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NOTE Inventory schedules (Forms 2a, 2b, 2c, and 2d) applicable to inventories allocable to this contract and on hand at date of termination must be filed. See Instructions

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CERTIFICATE

The undersigned, individually and as an authorized representative of the contractor, certifies that he has examined this Settlement Proposal and that, to the best of his knowledge and belief: (1) AS TO CONTRACTOR'S OWN CHARGES The Proposed Settlement (exclusive of charges set forth in Item 14) and supporting schedules and explanations have been prepared from the books of account and records of the contractor in accordance with recognized commercial accounting practices; they include only those charges allocable to the terminated contract; they have been prepared with knowledge that they will, or may, be used directly or indirectly as the basis of settlement of a claim or claims against the United States or an agency thereof; and the charges as stated are fair and reasonable. (2) AS TO SUBCONTRACTORS' CHARGES (a) The contractor has examined, or caused to be examined, to an extent it considers adequate in the circumstances, the claims of its immediate subcontractors (exclusive of claims filed against such immediate subcontractors by their subcontractors); (b) the settlements on account of immediate subcontractors' own charges are fair and reasonable, said charges are allocable to the terminated portion of this contract and said settlements were negotiated in good faith and are not more favorable to its immediate subcontractors than those which the contractor would make if reimbursement by the

Government were not involved; (c) the contractor has received from all its immediate subcontractors appropriate certificates with respect to their claims, which certificates, if the claims are for more than $1,000, are substantially in the form of this certificate; and (d) the contractor has no knowledge leading it to doubt (i) the reasonableness of the settlements with more remote subcontractors or (ii) that the charges for them are allocable to this contract. Upon receipt by the contractor of amounts covering settlements with its immediate subcontractors, the contractor will pay or credit them promptly with the amounts so received, to the extent that it has not previously done so. The term subcontractor as used above includes suppliers.

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SCHEDULE F-SETTLEMENTS WITH IMMEDIATE SUBCONtractors and SUPPLIERS (ITEM 11)

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(If practicable, show separately amount of disposal credits applicable to acceptable finished product reported on Form 2b)

SCHEDULE H-PARTIAL ADVANCE OR PROGRESS PAYMENTS (ITEM 18)

Date

Explanation

Amount

Leave blank

When the space provided for any information is insufficient attach separate supporting schedules.

Form Approved.

TERMINATION INVENTORY SCHEDULE-METALS (IN MILL PRODUCT FORM)

(Use Form 2b for castings and forgings)

Budget Bureau No. 17-R004. Forms are printed for information only and do not follow the exact format prescribed by the issuing agency.

This schedule applies to (check one):

for

A prime contract with the Govt. or Subcontract (s) or purchase order(s) with...

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Govt. Prime Contract No.

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Dimensions

See in

Quantity

Form 28-Office of Contract Settlement

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Contractor's Ref. No.

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Width

Length

Wall for tubing.class

for pipe,

type for
copper wa-
ter tube

O. D. for tube diameter of rod. size for pipe, mfrs. die No. for extruded shapes

(2d)

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Ft.

In.

Condition (use code.

structions)

Unit of measure

Unit

Total

S-Scrap recommended

*Use col. 8 for contractor's offer and for proceeds of an authorized sale. Indicate former by "C" and latter by "A" after dollar amount. Show quantity (on a second line) if less than col. 4.

Page

of

pages

NOTE: See Instructions, par. 25, concerning certificate.

See Instructions, par. 26, concerning Govt. owned property.

TERMINATION INVENTORY SCHEDULE

Form 2b-Office of Contract Settlement

Form Approved. Budget Bureau No. 17-R005. Forms printed in the Federal Register are for information only and do not follow the exact format prescribed by the issuing agency. Raw materials

(other than metals)

Purchased parts

Finished component

This schedule applies to (check one): Property classifications. A prime contract with the Govt., or Subcontract (s) or purchase order(s) with (See instructions) ..

Finished product

Miscellaneous

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If property has commercial value, furnish full commercial description (see
Instructions). Otherwise, furnish description sufficient to enable con-

tracting officer to determine appropriate

disposition thereof

Where practicable, show manufacturer's name, address, and catalog No. Where cols. 2a and 2b are not applicable, write across dotted lines.

Govt. part or Drawing No. and Rev. No.

How packed (Bulk,bbls.,

(2)

(28)

crates, etc.) (2b)

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(1)

*Use col. 8 for contractor's offer and for proceeds of an authorized sale. | Page.. Indicate former by "C" and latter by "A" after dollar amount. Show quantity (on a second line) if less than col. 4.

of

pages NOTE: See Instructions, par. 25, concerning certificate.

See Instructions, par. 26, concerning Govt. owned property.

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