Source: https://www.acquisition.gov/dfarspgi/pgi-part-253-forms
Timestamp: 2020-08-07 09:09:23
Document Index: 348716238

Matched Legal Cases: ['ART 253', 'ART 253', 'art 204', 'art 204', 'art 204', 'art 10', 'art 204', 'art 204']

PGI PART 253 - FORMS | Acquisition.GOV
HomeRegulationsDFARSPGIPGI PART 253 - FORMS
Subpart: Select253.2
PGI 253.209 CONTRACTOR QUALIFICATIONS
PGI 253.2 — PRESCRIPTION OF FORMS
PGI 253.204 Reserved
PGI 253.3 — ILLUSTRATION OF FORMS
NO CURRENT PGI TEXT
(a) Use the DD Form 448 as prescribed in PGI 208.70 .
(1) BLOCK 5—MIPR NUMBER. Number the MIPR by using—
(2) BLOCK 6—AMEND NO. Assign a suffix number. Assign amendments of the same MIPR consecutive suffix numbers.
(5) BLOCK 12—TRANSPORTATION ALLOTMENT. Enter allotment data for transportation of supplies at Government expense if appropriate.
(6) BLOCK 13—MAIL INVOICES TO. Use this block to identify the name and address of the office to receive invoices and make payment.
(a) Use the DD Form 448-2 as prescribed in PGI 208.70 .
(d) When the DD Form 1155 includes FMS requirements, clearly mark “FMS Requirement” on its face. Specify within the order each FMS case identifier code by line or subline item number.
1 Contract/Purch Order/AGREEMENT No.—Enter the Procurement Instrument Identification (PII) number and, when applicable, the supplementary identification number for contracts, purchase orders, and agreements as prescribed in DFARS Subpart 204.16.
2 Delivery Order/CALL No.—Enter the PII number for delivery orders/calls, when applicable, as prescribed in DFARS Subpart 204.16.
3 Date of Order/CALL—Enter the four-position numeric year, three-position alpha month, and two-position numeric day.
4 Requisition/Purch Request No.—Enter the number authorizing the purchase. When the number differs by line item, list it in the Schedule and annotate this block, “See Schedule.”
5 PRIORITY—Enter the appropriate Program Identification Code as identified in Schedule I to the Defense Priorities and Allocations System Regulation.
6 Issued By—Enter the name and address of the issuing office. In the code block, enter the DoDAAD code for the issuing office. Directly below the address, enter: Buyer/Symbol: followed by the buyer's name and routing symbol. Directly below the buyer/symbol, enter: Phone: followed by the buyer's phone number and extension.
7 Administered By—Enter the name and address of the contract administration activity. On purchase orders retained by purchasing offices for administration, mark this block, “See Block 6.” Enter in the code block the DODAAD code of the contract administration activity. In the lower right or left-hand corner, enter the criticality designator code from FAR 42.1105.
8 Delivery FOB—Check the applicable box.
(2) If it is known that all the work covered by the order is to be performed at an address different from the address represented by the contractor's code, and any contract administration function will be required at that facility, enter in the facility code block the organizational entity code for that facility, i.e., H8-1/H8-2 code for a non-Government entity or DODAAD code for a Government entity. (Use DODAAD codes only to indicate “performed at” locations for orders specifying services at a Government location.) If it is known that multiple facilities are involved, enter the codes for all facilities at which work is to be performed, including the contractor's code if work is performed at that address, in the Optional Form 336 Continuation Sheet and mark the facility code block with “See Schedule.”
10 Deliver to FOB Point by (Date)—If a single date of delivery applies to the entire order, enter date in this block. List multiple delivery dates in the schedule and mark this block “See Schedule.”
11 Mark If Business—Check all applicable blocks.
12 Discount Terms—Enter the discount for prompt payment in terms of percentages and corresponding days. Express the percentages in whole numbers and decimals, e.g., 3.25% - 10 days; 0.50% - 20 days.
13 Mail Invoices To THE ADDRESS IN BLOCK—Enter a reference to the block number containing the address to which invoices are to be mailed. When not in Block 6, 7, 14, or 15, insert in Block 13, “See Schedule.”
14 Ship To—If a single ship-to point applies to the entire order, enter the name and address of that point in this block and a DODAAD code in the code block. For FMS shipments, enter the MAPAD code in the code block and an instruction for the contractor to contact the transportation office of the administering activity to obtain a name and a shipping address. Enter multiple ship-to points in the Schedule and mark this block, “See Schedule.”
15 Payment Will Be Made By—Enter the name and address of the activity making payment. Enter in the code block, the DODAAD code of the paying activity. When a purchase card is used for payment, enter “CRCARD” in the code block.
16 Type of Order—Check the appropriate box. If a purchase order:
17 Accounting and Appropriation Data/Local Use—Enter the accounting classification and the accounting classification reference number(s) in accordance with DFARS 204.7107 Contract accounting classification reference number (ACRN) and agency accounting identifier (AAI)..
18 Item No.—Enter an item number for each item of supply or service in accordance with DFARS Subpart 204.71.
19 Schedule of Supplies/Services—The Schedule contains several elements of data. The order and arrangement of data in the Schedule is mandatory for purchase and delivery orders assigned to the Defense Contract Management Agency or the military departments for administration and is encouraged for all orders.
(1) National Stock Number (NSN)—Total item quantity for the line or subline item number followed by the appropriate national stock number or the word “none” if an NSN has not been assigned. On the same line and adjacent to NSN, enter the words “Total Item Quantity.” This phrase is used in conjunction with the total quantity, unit of issue, unit price, and dollar amount of the stock number or item cited (see entries for Blocks 20, 21, 22, and 23).
(2) Item Identification—Enter first the most descriptive noun or verb of the supplies or services to be furnished, supplemented by additional description as prescribed in FAR Part 10. If multiple accounting classifications apply to the contract, enter the accounting classification reference number.
(3) Quantity Variance—Enter the quantity variance permitted for the line item in terms of percentages, indicating whether the percentage is plus or minus and if applicable to each destination.
(4) Inspection/Acceptance—Enter the point at which inspection/acceptance will take place.
(5) Preservation and Packaging—Enter the preservation requirements for the item described. These requirements may be expressed in terms of MIL-STD-2073-1, DoD Material Procedures for Development and Application of Packaging Requirements, and MIL-STD-2073-2, Packaging Requirements, codes. They may also be expressed by reference to applicable specifications.
(6) Packing—When required, enter the packing level designator and specification, standard, or document in which the requirements are stated or state the specific requirements.
(7) Unitization—When desired by the requiring activity, a requirement for cargo unitization for a particular destination should be specified for shipments involving two or more shipping containers having an aggregate total of not less than 20 cubic feet or 200 pounds.
(8) Ship To—Enter the DODAAD or MILSCAP H8-1/H8-2 (cage) as appropriate for the entity code of the ship-to point on the first line and the corresponding name and address on succeeding lines. If multiple accounting classifications apply to the same line or subline item, enter the accounting classification reference number. When several items are to be shipped to the same point, the code will be listed; but it will not be necessary to repeat the address.
(9) Delivery Date—When multiple delivery dates apply, enter the required date of delivery on the same line with ship-to code.
(10) Mark For—Enter the DODAAD or MILSCAP H8-1/H8-2 (cage) as appropriate for the entity code on the first line and name and address of the ultimate recipient of the supplies and services on succeeding lines.
20 Quantity Ordered/Accepted—Enter the total quantity ordered for the line item. If applicable, enter the breakdown on quantities for each ship-to point within the line item.
21 Unit—Enter the unit of measure applicable to the line item.
22 Unit Price—Enter the unit price applicable to the line item.
23 Amount—Enter the extended dollar amount (quantity x unit price) for each line item.
24 Contracting/Ordering Officer—Enter the contracting/ordering officer's signature.
25 Total Amount—Enter the total dollar amount for all line items on the order.
(a) Use the DD Form 1547 as prescribed in DFARS 215.404-70 DD Form 1547, Record of Weighted Guidelines Method Application. and 215.404-71 Weighted guidelines method..
(3) Do not express percentages beyond the nearest thousandth (e.g., interest rate—8.257%).
(1) BLOCK 1—REPORT NO. Enter the four-digit local control number followed by a dash and the last two digits of the fiscal year (e.g., 0004-06 for 4th action in fiscal year 2006). Each field contracting office participating in profit reporting shall establish a control system for consecutively numbering completed DD Forms 1547. Always start with 0001 at the beginning of each fiscal year and always use four digits. This number will identify the specific DD Form 1547 in DoD's management information system and will be used for follow-up actions.
(2) BLOCK 2—BASIC PROCUREMENT INSTRUMENT IDENTIFICATION NO. Enter the identifying contract number assigned per DFARS Subpart 204.16.
(3) BLOCK 3—SPIIN. Enter the supplemental procurement instrument identification number for supplemental agreements or other modifications, assigned per DFARS Subpart 204.16.
(4) BLOCK 4—DATE OF ACTION.
(5) BLOCK 5—CONTRACTING OFFICE CODE. Enter the code assigned the contracting office per DoD Procurement Coding Manual, Volume III.
(6) BLOCK 6—NAME OF CONTRACTOR. Enter the contractor's name (including division name).
(7) BLOCK 7—DUNS NUMBER. Enter the contractor establishment code number.
(8) BLOCK 8—FEDERAL SUPPLY CODE.
(9) BLOCK 9—DOD CLAIMANT PROGRAM.
(10) BLOCK 10—CONTRACT TYPE CODE. Enter the appropriate code—
(11) BLOCK 11—TYPE EFFORT. Enter the appropriate code—
Standard weighted guidelines method (DFARS 215.404-71 -2(c)(1))
Alternate structured approach (DFARS 215.404-73 Alternate structured approaches.)
Modified weighted guidelines approach (DFARS 215.404-72 Modified weighted guidelines method for nonprofit organizations other than FFRDCs.)
Technology incentive (DFARS 215.404-71 -2(c)(2))
(13) BLOCKS 13 through 20—COST CATEGORY OBJECTIVE. Enter the prenegotiation objectives. Include contractor independent research and development/bid and proposal in the general and administrative expenses in Block 19.
(14) BLOCKS 21 through 29—WEIGHTED GUIDELINES PROFIT FACTORS. Enter the amounts determined in accordance with DFARS 215.404-71 or 215.404-72. This section is not required to be completed when using an alternate structured approach (DFARS 215.404-73 Alternate structured approaches.).
(15) BLOCK 30—TOTAL PROFIT OBJECTIVE. Enter the total of Blocks 23, 24, 25, 27, 28, and 29. This section is not required to be completed when using an alternate structured approach (DFARS 215.404-73 Alternate structured approaches.).
(16) BLOCKS 31 through 35—NEGOTIATION SUMMARY. Complete as indicated on the form. For fixed-price type contracts negotiated on a total price basis, enter the contracting officer's best estimates of cost and profit. When using an alternate structured approach, see DFARS 215.404-73 Alternate structured approaches.(b)(2) for offsets.
(17) BLOCKS 36 through 39—CONTRACTING OFFICER APPROVAL. The contracting officer shall sign the form. Include a complete (with area code) commercial telephone number to facilitate any follow-up actions.
(18) BLOCKS 96 through 99—OPTIONAL USE. Complete in accordance with department/agency procedures, if any.
(a) Use the DD Form 2579 as prescribed in DFARS 219.201 General policy.(10)(B).
(i) Block 4a—PROCUREMENT INSTRUMENT IDENTIFIER (PIID). Enter the PIID assigned to the solicitation, contract, or order in Block 4a. (FAR 4.1601, DFARS 204.1601 Policy.).
(5) BLOCK 5—MODIFICATION/AMENDMENT NUMBER (MOD/AMDMT No.). Enter the contract or order modification number or solicitation amendment number. (FAR 4.1601, DFARS 204.1601 Policy.).
(iii) BLOCK 11c—SMALL BUSINESS PROGRESS PAYMENTS. Check “Yes” or “No” (DFARS 232.501-1 Customary progress payment rates.(a)).
(12) BLOCK 12—CONSOLIDATED OR BUNDLED. Select either “Consolidated” or “Bundled,” and check “Yes” or “No” for each. If “Yes,” attach required documentation for consolidation or bundling (FAR 7.107).
(13) BLOCK 13—SUBCONTRACTING PLAN REQUIRED. Check “Yes” or “No.” For recommendations 10g, 10h, or 10i, or if Block 12 recommendation is “Yes,” specify actions that will be taken to maximize small business participation. Consider requirements of FAR 19.7, acquisition history, anticipated subcontracting goals, market research to identify small business capability at the subcontract level, source selection evaluation factor for small business utilization (DFARS 215.304 , 215.305 Proposal evaluation.), incentives, contract performance metrics, etc. State detailed objectives for subcontract (attach additional pages as necessary).
(ii) BLOCK 14b—PREVIOUSLY CONSOLIDATED OR BUNDLED. Check “Yes” or “No” for each. If “Yes,” attach required documentation for previous acquisition.
(16) BLOCKS 16 through 16f—SMALL BUSINESS PROFESSIONAL/SMALL BUSINESS DIRECTOR REVIEW. Complete 16 through 16f. Digital signature is desired. If “non-concur” is checked, attach rationale or include in Block 16f, along with any other remarks. Block 16e must be completed when any of the conditions in FAR 19.202-1(e) applies to indicate when the acquisition package was provided to the Small Business Administration (SBA).
(18) BLOCKS 18 through18c—CONTRACTING OFFICER REVIEW. The Contracting Officer shall complete this block if the Small Business Professional and/or the SBA PCR have “non-concurred” in Blocks 16 and 17. Block 18c shall include the Contracting Officer’s rationale for decision. Send copies of the completed form to the Small Business Professional and the SBA PCR within 5 working days if rejecting the PCR’s recommendation, in accordance with FAR 19.505.