Dd Form 350 - Individual Contracting Action Report Page 3

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INDIVIDUAL CONTRACTING ACTION REPORT
DD-AT&L(M)1014
Report Control Symbol
C5
Type of Contract ____ (A) Fixed-Price Redetermination; (J) Firm-Fixed-Price; (K)
Fixed-Price Economic Price Adjustment; (L) Fixed-Price Incentive; (M) Fixed-Price-
Award-Fee; (R) Cost-Plus-Award-Fee; (S) Cost Contract; (T) Cost-Sharing; (U) Cost-
Plus-Fixed-Fee; (V) Cost-Plus-Incentive-Fee; (Y) Time-and-Materials; or (Z) Labor-
Hour
C6
Number of Offerors Solicited ____(1) One; or (2) More than One
C7
Number of Offers Received ________
C8
Solicitation Procedures ____ (A) Full and Open Competition – Sealed Bid; (B) Full and
Open Competition – Competitive Proposal; (C) Full and Open Competition –
Combination; (D) Architect-Engineer; (E) Basic Research; (F) Multiple Award Schedule;
(G) Alternative Sources; (K) Set-Aside; or (N) Other than Full and Open Competition
C9
Authority for Other Than Full and Open Competition ____ (1A) Unique Source; (1B)
Follow-On Contract; (1C) Unsolicited Research Proposal; (1D) Patent or Data Rights;
(1E) Utilities; (1F) Standardization; (1G) Only One Source – Other; (2A) Urgency; (3A)
Particular Sources; (4A) International Agreement; (5A) Authorized by Statute; (5B)
Authorized Resale; (6A) National Security; or (7A) Public Interest
C10
Subject to Labor Standards Statutes ____ (A) Walsh-Healey Act; (C) Service Contract
Act; (D) Davis-Bacon Act; or (Z) Not Applicable
C11
Cost or Pricing Data ____ (Y) Yes – Obtained; (N) No – Not Obtained; or (W) Not
Obtained - Waived
C12
Contract Financing ____ (A) FAR 52.232-16; (C) Percentage of Completion Progress
Payments; (D) Unusual Progress Payments or Advance Payments; (E) Commercial
Financing; (F) Performance-Based Financing; or (Z) Not Applicable
C13
Foreign Trade Data
C13A Place of Manufacture ____ (A) U.S.; or (B) Foreign
C13B Country of Origin Code _______
C14
Commercial Item ____(Y) Yes – FAR 52.212-4 Included; or (N) No – FAR 52.212-4
Not Included
Do not complete Part D if Line B5B is coded Y or if Line B13A is coded 6.
D1
Type of Contractor
D1A
Type of Entity ____(A) Small Disadvantaged Business (SDB) Performing in U.S.; (B)
Other Small Business (SB) Performing in U.S.; (C) Large Business Performing in U.S.;
(D) JWOD Participating Nonprofit Agency; (F) Hospital; (L) Foreign Concern or Entity;
(M) Domestic Firm Performing Outside U.S.; (T) Historically Black College or
University (HBCU); (U) Minority Institution (MI); (V) Other Educational or (Z) Other
Nonprofit
D1B
Women-Owned Business ____ (Y) Yes; (N) No; or (U) Uncertified
D1C
HUBZone Representation ____(Y) Yes; or (N) No
D1D
Ethnic Group ____ (A) Asian-Indian American; (B) Asian-Pacific American; (C) Black
American; (D) Hispanic American; (E) Native American; (F) Other SDB Certified or
Determined by SBA; or (Z) No Representation
D1E
Veteran-Owned Small Business ____ (A) Service-Disabled Veteran; or (B) Other
Veteran
DD FORM 350, OCT 2003
3

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