to this

tract, w
executed by the purchaser, and upon receipt

title by of such other warranty, this warranty will

Its cont be released by the United States.

(2)

means 81-8.806 Formats of settlement agree

quired ment,

sequen
$1-8.806–1 Settlement agreement for

able to
use in settling fixed-price prime con-
tracts after complete termination.

contra

eral F THIS SUPPLEMENTAL AGREEMENT OF SETTLE

1.208)
ENT, entered into this

day of Into
---19.., between the UNITED STATES
OF AMERICA (herelnafter called 'The Govern-

tor,
ment") represented by the Contracting On-

for Der executing this contract, and

prim (8) A corporation organized and existing

(c whic sold bas!

all

under the laws of the State of
(b) A partnership consisting of
(6) An individual doing business as
berelnafter called "the Contractor"),
WIENESSETH THAT;
WHEREAS, the Contractor and the Govern-
ment have entered into Contract No.
under date of

19- which, to-
gether with any and all amendments,
changes, modifications, and supplements
thereto, Is hereinafter referred to as "the
contract"; and

WEZREAS, the Termination for Conven-
lence of the Government clause of the con-
tract provides that the performance of work
under the contract may at the convenience
the Government be terminated by the
Government in whole, or from time to time

ad ti

Chapter 1-Federal Procurement Regulations

81-8.806-1

dered et

proper cap

$ 1-8.805 Scrap warranty.

in part, whenever the Contracting Omcor

shall determine that such termination is in A warranty in the general format set

the best interest of the Government, and forth below shall be executed by a pur that the Contractor and the Contracting chaser of material as scrap (on direct Oficer may agree upon the whole or any part purchase from the Government or on of the amount to be paid to the Contractor subsequent resale) in accordance with by reason of such termination; and the requirements of g 1-8.504.

WHEREAS, by notice of termination dated

the Government advised tho SCRAP WARRANTY

Contractor of the complete termination of In consideration of the transfer to the

the contract for the convenience of the Gov

ernment; and undersigned of the property covered by this

WHEREAS, as used herein, the following Agreement at a value based upon its being t this epa used as scrap, the undersigner represents

terms shall have the meanings hereinaftor

set forth: and warrants to the United States of America As follows:

(a) The term "termination Inventory" (a) The property covered by this Agree

means any items of physical property purment will be used only as scrap, either in

chased, supplied, manufactured, furnished, Its existing condition or after further prep

or otherwise acquired for performance of tho aration, unless and until the undersigned 18

contract and properly allocable to the termireleased from this warranty.

nated portion of the contract. The term (b) In the event the undersigned 18 re

does not include any facilities, material, proleased from this warranty, or any payment

duction or other equipment, or special toolagreed on as consideration for such release

ing, which are subject to a separate contract shall be made to the United States, regard

or a special contract provision governing tho less of whether this warranty shall have

use or disposition thereof. Termination inof the been executed at the request of the United

ventory may include contractor-acquirod States.

property and Government-furnished proproper (c) In the event the undersigned sells the

erty as defined below. property covered by this Agreement prior to

(1) "Contractor-acquired property" means release of this warranty, the undersigned will

property procured or otherwise provided by obtain from the purchaser and tender to the

the Contractor for the performance of a con. United States a warranty ideutical to this

tract, whether or not the Government has

title by the terms of the contract or exercises executed by the purchaser, and upon receipt of such other warranty, this warranty will

Its contractual right to take title. be released by the United States.

(2) "Government-furnished propertyu

means property in the possession of or ac. 81-8.806 Formats of settlement agree quired directly by the Government, and subment.

sequently delivered or otherwise made avall.

able to the Contractor. § 1-8.806-1 Settlement agreement for (b) The term "subcontract" means any

use in settling fixed-price prime con contract, as defined in § 1-1.208 of the Fed.

tracts after complete termination. eral Procurement Regulations (41 CPR lTHIS SUPPLEMENTAL AGREEMENT OF SETTLE

1.208), other than a prime contract, entered MENT, entered into this

day of into by a prime contractor or a subcontrac19.., between the UNITED STATES tor, calling for supplies or services required OF AMERICA (hereinafter called 'The Govern.

for the performance of any one or more ment") represented by the contracting om prime contracts. cer executing this contract, and

(c) The term "scrap" means property (a) A corporation organized and existing

which has no reasonable prospect of being under the laws of the State of

sold except for the recovery value of its (b) A partnership consisting of

basic material content. (c) An individual doing business as

NOW, THEREFORE, the parties hereto do mu. (hereinafter called “the Contractor").

tually agree as follows: WITNESSETH THAT:

ARTICLE 1. The Contractor certines that WHEREAS, the Contractor and the Govern.

all contract termination Inventory (Includ. ment have entered into Contract No.

ing scrap) has been retained or otherwiso under date of

19.. which, to

acquired by him, sold to third parties, rogether with any and all amendments,

turned to suppliers, stored for the Govern. changes, modifications, and supplements

ment, dellvered to the Government, or other. thereto, is hereinafter referred to as "the

wise properly accounted for, and all proceeds contract"; and

or retention prices thereof, if any, have been WHEREAS, the Termination for Conven

taken into account in arriving at this lence of the Government clause of the con

agreement. tract provides that the performance of work

ARTICLE 2. (a) The Contractor certines under the contract may at the convenience

that, prior to the execution of this agre of the Government be terminated by the ment, each of the Contractor's immer Government in whole, or from time to time subcontractors whose claim is includ.

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