20R0010-AttachC-Contractor FOB Memo_ from COR.docx

DATE

MEMORANDUM

TO: – Contracting Officer’s Representative (COR)

THRU: NAME – Office Director (or equivalent) - Office symbol

THRU: Name - GTM – (If the requester is not a GTM)

FROM: NAME – GTM or Government employee requesting Authorization

SUBJECT: Request for FOB – Telework

In accordance with (Company Name) contract number (Insert Contract Number and Task Order Number) I hereby request that contractor employee(s) identified below be issued a DoS FOB in order to gain remote access into DoS Sensitive but Unclassified (SBU) OpenNet.

Contractor Employee Name(s) GTM Name and Phone Number a.

b.

c.

Authorization Rationale

I am recommending that the above listed contractor employee(s) be issued a DoS FOB in order to conduct business offsite. I recommend approval of this request as I believe it to be in the best interest of the government because of the following reasons – (insert rational) ------

If this request is approved, the contractor employee will be requested to complete an on-line application for teleworking which will be reviewed by the COR for consideration. If approved, upon the issuance of the FOB, the GTM and/or Program Office Director will ensure that the contractor employee has critical work that can be performed in a remote location in accordance with the contract terms and conditions. As an internal control measure the Office Director or GTM will ensure that a verifiable mechanism is in place to account for all work performed when the contractor employee is teleworking. The contractor employee will be required to sign a hand receipt for the FOB issued. A copy of this document will be retained by the contractor employee, GTM, COR and the prime contractor. When the contractor employee returns the FOB to the COR or GTM, a hand receipt will be will be issued and a copy will be sent to the GTM, COR and prime contractor. The FOB will be paid for by the government and will be treated as government furnished equipment. Should the contractor employee lose the FOB or otherwise fails to return it to the COR or GTM, the cost of the FOB will be deducted from the Contractors invoice.

In the event, that the FOB request is disapproved by the COR and there is a disagreement between the GTM and COR on the disapproval of a FOB request, the Contracting Officer shall review the request, after receiving the recommendation of the Office Director and make the final decision.

Program Office and Contractor Responsibility

The Program office (OFFICE SYMBOL) agrees to absorb any costs associated with the issuance, care and maintenance FOB. The GTM or the COR will be responsible for the issuance and collection of the FOB.

Pursuant with FAR, 52.245-1 “Government Property” the Contractor will be responsible for the control, use, preserve, protect, repair and maintain Government property in its possession.

Contracting Officer’s Representative Decision

Approved: __________________________________________ [Contracting Officer’s Representative Signature]

Date: _______________________

cc: Contracting Officer, A/OPE/AQM