S02 Attach 2 Deliverable Support Information Form.pdf

ITAM SW Deliverable Support Information Form v1.0 10/04/2018 Page: 1 of 2

Deliverable Support Information Form

For VA Use Only:

1. Manufacturer Oracle

2. Awardee

3. Product Name Description Oracle HW Maintenance

4. Purchase Type(s) Hardware

5. Fiscal Year 2021

6. Contract #

7. Task/Delivery Order #

8. VA Purchase Order #

9. Performance Start Date

10. Performance End Date

11. End Date (Including All Options)

12. Contracting Officer Rep Joel Arellano

13. Customer Portal (TAC ID) VA‐21‐000XXXXXX

14. Change Order # NA

Vendor Fillable Fields (To Be Completed by Awardee):

15. Coverage Choose an item.

16. Type of Support Choose an item.

17. End of Life Date Click here to enter a date.

18. End of Service Life Date Click here to enter a date.

19. Level of Service Choose an item.

20. Manufacturer Contract # Click here to enter text.

21. Technical Support Name Click here to enter text.

22. Technical Support Phone Click here to enter text.

23. Technical Support Email Click here to enter text.

24. Technical Support Website

Click here to enter text.

25. Hardware Serial Numbers Click here to enter text.

26. Software Serial Numbers Click here to enter text.

27. SW Licensing Key(s) Click here to enter text.

28. Comments/Add’l Info Required for Support

Click here to enter text.

29. Completed By Name Click here to enter text.

30. Completed By Phone Click here to enter text.

31. Completed By Email Click here to enter text.

32. Attachment(s) Click here to enter text.

ITAM SW Deliverable Support Information Form v1.0 10/04/2018 Page: 2 of 2

Instructions – Deliverable Support Information Form

15. Coverage

List the Coverage being provided as part of this contract (in hours/day-days/week-response time in hours format). Example: 24x7, 8x5x2. If coverage varies by CLIN, please attach additional information outlining the coverage for each CLIN and note the attachment in Block 32.

16. Type of Support

List the type of support being provided as part of this contract. Example: Telephone, Online, Updates, Upgrades, Email. Chose the most complete response. If the Type of Support varies by CLIN, please attach additional information outlining the Type of Support for each CLIN and note the attachment in Block 32.

17. End of Life Date Provide the Date the asset will reach its end of life (if applicable).

18. End of Service Life Date Provide the Date the OEM will no longer provide updates & firmware or will no longer maintain the asset (if applicable).

19. Level of Service

List the level of service being provided. Example: Platinum, Premium, Gold. IF the Level of Service varies by CLIN, please attach addition information outlining the Level of Service for each CLIN and note the attachment in Block 32. (If correct response is not available in pull-down menu, please type in the correct response).

20. Manufacturer Contract # Provide the Contract number between the Awardee and the OEM (if applicable).

21. Technical Support Name Provide the name of the technical support contact.

22. Technical Support Phone Provide the telephone number that VA personnel should use to contact the OEM for support. Include appropriate extensions (if applicable).

23. Technical Support Email Provide the email address that VA personnel can contact for support (if applicable).

24. Technical Support Website Provide the Web address that VA personnel can use to access support (if applicable).

25. Hardware Serial/Part #(s)

List the Serial numbers by CLIN of the products being acquired or maintained. If the list exceeds the space allotted on this form, include an attachment with the relevant information and reference the attachment in this block (if applicable) and note the attachment in Block 32.

26. Software Serial/SKU#(s)

List the Serial numbers by CLIN of the products being acquired or maintained. If the list exceeds the space allotted on this form, include an attachment with the relevant information and reference the attachment in this block (if applicable) and note the attachment in Block 32.

27. SW Licensing Key(s)

List the Software Licensing Key(s) by CLIN of the products being acquired or maintained. If the list exceeds the space allotted on this form, include an attachment with the relevant information and reference the attachment in this block (if applicable) and note the attachment in Block 32.

28. Comments/Addl. info required to contact support

Add any additional information that the will be required for VA personnel to obtain support.

29. Completed By (Name) List the Name of the person that provided the information contained on this form and who can be contacted in case additional information is needed.

30. Completed By (Phone) Provide the telephone number of the person completing this form.

31. Completed By (Email) Provide the email address of the person completing this form.

32. Attachment(s) Provide any additional attachments that may be needed to obtain support and/or any attachments referenced in in Blocks 15-31.