FOUO C04.7 - Attachment J-7 - Growth Management Request Form.docx
DOCX document 18 KB Posted
- Solicitation number
- N4523A21R1056
About this file
This document contains a solicitation for maintenance, repair, and preservation work on Caisson 5. The solicitation seeks offers to dry dock the 147-foot vessel at a contractor's Puget Sound, Washington facility between October 2021 and February 2022. Required work includes hull blasting and preservation, tank blasting and preservation, hull and tank welding repairs, machinery and electrical system replacements and upgrades, and valve replacements. Offerors must be registered in the System for Award Management and capable of dry docking the vessel. The Navy will award a firm-fixed-price contract to the responsible contractor submitting the lowest priced technically acceptable offer in mid-June 2021.
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Text version
N4523A21R1056 Growth Management Request Form
| Request Number: |
| Ship/Hull: |
| SOW Para(s): |
| CFR Number(s): |
Caisson 5
| Prepared by COR: | Date: | |||
| Period of Performance: | to | CLIN(s) | ACRN: | |
| Growth Management Process Utilized |
N/A Small Dollar Value Growth
Authorized N/A of N/A
X Level Of Effort (LOE) to Completion
1. Statement of Work Requirements:
1.1 Scope:
1.2 Location of Work:
2. References:
3. Requirements:
4. Government Furnished Material (GFM):
Price for Statement of Work Requirements Small Dollar Value Growth Pre-Priced Amount per Occurrence $__N/A_____
OR
LOE to Completion:
Contractor proposal for work under this request must be completed with the current period of performance unless a schedule revision is included in the terms.
| Contractor Estimate: |
| Labor (MHs): |
| Material ($): |
| Subcontractor ($): |
| Total Price (Fully Burdened): |
| Negotiated Price: |
| Labor (MHs): |
| Material ($): |
| Subcontractor ($): |
| Total Price (Fully Burdened): |
Total price calculations are based upon the formulary established for work items in the base contract; see rates contained under Section B, Note C of the contract.
Agreement to Negotiated Price:
Date:
PSNS Project Manager / Agreement to Negotiated Amount
Date:
Contractor Representative / Agreement to Negotiated Amount
| Date: | ||
| PSNS Contracting Officer / Agreement to Negotiated Amount | Growth Mgmt. Effective Date |
Final Acceptance / Completion of Work Signatures:
Date:
Contractor Representative
Date:
PSNS Contracting Officer’s Representative
File details come from the government source that posted it. Updated .