Fillable Dd Form 2759 - Report Of Other Transactions For Prototype Projects printable pdf download

Dd Form 2759 - Report Of Other Transactions For Prototype Projects

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REPORT CONTROL SYMBOL

REPORT OF OTHER TRANSACTIONS FOR PROTOTYPE PROJECTS

DD-AT&L(AR)2037

3. CONTRACTING

1. TYPE OF REPORT

2. REPORT NUMBER

4. NAME OF CONTRACTING OFFICE

OFFICE CODE

0 Original

1 Cancelling

2 Correcting

5. AGREEMENTS OFFICER

6. PIIN

b. TELEPHONE

7. MODIFICATION

(Include Area Code)

NUMBER

a. NAME (Last, First, Middle Initial)

10. DUNS NUMBER

11. CAGE

12. CONSORTIUM

8. ACTION DATE (YYYYMMDD)

9. COMPLETION DATE (YYYYMMDD)

CODE

AGREEMENT

Y Yes

N No

13. AWARDEE INFORMATION

a. NAME

b. ADDRESS (Street, City, State and ZIP Code)

c. TYPE OF ENTITY

1 - Non-Profit

2 - Traditional Contractor

3 - Nontraditional Defense

Contractor

14. SIGNIFICANT NONTRADITIONAL DEFENSE CONTRACTORS (Continue on additional sheets if necessary)

a. NAME

b. ADDRESS (Street, City, State and ZIP Code)

15. AWARDEE TYPE OF BUSINESS

16. WOMAN-OWNED BUSINESS

M Domestic Firm Performing Outside U.S.

A Small Disadvantaged Business Performing in U.S.

T Historically Black Colleges and Universities

Y Yes

B Other Small Business Performing in U.S.

U Minority Institutions

N No

C Large Business Performing in U.S.

V Other Educational

U Unknown

L Foreign Concern/Entity

Z Other Nonprofit

17. TIN

18. PARENT TIN

19. PARENT NAME

20. PRINCIPAL PLACE OF PERFORMANCE

a. CITY OR PLACE CODE

b. STATE OR COUNTRY CODE

c. CITY OR PLACE AND STATE OR COUNTRY NAME

22. COUNTRY OF ORIGIN

21. PLACE OF MANUFACTURE

23. PROTOTYPE PROJECT

CODE

A U.S.

a. NAME

b. COSSI

B Foreign

Y Yes

N No

24. PRINCIPAL PRODUCT OR SERVICE

a. FSC OR

b. DOD CLAIMANT

c. PROGRAM, SYSTEM

d. SIC/NAICS CODE

e. NAME/DESCRIPTION

SVC CODE

PROGRAM CODE

OR EQUIPMENT CODE

25. TYPE OF

26. TOTAL DOLLARS

27. TYPE OF ACTION

D Within Scope Change

28. CREDITED PAYMENTS

OBLIGATION

F Termination

A Initial Award

Y Yes

1 Obligation

B Out of Scope Change

G Cancellation

N No

C Funding Action

2 Deobligation

H Exercise of an Option

29. TYPE OF INSTRUMENT

30. FINANCING

31. PARTICIPANT COST-SHARE

A Progress Payments

E Commercial Financing

Fixed-Price Type of Agreement

b. PERCENT

a. AMOUNT

D Unusual Progress Payments or

F Payable Milestones

U Cost-Type of Agreement

Advance Payments

Z Not Applicable

W Other

32. TOTAL AMOUNT

34. NUMBER OF OFFERORS

35. NUMBER OF

36. REASON JUSTIFYING USE OF

33. EXTENT COMPETED

OF AGREEMENT

SOLICITED

OFFERS RECEIVED

OTA

A Competed Action

A Nontraditional Defense

1 One

C Follow-on to Competed

Contractor(s)

Action

2 More than One

B Cost-Sharing

D Not Competed

C SPE Determination

DD FORM 2759TEST, DEC 2000

PREVIOUS EDITION IS OBSOLETE.

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Dd Form 2759 - Report Of Other Transactions For Prototype Projects

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