DD-200.pdf

PDF 69 KB Posted

Attached to
Flight Line Utility Vehicle Maintenance Service Federal contract opportunity
Solicitation number
M6700122Q1024
Issued by
United States Marine Corps

About this file

This document is a Financial Liability Investigation of Property Loss (DD Form 200) template used to investigate the circumstances surrounding missing, damaged, or destroyed government property and determine appropriate financial liability. The form collects information on the date and details of the loss, actions taken to prevent future occurrences, findings and recommendations of the financial liability officer, and signatures of responsible parties. It does not specifically address any products or services required by the government.

The related federal contract opportunity is a solicitation to provide scheduled and unscheduled maintenance services for utility vehicles used by the 2nd Marine Aircraft Wing at three Marine Corps Air Stations in North Carolina and South Carolina. The contractor will perform inspections, repairs, and maintenance in accordance with manufacturers' manuals and Naval Aviation regulations to support approximately 100 utility vehicles and keep them in a safe and operational status. The solicitation number is M6700122Q1024 and was issued by the United States Marine Corps. The period of performance and response deadline are not specified.

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Other files for this federal contract opportunity

Other files attached to Flight Line Utility Vehicle Maintenance Service, newest first.
File Type Posted
M6700122Q1024-0002.pdf PDF
M6700122Q1024-0001.pdf PDF
Vehicle listing - MALS.xlsx XLSX spreadsheet
GFP Listing.pdf PDF
QASP GSE Vehicle Maint.pdf PDF
M6700122Q1024.pdf PDF

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FINANCIAL LIABILITY INVESTIGATION OF PROPERTY LOSS

1. DATE INITIATED (YYYYMMDD)

3. DATE LOSS DISCOVERED

(YYYYMMDD)

2. INQUIRY/INVESTIGATION NUMBER

4. NATIONAL STOCK NO.

5. ITEM DESCRIPTION

6. QUANTITY

8. TOTAL COST

7. UNIT COST

9. CIRCUMSTANCES UNDER WHICH PROPERTY WAS (X one) (Attach additional pages as necessary)

10. ACTIONS TAKEN TO CORRECT CIRCUMSTANCES REPORTED IN BLOCK 9 AND PREVENT FUTURE OCCURRENCES (Attach additional pages as necessary) Lost Organization

OCIE

Installation Destroyed Damaged

11. INDIVIDUAL COMPLETING BLOCKS 1 THROUGH 10

13. APPOINTING AUTHORITY

d. ORGANIZATIONAL ADDRESS (Unit Designation, Office Symbol, Base, State/Country, ZIP Code)

c. LEGAL REVIEW

COMPLETED IF

REQUIRED (X one)

b. COMMENTS/RATIONALE

a. RECOMMENDATION (X one)

14. APPROVING AUTHORITY

12. (X one)

a. ORGANIZATIONAL ADDRESS (Unit Designation, Office Symbol, Base, State/Country, ZIP Code)

g. DATE SIGNED

e. DSN NUMBER

d. TYPED NAME (Last, First, Middle Initial)

c. ORGANIZATIONAL ADDRESS (Unit Designation, Office Symbol, Base, State/Country, ZIP Code)

g. SIGNATURE

g. SIGNATURE

h. DATE SIGNED

f. DSN NUMBER

e. TYPED NAME (Last, First, Middle Initial)

h. DATE SIGNED

f. DSN NUMBER

e. TYPED NAME (Last, First, Middle Initial)

d. ORGANIZATIONAL ADDRESS (Unit Designation, Office Symbol, Base, State/Country, ZIP Code)

b. TYPED NAME (Last, First, Middle Initial)

d. SIGNATURE

f. SIGNATURE

c. DSN NUMBER

e. DATE SIGNED

RESPONSIBLE OFFICER (PROPERTY RECORD ITEMS

REVIEWING AUTHORITY (SUPPLY SYSTEM STOCKS)

a. NEGLIGENCE OR

ABUSE EVIDENT/

SUSPECTED (X one)

b. COMMENTS/RECOMMENDATIONS

b. COMMENTS/RATIONALE

a. RECOMMENDATION (X one)

c. FINANCIAL LIABILITY

OFFICER APPOINTED

(X one)

YES

NO

YES

NO

APPROVE

DISAPPROVE

APPROVE

DISAPPROVE

DD FORM 200, JUL 2009

PREVIOUS EDITION IS OBSOLETE.

Adobe Designer 8.0

YES

N/A

NO

15. FINANCIAL LIABILITY OFFICER

a. FINDINGS AND RECOMMENDATIONS (Attach additional pages as necessary)

a. DOCUMENT NUMBER(S) USED TO ADJUST PROPERTY RECORD

a. I HAVE EXAMINED THE FINDINGS AND RECOMMENDATIONS OF THE FINANCIAL LIABILITY OFFICER AND (X one)

b. I HAVE BEEN INFORMED OF MY RIGHT TO LEGAL ADVICE. MY SIGNATURE IS NOT AN ADMISSION OF LIABILITY.

b. DOLLAR AMOUNT OF LOSS

d. RECOMMENDED FINANCIAL LIABILITY

c. MONTHLY BASIC PAY

g. DSN NUMBER

d. DSN NUMBER

e. DSN NUMBER

f. TYPED NAME (Last, First, Middle Initial)

h. DATE SUBMITTED TO APPOINTING

AUTHORITY (YYYYMMDD)

i. DATE APPOINTED

(YYYYMMDD)

e. ORGANIZATIONAL ADDRESS (Unit Designation, Office Symbol, Base, State/Country, ZIP Code)

d. TYPED NAME (Last, First, Middle Initial)

c. ORGANIZATIONAL ADDRESS (Unit Designation, Office Symbol, Base, State/Country, ZIP Code)

c. TYPED NAME (Last, First, Middle Initial)

b. ORGANIZATIONAL ADDRESS (Unit Designation, Office Symbol, Base, State/Country, ZIP Code)

k. DATE SIGNED

j. SIGNATURE

g. DATE SIGNED

f. SIGNATURE

f. DATE SIGNED

e. SIGNATURE

16. INDIVIDUAL CHARGED

17. ACCOUNTABLE OFFICER

Submit the attached statement of objection.

Do not intend to make such a statement.

DD FORM 200 (BACK), JUL 2009

2. INQUIRY/INVESTIGATION NUMBER

1. DATE INITIATED (YYYYMMDD)

CONTINUATION OF BLOCKS 4 - 8

8.

TOTAL COST

7.

UNIT COST

6.

QUANTITY

ITEM

NO.

5.

ITEM DESCRIPTION

4. NATIONAL STOCK NO.

LINE ITEM NO.

Page Pages of

FOR INTERMITTENT PAGES, ENTER SUBTOTAL:

IF LAST PAGE, ENTER GRAND TOTAL:

DD FORM 200, JUL 2009

2. INQUIRY/INVESTIGATION NUMBER

1. DATE INITIATED (YYYYMMDD)

Pages of Page CONTINUATION OF BLOCKS 9, 10, AND/OR 15.a.

Use this area to continue each item as necessary. Specify item number.

DD FORM 200, JUL 2009

8.0.1291.1.339988.308172

WHS/ESD/IMD

DD Form 200, Financial Liability Investigation of Property Loss, July 2009 lost rev no no app na

1. Date initiated (4 digit year, 2 digit month, 2 digit day, no dividers).:
2. Inquiry/investigation number.:
3. Date loss discovered (4 digit year, 2 digit month, 2 digit day).:
4. National stock number.:
5. Item description.:
6. Quantity.: 0.00000000
7. Unit cost.: 0.00000000
7. Unit cost.: 0.00000000
16. Individual charged. a. I have examined the findings and recommendations and: X first box if submitt attached statement of objection or second box if do not intend to make such a statement.:
9. Circumstances under which property was lost, destroyed, or damaged. Attach additional pages as necessary.:
10. Actions taken to correct circumstances reported in block 9 and prevent future occurrences.:
d. Organizational address (unit designation, office symbol, base, state/country, zip code).:
b. Comments/rationale.:
g. Date signed (4 digit year, 2 digit month, 2 digit day).:
e. DSN number.:
d. Typed name (last, first, middle initial).:
c. Organizational address (unit designation, office symbol, base, state/country, zip code).:
h. Date signed (4 digit year, 2 digit month, 2 digit day).:
f. DSN number.:
e. Typed name (last, first, middle initial).:
h. Date signed (4 digit year, 2 digit month, 2 digit day).:
f. DSN number.:
e. Typed name (last, first, middle initial).:
d. Organizational address (unit designation, office symbol, base, state/country, zip code).:
11. Individual completing blocks 1 through 10. a. Organizational address (unit designation, office symbol, base, state/country, zip code).:
b. Typed name (last, first, middle initial).:
c. DSN number.:
e. Signature.:
e. Date signed (4 digit year, 2 digit month, 2 digit day).:
b. Comments/rationale.:
b. Comments/recommendations.:
Button1:
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15. Financial liability officer. a. Findings and recommendations. Attach additional pages as necessary.:
b. Dollar amount of loss.:
d. Recommended financial liability.:
c. Monthly basic pay.:
g. DSN number.:
d. DSN number.:
e. DSN number.:
f. Typed name (last, first, middle initial).:
e. Organizational address (unit designation, office symbol, base, state/country, zip code).:
d. Typed name (last, first, middle initial).:
c. Organizational address (unit designation, office symbol, base, state/country, zip code).:
c. Typed name (last, first, middle initial).:
b. Organizational address (unit designation, office symbol, base, state/country, zip code).:
h. Date submitted to appointing authority (4 digit year, 2 digit month, 2 digit day).:
i. Date appointed (4 digit year, 2 digit month, 2 digit day).:
k. Date signed (4 digit year, 2 digit month, 2 digit day).:
g. Date signed (4 digit year, 2 digit month, 2 digit day).:
f. Date signed (4 digit year, 2 digit month, 2 digit day).:
17. Accountable officer. a. Document number(s) used to adjust property record.:
Click this Reset button to erase data from all fields.:
7. Unit cost.:
7. Unit cost.:
6. Quantity.:
Item number.:
Grand total.: 0.00000000
Subtotal of this page.:
Page number of this page.: 1.00000000
Total number of pages.: 0.00000000
Button3:
continue:

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