CDRL DD 1423.docx
DOCX document 25 KB Posted
- Attached to
- Sign Language Interpreter Services
- Solicitation number
- W56HZV-21-R-L026
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Other files
| File | Type | Posted |
|---|---|---|
| Wage Determination 15-4867.pdf | ||
| Combined Synopsis and Solicitation W56HZV-21-R-L026.pdf |
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Text version
DD FORM 1423, FEB 2001
CONTRACT DATA REQUIREMENT LIST, PREVIOUS EDITION MAY BE USED Form Approval OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.: D. SYSTEM/ITEM: Sign Language Interpreter Services
B. EXHIBIT: E. CONTRACT/PR NO.: TBD
C. CATEGORY:
TDP ____ TM ____ OTHER __X__
F. CONTRACTOR: TBD
1. DATA ITEM NO: 001
2. TITLE: Monthly Invoice
3. SUBTITLE: N/A
4. AUTHORITY: N/A
5. CONTRACT REFERENCE: PWS, 3.8.4
6. REQUIRING OFFICE: TACOM
7. DD250 REQ: No
8. APP CODE: N/A
9. DIST. STATEMENT REQ: N/A
10. FREQUENCY: Monthly
11. AS OF DATE: 29 APR 201
12. DATE OF FIRST SUBMISSION: TBD
13. DATE OF SUBS. SUBMISSION: N/A
14. DISTRIBUTION:
A. ADDRESSEE: Naomi Gotlib-Shmueli
B. COPIES: 1
DRAFT: N/A
FINAL: 1
REG REPRO:
15. TOTAL COPIES: 1
16. REMARKS: A monthly invoice is due by the fifth day of the following month. The invoice must include:
1. Original request number
2. Invoice Number
3. Date of service
4. Service start/stop time
5. Interpreter’s name
6. Name of Deaf or Hard of Hearing client
7. If the assignment was canceled within 24 hours
8. Mileage Cost
9. Interpreter Fee
10. Total charge
The invoice must be submitted electronically to naomi.r.gotlib-shmueli.civ@mail.mil.
17. PRICE GROUP: N/A
18. ESTIMATED TOTAL PRICE: N/A
G. PREPARED BY: Naomi Gotlib-Shmueli
H: DATE:
I: APPROVED BY:
J: DATE:
A. CONTRACT LINE ITEM NO.: D. SYSTEM/ITEM: Sign Language Interpreter Services
B. EXHIBIT: E. CONTRACT/PR NO.: TBD
C. CATEGORY:
TDP ____ TM ____ OTHER __X__
F. CONTRACTOR: TBD
1. DATA ITEM NO: 002
2. TITLE: Verification Letter
3. SUBTITLE:
4. AUTHORITY:
5. CONTRACT REFERENCE: PWS, 3.8.3
6. REQUIRING OFFICE: TACOM
7. DD250 REQ: No
8. APP CODE:
9. DIST. STATEMENT REQ: N/A
10. FREQUENCY: Monthly
11. AS OF DATE: 29 APR 2021
12. DATE OF FIRST SUBMISSION: TBD
13. DATE OF SUBS. SUBMISSION:
14. DISTRIBUTION:
A. ADDRESSEE: Naomi Gotlib-Shmueli
B. COPIES: 1
DRAFT:
FINAL: 1
REG REPRO:
15. TOTAL COPIES: 1
16. REMARKS: The Contractor must submit a verification letter along with the invoice informing the Government COR that the Contractor verifies that the sign language interpreter(s) identified in the invoice provided the services identified in the invoice during that month. The verification letter must be submitted electronically to naomi.r.gotlib-shmueli.civ@mail.mil.
17. PRICE GROUP: N/A
18. ESTIMATED TOTAL PRICE: N/A
G. PREPARED BY: Naomi Gotlib-Shmueli
H: DATE:
I: APPROVED BY:
J: DATE:
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