Attachment H Deliverable Acceptance-Rejection.docx
DOCX document 26 KB Posted
- Solicitation number
- 47QFCA23R0050
About this file
This document is a deliverable acceptance/rejection form template for use on federal contracts managed by the General Services Administration Federal Acquisition Service Assisted Acquisition Services Federal Systems Integration and Management Center. The template requires the contracting officer's representative to review delivered contract items and indicate whether they are accepted without comments, accepted with comments, or rejected with comments. Space is included for comments. The parties must also agree to the applicable data rights for the deliverable based on clauses in the Federal Acquisition Regulation or Defense Federal Acquisition Regulation Supplement.
The related federal contract opportunity is a request for proposal for the Sesame Street for Military Families program. The solicitation is issued by the General Services Administration Federal Acquisition Service Assisted Acquisition Services Federal Systems Integration and Management Center. No further details are provided on products or services required, response dates, or other salient information.
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Text version
ATTACHMENT H
DELIVERABLE ACCEPTANCE/REJECTION FORM
Dear (insert FEDSIM 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:
FEDSIM Task Order/ Contract Number:
FEDSIM 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 | ||
| FEDSIM is a Client Support Center housed within GSA, FAS, AAS | Page 1 of 1 |
Template Version 1-31-22 image1.png image2.png
File details come from the government source that posted it. Updated .