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Base Year
| The Contractor must complete this form and return it with the finished components | |
| In accordance with contract N00406_______, the following materials are submitted for metal finishing/plating: | |
| Line Item 0001 Performance Period: 01 SEP 2020 through 31 AUG 2021 (Base Year) | |
| Date: ______________ |
| Component Nomenclature | |
| Part Number / Serial Number | |
| Quantity | |
| Drawing Number | |
| Material | |
| MCN/Priority | |
| Technical Point of Contract | |
| Detailed Services Requested | |
| Contractor to complete this section: | |
| Were parts delivered cleaned? | Yes ___ No ___ |
| If parts required cleaning | Cleaning process: |
| Time to perform cleaning: |
| Shop rate: $______/hour |
| Process Performed | |
| Time to perform process | |
| Shop rate for above process | $______/hour |
| Total Charge for this service | $ (to include additional processes below if performed) |
| If additional processes performed on these components, specify process, time to perform and shop rate: |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
First Option Year
| The Contractor must complete this form and return it with the finished components | |
| In accordance with contract N00406_______, the following materials are submitted for metal finishing/plating: | |
| Line Item 1001 Performance Period: 01 OCT 2018 through 30 SEP 2019 (First Option Year) | |
| Date: ______________ |
| Component Nomenclature | |
| Part Number / Serial Number | |
| Quantity | |
| Drawing Number | |
| Material | |
| MCN/Priority | |
| Technical Point of Contract | |
| Detailed Services Requested | |
| Contractor to complete this section: | |
| Were parts delivered cleaned? | Yes ___ No ___ |
| If parts required cleaning | Cleaning process: |
| Time to perform cleaning: |
| Shop rate: $______/hour |
| Process Performed | |
| Time to perform process | |
| Shop rate for above process | $______/hour |
| Total Charge for this service | $ (to include additional processes below if performed) |
| If additional processes performed on these components, specify process, time to perform and shop rate: |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
Second Option Year
| The Contractor must complete this form and return it with the finished components | |
| In accordance with contract N00406_______, the following materials are submitted for metal finishing/plating: | |
| Line Item 2001 Performance Period: 01 OCT 2019 through 30 SEP 2020 (Second Option Year) | |
| Date: ______________ |
| Component Nomenclature | |
| Part Number / Serial Number | |
| Quantity | |
| Drawing Number | |
| Material | |
| MCN/Priority | |
| Technical Point of Contract | |
| Detailed Services Requested | |
| Contractor to complete this section: | |
| Were parts delivered cleaned? | Yes ___ No ___ |
| If parts required cleaning | Cleaning process: |
| Time to perform cleaning: |
| Shop rate: $______/hour |
| Process Performed | |
| Time to perform process | |
| Shop rate for above process | $______/hour |
| Total Charge for this service | $ (to include additional processes below if performed) |
| If additional processes performed on these components, specify process, time to perform and shop rate: |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
| Process performed: _________________________________________ Time to perform process: _____________ Shop Rate: $_____/hour |
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