10.1.7 RFP Project Deliverable Sign-off Sample.doc

56 KB Posted

Attached to
Centralized Credentialing
Solicitation number
40DHHS-S2377
Issued by
Churchill County, Nevada

About this file

Written by GovTribe AI ·

The document is a sample Project Deliverable Sign-off form for a state and local contract opportunity. The contract is between the State and a Contractor for a Data Conversion Report deliverable. The deliverable was due on February 1, 2016 per the contract, and went through three submission and review cycles before being accepted by the State on March 18, 2016. The State representatives who approved the final deliverable include the Agency Project Manager, Agency Business Lead, and Quality Assurance.

The related state and local contract opportunity is for Centralized Credentialing services, involving the jurisdictions of Carson City, Nevada. No additional details about the contract opportunity, such as quantities, response dates, award dates, or contract term, are provided in the given information.

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SAMPLE PROJECT DELIVERABLE SIGN-OFF

DELIVERABLE INFORMATION (To be completed by the Contractor)

CONTRACTOR:

PROJECT NAME:

DELIVERABLE #:
15.6.3.6
DELIVERABLE TITLE:
Data Conversion Report
DUE DATE PER CONTRACT:
February 1, 2016

DELIVERABLE SUBMISSION AND REVIEW HISTORY (To be completed by the State)

Deliverable Submission #
Date and Time Received From Contractor
Date Returned to Contractor
Notes / Comments
1
02/01/16

4:30 PM

02/15/16
Refer to comments attached
2
02/22/16

3:00 PM

03/01/16
State accepts revisions made, except for attached comments
3
03/08/16

1:00 PM

03/18/16
All revisions accepted by State

STATE FINAL APPROVAL AND ACCEPTANCE OF DELIVERABLE

APPROVED BY:
SIGNATURE
DATE

Agency Project Manager:

Agency Business Lead:

Quality Assurance, if applicable:

Distribution
Original:

Contractor

Copies:

Project Office

Agency Contract Monitor

File details come from the government source that posted it. Updated .