NNK16552269R_J-11_Tech_Reference_007_Deviation_Waiver_Form_KSC50-314.pdf

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SIMPLIFIED ACQUISITION OF BASE ENGINEERING REQUIREMENTS Federal contract opportunity
Solicitation number
NNK16552269R
Issued by
National Aeronautics and Space Administration Kennedy Space Center

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NNK16552269R J-11 Tech Reference 007 Deviation Waiver KSC Form 50-314

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KSC FORM 50-314 NS 05/15 (1.0) Validate prior to use.

NRRS 8/48.B.2

Page of Contractor Request for Deviation / Waiver 11.0.0.20130303.1.892433.887364

CONTRACTOR REQUEST FOR DEVIATION / WAIVER

KSC FORM 50-314 Rev 05/15, Created 05/15 Version 1.0 05/15 KSC Forms

CONTRACTOR REQUEST FOR DEVIATION / WAIVER

05/15 1.

Contractor Authorized Representative:

15. NASA Contracting Officer (CO) Notice to Contractor The request is Contract Modification be issued Contractor is to submit a detailed breakdown along with any supporting documentation for accurate evaluation.

1.0 Row 1 Part Name Row 1 Drawing Number Row 1 Quality & Serial Number

CurrentPage:
PageCount:
DummyBTN:
Sheet:
OfSheet:
submit:
DeviationWaiver: 0
BAAWaiver: 0
ReqNo:
Contractor:
ContractNo:
ProjectPCN:
ProjectTitle:
SpeciticationNum1:
DrawNum1:
ParNumDrawShtNum1:
SpecifiedReq:
DescriptionOfWaiver:
ReasonJustification:
ContractorCert:
PriceOffered:
AuthRepName:
AuthRepSignature:
AEName:
AESignature:
NLDEName:
NLDESignature:
NCORCName:
NCORCSignature:
COName:
COSignature:
AuthRepDate:
AEComment:
AEDate:
NLDEComment:
NLDEDate:
NCORComment:
NCORCDate:
COApproved: 0
CORejected: 0
COContractWill: 0
COContractWillNot: 0
CODate:
Comment:
Comment2:

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