Item Claimed

Contractor's Proposal

Dollars Accepted

Costs Questioned

Unresolved Items

TCO Negotiated Amount

1. Contractor's costs as set forth on settlement proposal. Metals, raw materials, etc.

Total

2. Profit

3. Settlement expenses

4. Total

5. Settlement with subs

6. Acceptable finished product

7. Gross Total

8. Disposal and other credits

9. Net settlement

10. Partial progress & advance payments

11. Net payments requested