Attachment C-5 FTC-ADM-61 Service Contract Work Request Form.pdf
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- Solicitation number
- 70LCHS25RPFB00001
About this file
This is a Service Contract Work Request Form template (Form FTC-ADM-61) used by the Department of Homeland Security Federal Law Enforcement Training Centers. The form is designed to capture contract work requests and includes fields for contract number, place of performance, award date, request number, labor categories and rates, line items with descriptions, quantities, unit costs, estimated costs, fees, delivery schedules, accounting data, and approval signatures. The form appears to be primarily a blank template with standardized fields for requesting contracted services.
The associated opportunity is a pre-solicitation notice for Student Support and Facilities Operation Maintenance Services at FLETC Charleston, SC. This is an 8(a) set-aside under NAICS 561210 ($47M size standard) for two potential single-award IDIQ contracts with FFP and OTFFP CLINs. The period of performance includes a base year through September 30, 2025, plus seven option years. Key services include dormitory operations, dining facility operations, student transportation, janitorial services, training support, facilities and grounds maintenance. Key dates include draft solicitation release on January 22, 2025, final RFP release on January 27, 2025, site visit on February 11, 2025, oral presentations February 17-24, 2025, and proposals due February 26, 2025.
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Text version
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
SERVICE CONTRACT WORK REQUEST
CONTRACT NO. PLACE OF PERFORMANCE: Award Date:
REQUEST NO. Order #
FY CALL # Ser # Complete with an appropriate/applicable labor category and rate for the described work:
Labor Category: Labor Category:
Labor Category: Labor Category:
Labor Category: Labor Category:
ITEM # CLIN
SUB CLIN DESCRIPTION QUANTITY UNIT OF
ISSUE
UNIT COST ESTIMATED
COST
FEE TOTAL
GRAND TOTAL
Delivery or Performance Schedule/Date Place of Delivery or Performance Accounting & Appropriation Data
JUSTIFICATION
Originator (Print/Sign) Date Approval (Print/Sign) Date
Delivery/Performance Schedule Method of Payment & Payment Office (if not specified in the contract)
Contracting Officer (Print/Sign) Date
Original - Contractor Copy to: Fund Administrator
COR
Contract File
FTC-ADM-61 (5/17) Page 1 of 1
9.0.0.2.20120627.2.874785
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
SERVICE CONTRACT WORK REQUEST
Complete with an appropriate/applicable labor category and rate for the described work:
ITEM #
CLIN SUB CLIN
DESCRIPTION
QUANTITY
UNIT OF ISSUE
UNIT COST
ESTIMATED COST
FEE
TOTAL
GRAND TOTAL
Original - Contractor Copy to: Fund Administrator
COR
Contract File
FTC-ADM-61 (5/17)
| Contracting Officer (Print/Sign): |
| Date 2 digit month, 2 digit day, 4 digit year: |
| Labor Category:: |
| Delivery or Performance Schedule/Date: |
| Accounting & Appropriation Data: |
| Reset Form Button: |
File details come from the government source that posted it. Updated .