Attachment 2 CLIN 0004 OA Work Directive Form.pdf
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- Solicitation number
- 70RDA326R00000003
- Issued by
- Not on record
About this file
This is a template form for authorizing Over and Above (O&A) work on aircraft under CLIN 0004 of a federal maintenance contract.
The form is divided into three parts completed sequentially by the contractor and government. Part 1 requires the contractor to document the date discovered, affected system/component, and the specific O&A trigger that necessitates authorization: high-cost parts exceeding $2,500.00 wholesale cost, labor exceeding 20 hours or involving unlisted heavy structural repair, off-station aircraft-on-ground (AOG) travel, or major engine overhauls/hot section inspections. The contractor provides a brief description of the discrepancy and required maintenance action. Part 2 requires the contractor to submit a firm-fixed-price (FFP) quote itemizing labor hours, parts/materials costs (with verifiable wholesale quotes required for parts exceeding $2,500.00), off-station travel costs priced per Federal Travel Regulation with no profit markup, other direct costs, total FFP quote amount, and estimated aircraft downtime. Part 3 establishes the government authorization process with Contracting Officer Representative (COR) approval authority for work directives up to $20,000.00 delegated threshold and Contracting Officer approval required for amounts exceeding that threshold. Upon execution, the approved work directive authorizes the contractor to proceed and invoice the total FFP quote against pre-obligated CLIN 0004 funds, though this authorization does not constitute a formal contract modification or alter the overall contract ceiling value.
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Text version
OVER AND ABOVE WORK DIRECTIVE
CLIN 0004 Authorization Form Contract Number: [Insert Contract Number]
WD Number: [Insert WD Number]
Date Submitted: [Insert Date]
Aircraft Tail No: [Insert Tail Number]
PART 1: DISCREPANCY / REQUIREMENT DESCRIPTION
(To be completed by the Contractor)
Date Discovered: [Insert Date] System / Component Affected: [Insert System]
Check Applicable O&A Trigger:
[ ] High-Cost Part: Verified wholesale part cost exceeds the $2,500.00 CLIN 0003 threshold.
[ ] Labor Exceedance: Estimated repair exceeds 20 labor hours or involves unlisted heavy structural repair.
[ ] Off-Station AOG Travel: Unscheduled maintenance event requires personnel to travel away from the primary facility.
[ ] Engine Overhaul: Major Engine Overhaul or Hot Section Inspection (HSI).
Description of Discrepancy and Required Maintenance Action:
[Provide a brief, clear description of the unlisted repair, structural damage, heavy engine event, or high-cost component failure requiring authorization.]
PART 2: FIRM-FIXED-PRICE (FFP) QUOTE
(To be completed by the Contractor)
Labor Estimate: [Insert Hours] Hours = $[Insert Amount]
Parts / Materials Cost: $[Insert Amount] (Must attach verifiable wholesale quotes for any part exceeding $2,500.00)
Off-Station Travel Costs: $[Insert Amount] (Must be priced in accordance with the Federal Travel Regulation (FTR) with no profit applied)
Other Direct Costs: $[Insert Amount]
TOTAL FIRM-FIXED-PRICE QUOTE: $[Insert Total Amount]
Estimated Time to Complete (Aircraft Downtime): [Insert Days/Hours]
Contractor Representative Signature: ______________________ Date: ____________
PART 3: GOVERNMENT REVIEW & AUTHORIZATION
(To be completed by the Government) By signing below, the Government accepts the Firm-Fixed-Price quote and authorizes the Contractor to proceed with the specified maintenance action.
COR APPROVAL (For WDs up to Delegated Threshold – up to $20,000.00):
Printed Name: ___________________________
Signature: ______________________________ Date: _______________
Status: [ ] Approved [ ] Rejected [ ] Returned for Revision
CONTRACTING OFFICER APPROVAL (Required if exceeding COR Delegated Threshold):
Printed Name: ___________________________
Signature: ______________________________ Date: _______________
Status: [ ] Approved [ ] Rejected [ ] Returned for Revision
ADMINISTRATIVE NOTE: Execution of this approved Work Directive serves as official authorization for the Contractor to proceed and subsequently invoice the Total FFP Quote against pre-obligated funds under CLIN 0004. This directive does NOT constitute a formal modification to the contract terms, conditions, or overall ceiling value.
| OVER AND ABOVE WORK DIRECTIVE |
| CLIN 0004 Authorization Form |
| PART 1: DISCREPANCY / REQUIREMENT DESCRIPTION |
| PART 2: FIRM-FIXED-PRICE (FFP) QUOTE |
| PART 3: GOVERNMENT REVIEW & AUTHORIZATION |
File details come from the government source that posted it. Updated .