SF 1436 Settlement Proposal (Total Cost Basis)

SETTLEMENT PROPOSAL (TOTAL COST BASIS)

OMB Control Number: 9000-0012
Expiration Date: 2/29/2020

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FOR USE BY A FIXED-PRICE PRIME CONTRACTOR OR FIXED-PRICE SUBCONTRACTOR
THIS PROPOSAL APPLIES TO (Check one)
SUBCONTRACT OR
A PRIME CONTRACT WITH
PURCHASE ORDER
THE GOVERNMENT
SUBCONTRACT OR PURCHASE ORDER NUMBER(S).

COMPANY
STREET ADDRESS

CONTRACTOR WHO SENT NOTICE OF TERMINATION

CITY AND STATE (Include ZIP Code)

NAME
NAME OF GOVERNMENT AGENCY
ADDRESS (Include ZIP Code)
GOVERNMENT PRIME CONTRACT NUMBER CONTRACTOR'S REFERENCE NUMBER
If moneys payable under the contract have been assigned, give the following:
NAME OF ASSIGNEE

EFFECTIVE DATE OF TERMINATION

ADDRESS (Include ZIP Code)

PROPOSAL NUMBER

CHECK ONE
INTERIM

IS

SF 1439, SCHEDULE OF ACCOUNTING INFORMATION

FINAL

IS NOT ATTACHED (If not, explain below)

SECTION I - STATUS OF CONTRACT OR ORDER AT EFFECTIVE DATE OF TERMINATION
FINISHED
UNFINISHED OR NOT
COMMENCED
ON HAND

PRODUCTS COVERED BY TERMINATED
CONTRACT OR PURCHASE ORDER

PREVIOUSLY
SHIPPED AND
INVOICED

(a)

(b)

PAYMENT TO
BE RECEIVED
THROUGH
INVOICING

PAYMENT NOT SUBSEQUENTLY
COMPLETED
TO BE RECEIVED
AND INVOICED*
THROUGH
INVOICING

NOT TO BE
COMPLETED
(f)

TOTAL
COVERED
BY
CONTRACT
OR ORDER

QUANTITY

$
QUANTITY

$
QUANTITY

$
N
U
M
B
E
R

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

SECTION II - PROPOSED SETTLEMENT

ITEM
(a)
DIRECT MATERIAL
DIRECT LABOR
INDIRECT FACTORY EXPENSE (from Schedule A)
SPECIAL TOOLING AND SPECIAL TEST EQUIPMENT (SF 1428)

(Use Columns (b) and (c) only where
previous proposal has been filed)
TOTAL
INCREASE OR
PREVIOUSLY
DECREASE BY THIS
PROPOSED
PROPOSAL

TOTAL
PROPOSED
TO DATE

FOR USE OF
CONTRACTING
AGENCY ONLY

OTHER COSTS (from Schedule B)
GENERAL AND ADMINISTRATIVE EXPENSES (from Schedule C)
TOTAL COSTS (Items 1 thru 6)
PROFIT (Explain in Schedule D)
TOTAL COSTS (Items 7 and 8)
DEDUCT FINISHED PRODUCT INVOICED OR TO BE INVOICED*
TOTAL (Item 9 less Item 10)
SETTLEMENT EXPENSES (from Schedule E)
TOTAL (Items 11 and 12)
SETTLEMENT WITH SUBCONTRACTORS (from Schedule F)
GROSS PROPOSED SETTLEMENT (Items 13 thru 14)
DISPOSAL AND OTHER CREDITS (from Schedule G)
NET PROPOSED SETTLEMENT (Item 15 less 16)
ADVANCE, PROGRESS & PARTIAL PAYMENTS (from Schedule H)
NET PAYMENT REQUESTED (Item 17 less 18)

*Column (e), Section I, should only be used in the event of a partial termination, in which the total cost reported in Section II should be accumulated to date of
completion of the continued portion of the contract and the deduction for finished product (Item 10, Section II) should be the contract price of finished product in
Column (b), (c), and (e), Section I.
NOTE: File inventory schedule (SF 1428) for allocable inventories on hand at date of termination (See 49.206).

(When the space provided for any information is insufficient, continue on a separate sheet.)
STANDARD FORM 1436 (REV. 5/2004)

AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is unusable

Prescribed by GSA - FAR (48 CFR) 53.249(a)(3)

SCHEDULE A - INDIRECT FACTORY EXPENSE (Item 3)
DETAIL OF EXPENSES

METHOD OF ALLOCATION

AMOUNT

NOTE: Individual items of small amounts may be grouped into a single entry in Schedules B, C, D, E, and G.
SCHEDULE B - OTHER COSTS (Item 5)
ITEM

EXPLANATION

AMOUNT

FOR USE OF
CONTRACTING
AGENCY ONLY

AMOUNT

FOR USE OF
CONTRACTING
AGENCY ONLY

AMOUNT

FOR USE OF
CONTRACTING
AGENCY ONLY

SCHEDULE C - GENERAL AND ADMINISTRATIVE EXPENSES (Item 6)
DETAIL OF EXPENSES

METHOD OF ALLOCATION

SCHEDULE D - PROFIT (Item 8)
EXPLANATION

FOR USE OF
CONTRACTING
AGENCY ONLY

(Where the space provided for any information is insufficient, continue on a separate sheet.)
STANDARD FORM 1436 (REV. 5/2004) PAGE 2

SCHEDULE E - SETTLEMENT EXPENSES (Item 12)
ITEM

EXPLANATION

AMOUNT

SCHEDULE F - SETTLEMENTS WITH IMMEDIATE SUBCONTRACTORS AND SUPPLIERS (Item 14)
AMOUNT OF
BRIEF DESCRIPTION OF PRODUCT CANCELED
NAME AND ADDRESS OF SUBCONTRACTOR
SETTLEMENT

SCHEDULE G - DISPOSAL AND OTHER CREDITS (Item 16)
DESCRIPTION

AMOUNT

FOR USE OF
CONTRACTING
AGENCY ONLY

FOR USE OF
CONTRACTING
AGENCY ONLY

FOR USE OF
CONTRACTING
AGENCY ONLY

(If practicable, show separately amount of disposal credits applicable to acceptable finished product included on SF 1428.)
(Where the space provided for any information is insufficient, continue on a separate sheet.)
STANDARD FORM 1436 (REV. 5/2004) PAGE 3

SCHEDULE H - ADVANCE, PROGRESS AND PARTIAL PAYMENTS (Item 19)
DATE

TYPE OF PAYMENT

AMOUNT

FOR USE OF
CONTRACTING
AGENCY ONLY

(Where the space provided for any information is insufficient, continue on a separate sheet.)
CERTIFICATE
This is to certify that the undersigned, individually, and as an authorized representative of the Contractor, has examined this
termination settlement proposal and that, to the best knowledge and belief of the undersigned:
(a) AS TO THE 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 portion of this contract; they
have been prepared with knowledge that they will, or may, be used directly or indirectly as the basis of settlement of a termination
settlement proposal or claim against an agency of the United States; and the charges as stated are fair and reasonable.
(b) AS TO THE SUBCONTRACTORS' CHARGES. (1) The Contractor has examined, or caused to be examined, to an extent it
considered adequate in the circumstances, the termination settlement proposals of its immediate subcontractors (exclusive of
proposals filed against these immediate subcontractors by their subcontractors); (2) The settlements on account of immediate
subcontractors own charges are fair and reasonable, the charges are allocable to the terminated portion of this contract, and the
settlements were negotiated in good faith and are not more favorable to its immediate subcontractors than those that the Contractor
would make if reimbursement by the Government were not involved; (3) The Contractor has received from all its immediate
subcontractors appropriate certificates with respect to their termination settlement proposals, which certificates are substantially in
the form of this certificate; and (4) The Contractor has no information 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 "subcontractors," as used above, includes suppliers.
NOTE: The Contractor shall, under conditions stated in FAR 15.403, be required to submit a Certificate of Current Cost or Pricing Data
(see FAR 15.406-2 and 15.408 Table 15-2).
NAME OF CONTRACTOR

BY (Signature of authorized official)

TITLE
NAME OF SUPERVISORY ACCOUNTING OFFICIAL

DATE

TITLE

STANDARD FORM 1436 (REV. 5/2004) PAGE 4