Attach 10_DLA Form 2539 Verify Svcs.pdf
PDF 33 KB Posted
- Attached to
- Turkey Hazardous Waste Solicitation
- Solicitation number
- SP450026R0015
- Issued by
-
Defense Logistics Agency
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Other files
| File | Type | Posted |
|---|---|---|
| SP450026R0015 Amendment 0002.pdf | ||
| SP450026R0015 Amendment 0001.pdf | ||
| Attach 1_PWS_Turkey_v180826.pdf | ||
| Attach 4a_Terms and Conditions.pdf | ||
| Attach 7_DLA Form 2505_Invoice.xlsx | XLSX spreadsheet | |
| Attach 8_DLA Form 2507 TSDF QFL App.pdf | ||
| Attach 9_DLA Form 2511 HWPS.pdf | ||
| Attach 13_Instructions to Offers.pdf | ||
| Attach 2_Price Sched_Turkey_v180826.xlsx | XLSX spreadsheet | |
| Attach 5_FGS_Turkiye_Jan 2025.pdf | ||
| Attach 6_DLA Form 2503 Transporter App.pdf | ||
| Attach 12_Contractor Regist. Process _Turkey.pdf | ||
| Attach 14_Evaluation.pdf | ||
| Attach 4b_FAR Provision Fill-ins.docx | DOCX document | |
| Attach 15_PPI Questionnaire.pdf | ||
| Attach 3_Pick-up Points_Turkey_v150526.pdf | ||
| Attach 11_SFS Clearance.xlsx | XLSX spreadsheet |
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PAGE OF PDF (DLA)
DLA FORM 2539, NOV 2024
D L A FORM 0 0 1 3, AUGUST 20 22
Prescribed by:
SOP 4160.01-041
Sponsor: Disposition Services
CUSTOMER'S VERIFICATION OF SERVICES
DLA DRAFT NOT FOR PRODUCTION
PAGE OF PDF (DLA)
DLA FORM 2539, NOV 2024
D L A FORM 0 0 1 3, AUGUST 20 22
Prescribed by:
SOP 4160.01-041
Sponsor: Disposition Services
CUSTOMER'S VERIFICATION OF SERVICES
DLA DRAFT NOT FOR PRODUCTION
THIS FORM IS FOR USE BY THE CUSTOMER WHEN THE DLA DISPOSITION SERVICES CONTRACTING OFFICER'S REPRESENTATIVE (COR) IS NOT PRESENT AT THE TIME OF SERVICE. IT IS NOT INTENDED TO REPRESENT A FORMAL ACCEPTANCE OF SERVICES PROVIDED UNDER THE REFERENCED CONTRACT. ITS ONLY PURPOSE IS TO PROVIDE A RECORD THAT THE SPECIFIC ITEMS INDICATED ON THE TASK ORDER (DD FORM 1155) WERE COMPLETED BY THE CONTRACTOR ON THE DATE INDICATED.
SECTION 1 - DLA INFORMATION
TO BE COMPLETED BY THE COR BEFORE BEING GIVEN TO THE CUSTOMER
SECTION 2 - CUSTOMER VERIFICATION
TO BE COMPLETED BY THE CUSTOMER VERIFYING THE SERVICE
NOTE TO CUSTOMER: NEITHER YOU, NOR THE COR, ARE AUTHORIZED TO DIRECT OR ALLOW THE CONTRACTOR TO PERFORM ANY WORK WHICH IS NOT SPECIFICALLY IDENTIFIED IN THE TASK ORDER. ONLY THE KO HAS THAT AUTHORITY. ANY REQUESTS FOR CHANGES TO WHAT IS ORDERED ON THE TASK ORDER MUST BE APPROVED BY THE KO BEFORE REMOVAL OR OTHER WORK TAKES PLACE. IF CHANGES ARE NEEDED, CONTACT YOUR COR BEFORE PROCEEDING AND EXPLAIN ANY CHANGES IN “REMARKS”.
ANSWER QUESTIONS 14 - 16 IF YOU ANSWER "NO" TO ANY OF THE QUESTIONS CONTACT THE COR IMMEDIATELY FOR INSTRUCTIONS. IF THE COR RESOLVES THE ISSUE(S), AND ALL PARTIES AGREE TO CONTINUE WITH THE SERVICE, THEN EXPLAIN FURTHER IN THE REMARKS SECTION ON THE NEXT PAGE.
14. BEFORE ALLOWING ANY WORK TO BEGIN:
YES
NO
N/A
SEE REMARKS
A. Did the contractor arrive on the pre-arranged date & time?
B. Does the contractor have sufficient equipment & personnel and act in a professional manner?
C. Is the carrier's vehicle suitable for hauling hazardous material and in good condition?
D. If applicable, is the Driver in possession of all necessary hauling permits and a commercial driver's license with a HAZMAT endorsement, which has been previously verified by a DLA Disposition Services COR?
15. DELIVERED SUPPLIES OR SERVICES:
YES
NO
N/A
SEE REMARKS
A. For supplies - Did Contractor deliver the correct quantity and types?
B. For container swap out (roll offs, mud tanks, etc.) – Is replacement container in good condition and meet order requirements? (cover, right size, etc.).
C. For any other special service – Did contractor perform as required per Contract?
D. Describe the special service:
16. PRIOR TO FINAL RELEASE OF THE SERVICE PROVIDED (IF APPLICABLE):
YES
NO
N/A
SEE REMARKS
A. Has the COR/Contractor annotated the Task Order and Shipping paper(s) to reflect what was actually shipped?
B. Did you sign the Shipping Papers and receive a receipt copy from the carrier?
C. Did the contractor provide you with copies of all other pertinent documents?
D. Were you satisfied with how the service went?
SECTION 3 - CUSTOMER'S VERIFICATION STATEMENT
I hereby attest that the line item(s) on the Task Order listed above, which are described and listed on the shipping paperwork number(s) listed above (if applicable) were removed and/or other services were completed by the contractor on this date.
PROVIDE A COPY OF THIS FORM, A COPY OF THE COMPLETED TASK ORDER AND ASSOCIATED HW MANIFESTS / SHIPPING PAPERS, AND ANY OTHER PERTINENT DOCUMENTS TO YOUR COR AS SOON AS POSSIBLE.
REMARKS
Example Remark: Question 15A Ordered supplies did not match what was requested. Ordered 5 gallon buckets with lids, but Contractor did not supply the lids. Took pictures and contacted COR for resolution. COR communicated discrepancy to Contractor with disagreement arising. COR elevated to KO. KO instructed Contractor to deliver lids. Lids were received 2 weeks after initial receipt of 5 gallon buckets.
Example Remark: Question 16A Upon re-weighing Line Item 3 of the Task Order, it was discovered to weigh 10 pounds more than first described. I contacted the COR, who then contacted the KO for a modification adding the weight. Upon discussion with the Contractor, the KO modified Line Item 3 to reflect the extra 10 pounds, and it was removed as requested.
9.0.0.2.20100902.2.720808
AIRCRAFT LAUNCH RECOVERY EQUIPMENT (ALRE) CHECKLIST
AIRCRAFT LAUNCH RECOVERY EQUIPMENT (ALRE) CHECKLIST
| Current Page Number: |
| Total Number of Pages: |
| Click this button to Print this form.: |
| Click this button to Email form.: |
| Click this button to Clear the form: |
| Enter any Additional Comments. Block 19.: |
| Enter the C O R Telephone Number(s). Block 2.: |
| Enter the Alternate Point of Contact Name. Block 3.: |
| Enter the Alternate Point of Contact Telephone Number(s).: |
| Enter the Contracting Officer (K O) Name. Block 5.: |
| Enter the Contracting Officer (K O) Telephone Number. Block 6.: |
| Enter the Contract Number. Block 7: |
| Enter the Task Order Number. Block 8.: |
| Enter the Line Item Numbers (If Partial Removal, Delivery, and/or Service Only): |
| Section 2. Customer Verification. To be completed by the Customer verifying the Service. |
Enter the Actual Location of Service (Address). Block 10.:
| Enter the Customer Name (Enter in field or hand printed). Block 11.: |
| Enter the Customer Telephone Number. Block 12.: |
| Enter the Shipping paperwork number(s) or Manifest number(s). Block 13.: |
| Did the contractor arrive on the pre-arranged date and time? Check this box for See Remarks. Block 14. A.: 0 |
| Does the contractor have sufficient equipment & personnel and act in a professional manner? Check this box for See Remarks. Block 14. B. : 0 |
| Is the carrier's vehicle suitable for hauling hazardous material and in good condition? Check this box for See Remarks. Block 14. C.: 0 |
| If applicable, is the Driver in possession of all necessary hauling permits and a commercial driver's license with a HAZMAT endorsement, which has been previously verified by a D L A Disposition Services C O R? Check this box for See Remarks. Block 14. D.: 0 |
| For supplies - Did Contractor deliver the correct quantity and types? Check this box for See Remarks. Block 15. A.: 0 |
| For container swap out (roll offs, mud tanks, etc.) – Is replacement container in good condition and meet order requirements? (cover, right size, etc.). Check this box for See Remarks. Block 15. B.: 0 |
| For any other special service – Did contractor perform as required per Contract? Check this box for See Remarks. Block 15. C.: 0 |
| Enter the description of special service. : |
| Has the C O R / Contractor annotated the Task Order and Shipping paper(s) to reflect what was actually shipped? Check this box for See Remarks. Block 16. A. : 0 |
| Did you sign the Shipping Papers and receive a receipt copy from the carrier? Check this box for See Remarks. Block 16. B.: 0 |
| Did the contractor provide you with copies of all other pertinent documents? Check this box for See Remarks. Block 16. C.: 0 |
| Were you satisfied with how the service went? Check this box for See Remarks. Block 16. D.: 0 |
| Section 3. Customer's Verification Statement. I hereby attest that the line item(s) on the Task Order listed above, which are described and listed on the shipping paperwork number(s) listed above (if applicable) were removed and/or other services were completed by the contractor on this date. Enter the Customer Signature. This field can be signed electronically. Block 17.: |
| Enter the Customer Signature Date: |
| Enter the Remark location. Ex. Question 16. A. Remarks Row 4.: |
| Enter any Remarks. Remarks, Row 4.: |
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