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Expiration Date: 2/28/2017
SCHEDULE ACCOUNTING INFORMATION
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The
OMB control number for this collection is 9000-0012. We estimate that it will take 2.5 hours to read the instructions, gather the facts, and answer the questions.
Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S.
General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
To be used by prime contractors submitting termination proposals under part 49 of the Federal Acquisition Regulation. Also suitable for use by
subcontractor in effecting subcontract settlements with prime contractor or immediate subcontractor.
THIS PROPOSAL APPLIES TO (Check one)
A PRIME CONTRACT WITH
SUBCONTRACT OR
THE GOVERNMENT
PURCHASE ORDER
SUBCONTRACT OR PURCHASE ORDER NUMBER(S)
CONTRACTOR WHO SENT NOTICE OF TERMINATION
COMPANY (Prime or Subcontractor)
STREET ADDRESS
CITY AND STATE (Include ZIP Code)
NAME AND ADDRESS (Include ZIP Code)
NAME OF GOVERNMENT AGENCY
GOVERNMENT PRIME
CONTRACT NUMBER
CONTRACTOR'S
REFERENCE NUMBER
EFFECTIVE DATE OF
TERMINATION
1. INDIVIDUAL IN YOUR ORGANIZATION FROM WHOM ADDITIONAL INFORMATION MAY BE REQUESTED ON QUESTIONS RELATING TO:
PROPERTY DISPOSAL
ACCOUNTING MATTERS
NAME
NAME
TITLE
TELEPHONE NUMBER
ADDRESS (Include ZIP Code)
TITLE
TELEPHONE NUMBER
ADDRESS (Include ZIP Code)
2. ARE THE ACCOUNTS OF THE CONTRACTOR SUBJECT TO REGULAR PERIODIC EXAMINATION BY INDEPENDENT PUBLIC ACCOUNTANTS?
YES
NO
(Name and address of accountants)
3. INDEPENDENT ACCOUNTANTS, IF ANY, WHO HAVE REVIEWED OR ASSISTED IN THE PREPARATION OF THE ATTACHED PROPOSAL
NAME
ADDRESS (Include ZIP Code)
4. GOVERNMENT AGENCY(IES) WHICH HAVE REVIEWED YOUR ACCOUNTS IN CONNECTION WITH
PRIOR SETTLEMENT PROPOSALS DURING THE CURRENT AND PRECEDING FISCAL YEAR
NAME
ADDRESS (Include ZIP Code)
5. HAVE THERE BEEN ANY SIGNIFICANT DEVIATIONS FROM YOUR REGULAR ACCOUNTING PROCEDURES AND POLICIES IN ARRIVING AT THE COSTS SET FORTH IN
THE ATTACHED PROPOSAL? (If "yes," explain briefly)
YES
NO
6. WERE THE DETAILED COST RECORDS USED IN PREPARING THE PROPOSAL CONTROLLED BY AND IN AGREEMENT WITH YOUR GENERAL BOOKS OF ACCOUNT?
YES
NO
7. STATE METHOD OF ACCOUNTING FOR TRADE AND CASH DISCOUNTS EARNED, REBATES, ALLOWANCES, AND VOLUME PRICE ADJUSTMENTS.
ARE SUCH ITEMS EXCLUDED FROM COSTS PROPOSED?
YES
NO
(Where the space provided for any information is insufficient, continue on a separate sheet.)
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is usable
STANDARD FORM 1439 (REV. 7/1989)
Prescribed by GSA-FAR (48 CFR) 53.249(a)(6)
8. STATE METHOD OF RECORDING AND ABSORBING (1) GENERAL ENGINEERING AND GENERAL DEVELOPMENT EXPENSE AND (2) ENGINEERING AND DEVELOPMENT
EXPENSE DIRECTLY APPLICABLE TO THE TERMINATED CONTRACT.
9. STATE TYPES 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.
10. METHOD OF ALLOCATING GENERAL AND ADMINISTRATIVE EXPENSE.
11. ARE COSTS AND INCOME FROM CHANGE ORDERS SEGREGATED FROM OTHER CONTRACT COSTS AND INCOME? (If "Yes," by what methods?)
YES
NO
12. METHOD OF COMPUTING PROFIT SHOWN IN THE ATTACHED PROPOSAL AND REASON FOR SELECTING THE METHOD USED. FURNISH ESTIMATE OF AMOUNT
OR RATE OF PROFIT IN DOLLARS OR PERCENT ANTICIPATED HAD THE CONTRACT BEEN COMPLETED.
13. ARE SETTLEMENT EXPENSES APPLICABLE TO PREVIOUSLY TERMINATED CONTRACTS EXCLUDED FROM THE ATTACHED PROPOSALS? (If "NO," explain.)
YES
NO
14. DOES THIS PROPOSAL INCLUDE CHARGES FOR MAJOR INVENTORY ITEMS AND PROPOSALS OF SUBCONTRACTORS COMMON TO THIS TERMINATED
CONTRACT AND OTHER WORK OF THE CONTRACTOR? (If "Yes," explain the method used in allocating amounts to the terminated portion of this contract.)
YES
NO
15. EXPLAIN BRIEFLY YOUR METHOD OF PRICING INVENTORIES, INDICATING WHETHER MATERIAL HANDLING COST HAS BEEN INCLUDED IN CHARGES FOR
MATERIALS.
16. ARE ANY PARTS, MATERIALS, OR FINISHED PRODUCT, KNOWN TO BE DEFECTIVE, INCLUDED IN THE INVENTORIES? (If "Yes," explain.)
YES
NO
(Where the space provided for any information is insufficient, continue on a separate sheet.)
STANDARD FORM 1439 (REV. 7/1989) PAGE 2
17. WERE INVENTORY QUANTITIES BASED ON A PHYSICAL COUNT AS OF THE DATE OF TERMINATION? (If "No," explain exceptions.)
YES
NO
18. DESCRIBE BRIEFLY THE NATURE OF INDIRECT EXPENSE ITEMS INCLUDED IN INVENTORY COSTS (See Schedule A, SF 1435) AND EXPLAIN YOUR METHOD OF
ALLOCATION USED IN PREPARING THIS PROPOSAL, INCLUDING IF PRACTICABLE, THE RATES USED AND THE PERIOD OF TIME UPON WHICH THEY ARE BASED.
19. STATE GENERAL POLICIES RELATING TO DEPRECIATION AND AMORTIZATION OF FIXED BASES, UNDERLYING POLICIES.
20. DO THE COSTS SET FORTH IN THE ATTACHED PROPOSAL INCLUDE PROVISIONS FOR ANY RESERVES OTHER THAN DEPRECIATION RESERVES? (If "Yes," list
such reserves.)
YES
NO
21. STATE POLICY OR PROCEDURE FOR RECORDING AND WRITING OFF STARTING LOAD.
22. STATE POLICIES FOR DISTINGUISHING BETWEEN CHARGES TO CAPITAL (FIXED) ASSET ACCOUNTS AND TO REPAIR AND MAINTENANCE ACCOUNTS.
23. ARE PERISHABLE TOOLS AND MANUFACTURING SUPPLIES CHARGES DIRECTLY TO CONTRACT COSTS OR INCLUDED IN INDIRECT EXPENSES?
(Where the space provided for any information is insufficient, continue on a separate sheet.)
STANDARD FORM 1439 (REV. 7/1989) PAGE 3
24. HAVE ANY CHARGES FOR SEVERANCE, DISMISSAL, OR SEPARATION PAY BEEN INCLUDED IN THIS PROPOSAL? (If "Yes," furnish brief explanation and estimates of
amounts included.)
YES
NO
25. STATE POLICIES RELATING TO RECORDING OF OVERTIME SHIFT PREMIUMS AND PRODUCTION BONUSES.
26. DOES CONTRACTOR HAVE A PENSION PLAN? (If "YES", state method of funding and absorption of past and current pension service costs.)
YES
NO
27. IS THIS SETTLEMENT PROPOSAL BASED ON STANDARD COSTS?
YES (If "Yes," has adjustment to actual cost or adjustment for any significant variations been made?)
YES
NO (If "No," explain)
NO
28. DOES THIS PROPOSAL INCLUDE ANY ELEMENT OF PROFIT TO THE CONTRACTOR OR RELATED ORGANIZATION, OTHER THAN (a) PROFIT SET FORTH
SEPARATELY IN THE PROPOSAL OR (b) PROFIT INCLUDED IN THE CONTRACT PRICE AT WHICH ACCEPTABLE FINISHED PRODUCT, IF ANY, IS INCLUDED IN THE
PROPOSAL? (If "Yes," explain briefly.)
YES
NO
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. STATE POLICY AND PROCEDURE FOR VERIFICATION AND NEGOTIATION OF SETTLEMENTS WITH SUBCONTRACTORS AND VENDORS.
CERTIFICATE
THIS CERTIFIES THAT, TO THE BEST KNOWLEDGE AND BELIEF OF THE UNDERSIGNED, THE ABOVE STATEMENTS ARE TRUE AND CORRECT
NAME OF CONTRACTOR
BY (Signature of supervisory accounting official)
TITLE
DATE
(Where the space provided for any information is insufficient, continue on a separate sheet.)
STANDARD FORM 1439 (REV. 7/1989) PAGE 4
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File Modified | 2016-09-15 |
File Created | 2016-09-15 |