U.S. DOC Form doc-cd-409
FORM CD-409
(REV. 12-98) LF
FAR (48 CFR 4.601)
U.S. DEPARTMENT OF COMMERCE
INDIVIDUAL CONTRACT ACTION REPORT
(OVER $25,000)
1. REPORTING AGENCY (FIPS 95)
2. DOC CONTRACT, PURCHASE OR DELIVERY ORDER NUMBER
4. CONTRACT ORDERED AGAINST
5. CONTRACTING OFFICE
3. MODIFICATION OR CHANGE ORDER NUMBER
6. AWARD DATE
0 0 0
7. TYPE OF DATA ENTRY
8. REPORT PERIOD
A. Original
B. Deleting
C. Correcting
FY
DAY
Q
YR
A. Initial Letter Contract
B. Definitive Contract Superseding Letter Contract
C. New Definitive Contract
D. Purchases Using Simplified Acquisition Procedures
E. Order Under Single Award Indefinite Delivery Contract
F. Order Under BOA
B. ESTIMATED CONTRACT LIFE COST (Round to the nearest Dollar—Right Justify)
,
DAY
YR
9. KIND OF CONTRACT ACTION
A. READY REQUISITION DATE
MO
MO
G.
H.
J.
K.
L.
Z.
1.
2.
3.
4.
10. DOLLARS OBLIGATED (Round to the nearest Dollar—Right Justify)
,
,
11. TYPE OF OBLIGATION
Order/Modification Under Federal Schedule
Modification
Termination for Default
Termination for Convenience
Order Under Multiple Award Contract
Initial Load of Federal Schedule
Order Against ADP Schedule
Order Against GWAC-Single Award Contract
Order Against GWAC-Multiple Award Contract
Option Exercise Modification
,
12. PRINCIPAL PRODUCT/SERVICE CODE
A. Obligated
B. Deobligated
(From FPDS Product Service Code Manual)
13. PRINCIPAL STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE
14. COMMERCIAL ITEM ACQUISITION
Y = YES
N = NO
(OMB SIC Manual)
C. REVENUE GENERATING AGREEMENT
Y = YES
N = NO
15. CONTRACTOR NAME
D. CONTRACTOR DIVISION
E. STREET ADDRESS OR BOX NUMBER
F. CITY
STATE
ZIP CODE
16. CONTRACTOR IDENTIFICATION NO. (DUNS NUMBER)
17. PRINCIPAL PLACE OF ASSEMBLY, MANUFACTURER OR PERFORMACE
State or
Country
19. RESERVED
18. CONTRACT FOR FOREIGN GOVERNMENT OR INTERNATIONAL ORGANIZATION
City, Place or
County
20. MULTI-YEAR CONTRACT
Y = YES
N = NO
21. RESERVED
Y = YES
N = NO
23. SYNOPSIS CODE
A.
B.
C.
1.
2.
3.
4.
5.
Synopsized—Prior to Award
Not Synopsized—Due to Urgency
Not Synopsized—Other Reason
Not Synopsized—Utility Services, Only Source Available
Not Synopsized—Unsolicited Research Proposal/Proposal Under PL 97-219
Not Synopsized—Action Under Terms and Within Scope of Previously Synopsized Contract
Not Synopsized—Source Authorized or Required by Law
Not Synopsized—Waiver Pilot Program/Procurement Memorandum 98-07
22. COUNTRY OF MANUFACTURE (FIPS 10-3)
24. TYPE OF CONTRACT
A.
J.
K.
L.
R.
25. CICA APPLICABILITY
S.
T.
U.
V.
Y.
Z.
Fixed Price Redetermination
Firm Fixed Price
Fixed Price with Economic Price Adjustment
Fixed Price Incentive
Cost Plus Award Fee
Cost No Fee
Cost Sharing
Cost Plus Fixed Fee
Cost Plus Incentive Fee
Time and Materials
Labor Hours
A. CICA Applicable
B. Purchases Using Simplified Acquisition
Procedures
C. Subject to Statute Other Than CICA
D. Reserved
E. Commercial Items Acquisition Under Test Prog.
26. SOLICITATION PROCEDURES (Complete only if item 25 = A)
A.
B.
C.
D.
E.
Full and Open Competition—Sealed Bid
Full and Open Competition—Competitive Proposal
Full and Open Competition—Combination
Architect-Engineer
Basic Research
F.
G.
H.
J.
K.
L.
Multiple Award Schedule
Alternate Sources
Reserved
Reserved
Set-Aside (Exclude 8(a) Awards)
Other Than Full and Open Competition
27. AUTHORITY FOR OTHER THAN FULL AND OPEN COMPETITION (Complete only if item 26 = L)
A.
B.
C.
D.
E.
Unique Source
Follow-on Contract
Unsolicited Research Proposal
Patent/Data Rights
Utilities
F.
G.
H.
J.
K.
Standardization
Only One Source—Other
Urgency
Mobilization, Essential R&D Capability, & Expert Service
Reserved
28. NUMBER OF OFFERS RECEIVED (Complete only if item 25 = A)
A. One
B. 2 - 5
C. 6 - 10
D. 11 - 15
L.
M.
N.
P.
Q.
International Agreement
Authorized by Statute
Authorized Resale
National Security
Public Interest
29. EXTENT COMPETED
A.
B.
C.
D.
E. 16 - 20
F. 21 - 50
G. Over 50
Competed Action
Not Available for Competition
Follow-on to Competed Action
Not Competed
30. TYPE OF CONTRACTOR
A.
B.
C.
D.
Small Disadvantaged Business
Other Small Business
Large Business
JWOD Nonprofit Agency
G. MINORITY
E.
F.
G.
H.
Non-Profit Educational Org.
Non-Profit Hospital
Other Non-Profit Org.
State/Local Gov’t.—Educational
31. WOMAN-OWNED BUSINESS
Y = YES
N = NO
A. Directed to JWOD Nonprofit
Agency
B. 8(a) Contract Award
C. Reserved
D. Small Business Set-Aside
E. Reserved
E. Reserved
34. SUBJECT TO LABOR STATUTES
A. Required
B. Not Required
A. Subject to Walsh-Healey Act
B. Reserved
35. ESTIMATED CONTRACT COMPLETION DATE
DAY
M. Domestic Contractor Performing
Outside U.S.
U. HBCU or MI
32. PREFERENCE PROGRAM
Y = YES
N = NO
33. SUBCONTRACTING PLAN (SB, SDB, WOSB)
MO
J. State/Local Gov’t.
Hospital
K. Other State/Local Gov’t.
L. Foreign Contractor
F.
G.
H.
J.
1.
Reserved
Buy Indian/Self-Determination Act
No Preference Program or Not Listed
Small Disadvantaged Business Set-side
Streamlined 8(a) Contract Procedures
C. Service Contract Act
D. Davis-Bacon Act
E. Not Subject to Above Statuatory Requirements
36. CONTRACTORS TIN
YR
37. COMMON PARENT’S NAME
38. COMMON PARENT’S TIN
I. CONTRACT SPECIALIST’S INITIALS
H. CONTRACTING OFFICER
J. CONTRACTING OFFICER TELEPHONE NUMBER
K. PMAT SAVINGS (Round to the nearest Dollar—Right Justify)
,
M. PMAT COMPLEXITY
L. PMAT SAVINGS CATEGORY
1.
2.
3.
4.
Competition
Negotiations
Volume Discounts
Consolidation of Requirements
,
5.
6.
7.
8.
Reduction of Administrative Time
Lease vs. Buy Decision
Price Renegotiations during Contract Performance
Other
CONTRACTING OFFICER SIGNATURE — I certify that the above information is accurate.
1. Simple
2. Medium
3. Complex
DATE