CONTRACT PRICING PROPOSAL COVER SHEET

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CONTRACT PRICING PROPOSAL COVER SHEET 1. SOLICITATION/CONTRACT/MODIFICATION

    NO.

FORM APPROVED

OMB NO.

3090-0116

NOTE:  This form is used in contract actions if submission of cost or pricing data is required.  (See FAR 15.804-6(b))

2. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 

Duke University

3A. NAME AND TITLE OF OFFEROR00 POINT

         OF CONTACT

Judith Dillon, Director, ORS

3B. TELEPHONE NO. 

919-684-3030

Office of Research Support 4. TYPE OF CONTRACT ACTION (Check) 334 North Building, Research Drive   A. NEW CONTRACT   D. LETTER CONTRACT Durham, NC 27708   B. CHANGE ORDER   E. UNPRICED ORDER     C. PRICE REVISION/

     REDETERMINATION

  F. OTHER (Specify) 5. TYPE OF CONTRACT (Check) 6. PROPOSED COST (A+B=C) 00/font> FFP 00/font> CPFF  CPIF 00/font> CPAF

00/font> FPI                    00/font> OTHER (Specify) - cost reimbursement

A. COST

$

B. PROFIT/FEE

$   N/A

C. TOTAL

$

7. PLACE(S) AND PERIOD(S) OF PERFORMANCE 

 

8. 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.  
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 

9. PROVIDE NAME, ADDRESS, AND, TELEPHONE NUMBER FOR THE FOLLOWING (If available)

A. CONTRACT ADMINISTRATION OFFICE  

ONR Representative

100 Alabama Street, NW, Suite 4R15

Atlanta, GA 30303-3104

B. AUDIT OFFICE  

 DHHS Audit Agency, Regional Director

 61 Forsyth Street, SW Room 3T41

 Atlanta, GA 30303-8909

  10. WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY

      IN THE PERFORMANCE OF THIS WORK? (If 00es,00identify)

 
 
 

  00/font> YES     00/font> NO

11A. DO YOU REQUIRE GOVERN-

         MENT CONTRACT FINANCING

         TO PERFORM THIS PROPOSED

         CONTRACT?  (If 00es,00complete

         Item 11B)

00/font> YES    00/font> NO

11B. TYPE OF FINANCING (眉 one)  

  00/font> ADVANCE    00/font> PROGRESS

          PAYMENTS          PAYMENTS

 

  00/font> GUARANTEED LOANS

12. HAVE YOU BEEN AWARDED ANY CONTRACTS OR SUBCONTRACTS

      FOR THE SAME OR SIMILAR ITEMS WITHIN THE PAST 3 YEARS?

     (If 00es,00 identify item(s), customer(s) and contract number(s))

  00/font> YES     00/font> NO

 
 
13. IS THIS PROPOSAL CONSISTENT WITH YOUR ESTABLISHED ESTI-

     MATING AND ACCOUNTING PRACTICES AND PROCEDURES AND

      FAR PART 31 COST PRINCIPLES? (If 00o,00explain)

00/font> YES    00/font> NO

 
 

14. COST ACCOUNTING STANDARDS BOARD (CASB) DATA (Public Law 91-379 as amended and FAR PART 30)

A. WILL THIS CONTRACT ACTION BE SUBJECT TO CASB REGULATIONS?

    (If 00o,00 explain in proposal)

 

  00/font> YES     00/font> NO

B. HAVE YOU SUBMITTED A CASB DISCLOSURE STATEMENT

    (CASB DS-1 OR 2)?  (If 00es,00specify in proposal the office to which

    submitted and if determined to be adequate)

 

00/font> YES     00/font>  NO.

C. HAVE YOU BEEN NOTIFIED THAT YOU ARE OR MAY BE IN NON-

    COMPLIANCE WITH YOUR DISCLOSURE STATEMENT OR COST

    ACCOUNTING STANDARDS? (If 00es,00explain in proposal)

  00/font> YES     00/font> NO

D. IS ANY ASPECT OF THIS PROPOSAL INCONSISTENT WITH YOUR

    DISCLOSED PRACTICES OR APPLICABLE COST ACCOUNTING

    STANDARDS? (If 00es,00explain in proposal)

00/font> YES     00/font> NO

This proposal is submitted in response to the RFP contract, modification, etc. in Item 1 and reflects our best estimates and/or actual costs as of this date.

15. NAME AND TITLE (Type)  

Judith Dillon, Director, Office of Research Support

16. NAME OF FIRM  

Duke University

17. SIGNATURE  
18. DATE OF SUBMISSION  
NSN 7540-01-142-9845 1411-101 STANDARD FORM 1411 (1C-83)

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