Department of Veterans Affairs Contractor s Report of Sales by armedman1

VIEWS: 58 PAGES: 4

									              GENERAL SERVICE ADMINISTRATION CONTRACTOR’S REPORT OF SALES
 Check one of the blocks to indicate the period (quarter) for which this report is being submitted
                             st                       nd                           rd                       th
1. FY                       1 Quarter                2 Quarter                   3 Quarter                 4 Quarter
                            (Oct – Dec)             (Jan – Mar)                  (Apr – Jun)               (Jul – Sept)

This report is required quarterly regardless of whether       2. Contract No.:
orders under the contract were received. See
                                                                 V797P-
instructions before preparing.

TO:     DEPARTMENT OF VETERAN AFFAIRS                         3. Contractor (Name and Address including Zip Code)
        C/O AGENT CASHIER – IFF
        P.O. BOX 7005
        HINES, IL 60141



4. Class No. and Title of Contract:                           5. Total Sales:
621, Part I

6. SALES RECEIVED annotate in corresponding blocks 6 (a-d), below. (If no sales whatsoever for items awarded under the
      above contract were received during the months covered by this report, enter $0 in the applicable columns below.
  (a) Special Item No.            (b) VA Sales                 (c) OGA Sales                        (d) Total Sales




                       NOTE: This report is due no later than 60 days after the end of the quarter

                                                           CERTIFICATION
7. AS REQUIRED BY THE CONDITIONS OF THE CONTRACT, THERE ARE REPORTED ABOVE ALL GOVERNMENT
SALES FOR ITEM(S) UNDER THE CONTRACT IDENTIFIED. THIS REPORT IS ACCURATE TO THE BEST OF OUR
KNOWLEDGE AND BELIEF.

AUTHORIZED OFFICIAL (Signature and official title)
                                                                    DATE:

                                                                    Total Sales:
Name and Phone Number for questions or clarifications:
                                                                    Dollar Amount IFF:

                                                                    IFF Check Number:

                                                                    Date of Electronic Funds Transfer:

                                                                                        GSA Form 72 (Rev. 2/04) (Adapted for VA Use)
Sales Report Continuation -V797P-
  6. (a) Special Item No.           (b) VA Sales   (c) OGA Sales   (d) Total Sales




Page 2
Sales Report Continuation -V797P-


                                   Contractor Report of Sales Checklist

   Completing the GSA Form 72 (Contractors Report of Sales) Completed                              (check if completed)

   1) Year and quarter number clearly annotated in block 1.

   2) Contract number clearly annotated in block 2.

   3) Company name and address typed or printed in block 3.

   4) Class No. and Title of Contract correctly reflected in block 4.

   5) Total Sales of all awarded SIN's reflected in block 5.

   6) Block 6 (a, b, c, and d) completed in their entirety.

   Column "VA Sales", enter opposite awarded Special Item Number, the total sales figure that represents the sales for
   the SIN during the quarter being reported to VA facilities only.

   Column "OGA Sales", enter opposite awarded Special Item Number, the total sales figure that represents the sales for
   the SIN during the quarter being reported to all other users of the Federal Supply Schedule Contract listed above.

   Column "Total Sales", enter the total sales for the quarter being reported to all authorized users of the Federal Supply
   Schedule by adding across for each Special Item Number to provide a total figure.

   7) Block 7 completed (in its entirety) by an authorized official.


   SUBMITTING YOUR REPORT OF SALES TO THE VA NATIONAL ACQUISITION CENTER

   1) Courtesy copy of GSA Form 72 faxed to your Federal Supply Schedule Contracting Officer at 708-786-
   4975 or 708-786-5828.

   2) Signed original of the GSA Form 72 and Industrial Funding Fee Payment sent to Department of Veterans
   Affairs, C/O Agent Cashier- IFF, P.O. Box 7005, Hines, IL 60141

   PLEASE NOTE:

   If paying the IFF by check, please ensure that the check is made payable to Department of Veterans Affairs-
   Attn: Agency Cashier. (Your check should not reference your FSS contracting officer)

   If you are submitting one check for multiple contracts, please ensure that a detailed IFF/contract number
   breakdown accompanies payment.




Page 3
Sales Report Continuation -V797P-


   IMPORTANT NOTES AND REMINDERS
   FOR THE GSA FORM 72 - REPORT OF SALES

   **DUE DATE - This report is due 60 days after the end of each calendar quarter (the quarters end in December,
   March, June, or September). THIS DUE DATE WILL BE ENFORCED!! Please note that failure to provide
   your quarterly sales reports in a timely and accurate manner may be cause for termination of your Federal
   Supply Schedule contracts.

   ** HEADINGS - Your sales under the FSS contract need to be separated by Department of Veterans Affairs
   (VA) and Other Government Agencies (OGA). Please keep this in mind when establishing your internal
   systems for data compilation.

   **OGA SALES - When calculating your sales to OGA, please include all other sales to authorized users of the
   Federal Supply Schedule. Please note that you must separate your VA sales from your
   OGA sales on the report.

   ** PRIME VENDOR/DIRECT SALES - Please be sure to include Prime Vendor sales, as well as direct sales
   on the GSA Form 72, and be sure not to include these figures more than once on your reports or to forget to
   include them at all. Please note: these figures should be combined when being reported, you should not separate
   the sales reported by direct and indirect.

   ** BLANKET PURCHASE AGREEMENTS - Please be sure to include these sales if you have a BPA written
   against your existing FSS contract.

   **STATE VETERAN HOMES - State Veterans Homes that have valid sharing agreements are now authorized
   users of the FSS and, as such, any sales received from these State Veteran Homes MUST be included on the
   GSA Form 72. Please report these sales under the heading "OGA". Sales made to State Veteran Homes that do
   not hold a sharing agreement, are not sales made under your FSS contract and should NOT be reported.

   **MORE THAN ONE CONTRACT - If your company has more than one contract under the Federal Supply
   Schedule, you must complete separate forms for each contract.

   STOP: TAKE NOTICE: DO NOT INCLUDE THE FOLLOWING:

   **NATIONAL CONTRACTS - These sales are not to be included as FSS sales. If you have a national contract,
   you will be required to submit sales information for that contract under the terms and conditions of that
   contract.


   THANK YOU FOR YOUR COOPERATION IN COMPLETING YOUR QUARTERLY SALES REPORTS.




Page 4

								
To top