Attachment_8_NMCI_Requisition_Approval_Form.doc

NAVY MARINE CORPS INTRANET (NMCI) SERVICES

REQUISITION APPROVAL FORM

Date:

Contract #:

Delivery Order #:

Period of Performance (OF THE APPROVAL):

Contractor:

Purpose of Services:

Total

1. The contractor is hereby granted authorization to place an order under NMCI Contract No. N00039-10-D-0010 for the NMCI services identified above. It is emphasized that only the Contracting Officer (PCO) has the authority to modify the terms of the contract; therefore, in no event will the Government be bound by any modifications, change order, or other matter deviating from the terms of the basic contract or by any understanding or agreement you may have with anyone else.

2. If you believe you are being requested to perform an effort outside the scope of the contract, you should notify the PCO promptly in writing. You should take no action unless the Contracting Officer issues a contractual change. If you have any questions, please contact the Contracting Officer’s Representative (COR) for this contract.

COR Review

Date

PCO Approval

Date

2517/ Rev. 4/12

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