Attch 6 - RM Work Request Form 1 Nov 22 (002).pdf

PDF 126 KB Posted

Attached to
Embossing Tag Machines Maintenance PM-RM Federal contract opportunity
Solicitation number
FA813223Q0037
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

About this file

This document is a work request form for remedial maintenance services under an existing Air Force contract. The form authorizes specified repair work by the contractor at an agreed-upon hourly labor rate in the existing contract. It requests information from the contractor such as an estimate of repair time, labor hours, materials, other costs, and points of contact for the requesting activity and contracting officer. The related federal opportunity is a solicitation from the Air Force Sustainment Center for preventive and remedial maintenance of embossing tag machines on a firm-fixed-price and 100% small business set-aside contract. Interested parties should review the complete solicitation details in the attached CSS.

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Text version

WR #

BURDENED LABOR RATE per hour

PURPOSE Authorize a one-time, in-scope repair IAW the contract terms and conditions established via CLIN . The Contractor shall be authorized to invoice for all work completed in arrears of completion and subsequent Government acceptance of this work for the

REMEDIAL MAINTENANCE (RM) WORK REQUEST (WR)

CONTRACT # DATE

TITLE: To complete RM requirements for Serial number:

CONTRACTING ACTIVITY CONTRACTOR

SYSTEM

NOT TO EXCEED (NTE) AMOUNT

RM QUOTE INFORMATION

Please ensure Quote is attached upon WR Submission

RM CLIN #

REQUESTING ACTIVITY NAME & PHONE #

ESTIMATED REPAIR TIME

ESTIMATED LABOR HOURS

WORK

DESCRIPTION

This is an already agreed-upon rate in the applicable RM CLIN

ESTIMATED MATERIALS

OTHER DIRECT COSTS

COORDINATION AND APPROVAL

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CONTRACTING OFFICER REPRESENTATIVE

(COR)

or GOVERNMENT POINT OF CONTACT (GPOC)

CONTRACTOR

REQUESTING ACTIVITY POC

CONTRACTING OFFICER

1112716943C Cross-Out

File details come from the government source that posted it. Updated .