Attachment D.xls

XLS spreadsheet 26 KB Posted

Attached to
Road and Bridge Maintenance and Construction (IDIQ) Job Order Contract for Region 4
Solicitation number
AG-02NV-S-09-0016
Issued by

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Attachment D

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Other files

File Type Posted
Amend 01.doc DOC document
Attachment E.xls XLS spreadsheet
Attachment F.xls XLS spreadsheet
Attachment C.doc DOC document
Attachment B.doc DOC document
Attachment A.doc DOC document
Specifications.doc DOC document
RFP Solicitation.doc DOC document

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Text version

example

Job Order Request Form
Contract #00-0000-0-00000
Job Order Number:
Government RequestContractor's Clarification and Adjustment
a.Date of Job Order Request:a.Date of Job Order Proposal:
b.Project Location:b.Subcontractor:
c.General Description of Work:c.General Description of Work:
d.Define Volume of Workd.Define Volume of Work:
e.General Conditions:e.General Conditions:
f.Special Conditions:f.Special Conditions:
g.Time:g.Time:
Job Order Time:
Performance Period:
h.Required Submittals:h.Required Submittals:
i.Flat Fee Items:i.Flat Fee Items:
j.Government Contact:j.Name of Site Superintendent:
k.Attachments:k.Attachments:

&CAttachment D fsdefaultUser:

List all Submittals that you want the Contractor to provide.

List the Flat Fees that will be paid with this Job Order:

2.0 Flat Fee Schedule(1)

2.1 Permits and Fees (if required by Job Order) $ Actual Cost

2.2 Operation/Maintenance Manual per Discipline (if required by Job Order) $ Actual Cost List your Name and contact telephone number.

Provide a listing of all attachments such as:

- As-Built Drawings

- Special Product Specifications

- Special requirements Identify all special conditions such as:

- If the building will be occupied.

- Restrictive work hours

- Water, power, and telephone access

- Toilet facilities

- Traffic requirements

- Storage requirements Identify conditions or requirements regarding the identified work.

Define the Volume of Work in general terms such as:

- Sq. Ft.

- Actual quantity of items

- Lineal feet Provide a General Description of the Work. It is not necessary to be technical. Provide sufficient narrative for the Contractor to understand what it is that you desire them to do.

Identify the Project Location in sufficient detail that the Contractor can locate the site without assistance.

Provide your District # - FY - followed by a sequential number (1, 2, 3, etc.)

Insert todays Date.

Identify how long you feel that it should take the Contractor to perform the Work - lets say 90 days (Performance Time).

Also Identify how long until you want the Work to be fully accomplished - lets say 120 days (Job Order Time) The Forest Service fills out the left side of this form.

The Contractor will fill out the right side of this form.

This form and a Request for Contract Action (RCA) are the only forms that the District will need to fill out in order to request work under the Job Order Contract. After filling out the left portion of this form send it to the appropriate C.O.R via Lotus Notes:

File details come from the government source that posted it. Updated .