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 Potential Fraud Indicators

 

Table of Contents

Foreword
Meaning of Fraud
Distinction between Fraud and Error
     
Part I. Frauds Committed by Employers

1. Need for Goods or Services
2.
Development of Statements of Work and specifications
3.
Pre-Solicitation Phase
4.
Solicitation Phase
5.
Bid Acceptance
6.
False certifications by contractors
7.
Evaluation of Bids and Proposals
8.
Documents from competing firms containing similar
9.
Fraud in the Award of the Contract
10.
Negotiation of a Contract
11.
Post-Award Phase
12.
Non regular reconciliation’s of accounts related to
13.
Defective Pricing
14.
Collusive Bidding and Price Fixing
15.
Cost Mischarging
16.
Product Substitution
17.
Progress Payment Fraud
18.
Criminal and Regulatory Violations by Employees

Part II. Frauds committed by Contractors and individuals

1.
Pre Award Fraud
2.
Collusive Bidding
3.
Contractor Fraud
           
False claims and statements
           
Procurement  by Government Personnel
           
Bribery and Illegal Gratuities
           
Collusive Bidding
           
Overstatement of Household Goods Shipment Weights
4.
Financial Fraud
5.
Checks and Other Financial Records
6.
Assumed Names, Records of Incorporation

Indicators

7.
Glossary of Fraud Schemes and Terms

Indicators of Potential Fraud-Personnel

Foreword

The common perception is that the Royal Audit Authority carries out audit to identify fraud. The universal conviction is that audits of accounts is an assurance that there is no unobserved fraud. In this respect it is essential to understand that various types of audits have diverse objectives. Occasionally, an audit is conducted principally to detect fraud (for example, in certain internal audits, this is one of the main objectives). However, in the case of the other types of audit, the question of detection of fraud has to be seen with reference to the precise objective of each audit. For example, the objective of an independent financial audit is to determine whether the financial statements present a fair and true view of the financial position and the working results of an establishment. Therefore, the audits method and line for conducting such an audit are directed towards attainment of this objective rather than towards detection of fraud (though their detection is often an incidental result of such an audit also).

Indicators of fraud are clues and hints of certain area of activity that needs extra attention. Usually, there are two approaches that a person meaning on committing fraud will consider, choosing one over the other depending on skill, experience, inclination and the level of internal controls. Firstly, the activities may be either completely veiled from view and secondly the activity may be conducted in the open, completely noticeable to all, but disguised to appear as if they are part of the normal process.

It is, therefore very essential for the auditors to know the customary practice of the system. It is difficult to detect a well-designed fraud if you have unclear objectives.

In certain cases inadequate attention by the employers to the rule, give rise to errors which are often possible indicators of fraud, the difference between errors and fraud is fine line called the intent.

It is my sincere belief that greater importance be given in fraud prevention in the overall exercise of constructing a clean and proud public service.

Preventing dishonest conduct before its prevalence advances two of the focal rationale of the criminal law: preventing criminals conduct and shielding the public from unsafe wrongdoer. Undeniably, the mark of the truly successful fraud enforcement is its efficiency not only in apprehending those who have already violated the law, but also in preventing others from committing forthcoming acts of fraud.

This manuscript makes an attempt to display the indicators of fraud and makes a humble effort to classify them. I urge every auditor of the RAA to consider this manuscript as reference for detecting fraud and most importantly to make the best use of his or her position to prevent fraud from oppressing the citizens of this Nation. I am confident that we can considerably condense the incidence of fraud and its incapacitating effects. 

Kunzang Wangdi
Auditor General of Bhutan


Meaning of Fraud

The term fraud may be defined as the unbeaten custom of dishonesty or any pretense with the intention of cheating or injuring another person or an establishment. As this definition underlines, the most important element of fraud is the intention or the motive of the person commiting it, viz, to cheat or injure another person or establishment. Consider, for example, the following. 

A construction of a house has been awarded on plinth area basis. On completion of the house Ap. Dorji, the Section Officer takes measurement of the house and records more in the measurement book. Nima the contractor submits his final bill with the elevated measurements and gets the payment from Ugen the Finance Officer.Ap. Dorji, Nima and Ugyen share the difference.

The store keeper, while issuing 50 bags of cement records the quantity as 150 cement bags in his record, sells of 100 bags and pockets the sales proceeds. 

Quotations are called from the hotels for catering lunch to 50 people. The menu reads, Ants climbing hill, chevy levy. Most of the hotels have not heard such dishes exists so they do not quote. Thupsop Chencho wins the catering and makes a tidy profit. Thupsop Chencho and Tashi, the AFD head later meet in a bar and Chencho presents Tashi with a Senao phone.

Ants climbing hill is actually mashed potatoes with minced meat and chevy levy is actually boiled bamboo shoots.

Distinction between Fraud and Error

The basic distinction between fraud and error is that of the intention. Any error is unintentional, i.e. the person committing the error does not do so knowingly. Errors are accidental and may arise due to negligence or a genuine misunderstanding on the part of the person committing them. As opposed to errors the fraud is intentional . The person committing fraud does so knowingly, ,willfully, and with the motive of gaining advantage or benefit by cheating or causing loss or injury to another persons, acting in collusion with one another. The distinction between fraud and error can be explained by a simple example. Suppose the counterfoils of a cash receipts come to the accountant in the evening for recording in the cash book. Being in a hurry, he leaves them on his table. Accidentally one the counterfoils falls on the ground and is carried way by the sweeper in the morning. The accountant is unaware of this and records the rest of the counterfoil in the cash book. This is a case of error since it is unintentional-it has not been committed willfully or knowingly by the accountant. On the other hand, suppose the cashier and the accountant decide to misappropriate cash receipts. The cashier alters the counterfoil of the cash receipt and sends them to the accountant who ignores the alterations and enters the altered amount in the cash book. This is a case of fraud since it is done deliberately with a view to gaining a benefit by causing a loss to the enterprise.

Part I. Frauds Committed by Employers

The potential for fraud is created when the need assessment is not adequately or accurately developed.  A Government agency, which, with or without collusion, continually changes its mind about what it wants, will make it possible for a contractor to substantially increase the contract price.  With respect to fraud in defining requirements and stock levels, fraud indicators include:                  

FRAUD                                                           

1. Need for Goods or Services

Maintaining excessively high stock levels to justify continued purchases from certain contractors.

Declaring serviceable items as excess or selling them as surplus while continuing purchasing from certain contractors. 

Purchasing in response to aggressive marketing efforts by contractors rather than in response to valid necessities. 

Defining needs in ways that can be met only by specific contractors. 

Estimates are not prepared. 

Estimates prepared after solicitations are requested. 

Failure to develop second-sources.

2. Development of Statements of Work and specifications 

Bid specifications and statements of work are intended to provide both potential bidders and the selecting officials with a firm basis for making and accepting bids.  A well-written contract will have specifications, standards and statements of work, which make it clear what the Government is entitled to.  Sloppy or carelessly written specifications make it easy for a contractor to overcharge or for it to deliver less than expected. 

Fraud indicators include:

Defining statements of work to fit capabilities of a single contractor. 

Defining specifications to fit a single product. 

Advance release of information by Government employees  to favored contractors. 

Selective release of information to favored contractors. 

Developing statement of work in consultation with favored contractors. 

Allowing firms to participate in project design to obtain those same contracts. 

Release of information by firms participating in project design to contractors competing for the prime contract. 

Designing pre-qualification standards to exclude otherwise qualified contractors or their products. 

Break up of requirements to allow rotation of bids. 

Splitting up requirements to get under small purchase requirements. 

Irregularity in bid specifications with the items included in the general requirements. 

Irregularity in the statement of work with items included in the general requirements. 

Vague specifications that make practical comparisons of estimates complex. 

Specifications those are inconsistent with past comparable type procurements. 

Work Order issued without work site locations finalized. 

Advances made prior to the approval of  the site and designs.

3. Pre-Solicitation Phase

Unwarranted sole source justifications. 

Erroneous statements to justify sole source of negotiated procurement. 

Justifications for sole source signed by officials lacking authority. 

Justification for negotiated procurement signed by officials lacking authority. 

Non-valid restrictions   in the solicitation documents, to limit competition. 

Providing advance information to contractors on a special basis by technical personnel. 

Providing advance information to contractors.            

4. Solicitation Phase          

Restriction  on procurements to prevent any qualified contractor.

Restriction  on procurements to obstruct any qualified contractor. 

Limiting the time for submission of bids so that only those with advance information have adequate time to prepare bids or proposals. 

Revealing un revealed information about procurement to one contractor, 

Conducting bidders conference in a way, which invites bid rigging or price fixing or permits improper communications between contractors. 

Failure to assure that a sufficient number of potential competitors are aware of the solicitation. 

Vague bid solicitation as to the time, place, or other requirements for submitting acceptable bids. 

Having little or no control over the number and destination of bid packages sent to interested bidders. 

Indecent communication with contractors at trade or professional meetings. 

Improper social contact with contractor representatives. 

Obtaining stock by Government personnel or their families in a contractor or sub contractor. 

Obtaining financial interest by Government personnel or their families in a contractor or sub contractor. 

Discussions by Government personnel for likely employment with a contractor. 

Discussions by Government personnel for likely employment with a sub contractor for themselves or a family member.

Special assistance to any contractor in preparing his bid or proposal. 

Reference of a contractor to a specific sub contractor, expert, or source of supply. 

Failure to adjust solicitation to include necessary changes or clarifications.            

5. Bid Acceptance        

Improper acceptance of a late bid. 

Falsification of documents or receipts to get a late bid accepted. 

Change in a bid after other bidders prices are known.  

Withdrawal of the lowest bidder who may become a sub contractor to the higher bidder who gets the contract. 

Collusion or bid rigging between bidders. 

Revealing one bidder's price to another. 

Falsification in contractor’s qualifications. 

Falsifications in contractor’s financial capability. 

 Falsifications in contractor’s facilities, ownership of equipment and supplies. 

 Falsifications in contractor’s qualifications of personnel. 

Falsifications in contractor’s successful performance of previous jobs. 

Certificate of reasons from qualified bidders for not participating. 

Attempt to influence decisions on the acceptance of the bids. 

Submission of the bids by one bidder in different parties name. 

Bidders with multiple license in the same trade.              

6. False certifications by contractors                 

1.  Certification of Small business.

2.  Certification of Minority business.

3.  Information provided to other agencies to support special status.

4.  Certification of independent price determination.

5.  Buy-Bhutan Act certification.

6.  Certification of Manufacturer's warranty. 

7. Evaluation of Bids and Proposals 

Rejection of bids or proposal without any valid reason.

Deliberately loss of the bid or proposal

Improperly disqualifying the bid or proposal.

Disqualifying the contractor improperly.

Accepting non-responsive bids from preferred contractors. 

Seeming unnecessary contacts during solicitation, 

Seeming unnecessary contacts during evaluation, 

Seeming unnecessary contacts during negotiation processes. 

Unauthorized release of information to a contractor or other person. 

Exercise of favoritism toward a particular contractor during the evaluation process. 

Use of biased evaluation criteria. 

Use of biased individuals on the evaluation panel. 

Name of a odd company that suggests the firm may not provide the type of service or product being solicited.                 

8. Documents from competing firms containing similar:               

1.  Company names.

2.  Handwriting/signatures.

3.  Company stationery.

4.  Invoice numbers (in sequence).

5.  Telephone numbers.  

9. Fraud in the Award of the Contract

Award of contract to a party who is not the lowest responsible, responsive bidder. 

Disqualifying  any qualified bidder. 

Allowing a low bidder to withdraw without justification. 

Failure to forfeit bid bonds when a contractor withdraws improperly. 

Material changes in the contract shortly after award. 

Advance information  of who is going to win a major competition. 

Awards made to contractors with an apparent history of poor performance. 

Awards made to the lowest of a very few bidders without re-advertising considerations or without adequate publicity. 

Awards made that include items other than those contained in bid specifications. 

Awards made without adequate documentation of all pre-award and post-award actions including all understandings or oral agreements. 

10. Negotiation of a Contract

Back-dating of the contract signed by unauthorized person. 

Giving information only to one contractor.

Unauthorized release of information. 

Release of information to unauthorized persons. 

Weakening the Government's negotiating position through disclosures to the contractor selected for award. 

Contractor misrepresentation as to costs during negotiations. 

Non compliance of Bhutan Schedule Rates. 

11. Post-Award Phase 

Certification of goods without conducting physical inspection.

Certification of services without conducting physical inspection. 

Action not taken for the non compliance of the terms and conditions.  

Contractors are not required to return excess materials. 

Materials  provided to the contractor even though the contractor is being paid to provide them. 

Unsuccessful bidders usually become sub contractors after the contract is awarded. 

Double payment for the same items and no recoupment. 

Double payment for the same service  and no recoupment. 

Use of Immigration employees to perform parts of contracted work. 

Contract files are either incomplete. 

Missing required documents or the contract. 

Alteration in the contract documents. 

Shipment of  Government supplies to   non-Government addresses. 

Shipment of  Government equipments to   non-Government addresses. 

Entry on contractors records of fictitious or inordinate time frames and dates. 

Substitution of the actually ordered products   by used or inferior products.              

12. Non regular reconciliation’s of accounts related to:                

1.  Contract payments.

2.  Daily transactions.

3.  Inventory.

13. Defective Pricing 

Persistent defective pricing. 

Similar patterns of repeated defective pricing. 

Failure to correct known system deficiencies. 

Failure to update cost or pricing data with knowledge that past activity showed that prices have decreased. 

Non disclosure of cost issues that will reduce proposal costs.

Denial by responsible contractor employees of the existence of historical records that are subsequently found. 

Utilization of unqualified personnel to develop for estimates. 

Indications of falsification or alteration of supporting data. 

Distortion of the overhead accounts. 

Distortion of  base information by the transfer of charges or accounts that have a material impact on Government contracts. 

Failure to make complete disclosure of  geo physo data known to responsible contractor personnel. 

Failure to make complete disclosure of  cultural data known to responsible contractor personnel. 

Protracted delay in release of data to the Government to preclude possible price reductions. 

Employment of people known to have previously perpetrated fraud against the Government. 

Inflated or unusual ocean freight.

Inflated or unusual air freight.

Inflated or unusual  freight.

Inflated or unusual insurance charges.

Inflated or unusual taxes. 

Excessive or prohibited commodity transport and/or storage charges. 

Identical or nearly identical high salary history data on employees or consultants. 

14. Collusive Bidding and Price Fixing 

Agreements to adhere to published price lists. 

Agreements to raise prices by a specified increment. 

Agreements to establish, adhere to, or eliminate discounts. 

Agreements not to advertise prices. 

Agreements to maintain specified price differentials based on quantity, type or size of product. 

Failure of Qualified, capable bidders to bid without valid reasons. 

Contractors always bidding against each other or conversely  not biding against one another. 

Successful bidder repeatedly subcontracts work to companies that submitted higher. 

Occurrence of regular low bids in a certain area or in a fixed rotation with other bidders. 

Failure of original bidders to re-bid. 

Appearance of higher bidding on some bids.

Frequently change in bidders price in a pattern. 

Joint venture bids  when both had technical and production capacity. 

Appearance or identical calculation 

Appearance or identical spelling errors in two or more competitive bids.

Submission of bids  by one firm for other firms. 

Competitors regularly socialize. 

Assertions by employees, former employees, or competitors that an agreement to fix bids and prices or otherwise restrain trade exists. 

Bid prices appear to drop whenever a new or infrequent bidder submits a bid. 

Competitors exchange any form of price information among themselves.  

Statements by a representative of a contractor that his company does not sell in a particular area.

Statements by a supplier that  only a particular firm sells in that area. 

Statements by a bidder that it is not their turn to receive a job. 

Statements by a bidder that it is another bidder's turn.

15. Cost Mischarging 

Excessive labor charges.

Unusual labor charges. 

Abrupt changes in labor charge levels for no apparent reason. 

Labor time and charges inconsistent with project progress. 

Inability of contractor to produce  immediately muster roll or attendance register on demand. 

Muster roll or attendance register that show consistent erasures. 

Muster roll or attendance register that show consistent alterations. 

Low level work charged to high level wage earners. 

16. Product Substitution 

Payment of non delivered supplies. 

Delivery of look-alike goods made from non-specification materials. 

Non testing of materials as required by the contract specifications. 

Providing foreign made products where domestic were required. 

Boxes with part of the label consistently wiped out.  ("Made in India" marked out). 

Commodities, consistently defaced in the same area with grind marks. 

Commodities, consistently defaced in the same area with wooden hammer handles with sanding marks. 

Removal of ID or specifications of the machines. 

Commodities that appear used when new, was ordered. 

Multiple commodities where some appear different from other.

Purchase  of commodity domestically, but originally shipped from a foreign port. 

Missing source origin documentation. 

17. Progress Payment Fraud 

Claim of payment for work not done. 

Claim for payment of materials at site without purchasing the materials.  

18. Criminal and Regulatory Violations by Employees 

Employees, including contractors and foreign nationals, who continually circumvent established procedures. 

Employees who initiate actions without proper prior approval. 

Sloppy handling of cash. 

Sloppy handling of commodities. 

Awarding of a contract in any fashion outside of the letter and spirit of established procedures. 

Unusual or extravagant behavior or spending. 

Unusual patterns of taking leave. 

Unusual or extravagant amount of mail sent to particular employees. 

Checks cashed that appear to have been processed through unusual banking channels. 

Cash not turned in properly. 

Actions that tend to obstruct an audit trail. 

Unusual or unauthorized interaction between an employee and bidder or contractor. 

Frequent or unusual and/or unexplained travel. 

Unusual and/or unexplained possession of large amounts of U.S. or local currency. 

Abrupt change in living style. 

Part II. Frauds committed by Contractors and individuals 

1.Pre Award Fraud 

Rigged Specifications.

Receipt of only one bid.

One bid significantly lower than others.

Sole source procurement.

Protests filed by bidders. 

2. Collusive Bidding 

Small number of companies doing similar work on what appears to be a rotating basis.

Awards to companies for that reflect a geographic pattern indicating collusive division of territory.

Fairly wide disparity between the winning and losing bids.

Unsuccessful bidders who become subcontractors after contract award.

One or more of these situations indicate the possibility of collusive bidding. 

3.Contractor Fraud 

(i).False claims and statements 

Cost proposal data that is incorrect or less than current or complete. 

False representations concerning quality of product being offered or ability to perform adequately and timely. 

Billings (including progress payments) not adequately supported by project status or reliable cost data. 

Duplicate or altered invoices used as support for payment.

Costs charged to the project that should be charged to another project or to overhead.

Direct cost from a contract charged to overhead, thereby distributing the loss to other contracts.

Double billing, i.e., charging employees full-time to two or more jobs. 

Reviewing the progress of work performed.

Testing the quality of work performed.

Reviewing all billings to ensure that they are for work which has been satisfactorily performed.

Being alert to sudden and unexpected cost growth or over-runs.

Contract slippage.

Modifications to contracts because of contractor inability to perform.

Significant increase in price without corresponding increase in work.

Substantial subcontracting without the knowledge and approval of the contracting officer.

Substantial funds expended on the work by contractor prior to contract award.

Sole source procurement with substantial subcontracting.

Prime contractor requiring subcontractor to utilize prime's labor and/or equipment.

Inadequately supported charges for consultant fees, equipment rental, and travel.

Use of employees or consultants with skill levels below that proposed.

Inflated unit prices for items from contractor stock. 

Failure to Meet Specifications. 

Falsification of Government-Furnished Property Records. 

Co-Mingling of Contracts. 

False Invoices. 

Duplicate Contract Payments. 

Change Orders Abuse. 

(ii).Procurement  by Government Personnel

Excessive small purchases of tools

Excessive Small Purchases of equipments. 

Split Purchases. 

Phantom Contractors. 

Altered Receipts/Vouchers for Impress Fund Reimbursement. 

Duplicate Payments from both voucher and Impress Fund. 

Duplicate Payments from Impress Fund.

(iii).Bribery and Illegal Gratuities 

Co-mingling of Contracts. 

Rigged Specifications : 

(iv).Collusive Bidding 

Identical bids are received. 

A number of bids are received that are much higher than published costs of previous contracts of the same type, or of previous bids by the same firms for similar contracts. 

Fewer firms bid than would normally be expected from that industry. 

There is an inexplicably large gap between the winning bid and all other bids. 

Apparent recurring patterns of low bids. 

Successful bidder subcontracts work to companies that submitted higher bids on the same project. 

Close bids on non-standard items with no suggested retail price.