Fillable Printable Settlement Proposal (Inventory Basis)

Settlement Proposal (Inventory Basis)

SETTLEMENT PROPOSAL (INVENTORY BASIS)

FOR USE BY A FIXED-PRICE PRIME CONTRACTOR OR FIXED-PRICE SUBCONTRACTOR

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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.

THIS PROPOSAL APPLIES TO (Check one)

OMB Control Number: 9000-0012

Expiration Date: 2/29/2020

A PRIME CONTRACT WITH

THE GOVERNMENT

SUBCONTRACT OR

PURCHASE ORDER

COMPANY

STREET ADDRESS

CITY AND STATE (Include ZIP Code)

SUBCONTRACT OR PURCHASE ORDER NUMBER(S).

CONTRACTOR WHO SENT NOTICE OF TERMINATION

NAME

ADDRESS (Include ZIP Code)

If moneys payable under the contract have been assigned, give the following:

NAME OF ASSIGNEE

ADDRESS (Include ZIP Code)

NAME OF GOVERNMENT AGENCY

GOVERNMENT PRIME CONTRACT NUMBER CONTRACTOR'S REFERENCE NUMBER

EFFECTIVE DATE OF TERMINATION

PROPOSAL NUMBER CHECK ONE

INTERIM

FINAL

SF 1439, SCHEDULE OF ACCOUNTING INFORMATION

IS NOT ATTACHED (If not, explain below)

SECTION I - STATUS OF CONTRACT OR ORDER AT EFFECTIVE DATE OF TERMINATION

FINISHED

PRODUCTS COVERED BY TERMINATED

CONTRACT OR PURCHASE ORDER

(a)

PREVIOUSLY

SHIPPED AND

INVOICED

QUANTITY

(b)

(e) (f) (g)

PAYMENT TO BE

RECEIVED

THROUGH

INVOICING

INCLUDED IN THIS

PROPOSAL

TO BE

COMPLETED

(Partial

termination only)

ON HAND

NOT TO BE

COMPLETED

TOTAL

COVERED BY

CONTRACT

OR ORDER

UNFINISHED OR NOT

COMMENCED

SECTION II - PROPOSED SETTLEMENT

NUMBER

ITEM

(a)

(b)

(e)

TOTAL

PREVIOUSLY

PROPOSED

(Use Columns (b) and (c) only where

previous proposal has been filed)

INCREASE OR

DECREASE BY

THIS PROPOSAL

TOTAL

PROPOSED TO

DATE

FOR USE OF

CONTRACTING

AGENCY ONLY

METALS

RAW MATERIALS (other than metals)

PURCHASED PARTS

FINISHED COMPONENTS

MISCELLANEOUS INVENTORY

WORK-IN-PROCESS

SPECIAL TOOLING AND SPECIAL TEST EQUIPMENT

OTHER COSTS (from Schedule B)

GENERAL AND ADMINISTRATIVE EXPENSES (from Schedule C)

TOTAL (Items 1 to 9 inclusive)

PROFIT (explain in Schedule D)

SETTLEMENT EXPENSES (from Schedule E)

TOTAL (Items 10 to 12 inclusive)

SETTLEMENTS WITH SUBCONTRACTORS (from Schedule F)

ACCEPTABLE FINISHED PRODUCT

GROSS PROPOSED SETTLEMENT (Items 13 thru 15)

DISPOSAL AND OTHER CREDITS (from Schedule G)

NET PROPOSED SETTLEMENT (Item 16 less 17)

ADVANCE, PROGRESS & PARTIAL PAYMENTS (from Schedule H)

NET PAYMENT REQUESTED (Item 18 less 19)

(When the space provided for any information is insufficient, continue on a separate sheet.)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 1435 (REV. 3/2016)

Prescribed by GSA - FAR (48 CFR) 53.2

STANDARD FORM 1435 (REV. 3/2016) PAGE 2

SCHEDULE A - ANALYSIS OF INVENTORY COST (Items 4 and 6)

Furnish the following information (unless not reasonably available) for inventories of finished components and work-in-progress included in this proposal:

TOTAL DIRECT

LABOR

TOTAL DIRECT

MATERIALS

TOTAL INDIRECT

EXPENSES

TOTAL

FINISHED COMPONENTS

WORK-IN-PROGRESS

NOTE: Individual items of small amounts maybe grouped into a single entry in Schedules B, C, D, and G.

SCHEDULE B - OTHER COSTS (Item 8)

ITEM

EXPLANATION

AMOUNT

FOR USE OF

CONTRACTING

AGENCY ONLY

SCHEDULE C - GENERAL AND ADMINISTRATIVE EXPENSES (Item 9)

DETAIL OF EXPENSES

AMOUNT

AMOUNTEXPLANATION

FOR USE OF

CONTRACTING

AGENCY ONLY

FOR USE OF

CONTRACTING

AGENCY ONLY

SCHEDULE D - PROFIT (Item 11)

(Where the space provided for any information is insufficient, continue on a separate sheet.)

STANDARD FORM 1435 (REV. 3/2016) PAGE 3

AMOUNT

EXPLANATIONITEM

FOR USE OF

CONTRACTING

AGENCY ONLY

FOR USE OF

CONTRACTING

AGENCY ONLY

FOR USE OF

CONTRACTING

AGENCY ONLY

SCHEDULE E - SETTLEMENT EXPENSES (Item 12)

SCHEDULE F - SETTLEMENTS WITH IMMEDIATE SUBCONTRACTORS AND SUPPLIERS (Item 14)

AMOUNT OF

SETTLEMENT

BRIEF DESCRIPTION OF PRODUCT CANCELLED

NAME AND ADDRESS OF SUBCONTRACTOR

DESCRIPTION

SCHEDULE G - DISPOSAL AND OTHER CREDITS (Item 17)

(If practicable, show separately amount of disposal credits applicable to acceptable finished product included in Item 15.)

(Where the space provided for any information is information is insufficient, continue on a separate sheet.)

STANDARD FORM 1435 (REV. 3/2016) PAGE 4

AMOUNT

FOR USE OF

CONTRACTING

AGENCY ONLY

SCHEDULE H - ADVANCE, PROGRESS AND PARTIAL PAYMENTS (Item 19)

DATE TYPE OF PAYMENT

(Where the space provided for any information is insufficient, continue on separate sheet.)

NAME OF CONTRACTOR

NAME OF SUPERVISORY ACCOUNTING OFFICIAL

BY (Signature of authorized official)

TITLE

DATE

CERTIFICATE

This is to certify that the undersigned, individually, and as an authorized representative of the Contractor, has examined this termination settlement proposal

and that, to the best knowledge and belief of the undersigned:

(a) AS TO THE CONTRACTOR'S OWN CHARGES. The proposed settlement (exclusive of charges set forth in Item 14) and supporting schedules and

explanations have been prepared from the books of account and records for the Contractor in accordance with recognized commercial accounting practices;

they include only those charges allocable to the terminated portion of this contract; they have been prepared with knowledge that they will, or may, be used

directly or indirectly as the basis of settlement of termination settlement proposal or claim against an agency of the Unites States; and the charges as stated are

fair and reasonable.

(b) AS TO THE SUBCONTRACTORS' CHARGES. (1) The contractor has examined, or caused to be examined, to an extent it considered adequate in the

circumstances, the termination settlement proposals of its immediate subcontractors (exclusive of proposals filed against these immediate subcontractors by

their subcontractors); (2) The settlements on account of immediate subcontractors own charges are fair and reasonable, the charges are allocable to the

terminated portion of this contract, and the settlements were negotiated in good faith and are not fair and reasonable to its immediate subcontractors than those

that the Contractor would make if reimbursement by the Government were not involved; (3) The Contractor has received from all its immediate subcontractors

appropriate certificates with respect to their termination settlement proposals, which certificates are substantially in the form of this certificate; and (4) The

Contractor has no information leading it ti doubt (i) the reasonableness of the settlements with more remote subcontractors or (ii) that the charges for them are

allocable to this contract. Upon receipt by the Contractor of amounts covering settlements with its immediate subcontractors, the Contractor will pay or credit

them promptly with the amounts so received, to the extent that it has not previously done so. The term "subcontractors," as used above, includes suppliers.

NOTE: The Contractor shall, under conditions stated in FAR 15.403, be required to submit a Certificate of Current Cost or Pricing Data (see FAR 15.406-2 and

15.408 Table 15-2).)