Att (11) Excess Repair_Replacement Form_2 Jul 2019.doc
DOC document 34 KB Posted
- Attached to
- Surface Fire Fighter and Damage Control Contractor Operation & Maintenance Services Federal contract opportunity
- Solicitation number
- N61340-20-R-0005
About this file
This solicitation requests proposals for Surface Fire Fighter and Damage Control Contractor Operation and Maintenance Services. The Navy seeks a contractor to provide all labor, materials, consumables, equipment, tools, and transportation necessary to maintain training systems and equipment at seven commands located across six geographic locations. The services include maintaining trainers in a fully operational condition and facilitating user training. The requirement is set aside entirely for small businesses. The contract type is firm-fixed-price for base and option years with cost-reimbursable lines for consumables. Proposals are due by the date specified in the SF-33. The NAICS code is 541330 with a $41.5 million size standard. This is a repost of solicitation N6134019R0038.
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Text version
COMS EXCESS COSTS REQUEST FORM
Sequential Number ____________ Date __________
TO: Procuring Contracting Officer
VIA: COR
Subj: REQUEST FOR AUTHORIZATION TO PROCURE REPAIR/REPLACEMENT PART
IN EXCESS OF $25,000
Ref:
(a) Device/Serial No. ______________________________________
1. The undersigned Contractor requests authorization to procure repair/replacement part under
Item __________ of Contract N61339-___________, Task Order ________ in accordance with the Excess Repair / Replacement clause of the contract schedule as described below:
Manufacturer: ___________________________________________________________
Part No: ____________________________ Model No: __________________________
Nomenclature: ___________________________________________________________
Estimated Cost $______________________________
Not to Exceed Amount of Government's Liability $________________________
(Amount over $25,000)
Detailed Cost Breakdown: (submit on separate sheet) SUBMITTED BY: (Contractor)
REVIEWED BY: (COR)
(Signature/Date) (Signature/Date)
COR Recommend: / / Approval
/ / Disapproval
2. PCO: [ ] Approved
[ ] Disapproved for the following reason(s)______________________________
CONTRACTING OFFICER DATE
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