TE-5 FTC-FMD-01 Work Order Request_Construction Project Funding Document.pdf
PDF 527 KB Posted
- Attached to
- Logistic Support Services FLETC Glynco, GA
- Solicitation number
- 70LGLY23RGLB00002
About this file
This document is a work order request/construction project funding document for the Department of Homeland Security Federal Law Enforcement Training Centers. The request form seeks funding approval for construction projects at the FLETC facility in Glynco, Georgia and includes fields for requesting office details, work description and justification, severity category, and approval signatures. Safety-related requests require coordination with the Environmental and Safety Division. The form provides a process for FLETC divisions to submit work requests to the Facilities Management Division for project planning, budgeting, and funding approval through established approval levels in the Momentum system.
The related federal contract opportunity is a solicitation for logistic support services at the FLETC Glynco facility. The contractor will provide management, supervision, personnel, equipment, materials, transportation, tools and supplies for logistics services including project management, mail and parcel delivery, postal operations, furniture delivery and assembly, asset management support, on-call moving and support. Services are required from 8:00am to 5:00pm Monday through Friday excluding federal holidays. The solicitation is issued by the Department of Homeland Security Federal Law Enforcement Training Center.
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Text version
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
WORK ORDER REQUEST/CONSTRUCTION PROJECT FUNDING DOCUMENT
REQUESTING OFFICE/AGENCY GLYNCO BUILDING NUMBER OF WORK REQUESTED REQUEST DATE WORK DEADLINE
REQUESTOR'S NAME REQUESTOR'S BUILDING NUMBER REQUESTOR'S EMAIL ADDRESS
REQUESTOR'S PHONE NUMBER CATEGORY SEVERITY: PLEASE "X" THE CATEGORY BELOW THAT BEST APPLIES TO THIS REQUEST.
1. Life Safety, Security, High Visibility
2. Training
3. Infrastructure, Energy
4. Admin, Convenience, Aesthetics
BRIEF DESCRIPTION AND JUSTIFICATION FOR WORK (Continue on separate sheet if more space is needed)
REQUESTING FLETC DIRECTORATE SPPA REVIEW
Print Sign
REQUESTING FLETC DIVISION CHIEF APPROVAL
Print Sign
REQUESTING PARTNER ORGANIZATION REPRESENTATIVE APPROVAL
Print Sign SAFETY RELATED WORK REQUESTS REQUIRE ENVIRONMENTAL AND SAFETY DIVISION (ESD) COORDINATION
ESD STAFF NAME TITLE DATE
REQUESTORS - DO NOT WRITE BELOW THIS LINE - FOR FMD USE ONLY
FMD
TRACKING # A/E DESIGN CONSTRUCTION
FMD
DIV
CHIEF
PROJECT
NUMBER:
PROGRAM
CODE:
FABS (MOM)
NUMBER:
REIMBURSABLE
AGREEMENT NO.:
FUND TYPE(S):
OBJECT CLASS:
Current Mod Estimated Negotiated
PROJECT AMOUNT
PREVIOUS TOTAL CURRENT/MOD TOTAL
PROJECT
MANAGER
FMD
BUDGET:
FMD BRANCH
CHIEF:
FMD DIVISION
CHIEF:
APPROVAL LEVELS AS ESTABLISHED ON-LINE IN MOMENTUM
FTC-FMD-01 (3/16) Page 1 of 1
9.0.0.2.20120627.2.874785
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
WORK ORDER REQUEST/CONSTRUCTION PROJECT FUNDING DOCUMENT
CATEGORY SEVERITY: PLEASE "X" THE CATEGORY BELOW THAT BEST APPLIES TO THIS REQUEST.
Category severity: Please "X" the category below that best applies to this request
1. Life Safety, Security, High Visibility
2. Training
3. Infrastructure, Energy
4. Admin, Convenience, Aesthetics Print Sign Print Sign Print Sign SAFETY RELATED WORK REQUESTS REQUIRE ENVIRONMENTAL AND SAFETY DIVISION (ESD) COORDINATION
REQUESTORS - DO NOT WRITE BELOW THIS LINE - FOR FMD USE ONLY
PROJECT AMOUNT
APPROVAL LEVELS AS ESTABLISHED ON-LINE IN MOMENTUM
FTC-FMD-01 (3/16)
| Requestor's phone number: |
| Date 2 digit month, 2 digit day, 4 digit year: |
| Requestor's email address: |
| 1. Life Safety, Security, High Visibility check box: |
| 2. Training check box: |
| 3. Infrastructure, Energy check box: |
| 4. Administrative, Convenience, Aesthetics check box: |
| BRIEF DESCRIPTION AND JUSTIFICATION FOR WORK (Continue on separate sheet if more space is needed): |
| Title: |
| REQUESTING PARTNER ORGANIZATION REPRESENTATIVE APPROVAL (Sign name): |
| FMD TRACKING #: |
| Negotiated check box: |
| FMD DIVISION CHIEF: |
| TOTAL: |
| OBJECT CLASS:: |
| PROJECT MANAGER:: |
| FMD BUDGET:: |
| FMD BRANCH CHIEF:: |
| FMD DIVISION CHIEF:: |
| Reset Form Button: |
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