DA Form 4072 Record of Negotiations (Nonappropriated Funds)

DA Form 4072 - also known as the "Record Of Negotiations (nonappropriated Funds)" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 4072 - was last revised on December 1, 2004. Download an up-to-date fillable PDF version of the DA 4072 below or request a copy through the chain of command.

ADVERTISEMENT

M
TAB
TAB
TAB
RECORD OF NEGOTIATIONS (Nonappropriated Funds)
For use of this form, see AR 215-4; the proponent agency is ACSIM.
1. CONTRACT OR OTHER IDENTIFYING NUMBER
2. DESCRIPTION OF SUPPLIES OR SERVICES (Include total value of contract.)
3. THIS REPORT IS A SUMMARY OF NEGOTIATIONS AND SHALL INCLUDE AS A MINIMUM THE FOLLOWING DATA:
a. NUMBER OF SOURCES SOLICITED
(If only one source solicited, state justificatin in Item 6 below.)
b. NUMBER OF OFFERS RECEIVED
(List name of each source contacted, quotations received and delivery dates in Item 4 below.)
c. AWARD MADE TO LOWEST OFFEROR
YES
NO
(If "No", explain in Item 4 below.)
4. NARRATIVE SUMMARY OF NEGOTIATIONS (Use reverse, if necessary.)
5. PRICE REASONABLENESS BASED ON (Check one or more and, if "adequate competition" is not checked, include verification details in "Remarks"
paragraph below.)
a. Adequate Competition
b. Comparison with Previous Purchase of Same or Similar Item
c. Catalog/Published Price List/Advertisement
d. Value Analysis by Buyer
e. Buyer's Personal Knowledge of Item
f. Remarks
6. REASON FOR SOLICITING ONLY ONE SOURCE
7. I HAVE DETERMINED THAT
(Name of Proposed Contractor)
IS RESPONSIBLE TO SUCCESSFULLY COMPLETE THE PROPOSED CONTRACT BECAUSE
(Cite reasons.)
8. TYPED NAME OF BUYER
9. SIGNATURE
10. DATE
11. TYPED NAME OF CONTRACTING OFFICER
12. SIGNATURE
13. DATE
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 4072, DEC 2004
APD LC v1.01ES

Download DA Form 4072 Record of Negotiations (Nonappropriated Funds)

1352 times
Rate
4.5(4.5 / 5) 94 votes

ADVERTISEMENT