Att.J-6_Travel Authorization Form.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- Screening Information Request (SIR) FAA's AMA- 400 Technical Instructional Support Services Contract
- Solicitation number
- 6973GH-25-R-00020
About this file
The document is a Travel Authorization Form for a federal contract opportunity, identified as Contract #6973GH-24-D-XXXXX. The form outlines the required information for a contractor traveler, including the trip destination, purpose, dates, mode of travel, and associated expenses such as airfare, rental car, lodging, and per diem. The form also includes sections for the Contractor Project Manager's signature, as well as approvals from the Contracting Officer's Representative (COR) and Contracting Officer (CO).
The related federal contract opportunity is for the FAA's AMA-400 Technical Instructional Support Services Contract, identified by Solicitation Number 6973GH-25-R-00020. This is a Hybrid Indefinite Delivery/Indefinite Quantity (ID/IQ) contract with Firm Fixed Price (FFP), Labor Hour (L/H), and Cost Reimbursement (CR) type Contract Line Item Numbers (CLINs). The contract is set aside for 8(a) certified Small Businesses and has a term of five (5) years, including a one-year base period and four (4) one-year option year periods. The contract will provide instructional services for the FAA's Technical Operations Training Division (AMA-400) at the Mike Monroney Aeronautical Center in Oklahoma.
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Text version
Sheet1
CONTRACTOR TRAVEL AUTHORIZATION REQUEST
| Fields to be completed by the Contractor | ||||||||||||
| Traveler Name | Contract # | 6973GH-24-D-XXXXX | ||||||||||
| Destination | OKC | Purpose of Trip: | Sit-Thru | |||||||||
| Departure Date | Course # | 21000058 | ||||||||||
| Return Date | Offering# | 180368 | ||||||||||
| Request Date | Voucher# | 240-001 | ||||||||||
| Mode of Travel | Total Number of Days | Lodging and Per Diem Rates | ||||||||||
| # of Days | # of Nights | -1 | Lodging Rate | $ - 0 | ||||||||
| Daily Rate | $ - 0 | |||||||||||
| Expenses | Computations | Cost | Comments/Notes | |||||||||
| Airfare | Airline: | Alaska | $ - 0 | |||||||||
| Baggage Fees | Enter Total Baggage Fees ===> | $ - 0 | $XX.00 each way | |||||||||
| Compact Rental Car | Cost per Day | $ - 0 | Number of Days | 0 | $ - 0 | |||||||
| Rental Car Taxes/Fees (Estimate) | Estimated Rental Car Taxes and Fees ===> | $ - 0 | ||||||||||
| Gas for Rental Car (2 gal/day max) | Max Gallons | 0 | Number of Days | 0 | $ - 0 | current okc avg $2.649 | ||||||
| Rental Type* | *Type must be compact or smaller. If other type: Rationale must be submitted to be approved by the CO. | |||||||||||
| Taxi / Public Transportation | Enter Total Total Taxi/Public Transporation Costs ===> | $ - 0 | ||||||||||
| Lodging | Per Diem Rate | $ - 0 | Number of Nights | $ - 0 | ||||||||
| Taxes on Lodging (estimate) | Hotel Tax Rate | 0.000% | Estimated Taxes =====> | $ - 0 | ||||||||
| Hotel Parking Fees | Daily Rate | $ - 0 | Number of Days | 0 | $ - 0 | |||||||
| Meals Per Diem | Number of Days | -2 | @ | $ - 0 | Rate | $ - 0 | ||||||
| (Per Diem at 75% for first and last day) | Number of Days | 2 | @ | $ - 0 | Rate | $ - 0 | ||||||
| Miscellaneous | $ - 0 | |||||||||||
| Airport Parking | Day Rate | $ - 0 | Number of Days | 5 | $ - 0 | |||||||
| POV Mileage (ie. to and from airport) | # Miles TO | 0 | # Miles FROM | 0 | Rate | $ 0.67 | $ - 0 | |||||
| Third Party Agency Fee | *Charge may only occur in the event of using a legitimate 3rd Party Travel Agency that is not a subsidiary or sister-like entity of/with the above listed company. | $ - 0 | ||||||||||
| SUBTOTAL | $ - 0 | |||||||||||
| $ - 0 | ||||||||||||
| Special Travel Accomodation | ||||||||||||
| [Must be aprvd by the CO] | $ - 0 | Total Travel Estimate |
Contractor's PM or Authorized Signature DATE
COR Signature DATE
CO Signature DATE
Sheet2
| Rental | Mode of Trvl |
| None | Airline |
| Economy | Train |
| Compact | Bus |
| Midsize | POV |
| Taxi |
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