Att J-6 Excess Repair Form 08-18-20.docx

DOCX document 18 KB Posted

Attached to
Pilot and Aircrew Curriculum Revision and Maintenance (PACRM)
Solicitation number
N6134020R0082
Issued by

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This document contains a request form and related federal contract opportunity solicitation. The request form is for a contractor to seek authorization from the procuring contracting officer for repair or replacement parts that exceed $1,500 under a Navy contract. It requires information on the manufacturer, part number, model, cost estimate, and government liability limit. The attached federal contract opportunity is a solicitation from the Naval Air Warfare Center Training Systems Division to establish an indefinite delivery/indefinite quantity multiple award contract to support the revision and maintenance of Navy and Marine Corps pilot and aircrew curriculum. The solicitation seeks to ensure currency and accuracy of various training programs' curriculum and electronic classroom systems to support fleet operational readiness. The response due date is not provided.

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EXCESS COSTS REQUEST FORM

Sequential Number ____________ Date __________

TO: Procuring Contracting Officer

VIA: COR

Subj: REQUEST FOR AUTHORIZATION TO PROCURE REPAIR/REPLACEMENT PART

IN EXCESS OF $1,500

Ref: (a) Device/Serial No. ______________________________________

1. The undersigned Contractor requests authorization to procure repair/replacement part under Item __________ of Contract N61340___________ , in accordance with the Excess Repair / Replacement clause of the contract schedule as described below:

Manufacturer: ___________________________________________________________ Part No: ____________________________ Model No: __________________________ Nomenclature: ___________________________________________________________

Estimated Cost $______________________________ Not to Exceed Amount of Government's Liability $________________________ (Amount over $1,500) Detailed Cost Breakdown: (submit on separate sheet)

SUBMITTED BY: (Contractor) REVIEWED BY: (COR)

(Signature/Date) (Signature/Date)

COR Recommend: / / Approval / / Disapproval

2. PCO: [ ] Approved [ ] Disapproved for the following reason(s)______________________________

CONTRACTING OFFICER DATE

Attachment (J-6)

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