INSTRUCTIONS TO CONTRACTORS.docx

INSTRUCTIONS TO FILL FORMS FOR SITE VISIT LA MACARENA

Attached you will find some forms that you have to fill to have access to a Government plane to go to the Site Visit for Fuel System La Macarena.

https://spot.dmdc.mil/default.aspx you must fill the form that is under this link. Attached you will find a couple of examples to follow. A photo on this form is required.

For DD 2768, I just need the contractor’s info on block 10

On TAR, we just need the info populated in 2B and I will take care of the rest.

Tentative site visit date is 11 SEP 2020 at first time in the morning.

Only one representative per company can go to the Site Visit

Please submit your formats no later than Monday 08 September 2020 at 12:00 m (Noon) to the e-mail address astrid.j.pardootero.fn@mail.mil

Blank DD 2768.pdf

MILITARY AIR PASSENGER/CARGO REQUEST

PRIORITY 1

PRIORITY 2

PRIORITY 3

Direct support of operational forces engaged in combat or contingency peace-keeping operations directed NCA, or for emergency lifesaving purposes.

"Required use" travel or compelling operational considerations making commercial transportation unacceptable (within 24 hours). Mission cannot be satisfied by any other mode of travel. Requester should provide a 2-hour window for departure and arrival times to allow consolidation of missions per DoD Directive 4500.43.

Official business travel which when consolidated by JOSAC with other travelers, is more cost effective than commercial air travel or official business travel on previously scheduled missions. Requester must provide at least a 2-hour window for departure and arrival times to allow consolidation of missions per DoD Directive 4500.43.

1. SELECT APPLICABLE TRAVEL STATEMENT:

2. PURPOSE OF TRAVEL

a. PUJC

CODE

b. COMPLETE MISSION DESCRIPTION

3. TOTAL

NUMBER

OF PAX

c. PRIORITY 2 COMPELLING CONSIDERATIONS AND REASON COMMERCIAL TRAVEL UNACCEPTABLE

4. SENIOR TRAVELER

a. NAME (Last, First, Middle Initial) b. GRADE/DV CODE c. DUTY TITLE d. BRANCH OF SERVICE

5. ADDITIONAL PASSENGERS (Note: Required only for DV 7 or higher)

a. NAME (Last, First, Middle Initial) b. GRADE/DV CODE c. DUTY TITLE d. BRANCH OF SERVICE

6. DESIRED FLIGHT ITINERARY

(1) LEG 1

(2) LEG 2

(3) LEG 3

a. DEPARTURE ICAO

b. DEPART DATE/TIME (Z)/MO/YR (+/- 2 hrs) (Example: 25/1200 DEC 98 (1400))

d. ARRIVE DATE/TIME (Z)/MO/YR (+/- 2 hrs) (Example: 25/1200 DEC 98 (1400))c. ARRIVAL ICAO

7. COST OF COMMERCIAL TRAVEL (Transportation, additional per diem, lost time, etc.)

a. LEG 1 b. LEG 2 c. LEG 3 d. TIMES NO. OF PASSENGERS e. EQUALS TOTAL COST

8. CARGO TRANSPORTATION (Cargo acceptors and handlers are required at destination airfield.)

a. CARGO DESCRIPTION

b. LARGEST ITEM DIMENSIONS c. HEAVIEST ITEM DIMENSIONS/WEIGHT c. TOTAL WEIGHT d. TOTAL CUBIC FEET

e. SPECIAL HANDLING REQUIREMENTS (Explain)

DD FORM 2768, MAR 1998 Adobe Professional 8.0

NOTE: Keep this data on file for two years after submission date.

DD FORM 2768 (BACK), MAR 1998

9. POINT OF CONTACT (Must be able to contact traveler(s) before departure and after arrival in case of delay(s) or cancellation(s))

(1) DEPARTURE

(2) ARRIVAL

a. NAME (Last, First, Middle Initial) b. GRADE c. DUTY PHONE (DSN/Commercial) d. AFTER HOURS (DSN/Commercial)

10. NON-DV PASSENGERS

a. NAME (Last, First, Middle Initial) b. GRADE c. DUTY TITLE d. BRANCH OF SERVICE

11. REMARKS/ADDITIONAL COMMENTS

12. REQUESTER

a. NAME (Last, First, Middle Initial) b. GRADE c. DUTY TITLE d. OFFICE SYMBOL

e. DUTY TELEPHONE (DSN/Commercial) f. SIGNATURE g. DATE

h. PLAIN LANGUAGE ADDRESS (PLAD)

13. TRAVEL AUTHORIZING OFFICIAL (As appointed by Service)

14. SENIOR TRAVELING PASSENGER (Signature may not be delegated) xpriority: Off pujc_code:

mission_descr:

pri2_cons:

pax:

sr_name:

sr_grade:

sr_title:

sr_branch:

addgrade_2:

addtitle_2:

addbranch_2:

addname_2:

addname_3:

addgrade_3:

addtitle_3:

addbranch_3:

dep_1:

depdate_1:

arr_1:

arrdate_1:

dep_2:

depdate_2:

arr_2:

arrdate_2:

dep_3:

depdate_3:

arr_3:

arrdate_3:

a_LEG_1:

b_LEG_2:

c_LEG_3:

d_TIMES_NO_OF_PASSENGERS:

e_EQUALS_TOTAL_COST: 0 cargo_descr:

heaviest:

largest:

total_wt:

total_cft:

spec_reqs:

pocname_1:

pocname_2:

pocgrade_1:

pocgrade_2:

pocphone_1:

pocphone_2:

afterphone_1:

afterphone_2:

addname_1:

addgrade_1:

addtitle_1:

addbranch_1:

nondvname_1:

nondvgrade_1:

nondvtitle_1:

nondvbranch_1:

nondvname_2:

nondvgrade_2:

nondvtitle_2:

nondvbranch_2:

nondvname_3:

nondvgrade_3:

nondvtitle_3:

nondvbranch_3:

addl_rmks:

req_name:

req_grade:

req_title:

req_symb:

req_phone:

req_date:

req_plad:

auth_name:

auth_grade:

auth_title:

auth_symb:

auth_phone:

auth_date:

senior_name:

senior_grade:

senior_title:

senior_symb:

senior_phone:

senior_date:

Reset:

image4.emf

SAMPLE TAR MEMO.docx

DEPARTMENT OF DEFENSE

United States Embassy

Bogotá, Colombia

Cont. SUBJECT: Request for Travel Authorization (TA)

15 March 2018

MEMORANDUM FOR HEADQUARTERS USSOUTHCOM, ATTN: J3-J33-AIR

9301 NW 33RD STREET, DORAL, FL

SUBJECT: Travel Authorization Request (TAR)

1. COL Robert C. Armstrong, Office of Security Cooperation (OSC) Colombia, requests a Travel Authorization for the following DoD and non-DoD personnel to travel aboard a U.S. DoD contract aircraft, OSACOM, on 21 MAR 2018, in order to accomplish the mission.

2. Mission: Team DoD J6 conducts troubleshooting on OneNet Taclane at La Macarena.

A) DoD Passengers:

RANK/Status NAME (Last, First) TITLE Employer Citizenship

SSG

Rkiouak, Michael

SCO J6 Deputy

U.S. Army

US

CTR

Deras, Elver

MNIS Lead

DoD

US

B) Non-DoD Passengers

RANK/Status NAME (Last, First) TITLE Employer Citizenship

CTR

Zapata, Cristian

MNIS Engineer

SCJ6/Chartr

COL

CTR

Hidalgo, Edgar

MNIS Engineer

SCJ6/Chartr

COL

Contractor SPOT LOAs are attached. COR, Mr. Carlos Garcia, can be contacted at office number (305) 437-1926 or email carlos.garcia29.civ@mail.mil.

3. Travel Itinerary: (for each individual, if different)

PAX Depart ICAO Depart Time (Z) Arrive ICAO Arrive (Z)

4 SKBO 1200Z / 20 MAR SKNA 1300Z / 20 MAR

4 SKNA 1400Z / 21 MAR SKBO 1500Z / 21 MAR

4. Justification: Although DoDI 4500.56, DoDI 4515.13, DoDI 4500.43, and SOUTHCOM MILAIR Regulation 45-1 explicitly state that commercial air is the primary mode of air transportation, it is not feasible for the following reason(s):

a. There are no commercial flights available during the week of proposed travel.

b. The requirement to move COMSEC as well as some network equipment will be better suited through OSACOM movement.

5. Cost Comparison & Financial Reimbursement:

a. Total cost of travel by commercial air for all Space-Required passengers: N/A.

b. Non-DoD travel is on a non-interference/non-reimbursable to DoD basis. (Refer SC 45-1, Appendix C, for explanation and requirements for each of these options.)

6. Late Submission Rationale: N/A.

7. POC: SSG Michael Rkiouak, USA, Team DoD J6 Deputy at office number 011-571-275-4234, cell number 011-571-310-233-6386, or e-mail michael.w.rkiouak.mil@mail.mil.

ROBERT C. ARMSTRONG

COL, USA

Chief, Office of Security Cooperation image1.png image1.emf

SPOT LOA Example.pdf image2.emf

SPOT-LOA-Example 2.pdf

*8BK3MK*

GOVT AUTHORITY POC PHONEGOVT AUTHORITY POC REQUIRING ACTIVITY

DATE OF REQUEST

GOVT AUTHORITY POC EMAIL

NAME (Last, First, Middle) SSN/DODID DATE OF BIRTH

CITIZENSHIP

DEPLOYMENT PERIOD END DEPLOYMENT PERIOD START

PASSPORT # / EXPIRATION

THEATER EMAIL

EMAIL

COMPANY (full name)/Prime or Subcontractor

COMPANY POC EMAIL COMPANY POC TELEPHONE COMPANY POC

CONTRACT ISSUING AGENCYCONTRACT START/END DATE CONTRACT NUMBER/ TASK ORDER

ASSIGNED KO TELEPHONEASSIGNED KO

CONTACT’S EMAILCONTACT’S PHONEIN-THEATER CONTACT

COUNTRIES TO BE VISITED

COMPANY BILLING ADDRESS

PURPOSE

FIN/UID

ASSIGNED KO EMAIL

CONTRACTOR STATUS

AUTHORIZED GOVERNMENT SERVICES*

NUMBER OF AGS ITEMS CHECKED:

*Authorized Government Services does not necessarily mean that the Government provides these services to contractors on a non-reimbursable basis. For certain categories of authorized services, the contractor may be required to reimburse the government IAW applicable Federal, DOD or COCOM regulations/policies and/or the contract terms and conditions. The indicated Authorized Government Services on this LOA are only applicable for the designated countries to be visited during the deployment; however, if the services vary between countries, the contracting officer shall specify which services may be authorized in each country. If the country to be visited has a Status of Forces Agreement (SOFA) in place that governs the categories of services to be authorized, then the terms of the SOFA take precedence over the terms of this LOA.

**Combatant Commander (CCDR) authorization is required IAW FAR Clause 52.225-26 in order for a contractor to be authorized to carry a weapon.

***Resuscitative/Emergency Care is the default level of care. Unless specifically negotiated in the contract, ALL medical care is reimbursable to the U.S. Government.

The government organization specified above, in its mission support capacity under the contract, authorizes the individual employee identified herein, to proceed to the location(s) listed for the designated deployment period set forth above. Upon completion of the mission, the employee will return to the point of origin.

LETTER OF AUTHORIZATION

NOT VALID WITHOUT PHOTO ID

CAAF NON-CAAF

WEAPON** MILITARY ISSUED CLOTHING

BILLETING MILITARY ISSUED EQUIPMENT

CAC MWR FACILITIES

LOCAL ACCESS BADGE MILITARY EXCHANGE

DINING FACILITY (DFAC) COMMISSARY

GOV’T FURNISHED MEALS (GFM) MILITARY BANKING

APO/FPO/POSTAL SERVICES EXCESS BAGGAGE

DIPLOMATIC POST OFFICE (DPO) MILAIR

PRIMARY CARE*** TRANSPORTATION (other than MILAIR)

OTHER (SEE REMARKS FIELD) NONE

Palacios, Christian Alexis

3054373838KATHERINE E MCCURDYSAF-CDM Concepts, Development, Management

7/27/2020 katherine.e.mccurdy.civ@mail.mil

1245076467 2/26/1982

United States

2/28/20217/27/2020

488642885 / 2/3/2024 christian.palacios@gdit.com christian.palacios@gdit.com

571-352-9148Nilsson, Kirk

General Dynamics Information Technology / Prime

Dept. of the Air Force4/1/2020 - 2/28/2021FA8240-15-D-2780/FA714620F0783

5712569894YVETTE L JACKSON

veronica.j.guayanay.mil@mail.mil011-571-275-4234Guayanay, Veronica

Colombia

3150 Fairview Park Dr Ste 100, Falls Church, Virginia - 22042 United States

Long-term deployment in support of USSOUTHCOM kirk.nilsson@gdit.com yvette.jackson.2@us.af.mil

*8BK3MK*

Print Name

Email

Contracting Officer

Signature

Phone

LOA REMARKS

Date spot.dmdc.mil spot.dmdc.mil cn=spot.dmdc.mil,c=US,o=U.S. Government,ou=OSD

2020.07.27 10:48:27 -07:00 yvette.jackson.2@us.af.mil

Signed by the SPOT System on behalf of YVETTE L JACKSON

5712569894

Travel deemed Mission Essential by DAO and SCJ29. Travel approved by Mr. Fegert Travel deemed Mission Essential by DAO and SCJ29. Travel approved by Mr. Fegert.

7/27/2020

Name: Palacios, Christian Alexis SSN/DODID: 1245076467

.\Documents and Settings\wjhepworth\Desktop\LGLogo_20.png

GOVT AUTHORITY POC PHONE

GOVT AUTHORITY POC

REQUIRING ACTIVITY

DATE OF REQUEST

GOVT AUTHORITY POC EMAIL

NAME (Last, First, Middle)

SSN/DODID

DATE OF BIRTH

CITIZENSHIP

DEPLOYMENT PERIOD END

DEPLOYMENT PERIOD START

PASSPORT # / EXPIRATION

THEATER EMAIL

EMAIL

COMPANY (full name)/Prime or Subcontractor

COMPANY POC EMAIL

COMPANY POC TELEPHONE

COMPANY POC

CONTRACT ISSUING AGENCY

CONTRACT START/END DATE

CONTRACT NUMBER/ TASK ORDER

ASSIGNED KO TELEPHONE

ASSIGNED KO

CONTACT’S EMAIL

CONTACT’S PHONE

IN-THEATER CONTACT

COUNTRIES TO BE VISITED

COMPANY BILLING ADDRESS

PURPOSE

FIN/UID

ASSIGNED KO EMAIL

CONTRACTOR STATUS

AUTHORIZED GOVERNMENT SERVICES*

NUMBER OF AGS ITEMS CHECKED:

*Authorized Government Services does not necessarily mean that the Government provides these services to contractors on a non-reimbursable basis. For certain categories of authorized services, the contractor may be required to reimburse the government IAW applicable Federal, DOD or COCOM regulations/policies and/or the contract terms and conditions. The indicated Authorized Government Services on this LOA are only applicable for the designated countries to be visited during the deployment; however, if the services vary between countries, the contracting officer shall specify which services may be authorized in each country. If the country to be visited has a Status of Forces Agreement (SOFA) in place that governs the categories of services to be authorized, then the terms of the SOFA take precedence over the terms of this LOA.**Combatant Commander (CCDR) authorization is required IAW FAR Clause 52.225-26 in order for a contractor to be authorized to carry a weapon. ***Resuscitative/Emergency Care is the default level of care. Unless specifically negotiated in the contract, ALL medical care is reimbursable to the U.S. Government. The government organization specified above, in its mission support capacity under the contract, authorizes the individual employee identified herein, to proceed to the location(s) listed for the designated deployment period set forth above. Upon completion of the mission, the employee will return to the point of origin.

LETTER OF AUTHORIZATION

NOT VALID WITHOUT PHOTO ID

1.6

LETTER OF AUTHORIZATION / LETTER OF INSTRUCTION

carol.a.vankirk

Acrobat PDFMaker 8.0 for Word

Acrobat Distiller 8.0.0 (Windows)

D:20070122175752-05'00'

D:20070212132644-05'00'

.\Documents and Settings\wjhepworth\Desktop\LGLogo_20.png

Print Name

Email

Contracting Officer

Signature

Phone

LOA REMARKS

Date

NAME (Last, First, Middle Initial): Palacios, Christian Alexis

GOVT AUTHORITY POC PHONE: 3054373838

GOVT AUTHORITY POC: KATHERINE E MCCURDY

GOVT AGENCY SUPPORTING MISSION: SAF-CDM Concepts, Development, Management

DATE OF REQUEST: 7/27/2020

GOVT AUTHORITY POC EMAIL: katherine.e.mccurdy.civ@mail.mil

SSN: 1245076467

DATE OF BIRTH: 2/26/1982

CITIZENSHIP: United States

DEPLOYMENT PERIOD END (MM/DD/YYYY): 2/28/2021

DEPLOYMENT PERIOD START (MM/DD/YYYY): 7/27/2020

PASSPORT # / EXPIRATION (MM/DD/YYYY): 488642885 / 2/3/2024

THEATER EMAIL: christian.palacios@gdit.com

AKO EMAIL: christian.palacios@gdit.com

COMPANY POC TELEPHONE: 571-352-9148

COMPANY POC: Nilsson, Kirk

COMPANY (full name): General Dynamics Information Technology / Prime

CONTRACT ISSUING AGENCY: Dept. of the Air Force

CONTRACT / TO END DATE (MM/DD/YYYY): 4/1/2020 - 2/28/2021

CONTRACT NUMBER/ TASK ORDER: FA8240-15-D-2780/FA714620F0783

NOK ALTERNATE TELEPHONE: 5712569894

NOK TELEPHONE: YVETTE L JACKSON

CONTACT’S EMAIL: veronica.j.guayanay.mil@mail.mil

CONTACT’S PHONE: 011-571-275-4234

IN-THEATER CONTACT: Guayanay, Veronica

PURPOSE: Colombia

FUND CITE w/ BILLING ADDRESS:

3150 Fairview Park Dr Ste 100, Falls Church, Virginia - 22042 United States

PURPOSE: Long-term deployment in support of USSOUTHCOM

GRADE EQUIV (GS12 or GS 13): kirk.nilsson@gdit.com

SSN:

NOK ALTERNATE TELEPHONE: yvette.jackson.2@us.af.mil

COUNT: 18

Email: yvette.jackson.2@us.af.mil

Print Name: Signed by the SPOT System on behalf of YVETTE L JACKSON

Phone: 5712569894

Print Name: Travel deemed Mission Essential by DAO and SCJ29. Travel approved by Mr. Fegert Travel deemed Mission Essential by DAO and SCJ29. Travel approved by Mr. Fegert.

Phone: 7/27/2020

SignatureField:

Deployable Person: Name: Palacios, Christian Alexis SSN/DODID: 1245076467 image3.emf