Disclosure Statement

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DISCLOSURE STATEMENT
COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION
Note: This notice does not apply to small businesses or foreign governments.
Offerors shall provide the requested information in order to determine Cost Accounting Standards
(CAS) requirements applicable to any resultant contract.
The offeror certifies that it is a public or nonprofit institution of higher education, as defined in 20
U.S.C. 1141(a), and is not a Federally Funded Research and Development Corporation, nor has been
awarded existing contracts that incorporate full CAS coverage. Such offerors shall provide the
information requested in Parts I and III only.
DISCLOSURE STATEMENT – COST ACCOUNTING PRACTICES AND
I.
CERTIFICATION
(a) Any contract in excess of $700,000 resulting from this solicitation will be subject to the
requirements of the Cost Accounting Standards Board (48 CFR Chapter 99), except for those
contracts which are exempt as specified in 48 CFR 9903.201-1.
(b) Any offeror submitting a proposal which, if accepted, will result in a contract subject to the
requirements of 48 CFR Chapter 99 must, as a condition of contracting, submit a Disclosure
Statement as required by 48 CFR 9903.202. When required, the Disclosure Statement must be
submitted as a part of the offeror’s proposal under this solicitation unless the offeror has
already submitted a Disclosure Statement disclosing the practices used in connection with the
pricing of this proposal. If an applicable Disclosure Statement has already been submitted, the
offeror may satisfy the requirement for submission by providing the information requested in
paragraph (c) of Part I of this provision.
CAUTION: In the absence of specific regulations or agreement, a practice disclosed in
a Disclosure Statement shall not, by virtue of such disclosure, be deemed to be a
proper, approved, or agreed-to practice for pricing proposals or accumulating and
reporting contract performance cost data.
(c) Check the appropriate box below:
(1) Certificate of Concurrent Submission of Disclosure Statement.
The offeror hereby certifies that, as a part of the offer, copies of the Disclosure
Statement have been submitted as follows: (i) original and one copy to the
cognizant Administrative Contracting Officer (ACO) or cognizant Federal
agency official authorized to act in that capacity (Federal official), as
applicable, and (ii) one copy to the cognizant Federal auditor.
SA5243 Rev. 01/31/2013
Verify Current Revision of Form

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