NOTE: The Architect-Engineer shall check the certification below w hich is applicable to their enterprise, and if required, provide the necessary
substantiating information.
CERTIFICATION OF CONCURRENT SUBMISSION OF DISCLOSURE STATEMENTS
The offeror hereby certifies submission, as part of the proposal under this solicitation, copies of the Disclosure Statements as follows: (i) Original and one copy
to the cognizant Contracting Officer; (ii) one copy to the cognizant contract auditor; and (iii) one copy to the Cost Accounting Standards Board, 441 G. Street,
NW, Washington, DC 20548
DATE OF DISCLOSURE STATEMENT
NAME AND ADDRESS OF COGNIZANT CONTRACTING OFFICERS WHERE FILED
The offeror further certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices in the Disclosure Statements.
CERTIFICATION OF MONETARY EXEMPTION
The offeror hereby certifies that, together with all divisions, subsidiaries, and affiliates under common control, they did not (1) receive a single CAS-covered contract
award if million or more; (2) Receive million or more in CAS-covered contract awards during its preceding accounting period; (3) Receive less than million
in CAS-covered contract awards during its preceding cost accounting period but such awards were 10 percent or more of total sales.
CERTIFICATION OF PREVIOUSLY SUBMITTED DISCLOSURE STATEMENTS
The offeror hereby certifies that the Disclosure Statements were filed as follows:
DATE OF DISCLOSURE STATEMENT
NAME AND ADDRESS OF COGNIZANT CONTRACTING OFFICERS WHERE FILED
The offeror hereby certifies that practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in this Disclosure Statement
CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER
DATE
CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER
DATE
CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER
DATE
CONCUR - SIGNATURE AND TYPED NAME OF ARCHITECT - ENGINEER
DATE
DATE
CONCUR - SIGNATURE AND TYPED NAME OF CONTRACTING OFFICER
DISTRIBUTION: (082A) - CC: A/E and Proposed File
VA FORM
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JAN 1999 (R)
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