SF 6430-RFA (1-2006)

Supersedes (8-2003) issue

**REQUEST FOR FINANCIAL EVALUATION**

**To: Patsy Perschbacher, Treasury and Travel Services Department,
10507, MS 1387 Date:      **

  ---------- ----------------- ---------- ----------- -------- ----------- -------------------
  **Return   **     **         **Org.**   **     **   **MS**   **     **   
  to:**                                                                    

  ---------- ----------------- ---------- ----------- -------- ----------- -------------------

  --------------- --------------------------- --------------- ----------- ------------------
  **Prospective   **     **                   **Procurement               **     **
  Contractor**                                Document No.**              

  **Address**     **     **                   **Request       **     **   
                                              Date:**                     

                  **     **                   **SCR           **     **   
                                              Name/Org:**                 

                  **     **                   **Phone No.:**  **     **   

                                              **Fax No.:**                
  --------------- --------------------------- --------------- ----------- ------------------

DESCRIPTION OF PROCUREMENT

  ----------------------- ------------- ---------------------------------------
  **Procurement Action**  **\$Value**   **Period of Performance**

  New Contract            **     **     Is bonding a requirement on this
                                        contract?

  Contract Revision \*    **     **     Yes No

  Amount Previously       **     **     \* For revisions, indicate the status
  approved                              of original procurement and reason for

  Additional Request      **     **     (i.e., time extension, price increase)

  Government-Furnished    **     **     
  Property                              
  ----------------------- ------------- ---------------------------------------

**[Pricing:]{.underline}** Firm-Fixed Price Time and Materials
Labor-Hours

**[Type:]{.underline}** R & D Product (Sandia Design) Service
Construction Commercial Material Rental/Lease

Brief (unclassified) description of procurement:

  -----------------------------------------------------------------------
  **     **

  -----------------------------------------------------------------------

**[Type of Payment:]{.underline}**

Single lump sum

Advance

Progress: Will payment be based on reported progress verified by
Requester? Yes No

Partial/Milestone: Is the value/acceptability of partial shipment
dependent on receipt of all items or services on contract? Yes No

+------------------------------------------------------+---------------+
| **[THIS SECTION IS TO BE COMPETED BY TRAVEL AND      |               |
| TREASURY SERVICES DEPARTMENT]{.underline}**          |               |
|                                                      |               |
| Approval granted Approval withheld pending receipt   |               |
| of current/updated financial information             |               |
|                                                      |               |
| Approval denied (Approval of Director, Supply        |               |
| Management Center (10200), and Sandia Senior         |               |
| Attorney (11100) is required for before award.)      |               |
|                                                      |               |
| Approval granted based on:                           |               |
|                                                      |               |
| Payment Terms - After receipt and acceptance of      |               |
| materials/services                                   |               |
|                                                      |               |
| Receipt of Financial Guaranty from: **     **        |               |
|                                                      |               |
| Line of Credit \$**     ** From: **     **           |               |
+------------------------------------------------------+---------------+
| Comments:                                            |               |
|                                                      |               |
| **     **                                            |               |
+------------------------------------------------------+---------------+
| Preliminary Authorization                            | Date          |
+------------------------------------------------------+---------------+
| Final Authorization                                  | Date          |
+------------------------------------------------------+---------------+