Attachment C - Deliverable Acceptance-Rejection Template.docx
DOCX document 25 KB Posted
- Attached to
- Premium Operations Support Services
- 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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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)
| ___________________________________ | ______________________________ | ||
| Signature | Date | ||
| Page 1 of 1 |
File details come from the government source that posted it. Updated .