[Code of Federal Regulations] [Title 48, Volume 6] [Revised as of October 1, 2005] From the U.S. Government Printing Office via GPO Access [CITE: 48CFR1552.215-76] [Page 83-85] TITLE 48--FEDERAL ACQUISITION REGULATIONS SYSTEM CHAPTER 15--ENVIRONMENTAL PROTECTION AGENCY PART 1552_SOLICITATION PROVISIONS AND CONTRACT CLAUSES--Table of Contents Subpart 1552.2_Texts of Provisions and Clauses Sec. 1552.215-76 General financial and organizational information. As prescribed in 1515.407(a)(3), insert the following provisions: [[Page 84]] General Financial and Organizational Information (APR 1984) 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submitted the information, it should certify the validity of that data currently on file at EPA or update all outdated information on file. (a) Contractor's Name: --------. (b) Address (If financial records are maintained at some other location, show the address of the place where the records are kept): ________________________________________________________________________ (c) Telephone Number: --------. (d) Individual(s) to contact re this proposal: ________________________________________________________________________ (e) Cognizant Government: Audit Agency:__________________________________________________________ Address:_______________________________________________________________ Auditor:_______________________________________________________________ (f)(1) Work Distribution for the Last Completed Fiscal Accounting Period: 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 entity or division? ________________________________________________________________________ If a division or subsidiary corporation, name parent company: ________________________________________________________________________ (h) Date Company Organized: --------. (i) Manpower: Total Employer:________________________________________________________ Direct:________________________________________________________________ Indirect:______________________________________________________________ Standard Work Week (Hours):____________________________________________ (j) Commercial Products: --------. (k) Attach a current organizational chart of the company. (l) Description of Contractor's system of estimating and accumulating costs under Government contracts. (Check appropriate blocks.) ------------------------------------------------------------------------ Estimated/ Standard actual cost 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 and address of agency: ________________________________________________________________________ Has your cost accumulation system been approved by any Government agency? Yes ---- No ---- If yes, give name and address of agency: ________________________________________________________________________ (m) What is your fiscal year period? (Give month-to-month dates): ________________________________________________________________________ What were the indirect cost rates for your last completed fiscal year? ------------------------------------------------------------------------ Indirect cost Basis of Fiscal year rate allocation ------------------------------------------------------------------------ Fringe Benefits............................. .............. .......... Overhead.................................... .............. .......... G&A Expense................................. .............. .......... Other....................................... .............. .......... ------------------------------------------------------------------------ (n) Have the proposed indirect cost rate(s) been evaluated and accepted by any Government agency? Yes ---- No ---- If yes, name 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.) (o) Cost estimating is performed by: Accounting Department__________________________________________________ Contracting Department_________________________________________________ Other__________________________________________________________________ (describe) (p) Has system of control of Government property been approved by a Government agency? Yes ---- No ---- If yes, name and location of the Government agency: ________________________________________________________________________ (q) Purchasing System: FAR 44.302 requires EPA, where it is the cognizant Government agency, to conduct a Contractor Purchasing System Review for each contractor whose sales to the Government, using other than sealed bid procedures, are expected to exceed $10 million (annual billings) during the next [[Page 85]] twelve months. The $10 million sales threshold is comprised of prime contracts, subcontracts under Government prime contracts, and modifications (except when the negotiated price is based on established catalog or market prices or is set by law or regulation). 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 $10 million threshold? Yes ---- No ---- If you respond yes to the $10 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 ---- (r) Does your firm have an established written incentive competition or bonus plan? Yes ---- No ---- (End of provision) (Approved by the Office of Management and Budget under control number 2030-0006) [49 FR 8867, Mar. 8, 1984, as amended at 54 FR 36980, Sept. 6, 1989; 55 FR 13535, Apr. 11, 1990]