Attachment 2 - Work Request Form.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- FA813222QFES1
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Sheet1
REMEDIAL MAINTENANCE (RM) WORK REQUEST (WR)
WR # CONTRACT # DATE
TITLE: Remedial Maintenance for Fike Explosion Suppression System (Quote # ______________)
PURPOSE Authorize a one-time, in-scope repair IAW the contract terms and conditions established via CLIN 0003. The Contractor shall be authorized to invoice for all work completed in arrears of completion and subsequent Government acceptance of this work for the
SYSTEM Fike Explosion Suppression System
REQUESTING ACTIVITY NAME & PHONE #
CONTRACTING ACTIVITY CONTRACTOR
NOT TO EXCEED (NTE) AMOUNT RM CLIN #
| RM QUOTE INFORMATION |
| Please ensure Quote is attached upon WR Submission |
ESTIMATED REPAIR TIME
ESTIMATED LABOR HOURS
BURDENED LABOR RATE per hour This is an already agreed-upon rate in the applicable RM CLIN
ESTIMATED MATERIALS
OTHER DIRECT COSTS
WORK DESCRIPTION
| COORDINATION AND APPROVAL |
| Please convert document to PDF prior to signing |
CONTRACTOR
CONTRACTING OFFICER REPRESENTATIVE (COR)
or GOVERNMENT POINT OF CONTACT (GPOC)
REQUESTING ACTIVITY POC
CONTRACTING OFFICER
File details come from the government source that posted it. Updated .