§ 1-16.902 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. [30 FR 9593, July 31, 1965] § 1–16.902-OF-17 Optional Form 17, Sealed Bid Label. I. 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 II. WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS PROPOSED CONTRACT? YES NO (If yes, identify on reverse or separate page) HI. DO YOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT? (b) Page 2 of Optional Form 59. IV. HAVE YOU BEEN AWARDED ANY CONTRACTS OR SUBCONTRACTS FOR SIMILAR ITEMS WITHIN THE PAST THREE YEARS? NOTE 7. Include raw and processed material for the proposed contract in a form or state which requires further processing. 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. |