Ar%r%rs,%%,rr%rJ C^v 0-1- - - - 0%1A Mr%r%s,%o% sorw-vul 11CMIUM-09utmo UUFNVV oma No IVVV 22 Rom DEPARTMENT OF DEFENSE CONTRACT PRICING PROPOSAL This I`- is fo-se in procurements when submission o1cost orpricIng data is required fSee DAR 3 8071 NAME. TYPE ADDRESS, OF AND CONTRACT TELEPHONE CPFF NUMBER OF ORGANIZATIONAL ELEMENT RESPONSIBLE FOR SUPPORTING PROPOSAL SRI PLACE(SI International AND PERIOO(S) OF PERFORMANCE 333 Ravenswood Avenue Menlo SRI Park, INTERNATIONAL California 94025 J. 0. Dolen (415) 333 859- Ravenswood 5645 Avenue Sr. Contract Administrator Menlo Park, CA 94025 TOTAL TYPE OF PROCUREMENT COST ACTION $65,417 OOTHER (Spevify) 4,580 XNEW PROCUREMENT CILETTER CONTRACT PROFITIFEE OCHANGE ORDER 12 months OUNPRICIED ORDER $69,997 TOTAL OPRICE REV SION/A EDETE RMINATION LINE IDENTIFICATION QUANTITY TOTAL REF. PRICE ITEM NOTE. Lin and reforsin- the id-tific.tion. quantity and total once proposed for each contract lint Itinn. A built NO. It.. -.4 brealtd- . Pip-L.8 this r..p I. required .,Us. th-- p-ified by the C-tractirig Officer (A tfach -nh Past .( niq-ird. I SRI International Lot $69,997 SRI Proposal for No. Research No. ESU 83-145 R SU 83-14 entitled "Special Orientation Techniques." 1. IF YOU R ACCOUNTS AND RECORDS "AVE BEEN REVIEWED IN CONNECTION WITH ANY GOVERNMENT CONTRACT IPAIMIE OR SUBCONTRACTI, GRANT OR PROPOSAL WITHIN THE PAST 3 YEARS By A GOVERNMENT AGENCY 0- HER THAN IRS OR GAO. PROVIDE NAME. ADDRESS AND TELEPHONE NUMBER BELOW CONTRACT AUDIT ADMINISTRATION OFFICE OFcICE DCASMA Defense - San Contract Francisco Audit Agency (DCAA) 1250 298 So. Bayhill Sunnyvale Drive Ave., Suite 103 San Sunnvvale, Bruno, California California 94086 94066 (415) (408) 876-9576 275-7508 11, WILL YOU FlEaVIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS WORK? OYES RNO )F YA-S. IDJ-,,VTI)6'Y 111 00 YOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT? C@ES RNO IFYES. IDENTIF% OADVANCE PAYMENTS CPROGRESS PAYMENTS OR CGUARANTEED LOANS IV HAVE YOU BEEN AWARDED ANY CONTRACTS OR SUBCONTRACTS FOR THE SAME OR SIMILAR ITEMS WITHIN THE PAST 3 YEARS? OYES J@NO IF YFS. JDENTIFII irEmis,. CUSTOMEReSi AND CONTRACTNCMBER(S) V. IS THIS PROPOSAL CONSISTENT WITH YOUR ESTAGLISHGO ESTIMATING AND ACCOUNTING PRACTICES AND PROCEDURES AND OAR SECTION XV COST PRINCIPLES? JkDYES ONO IYNO, EXPI,AfN Vt COST ACCOUNTING STANDARDS SOAA0 ICAS11) DATA (PUBLIC LAW 91 379 AS AMeNOEOI WILL THIS PROCUREMENT ACTION BE SUBJECT TO CASS REGULATIONS? J;YES ONO IFNO.1,XP(.A1N b, HAVE YOU SUBMITTED A CASS DISCLOSURE STATEMENT (CASS CIS I a, 2)7 MYES 13NO IF YEN. SPECIfY 1-11h OPFICh- TO W)IIClf.SVSMIT7-lI-l) AND IF L)ErF.-#?MtNh:V TO BE' ADEQL'ArE DCAS@% - San Francisco --- approved. c. HAVE YOU BEEN NOTIFIED THAT YOU ARE OR MAY BE IN NONCOMPLIANCE WITH YOUR DISCLOSURE STATEMENT OR COST ACCOUNTING STANDARDS? OYIES :jNO IF YES. EXPLAIN d IS ANY ASPECT Of THIS PFIOPI,SAL INCONSISTENT WITH YOUR DISCLOSED PRACTICES OR APPLICABLE COST ACCOUNTING STANOAROS7 []YES -ZNO III YES. EXPLAIN Th.. p-posail-Isniftillak.. rempon. 1. OtFP. -t1..t1M.d, W.) 101' 1A and reflect. our ban ..tw.ttl cost. I t1h data, I / II I M.U..0 of this f.- TYPED SIGN^TUFIF NAME AND TITLE Roger L. Ma Director C*nfzact ServiceS NAME 011 OF DATE FIRM 01 1USIM1 SRI 7 INTERNATIONAL OCT - 3 1983 00 FORIWI"r I- --nat'st- W0rx%7V-rVVV-T-j- vv*2 0-9+ i Atoril 79