Appendix C--Work Request Form.pdf
PDF 82 KB Posted
- Attached to
- Hoist and Crane Maintenance Services Federal contract opportunity
- Solicitation number
- FA485520Q0007
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Text version
Solicitation #: FA4855-xxxx Appendix C Contract # FA4855-xxxx 29 May 2019
C-1
APPENDIX C WORK REQUEST FORM
Government Control Number __________ Contractor Control Number __________
Description of work to be performed:
Costs:
Labor: The total labor price shall include all labor costs.
Labor Number Price Total Classification of Hours Per Hour Labor price
Total of Labor Costs $ _____________
Materials, Supplies, Equipment. Contractor shall identify all materials, supplies, and equipment required regardless of cost. For any single item in excess of $2,500 the Contractor shall provide at least 3 competing vendor quotes.
Vendor Name & Contact Info Item Cost
Total of Materials, Supplies, Equipment Costs $ ____________
Total of all work request costs $ ____________
Warranty period: Parts ___________ Labor ____________
Schedule of Work: Start ___________ Complete ____________ Days and Hours ____________
Other Conditions:
Contractor Government COR Signature & Date Signature & Date
APPROVED (For $__________)/DISAPPROVED
Contracting Officer Signature & Date
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