Attachment C - EXBS Travel and Logistics Request Form blank.pdf
PDF 226 KB Posted
- Attached to
- ISN/ECC SERVICE IDIQ Federal contract opportunity
- Solicitation number
- 19AQMM23R0140
About this file
This document contains a blank template for requesting travel and logistics support services under the ISN/ECC Service IDIQ federal contract opportunity. The template collects information on requested activities including activity details, travel arrangements, lodging, meals, ground transportation, conference space and logistics, translation, interpretation, printing, and onsite support. Fields include numbers of travelers, rooms, seating preferences, equipment needs, translation pages, and interpretation requirements. The related federal contract opportunity is soliciting proposals under solicitation number 19AQMM23R0140 for the ISN/ECC Service IDIQ to provide export control and border security program support to the Department of State's Bureau of International Security and Nonproliferation. Services include designing, implementing, and administering nonproliferation programs and building partners' capabilities to disrupt proliferation networks.
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Text version
EXBS Travel and Logistics Request Form
I: Request Overview
OVERVIEW
Activity Title
Activity Dates
EXBS Account (Country)
Funding Year(s)
EXBS Activity ID
EXBS Point(s) of Contact
REQUIRED SERVICES (CHECK ALL THAT APPLY)
Travel Arrangements Logistics Services Onsite Support
II: Travel Arrangements
AIRFARE TRAIN BUS
Departure City/Country No. of Travelers
Arrival City/Country Separate Departure Points
Separate Departure Points Description
Notes on Transportation
LODGING
Preferred Lodging Hotel (or Area)
Pay Traveler(s) Directly Pay Hotel Directly
No. of Rooms Preferred Lodging Class
Notes on Lodging
MEALS & INCIDENTAL EXPENSES
Pay traveler(s) cash onsite Reimburse traveler(s) after event
Deduct Breakfast Deduct Lunch Deduct Dinner
Notes on M&IE (e.g. local participants not receiving M&IE)
GROUND TRANSPORTATION
From Airport Taxi Bus Capacity
Other NOTE:
During Activity Taxi Bus Capacity
Other NOTE:
To Airport Taxi Bus Capacity
Other NOTE:
Notes on other Ground Transportation Needs
III: Logistics Services
CONFERENCE SPACE
Preferred Conference Space Within Hotel
No. of Seats No. of Days
A/V Equipment Wi‐Fi Tabletop microphones Quantity:
Name tents Pen & Paper
Easel/flipchart Quantity:
Markers Lapel microphone Quantity:
Podium Other
Notes on Conference Space & Breakout sessions
SEATING PREFERENCES
Classroom U Shaped Board Room Banquet
CATERING
Total head count Coffee/Tea Break (2 per day); Days:
Special Instructions
Lunch at Conference Space Lunch at Remote Training
Days in Classroom Training Days in Remote Training
Lunch Preference Halal Kosher Other
Special Dining Event Request
TRANSLATION
Printed Translation Required
Estimated No.
of Pages
Estimated No.
of Words
Language(s)
Translation service details
INTERPRETATION
Number of Days Simultaneous Consecutive
Language(s) to Offsite location involved
Tabletop booth Encapsulated booth
No. of Headsets required for event
Additional Interpretation equipment requirements
Interpretation notes (e.g. not standard team of 2 interpreters + 1 technician)
PRINTING
Binders Handout Electronic Medium/USB Name tags Certificates Other
IV. Onsite Support
REQUEST CONTRACTOR ON‐SITE ATTENDANCE
On-site Support Notes:
| Activity Title: |
| Activity Dates: |
| EXBS Account Country: |
| Funding Years: |
| EXBS Activity ID: |
| EXBS Points of Contact: |
| Travel Arrangements: Off |
| AIRFARE: Off |
| TRAIN: Off |
| BUS: Off |
| Departure CityCountry: |
| No of Travelers: |
| Arrival CityCountry: |
| Separate Departure Points: Off |
| Separate Departure Points Description: |
| Notes on Transportation: |
| LODGING: Off |
| Preferred Lodging Hotel or Area: |
| No of Rooms: |
| Preferred Lodging Class: |
| Notes on Lodging: |
| Reimburse travelers after event: Off |
| Deduct Breakfast: Off |
| Notes on MIE eg local participants not receiving MIE: |
| GROUND TRANSPORTATION: Off |
| Capacity: |
| NOTE: |
| Capacity_2: |
| NOTE_2: |
| Capacity_3: |
| NOTE_3: |
| Notes on other Ground Transportation Needs: |
| CONFERENCE SPACE: Off |
| Preferred Conference Space: |
| No of Seats: |
| No of Days: |
| Tabletop microphones: Off |
| Pen: Off |
| Easelflipchart: Off |
| Lapel microphone: Off |
| Notes on Conference Space Breakout sessions: |
| Board Room: Off |
| Total head count: |
| CoffeeTea Break 2 per day Days: Off |
| Special Instructions: |
| Days in Classroom Training: |
| Days in Remote Training: |
| Halal: Off |
| Kosher: Off |
| Special Dining Event Request: |
| TRANSLATION: Off |
| Printed Translation: Off |
| Estimated No of Pages: |
| Estimated No of Words: |
| Languages: |
| Translation service details: |
| INTERPRETATION: Off |
| Number of Days: |
| No of Headsets required for event: |
| Additional Interpretation equipment requirements: |
| Interpretation notes eg not standard team of 2 interpreters 1 technician: |
| PRINTING: Off |
| REQUEST CONTRACTOR ONSITE ATTENDANCE: Off |
| Onsite Support Notes: |
| Pay traveler directly: Off |
| Pay hotel directly: Off |
| Pay traveler case onsite: Off |
| Deduct lunch: Off |
| Deduct dinner: Off |
| From Airport: Off |
| Taxi_1: Off |
| Bus_1: Off |
| Other_text: |
| Other text_2: |
| Other_text 3: |
| Other_1: Off |
| Other_2: Off |
| Other_3: Off |
| Taxi_2: Off |
| Taxi_3: Off |
| Bus_2: Off |
| Bus_3: Off |
| During Activity: Off |
| To Airport: Off |
| Logistics Services: Off |
| Onsite Support: Off |
| Within Hotel: Off |
| Other text_4: |
| Other 4: Off |
| Classroom: Off |
| U shaped: Off |
| Banquet: Off |
| Coffee Break Days: |
| Lunch at Conference Space: Off |
| Lunch at Remote Training: Off |
| Other_ text 5: |
| Other_5: Off |
| Language A: |
| Language B: |
| Offsite location involved: Off |
| Tabletop booth: Off |
| Encapsulated booth: Off |
| Binders: Off |
| Handout: Off |
| Electronic Medium: Off |
| Name tags: Off |
| Certificates: Off |
| Other text_6: |
| Other 6: Off |
| A/V Equipment: Off |
| Wi-Fi: Off |
| Quantity Tabletop microphones: |
| Name tents: Off |
| Quantity Easel/flipchart: |
| Markers: Off |
| Quantity lapel microphones: |
| Podium: Off |
| Simultaneous: Off |
| Consecutive: Off |
File details come from the government source that posted it. Updated .