PWS_Attch_S011_1.pdf

United States Department of the Interior

NATIONAL PARK SERVICE,

Northeast Region, New England Major Acquisition Buying Office Charlestown Navy Yard, Building I Boston, Massachusetts 02129-4543

IN REPLY REFER TO:

140P4425C00xx Month Date, 20xx

VIA EMAIL (XXX@XXX.COM)

Contractor Name:

Contractor Address 1:

Contractor Address 2:

Attn: Contractor POC

SUBJECT: Special Event Order / Work Order Under Contract 140P4318C00xx, Mechanical Systems and Utilities Operation and Maintenance at The Statue of Liberty National Monument and Ellis Island (STLI)

AUTHORIZATION TO PROCEED

1. The contractor agrees to provide services for “Work Orders” and/or “Special Events” as specified below, per this written authorization to proceed. The price for these services will be charged against the “Work Orders” and/or “Special Events” line item, as applicable, in your contract.

2. Summary Scope of Work:

DATE:

LOCATION:

TIMES:

PERSONNEL REQUIRED:

Labor Category Title: Qty # of Hours Rate Total

Attachment S011 SAMPLE Authorization to Proceed mailto:XXX@XXX.COM

SUBJECT: Special Event Order / Work Order Under Contract 140P4318C00xx, Mechanical Systems and Utilities Operation and Maintenance at The Statue of Liberty National Monument and Ellis Island (STLI) mm/dd/year

DESCRIPTION OF WORK ORDER REQUIREMENTS:

WORK ORDER / SPECIAL EVENT CEILING PRICE: $

Ceiling price. The Government will not be obligated to pay the Contractor any amount in excess of the ceiling price in the Schedule, and the Contractor shall not be obligated to continue performance if to do so would exceed the ceiling price set forth in the Schedule, unless and until the Contracting Officer notifies the contractor in writing that the ceiling price has been increased and specifies in the notice a revised ceiling that shall constitute the ceiling price for performance under this contract. When and to the extent that the ceiling price set forth in the Schedule has been increased, any hours expended and material costs incurred by the Contractor in excess of the ceiling price before the increase shall be allowable to the same extent as if the hours expended and material costs had been incurred after the increase in the ceiling price.

3. The contractor shall furnish the above services for “Special Events” and/or “Work Orders” in accordance with the terms of the referenced contract.

4. Estimated amount for services: $ X,XXX.XX

5. Appropriation:PPNESTLI00 PROIESUC1.380000 $ X,XXX.XX

6. The contractor is required to acknowledge receipt by signing below and email to (david_barceleau@nps.gov). Any questions should be directed to David Barceleau at 617- 242-5786.

Michelle B. Yates Contracting Officer

ACKNOWLEDGEMENT OF RECEIPT:

Contractor POC: Date

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