Attachment 4-GFP Report-HEALY DS.docx

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Attached to
Dock-side Repairs: USCGC HEALY FY24 DS
Solicitation number
70Z08523RLREP0121
Issued by

About this file

This document is a Government Property Report template to be completed by a contractor performing dock-side repairs on the USCGC HEALY under Solicitation Number 70Z08523RLREP0121 issued by the Department of Homeland Security's United States Coast Guard. The contractor is required to account for all government property received for use in the contract, including its description, manufacturer's part number, and serial number. For each item, the contractor must record its current location, installation or consumption date, and disposition instructions for unused, serviceable, salvage, or scrap property. The contractor and government property administrator must sign and date the form upon completion of property disposition to confirm all items have been accounted for. The completed report must accompany the contractor's final invoice.

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Other files

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Attachment 2-Price Schedule-HEALY DS.xlsx XLSX spreadsheet
Attachment 1-Specification-HEALY DS.pdf PDF
Attachment 3-Clarification Request-HEALY DS.docx DOCX document
Solicitation-HEALY DS-to post 17Aug2023.doc DOC document

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ATTACHMENT 4

Solicitation No.: 70Z08523RLREP0121

GOVERNMENT PROPERTY REPORT

The Contractor shall complete each column throughout the contract performance period with the assistance of the Government Property Administrator, as needed.

CONTRACT NUMBER: 70Z08523............
VESSEL: CGC HEALY

CONTRACTOR POINT OF CONTACT:

TELEPHONE NUMBER:

CONTRACTOR’S ADDRESS:

The chart below is for use during the performance of the above listed contract. The Contractor shall complete each column of the chart with the assistance of the Government Property Administrator, as needed.

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TYPE OF PROPERTY RECEIVED (INCLUDE NAME, DESCRIPTION , NSN AND SERIAL #)
VALUE OF

PROPERTY

DATE RECEIVED
DATE INSTALLED/ CONSUMED

USE THIS BLOCK TO RECORD :

1.CURRENT LOCATION OF PROPERTY IN THE POSSESSION OF THE CONTRACTOR FOR USE DURING THE AVAILABILITY OR OTHERWISE BEING TEMPORARILY HELD UNTIL BEING RETURNED TO/REINSTALLED ON CUTTER.

2. DISPOSITION INSTRUCTIONSFOR UNUSED, SERVICEABLE, SALVAGE OR SCRAP PROPERTY. STATE WHICH APPLY.

DATE

DISPOSITION

CARRIED OUT

DESCRIPTION
NSN\SERIAL\P/N

*Definitions (all property defined below will require disposition instructions):Serviceable - defined as property that was pre-existing in a location that was, during the course of performance, replaced and which will be turned in by the Coast Guard for future use.

Salvage – defined as property that has no serviceable value, but that has some value in excess of its scrap value.Scrap – defined as property having no value except for it basic material content.

The undersigned hereby certify that all property provided under referenced contract has been accounted for. That is property has either been consumed in the performance of the contract or disposition instructions, as listed above, have been provided.

_____________________________________ ____________ PROPERTY ADMINISTRATOR DATE

(Sign at time disposition instructions are given) __________________________________ ___________ CONTRACTOR SIGNATURE DATE (sign after execution of disposition instructions)

NOTE: The Contractor must carry out all disposition instructions as instructed above. This report must accompany the Contractor’s final invoice. (07/02)

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