8._ATTACHMENT_5_FTC-ADM-61_SCWR.pdf
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- Attached to
- DORM MANAGEMENT SERVICES Federal contract opportunity
- Solicitation number
- HSFLGL-17-R-00001
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DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
SERVICE CONTRACT WORK REQUEST
CONTRACT NO. PLACE OF PERFORMANCE: Award Date:
REQUEST NO. Order#
FY CALL# Ser#
Complete wilh an appropriate/applicable labor category and rate tor the describeo work:
Labor Category: Labor Category:
Labor Category: Labor Category:
Labor Category: Labor Category:
ITEM#
CLIN
DESCRIPTION QUANTITY
UNIT OF
UNIT COST
ESTIMATED
FEE TOTAL
SUBCLIN ISSUE COST
GRAND TOTAL
Delivery or Performance Schedule/Date Place of Delivery or Performance Accounting & Appropriation Data
JUSTIFICATION
Originator (PrinVSign) Date Approval (PrinVSign) Date
Delivery/Performance Schedule Method of Payment & Payment Office (if not specified in the contract)
Original - Contractor Copy to: Fund Administrator
COR
Contracting Officer (PrinVSign) Date Contract File
FTC-ADM-61 (5/17) Page 1 of 1
Attachment 5
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