PerFORM PRO ENCR 2.00Contract Facilities Capital Cost of Moneywhs/IMDF/ELRODAug 2004ug 92*C44 ContName . ContAddAdd . BusUnit . RFPConNo . PerfPerd . Poollt .  Alloctn .  Factor .  AmountAD.  TotaltĂ . W%V%[AMOUNTA]TreasRate . FacCapEmpĂ . %%[TOTAL]/[TREASRATE]AmountBC . Percent . %% %%%PERCENTAGE entries must total 100%.TotalBmpÂ. 22[AMOUNTB]D1861.FILCourier1Univers (WN)"CG Times (WN)Tms RmnHelv"Univers (W1)"CG Times (W1)Arial"Univers"CG Times111Wa 11Gx]11:c[Gq1  /&J .& f. FACILITIES CAPITAL EMPLOYED (TOTAL DIVIDED BY TREASURY RATE)1cG)M1  ?&&>&&d. TOTAL11c6cGR0a #-2#2CONTRACT FACILITIES CAPITAL COST OF MONEYc16cxR0a  B! !OMB No. 0704-0267 OMB approval expires Jul 31, 2007 1G0  ContName 7$! 6$!1. CONTRACTOR NAME x0  ContAddAdd $G! ~$F!2. CONTRACTOR ADDRESS 1G0  BusUnit W& /# V&.# 3. BUSINESS UNIT 1G0  RFPConNo $+7! $6! 4. RFP/CONTRACT PIIN NUMBER x0  PerfPerd &%" &" 5. PERFORMANCE PERIOD 1)Gx,0a  &8G%~&F%6. DISTRIBUTION OF FACILITIES CAPITAL COST OF MONEY1)kG,!u0 .w- .v-  POOL a.)k!,u0 %!g# %f#  ALLOCATION BASE b.1kGu!)1)! 1ٌ=q  Poollt  '@&@1c:GMq1  #O+#N+e. TREASURY RATEk!u)1)! kٌSq  Alloctn  %%)J,xQ0 &'( &(FACILITIES CAPITAL COST OF MONEY c.JckQu0 #? #> FACTOR (1)cJkQxu0 "?# ">#AMOUNT (2)kcu)1)! kcٌS5q  Factor  ""ckux)1)! ckٌ5t1  AmountA  ""]lco1 "/ ".PERCENTAGE a.c]lox1 o"'1 n"&1AMOUNT b.1[]lGx1a w"3'+v"&+7. DISTRIBUTION OF FACILITIES CAPITAL EMPLOYEDc)xM11  Total c:Mxq11  TreasRate c:[qx11  FacCapEmp 11@"G]`p  W5$2V52 DD FORM 1861, AUG 2004 )!@"W]hp  !+/+!.+PREVIOUS EDITION MAY BE USED.T2ocz]1T2c%   Kfault !!/%O3.%N37+6+%3%3),),%%%100%1]loG1 cox91co5u1  AmountB  %%1oG]11= Lfault #~#7%W46%V4&-&-2$2$&#'4&&4(1) LAND(2) BUILDINGS(3) EQUIPMENT(4) FACILITIES CAPITAL EMPLOYEDoT2z91T2  Percent ?>:TMxqa  W1g)V1f)%1ɒGx0a w1{# v1#PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO YOUR CONTRACTING OFFICIAL.#K@"]xp c9x]11  TotalBmp 16cԔGRx0a  / / The public reporting burden for this collection of information is estimated to average 10 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0267). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.