Exhibit G, Deliverable Acceptance Form.pdf

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Attached to
Independent Verification and Validation Services for Case Management Transformation
Solicitation number
HHS0016857
Issued by
Texas

About this file

This is a Deliverable Acceptance Form issued by the Texas Department of Family and Protective Services (DFPS) for use in contract administration and project management. The form serves as an official documentation tool to verify that deliverables submitted by contractors meet the specified requirements, acceptance criteria, and quality standards outlined in the related Scope of Work (SOW) and task orders. The form is designed to be used at various points throughout the contract lifecycle as deliverables are progressively submitted to DFPS for review, approval, and acceptance. It functions as a baseline document for either subsequent work phases or final product delivery, ensuring that all contractual obligations regarding deliverable specifications have been satisfied.

The Deliverable Acceptance Form contains designated sections for project identification, including fields for the submission date, project name, contract number, and identification of DFPS and contractor project managers. The form requires a detailed description of the deliverable being submitted and includes separate approval and disapproval sections. Approval signatures from both the DFPS Program/Project Manager and DFPS Contract Manager indicate that the deliverable meets all associated requirements, has no significant unresolved issues, satisfies the established acceptance criteria, and is ready for release. This document is integral to the contract administration process for the Independent Verification and Validation Services for Case Management Transformation project with the State of Texas.

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TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE

SERVICES

Exhibit G - Deliverable Acceptance Form Purpose: This document is to ensure that the requirements and expectations of the Deliverable are met, approved and accepted as outlined in Exhibit S, Deliverables and Exhibit G-1, Deliverables Acceptance Form Instructions. This document may be used at varying points within the Contract as Deliverables are submitted to DFPS for acceptance and approval.

PROJECT IDENTIFICATION

Date Deliverable Submitted Project Name Contract Number

DFPS Program/Project Manager Contractor Project/Contract Manager

DFPS Contract Manager Completed by

DESCRIPTION OF DELIVERABLE

<List the Deliverable that is being submitted. State the receiving individual or organization. >

Disapproval Remarks

<STATE REMARKS, DUE DATE FOR CONTENTIONS TO BE SATISFIED BEFORE DELIVERABLE IS ACCEPTED>

APPROVALS

☐ APPROVED ☐ DISAPPROVED

ACCEPTED BY

Signature indicates that the named deliverable(s), in the opinion of the signer:

Meets the requirements as set forth in the associated, SOW, Task Order(s), etc.;

has no significant unresolved issues;

Meets the acceptance criteria;

Is ready for release either as a baseline for subsequent work or as a product deliverable.

DFPS Program/Project Manager

<Enter name. Obtain signature and date >

DFPS Contract Manager

<Enter name. Obtain signature and date >

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