COST COMPARISON AND

 FINAL DETERMINATION

IN-HOUSE PERFORMANCE COSTS

 (By Performance Period) 

TYPE OF COST FIFTH PERIOD

CONTRACT PERFORMANCE COSTS

(By Performance Period)

FOURTH PERIOD

1. Personnel

2. Material and Supply3. Other Specifically Attributable

Costs

4. Overhead Cost5. Cost of Capital6. One-Time Conversion Cost7. Additional Costs8. Total In-House Cost9. Contract Price10. Contract Administration11. Additional Costs12. One-Time Conversion Cost13. Gain or Loss on Disposal/

Transfer of Assets (Expansion)

14. Federal Income Tax15. Total Contract Costs16. Conversion Differential (For expansions, note net difference, Cost Comparison Handbook, Chapter V, E.4.)17. Total (Line 8 and Line 16)18. Cost Comparison (Line 17 Minus Line 15) 

Positive Result on This Line Supports Decision to Accomplish Function by Contract.

THIRD PERIOD

( ) ( )

COST COMPARISON ANALYSIS (Check Appropriate Box)

EXPANSIONS, NEW REQUIREMENTS, AND CONVERSION TO IN-HOUSE

( )

SECOND PERIOD

( )

FIRST PERIOD

( )

19. Cost Comparison Determination (Check Block): 

Accomplish Accomplish In-House by Contract

ACTIVITY FUNCTION 

REMARKS 

DLA FORM 1764, DEC 88 (EG) 

SEE INSTRUCTIONS ON REVERSE SIDE PREVIOUS EDITION IS OB

(Deduction)
I HAVE VERIFIED the entries and calculations made in accomplishing

the cost comparison.

ACTIVITY FUNCTION 

SIGNATORIES

20. PREPARER OF IN-HOUSE ESTIMATE (Includes Lines 1-6 & 8-11)21. COMMANDER (Includes Lines 1-6)22. INDEPENDENT REVIEW OFFICIAL (Includes Lines 1-6, 8-11, & 14)23. PREPARER OF COST COMPARISON (Includes Lines 7, 12-14, & 15-17)24. REVIEWER OF COST COMPARISON (Includes Lines 7, 12-14, & 15-17)

INSTRUCTIONS

I CERTIFY the Government's in-house cost estimate is based on the mostefficient and cost effective methods and organization practicable.I AFFIRMLines 1-19: a. Enter amounts rounded to nearest dollar. Drop 1 to 49 cents and add one dollar for 50 to 99 cents.

b. Attach supporting documentation as prescribed for each element of cost for which an entry is made and identify it with th

Pages should be separately numbered with the prescribed alphabetic reference and in numerical sequence, e.g., A-1, A-2, A-3.

c. Entries in "REF" column should indicate total number of supporting documentation pages submitted, e.g., A-14 mean

pages, numbered A-1 through A-14.

d. For more specific instructions refer to DLA cost guidance and the Cost Comparison Handbook, Enclosure 7, of DODI 41

Line 20: Signed and completed by preparer, normally someone in the Office of Comptroller of the field activity.Line 21: Signed and completed by Commander of field activity where commerical activity subject to this A-76 cost comparison is locatfor compliance with Public Law 96-342 (amended by Public Law 97-242), Section 502(a)(2)(C), must be made prior to date for receipt of Line 22: Signed and completed by independent reviewing official as designated by DLA-CI. Must be completed following preparation and prior to date for receipt of bids or initial proposals. Reviewing official must complete affirmation statement.Line 23: Signed and compeleted on date Government bid is opened by the Contracting Officer assigned to accomplish the cost comparisonLine 24: Signed and completed by reviewer on date Government bid is opened. Reviewer is normally the Commercial Activites Program 

DLA FORM 1764a, DEC 88 (BACK)

PRINT NAME TITLE ORGANIZATION DATE SIGNATURE PRINT NAME TITLE ORGANIZATION DATE SIGNATURE PRINT NAME TITLE ORGANIZATION DATE SIGNATURE PRINT NAME TITLE ORGANIZATION DATE SIGNATURE PRINT NAME TITLE ORGANIZATION DATE SIGNATURE 

COST COMPARISON ANALYSIS (Check Appropriate Box)

EXPANSIONS, NEW REQUIREMENTS, AND CONVERSION TO IN-HOUSE