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.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| M6700122Q1024-0002.pdf | ||
| M6700122Q1024-0001.pdf | ||
| Vehicle listing - MALS.xlsx | XLSX spreadsheet | |
| GFP Listing.pdf | ||
| QASP GSE Vehicle Maint.pdf | ||
| M6700122Q1024.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: |
| Button2: |
| 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 .