Attachment M Travel Authorization Request.xlsx
XLSX spreadsheet 35 KB Posted
- Attached to
- Sesame Street for Military Families (SSFMF)
- Solicitation number
- 47QFCA22R0035
About this file
This document contains a travel authorization request template and details of a related sole source federal contract opportunity. The travel authorization request template provides guidance on requesting authorization for estimated travel costs to be charged to a specific contract line item number. It requires details on traveler name, company, itinerary, estimated airfare, per diem, hotel and other costs, and includes fields for contractor requestor, contracting officer representative, and management and cost field support approvals.
The related sole source contract opportunity will award a firm-fixed-price contract to Sesame Workshop for continued support of the Sesame Street for Military Families program. Services include use of Sesame Street characters for brand recognition, expanding web and mobile app content, executing an annual promotional campaign, technical support and sustainment of existing mobile apps and websites, and implementing an outcome study. The contracting agency is the General Services Administration Federal Acquisition Service Assisted Acquisition Services Federal Systems Integration and Management Center.
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Other files
| File | Type | Posted |
|---|---|---|
| SF-30 - SS4MF RFP 47QFCA22R0035 Amendment 01 9.1.22.pdf | ||
| RFP 47QFCA22R0035 - SS4MF_Amd 1 2022.08.31.docx | DOCX document | |
| Attachment D OCI Statement.docx | DOCX document | |
| Attachment H Deliverable Acceptance-Rejection.docx | DOCX document | |
| Attachment K Project Staffing Plan (PSP).xlsx | XLSX spreadsheet | |
| Attachment E Corporate Non-Disclosure Agreement (NDA).docx | DOCX document | |
| SSFMF Cover Letter RFP 47QFCA22R0035.pdf | ||
| Attachment A COR Designation Letter .pdf | ||
| Attachment B Monthly Status Report.docx | DOCX document | |
| RFP 47QFCA22R0035 - SS4MF (23Aug22).pdf | ||
| Attachment F QASP.docx | DOCX document | |
| Attachment J - Consent to Purchase template.xlsx | XLSX spreadsheet | |
| Attachment C Trip Report Template.docx | DOCX document | |
| Attachment G Problem Notification Report.docx | DOCX document | |
| Attachment L Key Personnel Qualification Matrix.docx | DOCX document | |
| SF33 - SS4MF RFP 47QFCA22R0035.pdf |
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Text version
Individual TAR #
TRAVEL AUTHORIZATION REQUEST (TAR)
| Contractor: | TAR Number: |
| Client: | Date: |
| Project Name: | |
| Project/Interagency Agreement (IA) Number: | |
| Associated Line of Accounting: | |
| Task Order Number: |
| Last Invoice Submitted: | |||
| TO: | John Stephens, FEDSIM Contracting Officer Representative (COR) | CLIN X00X VALUE: | $ - 0 |
| CUMULATIVE AMOUNT BILLED: | $ - 0 | ||
| FROM: | (Insert First and Last Name of requestor) | CURRENT CLIN X00X BALANCE: | $ - 0 |
| THROUGH: | TAR ESTIMATE: | $ - 0 | |
| NEW CLIN X00X BALANCE: | $ - 0 | ||
| SUBJECT: | Travel Authorization Request # (insert number) |
DATE: (Insert date)
PURPOSE/JUSTIFICATION OF REQUEST:
Traveler: Name Company
| Travel Itinerary: | |||||
| Departure: | Date | Origin/Destination | Return: | Date | Origin/Destination |
| Leave | Leave | ||||
| Arrive | Arrive | ||||
| Leave | Leave | ||||
| Arrive | Arrive |
| Estimated Cost | |
| Travel (CLIN X00X) | $ - 0 |
| Airfare: @ | $ - 0 |
| Per Diem: @ | $ - 0 |
| Hotel: @ | $ - 0 |
| Other: (insert as appropriate; i.e. car rental) | $ - 0 |
| Other Direct Costs (CLIN X00X) | |
| (Insert as appropriate) | $ - 0 |
Subtotal Amount $ - 0
| Indirect Handling Cost | $ - 0 |
| General & Administrative (G&A) Cost | $ - 0 |
| Total Travel Cost (CLIN X00X) | $ - 0 |
| Total ODC Cost (CLIN X00X) | $ - 0 |
| Total Trip Cost NTE | $ - 0 |
Remarks: The estimated cost of travel must represent the contractor's best estimate. The amount obligated for this line item may be increased unilaterally by the Government if such action is deemed advantageous. Travel costs shall be reimbursed in accordance with Federal Travel Regulations (FTR), Joint Travel Regulations (JTR), or the Department of State Standardized Regulations (DSSR). Please note that a separate TAR should be submitted for each individual traveler.
Please contact me at (area code) 000-0000 (insert requestor's phone number) if you have any concerns or questions.
Contractor Requestor: FEDSIM COR Approval: MC&FP TPOC Acceptance:
Signature Date Signature Date Date Signature Date Date
&"Times New Roman,Regular"&G &G
&"Times New Roman,Italic"FEDSIM is a Client Support Center housed within GSA, FAS, AAS&"Times New Roman,Regular" Template Version 09-13-2021
Group TAR #
TRAVEL AUTHORIZATION REQUEST (TAR)
| Contractor: | TAR Number: |
| Client: | Date: |
| Project Name: | |
| Project/IA Number: | |
| Associated Line of Accounting: | |
| Task Order Number: |
| Last Invoice submitted: | |||
| TO: | John Stephens, FEDSIM Contracting Officer Representative (COR) | CLIN X00X VALUE: | $ - 0 |
| CUMULATIVE AMOUNT BILLED: | $ - 0 | ||
| FROM: | (Insert First and Last Name of requestor) | CURRENT CLIN X00X BALANCE: | $ - 0 |
| THROUGH: | TAR ESTIMATE: | $ - 0 | |
| NEW CLIN X00X BALANCE: | $ - 0 | ||
| SUBJECT: | Travel Authorization Request # (insert number) |
DATE: (Insert date)
PURPOSE/JUSTIFICATION OF REQUEST:
Travelers: Names Company
| Travel Itinerary: | |||||
| Departure: | Date | Origin/Destination | Return: | Date | Origin/Destination |
| Traveler 1 (insert name), Leave | Leave | ||||
| Traveler 1 (insert name), Arrive | Arrive | ||||
| Traveler 2 (insert name), Leave | Leave | ||||
| Traveler 2 (insert name), Arrive | Arrive |
| Estimated Cost | |
| Travel (CLIN X00X) | $ - 0 |
| Airfare: @ | $ - 0 |
| Per Diem: @ | $ - 0 |
| Hotel: @ | $ - 0 |
| Other: i.e. car rental | $ - 0 |
| Other Direct Costs (CLIN X00X) | |
| (Insert as appropriate) | $ - 0 |
Subtotal Amount for Traveler #1 (Insert name) $ - 0
| Travel (CLIN X00X) | $ - 0 |
| Airfare: @ | $ - 0 |
| Per Diem: @ | $ - 0 |
| Hotel: @ | $ - 0 |
| Other: (insert as appropriate (i.e., car rental)) | $ - 0 |
| Other Direct Costs (CLIN X00X) | |
| (Insert as appropriate) | $ - 0 |
Subtotal Amount for Traveler #2 (Insert name) $ - 0
| Subtotal Amount for all Travelers | $ - 0 |
| Indirect Handling Cost | $ - 0 |
| General & Administrative (G&A) Cost | $ - 0 |
| Total Travel Cost (CLIN X00X) | $ - 0 |
| Total ODC Cost (CLIN X00X) | $ - 0 |
| Total Trip Cost NTE | $ - 0 |
Remarks: The estimated cost of travel must represent the contractor's best estimate. The amount of obligated for this line item may be increased unilaterally by the Government if such action is deemed advantageous. Travel costs shall be reimbursed in accordance with Federal Travel Regulations (FTR), Joint Travel Regulations (JTR), or the Department of State Standardized Regulations (DSSR). Please note that a separate TAR should be submitted for each individual traveler.
Please contact me at (area code) 000-0000 (insert requestor's phone number) if you have any concerns or questions.
Contractor Requestor: FEDSIM COR Approval: MC&FP TPOC Acceptance:
Signature Date Signature Date Signature Date
Version 09-13-21 image1.png image2.png
File details come from the government source that posted it. Updated .