Form 406 V20121102 Lower-Tier Agreements Under a Contract Checklist for Vendor Versus Subcontract Determination (for Accounting Classification) Lower-Tier Organization: HJF Cost Code: Requestor Name and Contact Information: Purpose: In making the determination of whether a Lower-Tier Agreement should be classified as a subcontract or a vendor contract for accounting purposes, the substance of the relationship is more important than the form of the agreement. In very basic terms, if HJF is acting as a pass-through entity, the Lower-Tier Agreement shall be classified as a subcontract. If HJF is not acting as a pass-through entity, the Lower-Tier Agreement shall be classified as a vendor contract. The following checklist shall be used as a tool to help identify the substance of the relationship. It is not expected that all characteristics will be present and judgment should be used in making the determination. Instructions: Select either A or B for each numbered row (if applicable). Selections must be supported by comments. 1 2 3 4 Vendor A) The work performed or supplies/services provided by the lower-tier organization are secondary and subordinate to, or indirectly support, HJF’s performance of the scope of work and objectives of the prime award. A) HJF (often times in collaboration with government program personnel) has determined what it requires from the lower-tier organization in terms of specifications or a statement of work. A) The lower-tier organization’s performance is not measured directly against whether the objectives, specific aims or statement of work of HJF’s prime award are met. A) The lower-tier organization will provide deliverables/reports that will be modified or integrated by HJF in the final deliverable under HJF’s award. Subcontract B) The work performed or supplies/services provided by the lower-tier organization directly fulfills elements of HJF’s scope of work and objectives under the prime award. B) The lower-tier organization (solely or in collaboration with HJF/government program personnel) has determined its objectives. B) The lower-tier organization has its performance measured directly against whether the objectives, specific aims or statement of work of HJF’s prime award are met. B) The lower-tier organization will provide deliverables/ reports directly to the government, OR the lowertier organization will provide deliverables/ reports to HJF and HJF will provide the deliverables as is to the government. Comments (Attach sheets if necessary) 5 6 A) The lower-tier organization is responsible for providing labor that supplements and is used interchangeably with the program’s regular work force (i.e., HJF or government personnel) under the same supervisors (as opposed to supervisors of the lower-tier organization). In other words, the lower-tier organization is responsible for providing personnel who will then be directed and supervised by the program and the lower-tier organization is not responsible for accomplishing the work assigned to its personnel on a day-to-day basis by program personnel. List the percentage (%) that this action represents to the overall HJF award: 7 Identify level of oversight exercised by HJF (Daily, Weekly, Monthly, or Annually): 8 Based on my best judgment the agreement with the lower-tier entity should be classified for accounting purposes as : A) Vendor Contract_____ B) Subcontract_____ Buyer: Concur _____ Non concur _____ Buyer: Signature Print Name Date Signature Print Name Date Signature Print Name Date Signature Print Name Date Signature Print Name Date Buyer’s Supervisor: Additional Approvals (as necessary): Vice President for Acquisitions Office of General Counsel Senior Vice President & CFO 6720A Rockledge Drive · Suite 100 · Bethesda, Maryland 20817 · Telephone: 240-694-2000 · Fax: 240-694-3100 · www.hjf.org