Attachment 4_Travel Authorization Form.xlsx

XLSX spreadsheet 29 KB Posted May 22, 2019

Attached to: Engine Management Program for the Gulfstream Challenger CF34-3A1, CF34-3B Source Sought/Request for Information. Federal contract opportunity
Solicitation number: 6973GH-19-R-00114
Issued by: Department of Transportation Federal Aviation Administration Aeronautical Center

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Attachment 4_Travel Authorization Form (xlsx)

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Other files attached to Engine Management Program for the Gulfstream Challenger CF34-3A1, CF34-3B Source Sought/Request for Information., newest first.
File	Type	Posted
Attachment 3_Subcontracting Plan Checklist.doc	DOC document	May 22, 2019
Attachment 5 SOW REV 1.pdf	PDF	May 22, 2019
Attachment 2_Past Experience Form.docx	DOCX document	May 22, 2019
Attachment 1_Pricing Matrix.xlsx	XLSX spreadsheet	May 22, 2019
SIR.pdf	PDF	May 22, 2019
SIR.pdf	PDF	May 10, 2019
Attachment 1_Pricing Matrix.xlsx	XLSX spreadsheet	May 10, 2019
Attachment 5_SOW_18 Apr Rev 3.pdf	PDF	May 10, 2019
Attachment 2_Past Experience Form.docx	DOCX document	May 10, 2019
Attachment 4_Travel Authorization Form.xlsx	XLSX spreadsheet	May 10, 2019
Attachment 3_Subcontracting Plan Checklist.doc	DOC document	May 10, 2019
Attachment 1_ Draft SOW_CF34 Engine.pdf	PDF	Mar 5, 2019

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TRAVEL AUTHORIZATION

Travel Authorization Form
Employee Name:	Dates of Travel:	thru
Contract / Task Number:
Reason for Travel:

	TRANSPORTATION MODE
	Travel Mode:	Notes:
	Confirmation Number:
	Carrier Name:
	Carrier Phone Number:		COMMERCIAL TRAVEL ESTIMATE:
Marker, Matilda (FAA): Travel estimate based on projected transportation expenses.	$0.00
	Reservations:		ACTUAL COST:

Marker, Matilda (FAA): Airline Ticket Receipt required.

$0.00

Departed (city, st) Date Arrived (city, st) Date Flight #

DURATION of TRAVEL STATUS: 1.00 (days)

	VEHICLE RENTAL
	Daily Rental Rate:	$0.00	Rental Tax:	$0.00	Pick-Up Date & Time:
	Vehicle Class:	Compact	(compact unless otherwise authorized)		Return Date & Time:
	Rental Car Gas:	$0.00			Rental Days:	0
	Daily Rental Estimate:	$0.00
	Auto Rental Company:						VEHICLE RENTAL ESTIMATE:
Marker, Matilda (FAA): Vehicle rental estimate based on compact size rental, unless otherwise authorized by FAA.	$0.00
	Reservation:						ACTUAL COST:

Marker, Matilda (FAA): Auto Rental Receipt required.

$0.00

ESTIMATED MILEAGE

Privately Owned Vehicle (POV) Mileage Reimbursement Rates

POV Reimbursement Rate:	$0.54	per mile		POV REIMBURSEMENT ESTIMATE:	$0.00
Mileage Estimate:	0	Actual Mileage:	0	ACTUAL COST:	$0.00

MISCELLANEOUS EXPENSE
Metro Estimate:	$0.00	Actual Expenses:	$0.00
Taxi Estimate:	$0.00		$0.00
Toll Esimate:	$0.00		$0.00	MISCELLANEOUS ESTIMATE:	$0.00
Other:	$0.00		$0.00	ACTUAL COST:

Marker, Matilda (FAA): Miscellaneous Receipts required.

Marker, Matilda (FAA): Travel estimate based on projected transportation expenses.

Marker, Matilda (FAA): Airline Ticket Receipt required.

$0.00

HOTEL / LODGING (per diem rates)			Reference AMS Clause 3.3.2-2 Reimbursement for Travel and Subsistence
Hotel Per Diem:	$97.00	Arrival:	1/1/2017
Hotel Tax (15%):	$14.55	Departure:	1/1/2017
Hotel Est Cost Per Night:	$111.55	Hotel Nights:	0
Hotel Parking:	$0.00
Daily Estimate:	$111.55
Hotel:
Adress:
Phone:
Reservation:				HOTEL ESTIMATE:	$0.00
				ACTUAL COST:

Marker, Matilda (FAA): Hotel Receipt required.

$0.00

CONUS PER DIEM / Meals and Incidental Expenses (M&IE)	Foreign Per Diem Rates
City/State: _____M&IE:

Marker, Matilda (FAA): Update city/state as required based on duty location.

	$59.00	Travel Day:
Marker, Matilda (FAA): First Travel Day and Last Travel Day = 2 days	0	$0.00
	Travel days (75% M&IE):

Marker, Matilda (FAA): First and Last Travel Day per diem rate.

Marker, Matilda (FAA): First Travel Day and Last Travel Day = 2 days $44.25 Mission Days:

Marker, Matilda (FAA): Actual work days excluding first and last travel day.

Marker, Matilda (FAA): Hotel Receipt required.

0 $0.00 M&IE COST:

Marker, Matilda (FAA): IAW GSA per diem rates for full mission days plus travel days. The first and last calendar day of travel is calculated at 75 percent.

$0.00

GOVERNMENT AUTHORIZATION (Travel shall be paid in accordance with FTR.)	Federal Travel Regulations (FTR)
Task Manager / POC:

Marker, Matilda (FAA): Task Manager or contract POC requesting and approving travel requirements.

		ESTIMATED TOTAL COST:	$0.00
	COR:
Marker, Matilda (FAA): Contracting Officer Representative ensuring funds are obligated to cover estimated travel expenses.		ACTUAL COST:

Marker, Matilda (FAA): Airline Ticket, Hotel, Car Rental, Gas, Misc Expense Receipts are required.

$0.00

CO:

Marker, Matilda (FAA): Contracting Officer approving estimated travel expenses.

Marker, Matilda (FAA): IAW GSA per diem rates for full mission days plus travel days. The first and last calendar day of travel is calculated at 75 percent.

Marker, Matilda (FAA): Vehicle rental estimate based on compact size rental, unless otherwise authorized by FAA.

Marker, Matilda (FAA): Airline Ticket, Hotel, Car Rental, Gas, Misc Expense Receipts are required.

Difference: $0.00

&7TRAVEL AUTHORIZATION FORM

http://www.gsa.gov/portal/category/26429http://www.gsa.gov/portal/content/104877http://www.gsa.gov/portal/content/104790https://conwrite.faa.gov/CWClauseList.cfm?Show=Num,Title,Text,Pers,UCF,IBR&CatNum=3.3.2https://www.gsa.gov/portal/category/26429https://aoprals.state.gov/web920/per_diem.asp data dropdown

VEHICLE OWNERSHIP	VEHICLE CLASS	TRANSPORTATION
Privately Owned Vehicle (POV)	Economy	Privately Owned Vehicle (POV)
Government Furnished Vehicle	Compact	Government Furnished Vehicle
Rental Vehicle	Intermediate	Rental Vehicle
	Standard	Air
	Full Size	Train
		Other

Instructions

TRAVEL AUTHORIZATION FORM INSTRUCTIONS

Complete form per section to obtain a travel cost estimate and approval prior to traveling.

Update travel form with actual cost and submit with invoice along with travel receipts.

TRAVEL REQUIREMENTS

All required travel will be specified in individual task orders issued. The cost of transportation, lodging, subsistence and incidental expenses (per diem) incurred by the Contractor personnel when requested to travel in the performance of a contract will comply with the limitations as set forth in the FAA Travel Policy and Federal Travel Regulations (FTR).

PRIOR APPROVAL OF TRAVEL

Before undertaking any travel in performance of contracts, the Contractor must obtain a written approval from the Contracting Officer and/or Program Office COR. The Contractor will provide, at a minimum, the number of persons in the party, traveler name(s), destination(s), duration of stay, purpose, and estimated cost via Travel Authorization Form.

PER DIEM RATES must be used to estimate travel expense.

TRANSPORTATION MODE

Enter transportation mode information and cost estimate based on airline ticket, etc.

Enter departure and arrival information.

After trip, update form with actual cost and submit with invoice.

VEHICLE RENTAL

Enter vehicle daily rental rate.

Enter compact car only, unless otherwise authorized by FAA.

Enter estimated rental car gas, tax, and pick-up/drop-off time.

The estimated rental cost will populate based on data entered.

After trip, update form with actual cost and submit with invoice.

ESTIMATED MILEAGE

Enter personal vehicle mileage estimate.

After trip, update form with actual cost and submit with invoice.

MISCELLANEOUS EXPENSE

Enter estimated miscellaneous expenses.

After trip, update form with actual cost and submit with invoice.

HOTEL / LODGING (per diem rates)

Enter hotel per diem rate based on duty location (look up city/state).

Enter hotel parking estimate (fee x days).

Enter other hotel information.

Enter arrival and departure dates.

The estimated hotel cost will populate based on data entered.

After trip, update form with actual cost and submit with invoice.

PER DIEM / Meals and Incidental Expenses (M&IE)

Update City/State per diem rate as required based on duty location (look up city/state).

Enter (2) for first and last travel day.

Enter number of actual working days excluding first and last travel day.

Invoice for full M&IE based on actual travel dates. Meal receipts are not required.

The first and last calendar day of travel is calculated at 75 percent.
Total	First & Last Day of Travel
$51	$38.25
$54	$40.50
$59	$44.25
$64	$48.00
$69	$51.75
$74	$55.50

http://www.gsa.gov/portal/content/104877http://www.gsa.gov/portal/content/101518 PER DIEM planner Country Location Season Code Season Start Date Season End Date Lodging Meals & Incidentals Per Diem Effective Date CONUS Per Diem Rates https://www.gsa.gov/portal/content/104877

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