W912P521B0001 Exhibit B.pdf

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Attached to
Old Hickory Operations and Maintenance Requirements Contract
Solicitation number
W912P521B0001
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EXHIBIT B

DELIVERY ORDER COST ESTIMATE

DELIVERY ORDER COST ESTIMATE

Contract No: W912P5-21-D-???? D.O. Cost Estimate: OLD/R-???? Date:

I. WORK DESCRIPTION -

(Attach add'l plans, specs, or other info. as necessary)

II. COST ESTIMATE - Submitted by: Government ( X ) or Contractor ( ) Contract Sect. No:

Item # Service Quantity Unit Price Amount

Total $0.00

III. GOVERNMENT FURNISHED ITEMS (GFI) REQUIRED -

PREPARED BY:

Signature Date

APPROVED BY:

Signature Date

REMARKS -

ORN Form 564 CELRN-OP-R

RECORD OF DISCUSSIONS

Contract No: W912P-16-D-???? D.O. Cost Est. # : OLD/R-???? Date:

Government Representatives: Contractor Representatives:

REMARKS:

(Attach additional sheets if necessary)

NEW COST ESTIMATE

Item # Service Quantity Unit Price Amount

Total $0.00

CONTRACTOR'S REPRESENTATIVE:___________________________ ________

(Signature) (Date)

GOVERNMENT REPRESENTATIVE:____________________________ ________

(Signature) (Date)

APPROVED BY: ____________________________________________ ________

(Signature and Title) (Date)

- END OF EXHIBIT B -

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