Attachment 19 19 Oct 10 CERTIFICATE OF SERVICES.pdf

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Formal Request for Proposal
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FA8617-11-R-6208
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Certificate of Services

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FA8617-11-R-6208

Section J, Attachment 19

19 Oct 10

CERTIFICATE OF SERVICES

FOR

CLIN 2XXX SERIES/CLIN 7XXX SERIES

FA8617-11-R-6208

Section J, Attachment 19

19 Oct 10

CERTIFICATE OF SERVICES (COS)

CLIN 2XXX Series/CLIN 7XXX Series

CONTRACTOR LETTERHEAD

(Date)

ASC/WNZJC

ATTN: Mr. John J. Marvin (COMBS Contracting Officer) Bldg 11A, Room 201-I 1970 Monahan Way Wright-Patterson AFB Ohio 45433-7211

SUBJECT: Contract No. __________________, CLIN XXXX

I hereby certify, as the designated official ______________________(Name and title of individual authorized by the Contractor to certify completion), that ___________________ (Contractor Name) has completed ______________(CLIN number and description of event completed) in accordance with the contract, including but not limited to, the terms and conditions of the contract and all Performance Work Statement (PWS) requirements.

Certification is complete allowing invoicing as outlined in the contract for the month of __________, 20___.

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