Atch 1d - PWS Appendix 3D.docx
DOCX document 13 KB Posted
- Solicitation number
- HTC711-24-R-CC01
About this file
This document is a template for a Revenue Route Support Request and Authorization for a federal contract. It allows the contractor to request revenue route support for moving passengers and/or cargo from one location to another under the authority of Contract HTC711-__-D-____. The request must be approved by the Contracting Officer or their delegated representative. The template includes details on the justification for the requested passenger/cargo space and the billing address for the transportation services provided.
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Text version
APPENDIX 3D –TEMPLATE
REVENUE ROUTE SUPPORT REQUEST AND AUTHORIZATION FORMAT
Date: _______________
SUBJECT: Revenue Route Support Request and Authorization
| TO: | CO or delegated representative | |
| of _____________________ Air Base |
1. Revenue route support is requested for the below listed passengers and/or cargo to be moved from __________________ to ____________________ on or about ______________ (Authority: Contract
HTC711-__-D-____).
2. The requested passenger/cargo space can be justified as follows:
3. Billing for transportation furnished will be made to the contractor at the address listed below on a special account-handling basis:
| (Billing Address) |
| ____________________________ |
| ____________________________ |
Contractor Representative
Approved:
CO or delegated representative
| Copies to: | |
| Requiring Contractor | |
| *HQ AMC/FMF | |
| *USTRANSCOM/TCAQ-C | |
| ** Contract Administrator |
* When delegation of authority is to TCAQ-C.
** When delegation of authority is to CA.
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