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NAVSEAINST 4200.17D
TECHNICAL INSTRUCTION (NAVSEA TEMPLATE)
Attachment 7
| TI No./Revision No. |
| TI-XX, Rev. XX |
N00024-13-R-6318
TECHNICAL INSTRUCTION (NAVSEA TEMPLATE)
Ref: (a) NAVSEA 5252.242-9115 (TECHNICAL INSTRUCTIONS) Enclosure (if applicable): [ ]
This Technical Instruction (TI) is issued pursuant to reference (a) from my capacity as the Contracting Officer’s Representative (COR) for the contract/order identified below. This TI is issued with the understanding that implementation is within the present scope of the contract/order and that it does not change the statement of work or other terms and conditions. Nothing herein should be construed as amending the subject contract/order or as changing any contractual requirements. If the contractor believes that compliance with anything herein would constitute a change in the requirements of the subject contract/order, the contractor should not accept the TI and notify the Procuring Contracting Officer (PCO), in writing, within ten (10) working days, specify the reason(s) for such belief, and take no further action. A copy should also be sent to the COR.
Note: The contractor shall inform the COR, in writing, when 75% of the costs allotted to this TI have been expended. Expenditures for this TI shall not exceed the allotted amount. This TI is contingent upon the availability of funds and performance shall not commence until funding has been obligated on the contract/order.
| TI No./Revision No. |
| TI-XX, Rev. XX |
| TI Revision Issue Date (if applicable) |
| Purpose of Revision (if applicable) |
| Government Agency/Activity |
| Sponsoring Office | |
| Organization |
| Code | |
| Program/Technical Office | |
| Name |
| Code | |
| Telephone | |
| Email Address | |
| Contracting Officer’s Representative (COR) | |
| Name |
| Code | |
| Telephone | |
| Email Address | |
| Procuring Contracting Officer (PCO) | |
| Name |
| Code | |
| Telephone | |
| Email Address | |
| Contractor POC | |
| Name |
| Code | |
| Telephone | |
| Email Address | |
| Severability |
| Severable |_| Non-Severable |_| |
| Applicable SOW/PBWS Paragraph Number(s) |
TI Description
Applicable Documents If none, insert N/A
Government Furnished Information (GFI), Government Furnished Equipment (GFE), Government Furnished Material (GFM); Government Furnished Facilities (GFF)
If none, insert N/A
GFI:
GFE:
GFM:
GFF:
Other:
Temporary Duty/ Travel Requirements
If none, insert N/A Travel Authorization (TA) requests shall be submitted to and/or authorized by the Contracting Officer’s Representative (COR).
CONUS
| Trips |
| People |
| Duration |
| From |
| Destination |
OCONUS
| Trips |
| People |
| Duration |
| From |
| Destination |
Funding Information (e.g., CLIN, SLIN, ACRN)
| LABOR |
| Funding Identifier |
| Project/Program Name |
| Appropriation FY |
| Appropriation |
Type Funded Amount
ODC
| Funding Identifier |
| Project/Program Name |
| Appropriation FY |
| Appropriation |
Type Funded Amount
| Period of Performance | |
| FROM |
| TO | |
| Deliverable(s) | |
| Deliverable Identifier |
| Description | |
| Medium | |
| Frequency | |
| Due Date | |
Hazard and Safety Information (The checked (X) Hazard and Safety Instructions are applicable to this TI) |_| Known Hazards: (List known hazards here) |_| No Hazard or Safety Information applicable |_| Other (Specify: ) |_| Other (Specify: ) |_| Other (Specify: )
| TI ROM Cost Estimate: | |
| Total Hours |
| ODCs | |
| Travel | |
| Total Estimate | |
| TI No./Revision No. |
| TI-XX, Rev. XX |
This TI shall not be construed as a change to the terms or conditions of the subject contract/order.
PCO concurrence:
| _______________________________ | _______________________________ | _____________ | | |
| (Signature) | | | (print name) | (date) |
Contracting Officer
| _______________________________ | _______________________________ | _____________ | | |
| (Signature) | | | (print name) | (date) |
Contracting Officer’s Representative
Acknowledgement of receipt by Contractor:
| _______________________________ | _______________________________ | _____________ | | |
| (Signature) | | | (print name) | (date) |
Authorized Representative of Contractor
NOTE – ALL TECHNICAL INSTRUCTIONS MUST BE CONCURRED WITH BY THE PCO PRIOR TO RELEASE.
NOTE – ALL EFFORTS RESULTING FROM THE ISSUANCE OF A TI SHALL NOT COMMENCE UNTIL THE TI IS SIGNED BY THE CONTRACTOR AND SENT VIA EMAIL TO THE COR WITH A COPY TO THE PCO
Copy to:
STEP-BY-STEP INSTRUCTIONS
The following table provides step-by-step instructions on how to complete the Technical Instruction (TI) template. The TI template is setup as a form. The grey boxes and check boxes indicate areas that are required to be filled out. To move through the fields simply use the tab key to move from one field to the next. If additional space is required for any block, continue on a separate sheet, indicating the relevant block name(s).
Routing should generally be as follows: The COR prepares the TI. If needed, the COR may obtain the ROM information from the contractor, including any travel and ODCs. Once the COR has finalized the TI, the COR submits the TI to the PCO for concurrence. After the PCO concurs, the PCO will return the TI to the COR for signature and submittal to the Contractor. The Contractor will return the signed TI to the COR. The signed TI will be maintained in the official COR file and the COR will make distribution as necessary.
| BLOCK |
| INSTRUCTIONS (use the “Tab” button to navigate from field to field) |
| TI No./Revision No. |
| Assign a TI number. If the TI is revised, a revision number or letter is assigned. |
| TI Revision Date |
| Insert the date the TI revision is issued. This date will change with each subsequent revision. |
| Original TI Issue Date |
| Insert the date the original TI is issued. The issue date remains unchanged. |
| Purpose of Revision |
| Indicate the purpose of the revision, i.e., incremental funding, etc. |
| Contract/Task Order No. |
| Insert the contract and task/delivery order number (if applicable). |
| Government Agency/Activity |
| Insert the name of the agency/activity requesting the work, e.g., NAVSEA. |
| Sponsoring Office |
| Insert the sponsoring office’s organization and code information, e.g.PEO-SUB and PMS 425. |
| Program/Technical Office |
| Insert the program/technical office’s code information, e.g. John Doe, Code 25. |
| Contracting Officer’s Representative (COR) |
| Identify the COR information. |
| Procuring Contracting Officer (PCO) |
| Identify the PCO information. |
| Contractor |
| Insert the name of the Prime Contractor who will be performing the work. |
| Contractor POC |
| Insert the Prime Contractor’s information here. |
| Severability |
| Determine the severability of the tasking. (Note: Non-severable work represents a single undertaking or a requirement that was conceived as a single end product or result. Severable work, on the other hand, is conceived as a recurring requirement for the same type of service, to be furnished and paid for on an incremental basis). |
| Special Skills Required |
| Special skills required to complete the tasking must be identified here (e.g., welding certification, CPR training, etc.). |
| Applicable SOW/PBWS Paragraph Number(s) |
| Identify the applicable SOW/PBWS paragraph number. |
| TI Title |
| Insert brief TI title. |
TI Description
This space is used to further identify or define the requirements. Do not insert (cut or paste) paragraphs from the SOW/PBWS in this area, as they are already identified in the “Applicable SOW/PBWS Paragraph Number(s)” block above. Do not provide instructions to the contractor as to how they are to accomplish the tasking, who they are to hire, or who they are to use as a subcontractor, as these determinations are made by the contractor.
| Applicable Documents |
| Applicable documentation generally includes Mil-Standards/Specs, Special Instructions, etc. If none, insert N/A. |
| Government Furnished Information (GFI), Government Furnished Equipment (GFE), Government Furnished Material (GFM); Government Furnished Facilities (GFF) |
| Identify all Government Furnished Information, Equipment, Material, Facilities or other items provided by the Government, including the date provided/available, an adequate description, location, building number, serial numbers, model numbers and quantities, as applicable. Attachments may be used if the list is extensive, but should be identified in this block (e.g., “See Attachment 1 – Government Furnished Equipment”). If none, insert N/A. |
| Duty Location |
| Identify the location(s) where the work will be performed. This may be single or multiple locations on site, off site or both. |
Temporary Duty/ Travel Requirements Identify all travel anticipated to occur within the Continental United States (CONUS) or Outside the Continental United States (OCONUS). If none, insert N/A.
| Funding Information |
| Identify the Labor or Other Direct Costs (ODC) funding identifier, followed by the associated Project or Program Name, appropriation FY, appropriation type and the funded amount, which can either be the total or an increment. If the TI is incrementally funded, the COR shall keep a running total of funding provided to date relative to the TI ROM total cost estimate in the official COR file. |
Period of Performance The period of performance identifies the time anticipated to complete the tasking.
| Data Deliverable(s) |
| Identify all required data deliverables. Insert deliverable identifier (e.g., A001), description, required medium for delivery, frequency of delivery, and due date. |
| Security Classification |
| Identify Security Classification (e.g., Confidential; Secret; etc.). If no security classification is required or identified in the contract/TO, insert “Unclassified”. |
Hazard and Safety Information (The checked (X) Hazard and Safety Instructions are applicable to this TI) Determine the appropriate Hazard and Safety Information. If there are “Known Hazards”, list the known hazards. If known hazards are too numerous to mention, you may reference an attached document (e.g., see attached Exhibit 2 – List of Known Hazards”). Identify any unique instructions that deal with the identified known hazards.
| ROM Cost Estimate |
| The COR shall fill-in total cost estimate information. |
