Attachment C - Deliverable Acceptance-Rejection Template.docx

DOCX document 25 KB Posted

Attached to
Premium Operations Support Services Federal contract opportunity
Solicitation number
16PBGC24R0012
Issued by
Pension Benefit Guaranty Corporation

About this file

This document is a Deliverable Acceptance/Rejection Form for a federal contract opportunity. The form is to be used by the Pension Benefit Guaranty Corporation (PBGC) Contracting Officer's Representative (COR) to review and provide comments on a deliverable submitted by the contractor. The form identifies details such as the deliverable name, agency, project, contract/task order number, due date, and applicable data rights. The COR can indicate whether the deliverable is accepted with or without comments, or rejected with comments. This form is likely to be used in the context of the PBGC Premium Operations Support Services contract (Solicitation Number 16PBGC24R0012), which provides professional services in support of PBGC's premium operations programs, including technical, financial, accounting, and auditing support. The contract aims to ensure an unqualified audit opinion for PBGC's annual financial statements, maintain premium enforcement and debt collection activities, and provide quality customer service to premium payers and plan practitioners.

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Other files for this federal contract opportunity

Other files attached to Premium Operations Support Services, newest first.
File Type Posted
Amend 1_RFP 16PBGC24R0012.docx DOCX document
Amend 1_Attach G - KPQM Template.docx DOCX document
Amend 1_Attach I Gov Response to Ques.xlsx XLSX spreadsheet
Amend 1_Attach E - Letter of Commitment Template.docx DOCX document
Amend 1_Attach H - Corporate Experience Template.docx DOCX document
Amend 1_24R00120001_SF30.pdf PDF
Amend 1_Attach D -OCI Statement.docx DOCX document
Amend 1_Attach F - Supporting Price Template.xlsx XLSX spreadsheet
Solicitation Cover Letter_16PBGC24R0012.pdf PDF
Attachment B - Acronym List.pdf PDF
Attachment B - Acronym List.docx DOCX document
Attachment E - Letter of Commitment Template.docx DOCX document
Attachment D - Organizational Conflict of Interest (OCI) Statement.docx DOCX document
Attachment I - Offeror QandA Template.xlsx XLSX spreadsheet
Attachment F - Price Excel Workbook.xlsx XLSX spreadsheet
Attachment H - Corporate Experience Template.docx DOCX document
Solicitation Cover Letter_16PBGC24R0012.pdf PDF
Request for Proposal.pdf PDF
Attachment G - Key Personnel Qualification Matrix.pdf PDF
Attachment J - Performance Metrics.xlsx XLSX spreadsheet
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Text version

ATTACHMENT H (verify Attachment reference)

DELIVERABLE ACCEPTANCE/REJECTION FORM

Dear (insert PBGC Contracting Officer’s Representative (COR) Name):

Please review the deliverable identified below, provide any comments in the space provided or on an attached form, and sign and date. Comments are due by (insert Month Day, Year).

Deliverable Name:

Agency Name:

Project Name:

PBGC Task Order/ Contract Number:

PBGC Project Number:

Deliverable Due Date:

Applicable Data Rights (insert applicable FAR clause and/or Section H reference):
Unlimited Rights, per FAR 27.404-1(a) and 52.227-14 or DFARS 252.227-7013

Restricted Software, per FAR 27.404-2 and 52.227-14 or DFARS 252.227-7014 Limited Rights Data, per FAR 27.404-2 and 52.227-14 or DFARS 252.227-7013 Special Works, per FAR 27.405-1 and 52.227-17 or DFARS 252-227-7020

I have reviewed the aforementioned document and have:

Accepted without comments Accepted with comments Rejected with comments

COMMENTS:

The parties agree that the deliverable is delivered to the Government with the following data rights: (insert applicable FAR clause and/or Section H reference)

_________________________________________________________________
SignatureDate
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