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(U} {1} Certificate of Concurnad Sebmisaion of Disclosure Matoment, The offeror hereby certifies that, ag a part of che offer, capica ofthe Disclosure Statement have bese submilied as follows: (2 original ans! one copy of the cognizant Administrative Contracting Gificer (ACQ}, and (3) one copy fo the cognizant contrast maditor. (Raclosure mast be on Form: No, CASE 5-1, Farms may be oblained from the cognizant ACO or freen the loose-zaf version of the Federal Acepsisition Regulation.) Gate of Disekware Statement: Narne end Address af © QTR spf AOD where led The offeror flether certifies that practices ased in cethmating costs in pricing this proposal are consistent with the cost accounting practices disclosed in the Disclosure Statement. —_ £33} Certificate of Previoushy Submitted Diaclasure Statement, The offeror hereby cortifics chat Diselasare Statemerd was (Hed as follows: Date of Tisclosurs Materwsryh: nnn Jame and Address of fognizant ACO The offeror flather certifies that che practices used in eatimating costs in pricing uve at with the cost accounting practices disclosed in the applicable disclosure statement. where fil proposed are oon 63} Certificates af Monetary Exemption. ‘The offerer Hereby certifies that the offerny, together whith all divisions, subskliarins, and affiflates uncer comma ceatral, dk pot rece 8 > Het as of Regs inted prime contracts and subecontracia subject t9 CAS iolaliig mens than ard exceeded $1 mullien) in the cost accounting period immediatchy prceod ing ete epi in hi ii s propos was submitted: The affcror further certifies that | iF sue a Status CHAE s proposal, the offeror will auivine Uses offer Or WSS = aabmtieed aie {8} in secore wdanes welt ag CFR. Subpart 2003, 202. t. the offeror iS ‘not vet se roquited LO aubrnit a PNselosure Siatement. Phe offeror farther certifies that fan award resulting from this proposal bas not been made within 80 dava after the end af that period. the offeror will immediately aubint a revised & € vertifie te ate fe the ¢ SHERROD BOF f Ber, Jn the Form SHC Hiss under’ subparagragh ic Lor (ek SZ} of Part al nof a completed Disclosure Statement. Caution: Offieors carrenth: required to disclose heerase they wars awandad a CAS-covered prime contract ar sheontract of SES million or more in the current cast accounting period may nat clein this exemption (4), Further the essmption appligs only in canncection wih proposals aithenitied before expiration of the 9O-day porind folowing the cost accountiig period iw hich the monoiary exemmtinn was exceeded, Sys TL Cost Accounting Standards - Eigitility for Modified Contract Coverage Ket! / OREO HNOPORTE— AP-115