Attachment_5_Consent_To__Purchase_Form.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Advanced Joint Terminal Attack Controller Training System (AAJTS) Federal contract opportunity
- Solicitation number
- ID07170051
- Issued by
- GSA Federal Acquisition Service
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Attachment 5 Consent to Purchase
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Sheet1
| APPENDIX F |
| Consent to Purchase (CTP) Form |
| Contract #:________________Task Order Number: ____________ |
| Directions for use of this form: This form shall be used to request travel, materials purchases, and other direct costs that are within the scope of the associated task order and/or contract. All materials procured on behalf of the Government shall be the property of the Government and shall be managed in accordance with FAR 52.245-1, Alternate I. All materials procured shall be used for official Government related business only, which is directly associated with the performance of this task order. Other Direct Costs (or ODCs) are items that are an integral part of the performance of the requirement, and are within the scope of the overall requirement, but are not specifically listed and pre-priced on the contract vehicle. The contractor may insert/add additional lines as needed in the spreadsheet. No sole source or brand name only items shall be procured unless required and properly documented by the in writing. REQUIRED DOCUMENTATION: All supporting documentation shall be submitted with the CTP request, prior to purchase. The documentation that is required to support the CTP is found in the PWS, Section 5.6. Failure to provide the proper documentation and follow the proper purchasing processes in accordance with the approved purchasing system, or a process otherwise approved in this contract, shall result in no reimbursement to the contractor. This form, and the approvals received via email and/or hard copy, shall be submitted by the contractor with the invoice(s) to substantiate the reimbursable costs for which this document has been used to obtain approval. M&H costs shall only be reimbursed if specifically allowed and awarded on the Task Order/contract. |
| Justification for the purchase: [Explain why the item/services is required to fulfill the Government's requirement.] |
| PROCUREMENT TYPE: | ___ FAR 51 Deviation (Against FSS Contract Number: _____________________) ___ Open Market Purchase | |||||
| ASSIGNED GOVERNMENT INVENTORY NUMBER: __________________________ | Inventory numbers shall be issued from the Government for all property over $5,000.00 and shall be properly accounted for under the terms of this contract and by the cognizant Government and Contractor property offices. All other property that is under the threshold, shall be accounted for via this form, and via inventory list kept by the contractor. | |||||
| DATE EXPECTING DELIVERY: | ___________________ The Government shall take title to the property on the date received. | |||||
| Type of Purchase: ____ODC Travel ____ ODC Materials _____ODC Shipping _____ODC Labor | ||||||
| CTP #: [vendor shall start numbering with 001] | Need Date: | CLIN #: | Date of Request: | |||
| ITEM # | ITEM/SERVICE DESCRIPTION | SELECTED SOURCE | QTY | UNIT OF ISSUE | UNIT PRICE | REQUESTED REIMBURSEMENT PRICE |
| 1 | EX: Materials: Ball Bearings | ABC Materials | 20 | each | 2 | $40.00 |
| 2 | EX: Service: Logistics Technician | DEF Corporation | 20 | hours | 69 | $1,380.00 |
| 3 | $ | |||||
| 4 | $ | |||||
| 5 | $ | |||||
| Subtotal of All Request Costs for Direct Reimbursement to the Contractor | $1,420.00 | |||||
| Materials and Handling Costs (%) (If Negotiated in the Contract/Task Order) | 0 | |||||
| Total Costs Reimbursable Request: | ||||||
| * Contractor shall have an approved purchasing system. Three quotes are required for all ODCs submitted for approval under this CTP, with the exception of travel. Three quotes are not required for travel that is under the allowable per diem rates. The CO and COR shall both approve all items/services/travel submitted under this form. | Shipping Details: |
| APPROVAL ROUTING CHAIN: (Send this form via email to all of the following, per the PWS requirements.) | |
| This CTP is: _____ Approved for Purchase _____Not Approved for Purchase | |
| CONTRACTING OFFICER REPRESENTATIVE: | COR Name/Email Address: |
| CONTRACTING OFFICER APPROVAL: | CO Name/Email Address: |
| GSA ACQUISITION PROJECT MANAGER: | APM Name/Email Address: |
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