2.04.15 Attachment (14) - Set-Off Action Form.xlsx

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Attached to
Bridge DPM Contract Schedule III
Solicitation number
N0060426Q4022
Issued by

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This is a Set-Off Action Form template used by Fleet Logistics Center Pearl Harbor to communicate authorized contract deductions to multiple receiving entities. The form serves as a standardized notification document when an invoice has been initially processed without an authorized deduction, requiring subsequent application of the deduction to a later invoice.

The template contains six variants addressing different payroll and accounting offices: Navy Aloha Center, DFAS Rome/AP/DCC, U.S. Coast Guard Finance Center, DFAS BVF/LI (Limestone, ME), Comptroller Transaction Voucher Certification Branch (Albany, GA), and DFAS Cleveland Pacific Accounts Payable. Each version follows identical structure with fields for contractor name, contract number, invoice numbers, member names, total invoice amounts, authorized deduction percentages, and adjusted totals. The form references enclosures including DD Form 2772 (Contracting Report) and copies of original invoices. A point of contact at the Fleet Logistics Center (Transportation Assistant, ph: 808-473-7700) is identified for each variant. The template is designed to document situations where invoices were forwarded without applied deductions and directs the deductions to be applied against subsequent invoices, with all monetary fields preset to zero pending specific transaction details.

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2.04.14 Attachment (13) - Contract Discrepancy Report DD2772.pdf PDF
2.04.8 Attachment (7) - DTR Appx A-G, Att A-G6 - DPM Claims & Liability.pdf PDF
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2.04.6 Attachment (5) - DTR Appx A-G, Att A-G4 - Definitions.pdf PDF
2.04.5 Attachment (4) - DTR Appx A-G, Att A-G2 - Publications.pdf PDF
2.04.7 Attachment (6) - DTR Appx A-G, Att A-G5 - Acronyms.pdf PDF
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2.04.4 Attachment (3) - DTR Appx A-G, Att A-G1 - Figures.pdf PDF
2.04.9 Attachment (8) - DTR Appx A-G, Att A-G7 - DPM TPPS.pdf PDF
2.04.23 Attachment (20) - Provision & Clauses.pdf PDF
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2.04.16 Attachment (15) - Invoice Submission Form (SAMPLE).xlsx XLSX spreadsheet
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MASTER

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:NAVY ALOHA CENTER(M/L)
988 SPENCE STREET, BLDG 2652
CODE: NHB
HONOLULU, HI 96818
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to subject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjusted Deduction Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with subject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjusted Invoice Total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

A

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:DFAS ROME/AP/DCC( A )
325 BROOKS ROAD
ROMEO, NY 13441-4527
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

CG

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:COMMANDING OFFICER( CG )
U. S. COAST GUARD FINANCE CENTER
1430A KRISTINA WAY
CHESAPEAKE, VA 23326
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0

4. Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

F

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:DFAS BVF/LI(N/H)
27 ARKANSAS RD., STE 300
LIMESTONE, ME 04751-6216
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2018, Contracting Report No:
DD FORM 2772, Contracting Report No:(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to subject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with subject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

MA

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:COMPT TRAN VOUCH CERT BRANCH (TVCB)( M/A )
ATTN CODE 470
814 RADFORD BLVD. SUITE 20318
ALBANY, GA 31704-0318
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0

4. Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

ML

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:COMMANDING GENERAL( M/L )
ATTN: LSAP
BOX 63063 MCBH
KANEOHE BAY, HI 96863-3063
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0

4. Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

N

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:DFAS CLEVELAND( N )
PACIFIC ACCOUNTS PAYABLE
P.O . BOX 998023
CLEVELAND, OH 44199
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

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