PWS - Attachment D - Consent to Purchase.pdf

CONSENT TO PURCHASE PARTS/TOOLS/ODCs AND/OR SERVICES (CTP)

Industry Partner: TOOL#:

Client: Date:

Project Name:

Project/IA#:

Contract/Task Order:

Last Inv submitted:

TO: Contracting Officer Representative CLIN # VALUE: $0.00

CUM AMT BILLED: $0.00

BALANCE: $0.00

FROM: CTP ESTIMATE: $0.00

THROUGH: Client POC BALANCE: $0.00

SUBJECT:

PURPOSE/JUSTIFICATION OF REQUEST:

The purpose of this request is to

Description of supplies or sevices (FAR 52.244-2(e)(1)(i)):

Type of subcontract (FAR 52.244-2(e)(1)(ii)):

Propose subcontractor (FAR 52.244-2(e)(1)(iii)):

Requestor

Consent to purchase #

Client Point of Contact:

If the prime contractor does not have an approved purchasing system, the contractor will prepare and submit a Consent to Purchase (CTP), to be reviewed by the COR and signed by the CO.

FEDSIM is a Client Support Center housed within GSA, FAS, AAS Template Version 11-15-18

Below is the estimated cost of purchase (FAR 52.244-2(e)(1)(iv)):

ITEM

Tool (CLIN #):

Cost to Government: @# Fee General & Administrative (G&A) Cost

Total Cost NTE:

The following documents are attached (as necessary):

1) Subcontractor's certified cost or pricing data as required in FAR 52.244-2(e)(1)(v)

3) Negotiation memo as required in FAR 52.244-2(e)(1)(vii)

Please contact me at (000) 000-0000 if you have any concerns or questions.

FEDSIM CO Approval:

Signature Date

2) Subcontractor's Disclosure Statement or Certification relating to Cost Accounting Standards as required in FAR 52.244-2(e)(1)(vi)

All material purchases shall be made in accordance with customer requirements. All materials shall become the property of the Government and shall be regarded as Government Furnished Property (GFP), and unless previously approved by the Contracting Officer, shall be used only in performance of this Task Order. All materials will be purchased in accordance with regulations contained in FAR 52.244-2 approved purchasing procedures. All Tools and ODCs shall be procured in accordance with contract requirements and shall not exceed the funded amount on this contract.

It is the responsibility of the Industry Partner to ensure that the prices quoted are fair and reasonable at the time of submission and are in the best interest of the client. The Industry Partner is to furnish price quotes for hardware and software purchases.

FEDSIM is a Client Support Center housed within GSA, FAS, AAS Template Version 11-15-18