Attachment 0005_eAuthorization Application.pdf
PDF 171 KB Posted
- Solicitation number
- 69056721Q000048
About this file
This document contains an application form for requesting an e-Authorization account to access the Federal Highway Administration's Delphi e-Invoicing system. The form requires applicants to provide their name, title, contact information, and employer details. It must be certified by the applicant and include concurrences from two supervisory levels. The completed form should be submitted to the FHWA Contract/Agreement Specialist either via email or mail. Upon approval, the applicant will receive login credentials to their unique user account via email from the administering organization.
The related federal contract opportunity is a firm fixed price request for quote issued by the FHWA for tree removal and logging services to support construction of the WY NPS YELL 14(1) Lewis River Bridge project. Quotes are due under simplified acquisition procedures. The requirement has a NAICS code of 113310 and PSC of F014. Vendors must be registered in SAM.gov to be eligible for award.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 0005 e-Authorization Application Form (all entries must be typed)
Applicant:
Name
Title/Position
Telephone
Company/Organization (employer):
Name
Address
Telephone
Applicant certification:
I, , hereby certify that the above data is correct to the best of my knowledge and that I am authorized to request and obtain an e-Authorization account and submit invoices or vouchers to the Federal Highway Administration (FHWA) via the Delphi e-Invoicing system for costs incurred on behalf of my employer in support of grants, cooperative agreements, contracts, task/delivery orders, or purchase orders, awarded to my employer by the FHWA.
Date
Concurrences:
First level supervisor
Second level supervisor
Return this form to the FHWA Contract/Agreement Specialist at: FHWA-WFLHD, Attn: Simplified Acquisitions, 610 E 5th Street, Vancouver, WA 98661-3801 or email to WFL.Purchasing@dot.gov.
This application form will be submitted to ESC for processing. You will receive instructions to complete your application and receive a unique user ID and password via email from ESC. If more than one person is to be designated, each person must submit an application form and will receive instructions and their own unique user ID and password. User IDs and passwords may not be shared.
File details come from the government source that posted it. Updated .