Government Property Questionaire

Date: 6/21/2005

Company: GovC

Address: 21967 Auction Barn Drive, Ashburn

Subject: U.S. Government Property In Your Possession Reference: (a) RFP/RFQ/Subcontract Number: Request for Proposal (RFP) No. 12 -23456

This proposal may involve U.S. Government property. In order to maintain compliance with Federal Acquisition Regulations (FAR 45.5) regarding property accountability, please complete the following questionnaire and return it to GovC with your proposal. Provide the signature, name and title of the company official authorized to obligate your company regarding property matters.

Type of subcontract: (The Subcontract Administrator will check the applicable box)

T&M FFP CPFF

Please place an "X" in the box that applies.

1. Will you be provided with any Non-deliverable* U.S. Government-furnished property? Check all that are applicable.

__ Other Plant Equipment (OPE) (Means tangible personal property including computers, equipment, machine tools, test equipment, furniture, vehicles for use in manufacturing supplies, in performing services, or for any administrative or general plant purpose, FAR 45.101).

__ Other (check this box if the items required do not meet the OPE classification)

__ None

2. Will you acquire any Non-deliverable* U.S. Government Property under this subcontract? Check all that are applicable.

__ Other Plant Equipment (OPE)

__ Other (check this box if the items required do not meet the OPE classification)

__ None

• Non-deliverable property is an item(s) required in the performance of a subcontract but are not deliverable end items. Non-deliverable items can either be furnished or acquired.

3. Will you be provided with Government-furnished materials** for use on the subcontract? __Yes __ No

4. Will you acquire materials** under this subcontract? __ Yes __ No

5. Do you have a Government-approved property control system? __ Yes __ No

If the answer is Yes, and Government Property (non-deliverables* or materials**) may be furnished/acquired under this subcontract, or if changes occur that involve Government Property, please provide a copy of your most recent approval letter.

Please complete the following and return this form, with accompanying information to:

Company:

Signature:

Date:

Name: Attn:

Title:

Telephone:

A copy of this questionnaire has been forwarded to the cognizant Government Property Administrator (GPA)? __ Yes __ No

Name of GPA Date:

• • Materials are defined as items incorporated into or attached to a deliverable or non-deliverable end item or consumed/expended during the performance of the subcontract. (FAR 45.301)