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Get SA1235 2015-2021

Name and Title Type Signature Date of Submission SA1235 Rev. 01/21/15 Verify Current Version of Form. Pricing Proposal Cover Sheet Solicitation/Subcontract/Modification No* CAGE CODE NOTE This form is used in contract actions if submission of cost or pricing data is required* See FAR 15. 403-5 b 1 Name Title of Offeror s Point of Contact Name Address of Offeror Include Zip Code Telephone Number Proposed Cost A B C A. Cost B. Profit / Fee Type of Subcontract Action Check A. New Subcontract B. Change Order C. Price Revision / Redetermination C. Total D. Letter Contract E* Unpriced Order F* Other Specify List and reference the identification quantity and total price proposed for each contract line item* A line item cost breakdown supporting this recap is required unless otherwise specified by the Contracting Officer. Continue on reverse and then on plain paper if necessary. Use same headings A. Line Item No* B. Identification C. Quantity D. Total Price E* Ref* Provide Name Address and Telephone Number for the Government Contract Administration Office Will you require the use of any Government Property in the performance of this work If YES identify Y N Cost Accounting Standards Board CASB Data Public Law 91-379 as amended and FAR Part 30 Will this Contract action be subject to CASB regulations If NO explain in proposal Yes No Have you been notified that you are or may be in non-compliance with your disclosure statement or cost accounting standards If YES explain in proposal Is any aspect of this proposal inconsistent with your disclosed practices or applicable cost accounting standards If YES explain in proposal Does this proposal include Cost or Pricing Data that have been certified in accordance with FAR 15. 406-2 or that are required to be so certified in the future This proposal is submitted in response to the RFP contract modification etc* and reflects our best estimates and/or actual costs as of this date and conforms with the instructions in FAR 15. 403-5 b 1 Table 15-2. By submitting this proposal the offeror if selected for negotiation grants the contracting officer or an authorized representative the right to examine at any time before award those books records accounting procedures and practices documents and other types of factual information regardless of form or whether such supporting information is specifically referenced or included in the proposal as the basis for pricing that will permit an adequate evaluation of the proposed price. Pricing Proposal Cover Sheet Solicitation/Subcontract/Modification No* CAGE CODE NOTE This form is used in contract actions if submission of cost or pricing data is required* See FAR 15. 403-5 b 1 Name Title of Offeror s Point of Contact Name Address of Offeror Include Zip Code Telephone Number Proposed Cost A B C A. 403-5 b 1 Name Title of Offeror s Point of Contact Name Address of Offeror Include Zip Code Telephone Number Proposed Cost A B C A. Cost B. Profit / Fee Type of Subcontract Action Check A. New Subcontract B. Change Order C. Price Revision / Redetermination C. .

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