Special Articles and Forms

Special Articles and Forms are company provisions, clauses and forms referenced in procurement documents. Current Procurement and Construction articles and forms are linked below as PDF files unless otherwise noted.

Title/Description Form No.        
Access to Specific General Access Areas and Training Facilities,  

(January 2025)

 UCN-100537
Access to Y-12,  

(March 2025)

 UCN-26303
Acknowledgement Intent to Participate in the Bidding Event,  

(July 2014)

 UCN-22428
Agreement to Company Solicitation Provisions,  

(November 2020)

 UCN-22516
Assignee's Assignment of Refunds, Rebates, Credits and Other Amounts,  

(July 2014)

 UCN-22484
Authorization and Consent (Exhibit 4) ,  

(May 2017)

 UCN-22507
Background Investigation of Non-Cleared Personnel,  

(12-24)

 UCN-22916
Badge Request Form,  

(October 2014)

 UCN-21519
Bid Escrow Documents (Company),  

(July 2018)

 UCN-22526
Cargo Configuration for Trailers Entering Y-12 National Security Complex,  

(July 2014)

 UCN-22522
Certificate of Current Cost or Pricing Data,  

(July 2023)

 UCN-22437
Certification as a United States Citizen in Order to Handle UCNI/CUI,  

(December 2023)

 UCN-22435
Certification of Most Favored Customer Pricing,  

(July 2014)

 UCN-22478
Civil Penalties for Classified-Information Security Violations,  

(July 2014)

 UCN-22381
Classified Inventions (Exhibit 7) ,  

(May 2017)

 UCN-22508
Commercial Computer Software - Restricted Rights (Exhibit CCS),  

(July 2014)

 UCN-22503
Consolidated Nuclear Security, LLC (CNS) ITAR Notice and Acknowledgement,  

(July 2014)

 UCN-22327
Construction Labor Agreement,  

(May, 2025)

 N/A
Continuity of Services,  

(July 2014)

 UCN-22400
Contractor's Request for Progress Payment,  

SF1443 (expires August 31, 2018) (legal-sized form from gsa.gov web site)

 N/A
Cost Accounting Standards Notices and Certification,  

(February 2019)

 UCN-22398
Cost Accounting Standards—Clauses,  

(February 2019)

 UCN-22380
Daily Summary of Backcharge Work,  

(July 2014)

 UCN-22347
EEO Preaward Clearance Request,  

(July 2014)

 UCN-22482
Equipment List,  

(August 2019)

 UCN-22826
Exemption from Application of the Service Contract Act — Certain Services — Certification,  

(July 2014)

 UCN-22361
Exemption from Application of the Service Contract Act — Certain Services — Requirements,  

(July 2014)

 UCN-22353
Exemption from Application of the Service Contract Act — Maintenance, Calibration or Repair of Certain Equipment — Certification,  

(June 2020)

 UCN-22355
Exemption from Application of the Service Contract Act — Maintenance, Calibration or Repair of Certain Equipment — Requirements,  

(July 2014)

 UCN-22354
Export Compliance,  

(July 2014)

 UCN-22523
Facility Clearance,  

(July 2014)

 UCN-22402
Government Property—Research and Development,  

(July 2014)

 UCN-22406
Hazardous Materials Identification and Material Safety Data,  

(July 2014)

 UCN-22480
Implementation of Personal Identity Verification (PIV) for Covered Seller Employees,  

(July 2020)

 UCN-26788
Indemnification and Medical Liability Insurance,  

(July 2014)

 UCN-22348
Individual Accident/incident Report,  

DOE F 5484.3, (May 1998)

 N/A
Integrated Safety Management Program,  

(January 2019)

 N/A
Integration of Environment, Safety, and Health Service Subcontract Specifications for Low Risk Subcontracts,  

(March 2023)

 UCN-26735
Integration of Environment, Safety, and Health Service Subcontract Specifications for Moderate/High Risk,  

(March 2023)

 UCN-26736
Inventory of Government Property,  

(November 2000)

 N/A
Letter of Intent to Perform as a Lower-Tier Subcontractor/Teaming Partner,  

(July 2014)

 UCN-22525
Limited Rights in Proprietary Data (Exhibit 11) ,  

(July 2014)

 UCN-22510
Milestone Payments,  

(July 2014)

 UCN-22399
Monthly Subcontract Summary Report,  

(September 2020)

 UCN-21380
Motor Vehicle Leases,  

(July 2014)

 UCN-22376
Nuclear Hazards Indemnity and Price-Anderson Amendments Act,  

(July 2017)

 UCN-22433
Organizational Conflicts of Interest,  

(July 2014)

 UCN-22401
Organizational Conflicts of Interest Disclosure—Advisory and Assistance Services,  

(July 2014)

 UCN-22403
Patent Rights - Acquisition by the Government (Exhibit 1B),  

(February 2025)

 UCN-22511
Patent Rights - Retention by the Seller (Short Form) (Exhibit 1C) ,  

(February 2025)

 UCN-22512
Payment Bond — Construction Contracts,  

(January 2015)

 UCN-22410
Payment Bond — Other Than Construction Contracts,  

(January 2015)

 UCN-22411
Performance Bond — Construction Contracts,  

(January 2015)

 UCN-22412
Performance Bond — Other Than Construction Contracts,  

(January 2015)

 UCN-22413
Personal Property Taxes,  

(July 2014)

 UCN-22377
Progress Payments,  

July 2022

 UCN-22384
Prohibited and Controlled Articles,  

(August, 2021)

 N/A
Property and Materials Certificate,  

(July 2014)

 UCN-22544
Proposal Bond,  

(July 2014)

 UCN-22423
Questionnaire (Petition for Advance Waiver of Patent Rights under 41 CFR Sect.9-9.109.6) (Exhibit 2B),  

(May 2017)

 UCN-22514
Refund of Royalties (Exhibit 2D),  

(July 2014)

 UCN-22515
Release and Certificate of Interim or Final Payment,  

(February 2025)

 UCN-22371
Reporting Requirements,  

(July 2014)

 UCN-22407
Representation of Limited Rights Data and Restricted Computer Software (Exhibit 2) ,  

(July 2014)

 UCN-22513
Representations and Certifications,  

(February 2024)

 UCN-22338
Representations Regarding Subcontracting Plans,  

(January 2025)

 UCN-22349
Request for Information (RFI),  

(March, 2023)

 UCN-22350
Request for Inspection of Completed Work,  

(July 2014)

 UCN-22346
Request for Waiver or Deviation (RFWD) (02-24) UCN-13816B
Request to Work Outside Normal Work Days (Friday, Saturday, Sunday),  

(August 2019)

 UCN-26030
Required Training,  

(September 2018)

 UCN-22529
Restricted Rights Notice - General (Exhibit 12) ,  

(July 2014)

 UCN-22504
Rights In Data - Facilities Exhibit 21 ,  

(October 2016)

 UCN-22502
Rights in Data - Special Works (Exhibit 15) ,  

(September 2020)

 UCN-22506
Seller Licensing (Exhibit 13) ,  

(July 2014)

 UCN-22505
Seller Safety Qualification Questionnaire,  

(January 2015)

 UCN-21752
Seller's Assignment of Refunds, Rebates, Credits, and Other Amounts,  

(July 2014)

 UCN-22379
Seller's Release,  

(July 2023)

 UCN-22485
Special Tooling,  

(July 2014)

 UCN-22417
Stand-Alone Aircraft Insurance Clause,  

(May 2017)

 UCN-26544
Statement and Acknowledgement,  

SF1413

 N/A
Subcontract Overtime Request,  

(July, 2014)

 UCN-22373
Subcontract Pricing Proposal (Cost or Pricing Data Required),  

(March 2015)

 UCN-22382
Subcontract Request for Travel, Pre-Approval,  

(May 2024)

 UCN-22351
Subcontract Safety Performance Report,  

(June 2017)

 UCN-21439
Subcontract Technical Representative (STR) Change Notice,  

(July 2022)

 UCN-21329
Subcontractor Hazardous Materials Inventory Report,  

(March 2024)

 UCN-21445
Subcontractor Request for Y-12 National Security Complex Training,  

(June 2024)

 UCN-21364
Subcontractor/Supplier List,  

(January 2015)

 UCN-22825
Supplemental Conditions, Construction,  

(CON Oct 2022)

 N/A
Supplier Information,  

(July 2020)

 UCN-22533
Supplier Qualification Questionnaire UCN-20904
Supplier’s Experience/Past Performance Statement,  

(March 2016)

 UCN-22827
Suspect/Counterfeit Fastener Certification,  

(December 2018)

 UCN-22438
Suspect/Counterfeit Part Headmark List,  

(April 2012)

 UCN-20087A
Sustainable Acquisition Program,  

(April, 2024)

 UCN-22646
Technical Data (Exhibit 9),  

(July 2014)

 UCN-22509
Time Record of Subcontractor’s Employee,  

(November 2022)

 UCN-26482
Transparency Act — Executive Compensation and Subcontracting Reporting Information (Company),  

(October 2014)

 UCN-22565
Travel Reimbursement Policy,  

(February, 2025)

 UCN-22427
UCNI-CUI Requirements for CNS Suppliers,  

(November 2023)

 UCN-26608
Workplace Substance Abuse Program,  

(March 2025)

 UCN-22345