Notification of Services Rendered Form.pdf
PDF 545 KB Posted
- Solicitation number
- 70Z03823QK0000051
About this file
This document contains a notification of services rendered form template and details of a solicitation for an Americans with Disabilities Act compliant wheelchair ramp and installation. The form is to be completed by the contractor and government point of contact upon completion of any onsite contractual service with a period of performance of less than 90 days. It requires information such as the contract or order number, date of service completion, contracting officer, building location, contractor company name, descriptions of the service, and signatures to accept or reject the service.
The solicitation seeks offers for the construction and installation of an ADA compliant wheelchair ramp at a US Coast Guard facility. Offerors must meet all requirements including standards for design, materials, and workmanship by the specified due date to be considered for award. The selected contractor will be responsible for obtaining any necessary permits and inspections and coordinating schedule with the facility point of contact.
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Other files
| File | Type | Posted |
|---|---|---|
| Wage Determination.pdf | ||
| ALC Visitor Contractor Safety and Environment Health Brochure.pdf | ||
| Terms and Conditions.pdf | ||
| Exhibit 2.pdf | ||
| Exhibit 1.pdf | ||
| Statement of Work (SOW).pdf | ||
| Instructions to Offerors.pdf |
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Text version
Attachment 7 -- Notification of Services Rendered Form Combined Synopsis/Solicitation 70Z03823QK0000051
A) Contract or Order Number:
B) Date of Service Completion:
C) Contracting Officer or Representative:
D) Division:
J) Government POC Acceptance or Rejection of the Service: (Check One of the Boxes Below)
E) Building or Location of Service:
G) Contractor Company:
H) Contractor Company Representative:
I) Contractor Company Representative Signature:
F) Description of the Service:
The service described in Block F has been complete in accordance with the requirements of the contract or order listed in Block A. By signing below, I certify as the Government POC that I accept the service provided by the Contractor listed in Block G and give the Contracting Officer approval to pay the invoice associated with this service.
The service described in Block F has NOT been complete in accordance with the requirements of the contract listed in Block A. As the Government POC I DO NOT accept the service provided by the Contractor listed in Block G. (If this is block is checked, the Government POC shall provide additional information below detailing why the service is unacceptable)
Notification of Services Rendered Form
The Contractor and Government POC shall complete this form upon completion of an "onsite contractual service". The Contractor and Government POC shall submit the signed form to the Contracting Officer or their representative listed in block C below within two (2) business days of contractual service completion.
For the purpose of this form, "onsite contractual service" is defined as any service performed at the Aviation Logistics Center with a period of performance of less than 90 days or as deemed necessary by the Contracting Officer. Example of onsite services meeting this definition include, calibration services, equipment troubleshooting / maintenance / repair and IT services.
JUL 2018
Government POC:
Government POC Signature:
Date:
File details come from the government source that posted it. Updated .