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Falle reporting vurden for a collection al information to promoted to average hour ow response, naimeing the time for moviewing instructions, searching scisting data sources.gethering and maintaining the doua noaded, and completing and reviewing the collection of information. Sed comment regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (VAS), Office of Federal Acquisition Policy. GSA, Washington, cm. WWWXOFONOR
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YOU 14. COST ACCOUNTING STANDARDS BOARD (CASB) DATA (Ablic Low 91279 as mended and FAR PART 200 A MLINIS CONTACT ACTION KWIECITO GEGULATIONS
HAVE YOU WINE ACCOUNT Tholi me
63.301–1412 Standard Form 1412, Claim for Exemption from Submission of Cer
tified Cost of Pricing Data.
By submission of this form the offror claims exemption from requirements for submitting certified cost or pricing data on the basis that the price offered is bored on m established catalog or market price of a commercial item sold in substantial quantities to the general public or is a price wt by law or regulation live FAR 15.804 3). Compler Section I, II, or III below as applicable.
SECTION 1 - CATALOG PRICE (Sw. Instructions for items 7 thru 11 on reven./ 7. CATALOG IDENTIFICATION AND DATE
O. SALES PERIOD COVERED
c. Other moins to general public
your secounting item dow not provide precio information, insert your best somnate and explain the base for it in Item 10, REMARKI. Continue on a separate wheet, 1 dcery.
11. LIST THREE SALES OF THE ITEM OFFERED
$ to. B Oc
$ C. Oc
$ HECTION II -MARKET PRICE IS - Instruction for item 12 an rovanie.) 12. SET FORTHTHE SOURCELAND DATE OR PERIOD OF THE MARKET QUOTATION OR OTHER JAE FOR MARKET PRICE, THE BASE AMOUNT,
AND APPLICABLE DISCOUNTS.
SECTION III-LAW OR REGULATION Sne Instructions for Hom 13 on rowena) TOENTIÈY THE LAW OR REGULATION ESTABLISHING THE PRICE OFFERED
REPRESENTATION (8we Instructions for inom 14 on rower.) The ofteror represents that all statements made above and on strachments submitted are accurate and are submitted for the purpose of claiming exemption from requirements for submitting corufind cost of pricing data. The ofteror also represents that, except as stated in m attachment, like claim for exampilon Imam ing the wine or i wbotantially similar item has not been denied by Government Contracting Officer within the last 2 yeur. Panding consideration of the pre pool suppormed by this submission and, it this propovel or a modification of it is socopted by the Government, until the expiration of yours from the dow of final payment under contract resulting from this proposal, the Contracting Officer or my other authorized employee of the United States Government is printed coco to books, records, documents, and other upporting data that will permit verification of the claim, 1. TYPED NAME, TITLE, AND FIRM
1. DATE OF SUCMISSION
STANDARD FORN 1412110-05)
INSTRUCTIONS TO OFFERORS SUBMITTING CLAIM FOR EXEMPTION FROM SUBMISSION
OF CERTIFIED COST OR PRICING DATA
On lines b. and c. insert sales information in the following manner.
a. Give the lowest price Category C sales of
comparable quantities. If there were no sales of comparable quantities, then give
Item 7. Attach a copy of the catalog, or the appropriate pages covering price and published discounts, or a statement that the catalog is on file in the buying office to which this proposal is being made. Catalog price, is a price that is included in a catalog, price list, schedule, or other form that is regularly maintained by the manufacturer or vendor, is either published or otherwise available for inspection by customers, and states prices at which sales are currently, or were last, made to a significant number of buyers constituting the general public. To justify a catalog price exemption for the Government item, the catalog item must be identical or must be so similar in material and design that any price difference or its absence can be evaluated solely by price analysis (see FAR 15.805-2). In the latter case, a statement must be attached identifying the specific differ ces and explaining. by price analysis of the differences, how the proposed price is derived from the catalog price.
b. The lowest price Category C sales of quanti
ties most nearly the quantity being offered. If there were no sales of Category C, then give
c. The lowest price Category B sales of com
parable quantities. If there were no sales of comparable quantities, then give
d. The lowest price Category B sales of quanti
ties most nearly the quantity being offered.
Item 8. This period should include the most recent regu. lar monthly, quarterly, or other period for which sales data are reasonably available and should extend back only far enough to provide a total period representative of average sales. You may also attach sales data for a prior representative period if for any reason recent sales are abnormal and the prior period is sufficiently recent (not more than 2 years preceding) to support the proposed price for the Government item. In the latter case, you must explain, by price analysis only, how the proposed price is derived from the catalog sales for the prior period.
Attach a complete explanation (i) if you, dur: ing the period covered, offered special discounts not included in the catalog, or (ii) if the price proposed is not the lowest price at which a sale was made to any customer during that period for like items and comparable quantities.
Item 9. (a) Include in Category A all sales of the catalog item (a) directly to the U.S. Government and its instrumentalities and (b) for U.S. Government use (sales directly to U.S. Government prime contractors, or their subcontractors or suppliers at any tier, for use as an end item, or as part of an end item, by the U.S. Government).
Item 12. Market price is a current price, established in the usual and ordinary course of trade between buyers and sellers free to bargain, that can be substantiated from sources independent of the manufacturer or vendor. There must be a sufficient number of commercial buyers so that their purchases establish an ascertainable current market price for the item or service. The nature of this market should be described. To justify a market-price exemption, the item or service being purchased must be identical to the commercial item or service or must be so similar in material and design (for supplies) or in work and facilities (for services) that any price difference or its absence can be evaluated solely by price analysis (see FAR 15.805-2). In the latter case, a statement must be attached identifying the specific differences and explaining, by price analysis of the differences, how the proposed price is derived from the market price.
(b) Include in Category B all sales of the catalog item made strictly at the catalog price, less only published discounts, to the general public (i.e., catalog price sales other than those (i) to affiliates of the offeror or (ii) included in Category A (Instruction 9(a)).
(c) Include in Category C all sales to the general public that were not made strictly at the catalog price or that were made at special discounts or discount rates not published in the catalog.
Item 13. Identify the law or regulation establishing the price offered. If the price is controlled under law by periodic rulings, reviews or similar actions of a governmental body, attach a copy of the controlling document, unless it was previously submitted to the contracting office.
Item 11. On line a. insert information on the lowest price at which Category B or C sales of the offered item was made during the period, regardless of quantity.
Item 14. Insert the name, title, and firm of the person authorized by the offeror to sign this form.
STANDARD FORM 1412 BACK (10-03)