As prescribed in 1515.408(a)(2), insert the following provision:
General Financial and Organizational Information: (AUG 1999)
Offerors or quoters are requested to provide information regarding the following items in sufficient detail to allow a full and complete business evaluation. If the question indicated is not applicable or the answer is none, it should be annotated. If the offeror has previously submitted the information, it should certify the validity of that data currently on file at EPA and to whom and where it was submitted or update all outdated information on file.
_______________________________
_______________________________
_______________________________
Audit Agency: _______________________________
Address: _______________________________
Auditor: _______________________________
Sales: | |
Government cost-reimbursement type prime contracts and subcontracts | $________ |
Government fixed-price prime contracts and subcontracts | $________ |
Commercial Sales | $________ |
Total Sales | $________ |
(2) Total Sales for first and second fiscal years immediately preceding last completed fiscal year. |
Total Sales for First Preceding Fiscal Year | $________ |
Total Sales for Second Preceding Fiscal Year | $________ |
(g) Is company a separate rate entity or division? | |
Yes __ | |
No __ |
If a division or subsidiary corporation, name parent company:
_______________________________
Total Employees: _______________________________
Direct: _______________________________
Indirect: _______________________________
Standard Work Week (Hours): _______________________________
Estimated/actual cost | Standard cost | |
Estimating System: | ||
Job Order | ______ | ______ |
Process | ______ | ______ |
Accumulating System: | ||
Job Order | ______ | ______ |
Process | ______ | ______ |
Has your cost estimating system been approved by any Government agency?
Yes __ No __
If yes, give name, date or approval, and location of agency:
_______________________________
_______________________________
Has your cost accumulation system been approved by any Government agency?
Yes __ No __
If yes, give name, date of approval, and address of agency:
_______________________________
_______________________________
_______________________________
_______________________________
What were the indirect cost rates for your last completed fiscal year?
Fiscal year | Indirect cost rate | Basis of allocation |
Fringe Benefits | ______ | ______ |
Overhead | ______ | ______ |
G&A Expense | ______ | ______ |
Other | ______ | ______ |
Yes __ No __
If yes, give name, date of approval, and location of the Government agency:
_______________________________
Date of last preaward audit review by a Government agency:
_______________________________
If the answer is no, data supporting the proposed rates must accompany the cost or price proposal. A breakdown of the items comprising overhead and G&A must be furnished.
Accounting Department _______________________________
Contracting Department _______________________________
Other (describe) _______________________________
Yes __ No __
If yes, give name, date of approval, and location of the Government agency:
_______________________________
_______________________________
Has your purchasing system been approved by a Government agency?
Yes __ No __
If yes, name and location of the Government agency:
_______________________________
Period of Approval: _______________________________
If no, do you estimate that your negotiated sales to the Government during the next twelve months will meet the $25 million threshold? Yes __ No __
If you responded yes to the $25 million threshold question, is EPA the cognizant agency for your organization based on the preponderance of Government contract dollars?
Yes __ No __
If EPA is not your cognizant Government agency, provide the name and location of the cognizant agency __________________________________
_______________________________
Are your purchasing policies and procedures written?
Yes __ No __
Yes __ No __
(End of provision)
48 C.F.R. §§1552.215-73