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Procurement Forms
FORM TITLE USE
Coml_TC Commercial Terms and Conditions Used in fixed price orders for commercial items or services.
DavBacon Davis-Bacon Payroll Form Used for construction contractors to provide their payroll rates, per contract.

Direct Pay Permits
State of Pennsylvania

State of Idaho
Bettis holds a current, valid Direct Pay Permit.  Consequently, the supplier is not to bill sales and use tax.  Rather, Bettis will directly pay the tax to the State.
DOE 5484.3 Individual Accident/Injury Report Submitted to Bettis Safety when a supplier has an accident or injury.
DOE 5484.4 Tabulation of Work-Hours and Vehicle Usage, and Property Valuation Submitted to Bettis Safety on a quarterly basis.
DOE 5631.18 Security Acknowledgement Acknowledgment by an individual of one's responsibilities concerning having access to classified data.
DOE 5631.34 Data Report on Spouse/Cohabitant Used to help determine one's access authorization eligibility to classified data.
Gen_Prov_Construct Construction General Provisions Used as general provisions in procurements for construction and building alterations.
Gen_Prov_CPFF_DOE General Provisions for CPFF Orders (DOE) Used in DOE-funded cost and cost-plus-fixed-fee procurements regardless of dollar value.
Gen_Prov_CPFF_Navy General Provisions for CPFF Orders (NAVY) Used in Navy-funded cost and cost-plus-fixed-fee procurements regardless of dollar value. 
Gen_Prov_Fixed_DOE General Provisions Fixed Price Order (DOE) Used in DOE fixed price orders, except for commercial items or services.
Gen_Prov_Fixed_Navy General Provisions Fixed Price Order (Navy) Used in Navy fixed priced orders except for commercial items or commercial services.
Gen_Prov_Rental/Lease Rental/Lease General Provisions Used as the general provisions of an order covering the rental/lease of personal property (i.e. any rented/leased item other than land and buildings).
Gen_Prov_Svc General Provisions for Services Used as the general provisions for procurements of non-commercial service work in connection with on-site facilities and equipment.
Gen_Prov_Univ General Provisions for Universities Used as the general provisions of an order covering Universities.
KBPQAR-1 Laboratory Procurement Quality Assurance Requirements Used in Quality Level 3 and 4 procurements to detail specific quality assurance contract clauses identified in the body of the purchase order.
NRNONP Certificate of
Non-Possession
Used to obtain required supplier certifications regarding non-possession of classified matter or Special Nuclear Material prior to closeout of a procurement.
NRPOSS Certificate of Possession Used to obtain required supplier certifications regarding retention of classified matter or Special Nuclear Material prior to closeout of a procurement.
NRLFO
Form 5631.29
Security Termination Statement Used for termination of personnel security clearances. Obtained from supplier personnel who received DOE access authorization to prepare a classified proposal when such access authorizations are not needed for other Laboratory classified interests.
PRO1 PRO-1 Purchase Order (PO) Acknowledgement form
PRO2 PRO-2 PO Change Notice Acknowledgement form
SPM Supplier Performance BPMI Supplier Performance Metric Form
Standard Form 24 Bid Bond Used as bid bond for site work bidders.
Standard Form 25 Performance Bond Used as performance bond for site work bidders.
Standard Form 25A Payment Bond Used as payment bond for site work bidders.
SuplrPro Supplier Proposal Used for offerors to synopsize their proposal to Bettis.
W.H. 1313 Wage & Hour Publication Poster displayed by supplier to whom procurement has been awarded which is subject to the Service Contract Act.
W.H. 1321 Wage & Hour Publication Poster displayed by contractor on federally financed construction projects.
WklyStmt Weekly Statement Used for construction contractors to provide certification of compliance with Davis Bacon pay requirements
73083 Inquiry Provisions and Instructions Used as part of inquiry for fixed price procurements, other than for construction, stores inventory and site maintenance. Will generally not be applied to expense and raw material items (short orders).
73083 Attachment 1 Site Work Inquiry Provisions Used as part of inquiry for on-site procurements (construction and services).
73150 Application for Payment Used by Bettis suppliers to make applications for periodic payments. Usually accompanied by invoice and other supporting documentation.
73160 Seller Property Certification Data Used by Seller and Bettis to close out all Government property on an order.
73163 Seller Closeout Certification Data Used to obtain required Seller certifications prior to closeout of order. Includes following certifications: 
Certification of Inventions and Discoveries 
Certification of Background Rights 
Certificate of Non-Possession - Non-Classified Drawings and Specifications 
Royalty Payment Certification
73339 Assignment of Credits and Refunds Used to obtain agreement from the Seller, prior to closeout of cost type procurements, to assign all rights, titles and interest to all refunds, rebates, credits due Bettis under the order and to assist Bettis in the collection thereof or claim thereon.
73401 Release of Claims by Seller Used to obtain release of claims from supplier prior to closeout of purchase actions, where appropriate.
73564 Administrative Instructions for DOE Cost-type IWRs Used as administrative specification in DOE-funded cost-type procurements from other Bechtel locations. Equivalent form for Navy-funded procurements is 73672.
73616 Administrative Specification for Procurement Actions Used in procurements to an Equipment Specification or to a complex drawing and item number.
73649 Approval Request/Repair Approval Request - (Word Format) Used by Seller to request Bettis approval of drawings, specifications, procedures, quality assurance documents, releases to manufacture, etc. Also used by Seller to describe a nonconforming condition and to request approval to repair the item.
73649 PILOT Approval Request/Facility Submittal Form - (Word Format) Used by Seller to request Bettis approval of Facility drawings, specifications, procedures, releases, etc.
73649 PILOT Instructions Approval Request/Facility Submittal Form Instructions Used by Seller as instructions to request Bettis approval of Facility drawings, specifications, procedures, releases, etc.
73657 Supplier Cost Control Report Used by cost-type supplier to submit monthly report of cost plus commitments, estimated amount required to complete procurement, and other cost control information.
73672 Administrative Instructions for Navy Cost-type IWRs Used as administrative specification in Navy-funded cost-type procurements from other Bechtel locations. Equivalent form for DOE-funded procurements is 73564.
73794 Certificate of Current Cost or Pricing Data Used as attachment to Form 73837 when latter is used with inquiry to request cost or pricing data.
73824 Instructions for Preparing and Submitting Reports for Cost-type IWR Work. Used to provide instructions to suppliers for preparing technical reports due to Bettis under IWRs.
73837 Request for Cost or Pricing Data Used in inquiries to request cost or pricing data. Instructs offeror to submit cost or pricing data. Also instructs offeror to certify cost or pricing data via Form 73794.
73844 Instructions for Seller's Preparation and Submittal of RECs, DSRs, RARs and ARs Used in procurements involving reactor plant application to provide Seller with instructions for preparing and submitting.
  1. Request for Engineering Change - Form 73848
  2. Request for Approval of Degradation of Specification Requirements - Forms 73854 and 73786 (Continuation Sheet). 
  3. Repair Approval Request and Approval Request - Form 73649. 
Form 74157 is the equivalent form for procurements not involving reactor plant application.
73844-NRF Instructions for Seller's Preparation of Submittals Used in procurements to provide Seller with instructions for preparing and submitting.
  1. Request for Engineering Change - Form 73848
  2. Request for Approval of Degradation of Specification Requirements - Forms 73854 and 73786 (Continuation Sheet). 
  3. Repair Approval Request and Approval Request - Form 73649.
Do not submit electronically - submit as hard copy only
73848 Request for Engineering Change - (Word Format) Used by Seller to propose a change to a specification, standard, drawing, or other contract technical requirement for the purpose of improving the material or the method of its manufacture. Instructions for preparation and submittal are in Forms 73844, 74157, and 74379.
73850 Supplemental Quality Assurance Requirements for Quality Levels 1 and 2 Purchase Actions Used in Quality Levels 1 and 2 procurements as supplement to appropriate Government quality assurance requirements to set forth additional quality assurance administrative and technical requirements. Provides instructions for preparing DD-250.
73850-NRF Supplemental Quality Assurance Requirements for Purchase Orders with Invoked Contract Quality Requirements Used in procurements as supplement to appropriate Government quality assurance requirements to set forth additional quality assurance administrative and technical requirements. Provides instructions for preparing DD-250.

Do not submit electronically - submit as hard copy only
73854 Degradation of Specification Requirements - (Word Format) Used by Seller to request Bettis acceptance of a condition which does not conform to contract technical requirements. Also used internally at Bettis by Receiving Inspector to record defective condition of shipment. 

74157 Instructions for Seller's Preparation and Submittal of RECs, DSRs, RARs and ARs Used in procurements involving non-reactor plant applications to provide Seller with instructions for preparing and transmitting submittals. Form 73844 is the equivalent form for procurements involving reactor plant application.
74201 Proposal Certifications Used with inquiries for procurements >$100K (>$2,500 for Service Contract Act and >$2,000 for construction).
74329 Progress Payment Provisions (DOE) Used in DOE-funded orders with progress payments.
74339 Progress Payment Provisions (Navy) Used in Navy-funded orders with progress payments.
74343-NRF Seller QA Requirements for Quality Level 3 Orders Used in Quality Level 3 procurements to delineate QA administrative and technical requirements.
74369 Lower-Tier Seller Information Used by suppliers to specify quality assurance plans for subcontracts under orders using BSAS.
74377 Economic Price Adjustment -- Off-the-shelf Items Used in procurements where offeror refuses to quote a firm, fixed price for a standard item, but quotes price in effect at time of shipment.
74383 Property Management System Self Evaluation Checklist used by suppliers to conduct a property management system self-evaluation.
74392 Disposition of Nonconforming Supplies Used to require suppliers to report disposition of nonconforming supplies in connection with procurements of major reactor plant components from major suppliers.
74395 Incentive Price Revision-Firm Target (FPI) Used as the incentive price revision clause in DOE or Navy-funded FPI procurements.
75039 Safety & Health Rules for On-Site Services Used in all orders involving work at Bettis Site.
75058 Supplier Data Sheet - Representations Used to obtain socioeconomic certifications from new suppliers.
75160 Small Business Subcontracting Plan Instructions Used in DOE-funded procurements to obtain a plan from successful offerors on business to be done with small and disadvantaged businesses. Required on actions expected to exceed $550,000 ($1,000,000 for construction).
75572 Navy Hazardous Material Identification and Material Safety Data Used in inquiry and purchase order when 73580 states "Hazardous Material Identification Required".
76080 Model Substance Abuse Program Used in on-site actions in excess of $25,000 when the supplier Substance Abuse Program must be applied.
76137 Request for Progress Payments Used by suppliers to submit invoices for progress payments.

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This Webpage was last updated on 1/29/09 by the Procurement Webmaster.