Commercial Item Certification

Sales and Price Information

1. Provide commercial sales data for product / service offering. This information is similar to the requirements of FAR 52-202-1. If you have the same data in a different format that will be acceptable for submittal. This data will be evaluated to determine price reasonableness and commerciality.

(i) Provide the dollar value of sales to the general public at or based on an established catalog or market price during the previous 12-month period or your last fiscal year. $_____________. State beginning and ending of the 12-month period. Beginning ______________ Ending ______________. In the event that a dollar value is not an appropriate measure of the sales, provide and describe your own measure of the sales of the item(s).

(ii) Provide information to evaluate your proposed discount by answering one of the following two questions which apply.

1. Based on your written discounting policies (standard commercial sales practices in the event you do not have written discounting policies), are the discounts and any concessions which you offer equal to or better than your best price (discount and concessions in any combination) offered to any customer acquiring the same items regardless of quantity or terms and conditions? YES ______ NO ______. 2. Based on your written discounting policies (standard commercial sales practices in the event you do not have written discounting policies), provide information as requested for product / service offering. The information should be provided in the chart below or in an equivalent format. Rows should be added to accommodate as many customers as required.

Customer	Discount	Quantity/Volume	FOB Term	Concessions
Customer 1
Customer 2
Customer 3
Customer 4
Customer 5

(b) Do any deviations from your written policies or standard commercial sales practices disclosed in the above chart ever result in better discounts (lower prices) or concessions than indicated? YES ____ NO_____. If YES, explain deviations:

3. Provide the sales distribution, by percentage and dollars, among commercial and Government customers (including subcontracts under Government contracts).

Commercial _________  % Government __________________%

Commercial $______________ Government $_________________

4. Of the total Government sales what is the sales distribution from GSA FSS Schedules.

5. Are your rates weighted with any lower tier subcontract cost?

YES NO ____

If YES, explain how you intend to use subcontractors for performance below.

6. Has your company worked at the _____________(this Government Customer) during the past three (3) years as a prime or subcontractor?

If yes, list the contract no (s)., contract type and rates.

7. Provide a signed most favored pricing certification.

8. Do you have more than one commercial catalog for the proposed service area?

Yes________ No _______

If yes, please explain if you use the lowest price.

Certifying Official:

SIGNATURE

NAME

TITLE

COMPANY

DATE